Page 1 of 25 DESCRIPTION/OVERVIEW The purpose of this ...

ATTACHMENT E: VENOUS ACCESS PORT ADDENDUM
1. Identify the correct patient. Confirm gauge and needle length of non-coring (Huber) needle.
2. Explain the procedure to the patient/parent using age appropriate language.
3. Approximately 45-60 minutes prior to accessing the infusaport/PASport apply a layer of EMLA cream over the site. Cover with bio-occlusive dressing.
4. After the allotted time, prepare to access the infusaport/PASport using the appropriate size non-coring (Huber) needle.
5. Remove the bio-occlusive dressing from the patient. Remove all remaining EMLA from the site with a dry 4 x 4 gauze.
6. Allow the patient to assume comfortable position. Child may sit on parent’s lap. Supine position is preferable.
7. Wash hands. Open the prepackaged Skin Prep tray with Chloraprep. Use this as your sterile field. Place the sterile non-coring (Huber) needle, a sterile needle-less access cap
(Clave), and 10cc syringe on the field. Put on the mask. Use alcohol pad to cleanse the top of the NaCl vial.
If accessing the port for lab draws only, you do not need to use the Skin Prep tray. You will need a sterile field, non-coring (Huber) needle, and a chloraprep sponge, and a
mask. Proceed as listed below.
8. Don sterile gloves. (You can do this with one sterile glove on the dominant hand, and the other hand is used for non sterile procedures)
9. As you maintain sterility, have a second person assist with drawing up 10 cc NS from vial.
10. Maintaining sterility, place the needless access cap (clave) onto the non-coring (Huber) needle, prime with the NS. You may use the prepackaged NS syringe, but realize the
outer part of the syringe is not sterile, just the fluid inside. Set aside on the sterile field.
11. Prep the skin over the infusaport/PASport using the chloraprep (3 ml). Using a scrubing motion, starting at the port site and working outward to a 4 to 5 inch diameter for 30
seconds. Do not retrace steps. Allow to dry.
12. Locate the port septum by palpation. Triangulate the port between the thumb and first fingers of the non-dominant hand. Aim for the central point of these fingers.
13. Insert the non-coring (Huber) needle perpendicular to the port septum, and advance the needle through the skin and the septum until reaching the back of the port.
14. Verify correct placement by aspiration of blood. If blood cannot be aspirated, use NS and pull/push technique to attempt to initiate blood flow. If blood return still cannot be
obtained, pull back and attempt to reposition the needle. If needle is withdrawn from the skin, a new prep and new non-coring needle must be used.
15. Proceed with desired procedure. If the needle is left in place, apply a bio-occlusive dressing securing the needle and tubing coil. (May place folded 2x2 gauze or Biopatch,
under wings of needle if needed, for support of wings). Coil excess tubing under bio-occlusive dressing. Connect to ordered IV fluids. To heplock, instill 10U/ml in young infants