(CVC) Management Guidance - the Royal Cornwall Hospitals Trust ...

Contents
1 Introduction ........................................................................................................ 3
2 Definitions .......................................................................................................... 3
3 Duties................................................................................................................. 3
4 Central Venous Catheters.................................................................................. 5
5 Indications for a Central Venous Catheter.......................................................... 5
6 Staff Who Can Manage / Access CVC’s ............................................................ 6
7 Insertion of CVC’s .............................................................................................. 6
8 Care of Central Venous Catheters ..................................................................... 6
8.1 Dressings (i.e PICC & Hickman style) (refer to appendix 1)......................... 6
8.2 Flushing CVC Lines (Appendix 11 SOP 1, 2, 4)........................................... 7
8.3 Open and closed valve systems: ................................................................. 7
8.4 Locking......................................................................................................... 8
9 Blood Sampling from a Central Venous Catheter (SOP 3)................................. 8
10 CVC problems.................................................................................................... 8
10.1 Occlusions.................................................................................................. 8
11 Removing CVC’s................................................................................................ 9
11.1 Indications for Catheter Removal ............................................................... 9
11.2 PICC line removal ...................................................................................... 9
11.3 Documentation of line removal must include:........................................... 10
12 CVC Infections ................................................................................................. 10
12.1 Suspected Insertion Site Infections .......................................................... 10
12.2 Blood Cultures.......................................................................................... 10
13 Education ......................................................................................................... 10
13.1 Staff.......................................................................................................... 10
13.2 Patients .................................................................................................... 11
14 Risk Management Strategy Implementation..................................................... 11
14.1 Implementation & Dissemination ........................................................ 11
14.2 Training and Support .......................................................................... 11
14.3 Document Control & Archiving Arrangements .................................... 11
14.4 Equality Impact Assessment............................................................... 12
15 Process for Monitoring Effective Implementation ............................................. 12
16 Associated Documentation............................................................................... 12
17 References....................................................................................................... 12
Please Note the Intention of this Document
These guidelines have been developed to ensure that registered staff have correct and clear
guidance with regards to the care, maintenance and removal of these lines.
Review and Amendment Log
Version No Type of Change Date Description of change