Central Line Reference Guide

Note: each lumen is a separate line and may be used for the administration of incompatible medications. Central Line Flushing Dressing Micro Clave Heparinizing Blood Sampling Changes Cap Changes Per MD Order Each lumen VAN/6B/6C(Hem/Onc), VANs w/ Needle VAN/6B/6C Syringe/ Vacutainer - Port-a-cath Q8hrs, before & ER CDU Tegaderm change All RNs (Hem/Onc), ER Method. Red cap all - Pass port(arm) after any med or IV 3000 weekly, when compromised CDU Refer to IVF tubing, flush all only use 22g or with 10ml syringe Gauze every 48hrs or removed from a PCS-408 flush lumens w/ 10ml NSS only non-coring needle central line for any with 5ml of Using 18g or larger 20g non-coring used, needle changes reason. 100units/ml lumen withdrawal 5needle every 7 days. No 10ml for waste, obtain
Biopatch to be used All RNs Tegaderm or IV 3000 weekly with biopatch, if gauze no Biopatch used and change in 48 hrs. blood specimen, flush all lumens w/ NSS. Attach IVF/Meds. Syringe/ Vacutainer Method. Red cap all IVF tubing, flush all lumens w/ 10ml NSS Using 18g or larger lumen withdrawal 510ml for waste, obtain blood specimen, flush all lumens w/ NSS. Attach IVF/Meds Syringe Method Only. Red cap all lVF tubing, flush all lumens w/ 10ml NSS Using 18g or larger lumen withdrawal 5-10ml for waste, obtain blood specimen, flush all lumens w/ NSS. Attach IVF/Meds Syringe/ Vacutainer Method Red cap all IVF tubing, flush all lumens w/ 10ml NSS Using 18g or larger lumen withdrawal 5-10ml for waste, obtain blood specimen, flush all lumens w/ NSS. Attach IVF/Meds No blood sampling.

Percutaneous (Subclavian, Femoral, Jugular)

Each lumen Q8hrs, before & after any med with 10ml syringe

All RNs Caps are changed weekly with dressing changes, when compromised or removed from a central line for any reason.

Pts are usually not discharged with this type of central line.

PICC Peripherally Inserted Central Catheter (Power & non-Power) Only placed in upper extremities Tunnelled Central Line (Power & nonPower) Located near anterior chest wall Midline

Each lumen Q8hrs, before & after any med with 10ml syringe

VAN Tegaderm or IV 3000 weekly and Biopatch , if gauze do not use Biopatch and change dressing in 48hrs

VANs w/ dressing change. All RNs when compromised or removed from a central line for any reason.

All RNs Refer to PCS-408 flush with 5ml of 100units/ml to each lumen

Each lumen Q8hrs, before & after any med with 10ml syringe

All RNs Tegaderm or IV 3000 weekly with Biopatch, , if gauze do not use Biopatch and change dressing in 48hrs

All RNs Caps are changed weekly with dressing changes, when compromised or removed from a central line for any reason.

All RNs Refer to PCS-408 flush with 5ml of 100units/ml to each lumen

Each lumen Q8hrs, before & after any med with 10ml syringe

VAN Tegaderm or IV 3000 weekly, Gauze every 48hrs. No Biopatch

Dialysis Catheter

Only completed by Dialysis Nurse, VAN

Usually changed during dialysis. Any RN may change dressing as needed.

VANs w/ dressing change. All RNs when compromised or removed from a central line for any reason. Should always have red caps on lumens.

No heparinizing needed.

Only completed by Dialysis Nurse, VAN. 1000 units/ml to fill intraluminal volume.

Only completed by Dialysis Nurse, VAN.

Note: When having difficulty obtaining blood draws, assess catheter for kinks, change caps. Assess patients position, lay supine with arm extended 90 degrees. If still having difficulty web page VAN for assistance before ordering TPA. VAN available for any assistance for Central Line questions. Please web page with call back page..