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Type of Lines Lumen or Port Size Subclavian catheters: • CVC Catheter • Hohn Catheter CVC Catheter: White port: 18G, dead space vol. 0.3cc Blue port: 18G, dead space vol. 0.36cc Brown port: 16G, dead space vol. 0.48cc Hohn Catheter: Red port: 16G (7Fr) White port: 18G (5Fr) CARE OF ADULT CENTRAL CATHETERS Long-Term External Catheter: • Hickman & Broviac • Groshong Catheter Hickman Catheter: Single lumen: 16G Double lumen: both at least 16G, but the red port is slightly larger. Broviac Catheter: Single lumen: 18G Double lumen: both at least 18G, but the red port is slightly larger. Venous Access Ports: • Port-A-Cath • PAS port Port-A-Cath: most are attached to at least a 26G catheter. Fill volume for both prot and catheter is 0.80cc PAS port: most are attached to at least an 18G catheter. Fill volume for both port and catheter is 0.73cc Long Arm Catheters or PICC May be either single or double lumen. Catheter sizes vary. Most range between 19 to 20G (3.0 to 5.0 Fr). The internal fill volume ranges from 0.04 to 0.34 cc. Port Use CVC: White port: (proximal) use for maintenance solutions & IV meds. Blue port: (medial) use for nutrition. Brown port: (distal) use for blood draws or administration Groshong Catheter: Single lumen: 16G Double lumen: both at least 16G, but the red port is slightly larger. Double lumen lines: White port: (proximal) use for nutrition, IV medications and maintenance fluids. Red port: (distal) use for blood draws or administration Double lumen ports: Some patients will have a double port placement. Use the larger port for blood administration and draws, the smaller port can be used for maintenance infusions, IV meds and nutrition. Double lumen lines: White port: (proximal) use for nutrition, IV medications, and maintenance fluids. Red port: (distal) use for blood draws or administration. Hohn Catheter: White port: (proximal) use for nutrition, IV medications, maintenance fluids Red port: (distal) use for blood draws or administration. _________________________________________________________________________________________________________________ Title: Venous Access Device Owner: Clinical Education Department Effective Date: 07/27/05 Page 20 of 25
Type of Lines Irrigation: use Heparin flush concentration of 100U/cc. Patients receiving excessive flushes, Heparin 10U/cc may be used To avoid reflux, maintain positive pressure in line Clamp line as irrigation is completed. To avoid catheter rupture, do not exceed pressure of 30 PSI. Use a 10 cc syringe to irrigate. Subclavian Catheters: • CVC Catheter • Hohn Catheter Maintenance Flush: CVC: Heparin flush 1cc/port q24 hours. Hohn: Heparing flush 2cc/port q24 hours Medications: 10cc flush with NS before and after medication. Follow with Heparin flush (CVC 1cc/Hohn 2cc). TPN: 20cc flush with NS followed by Heparin flush (CVC 1cc/Hohn 2cc) Blood in Tubing: with any blood draw or administration, flush with 20cc NS followed by Heparin flush (CVC 1cc/Hohn 2cc). CARE OF ADULT CENTRAL CATHETERS Long-Term External Catheter: • Hickman & Broviac • Groshong Catheter Maintenance Flush: Hickman/Broviac: Heparin flush 3cc q24 hours. Groshong: vigorously flush 10cc NS q7 days when not in use. Medications: Hickman/Broviac: 10cc flush with NS before and after medis followed by 3cc Heparin flush. Groshong: vigorously flush with 10cc NS before and after medications. TPN: Hickman/Broviac: flush with 20cc of NS followed by 3cc Heparin flush. Groshong: vigorously flush with 20cc NS before and after TPN. Blood in Tubing: Hickman/Broviac: flush with 20cc of NS followed by 3cc Heparin flush. Groshong: vigorously flush with 20cc NS before and after Venous Access Ports: • Port-A-Cath • PAS port Maintenance Flush: Heparin flush 500U/5cc NS q4 weeks when not in use. Medications: 10cc NS flush before and after medications followed by a 5cc Heparin flush. (Home infusion may use 5cc NS flush the Heparin) TPN: Flush with 20cc NS followed by 5cc Heparin flush. Blood in Tubing: with any blood draw or administration, flush with 20cc NS followed by 5cc Heparin flush. Long Arm Catheters or PICC Maintenance Flush: If Bard PICC: Heparin flush 2cc q8-12 hours. If Boston Scientific PICC: 20cc NS flush q12 hours. Medications: If Bard PICC: 20cc flush with NS before and after medications followed by a 2cc Heparin flush. If Boston Scientific PICC: flush with 20cc NS. TPN: If Bard PICC: flush with 20cc NS followed by 2cc Heparin flush. If Boston Scientific PICC: flush with 20cc NS. Blood in Tubing: If Bard PICC: with any blood draw or administration, flush with 20cc NS followed by 2cc Heparin flush. If Boston Scientific PICC: flush with 20cc NS. LACs become clotted very quickly if not flushed within 5 minutes of completion of IVPB. Important to use 10cc or larger syringe when flushing or withdrawing blood. _________________________________________________________________________________________________________________ Title: Venous Access Device Owner: Clinical Education Department Effective Date: 07/27/05 Page 21 of 25
Page 1 and 2: Applies To: All HSC Hospitals, CRTC
Page 3 and 4: 12. Patient Education 12.1. Instruc
Page 5 and 6: KEY WORDS Broviac Catheter, Central
Page 7 and 8: ATTACHMENT A: LONG ARM CATHETER (LA
Page 9 and 10: 22. Clean and apply a dressing to t
Page 11 and 12: ATTACHMENT C: LONG ARM CATHETER LEN
Page 13 and 14: ATTACHMENT D: CARE OF PEDIATRIC CEN
Page 15 and 16: CARE OF PEDIATRIC CENTRAL CATHETERS
Page 17 and 18: CARE OF PEDIATRIC CENTRAL CATHETERS
Page 19: ATTACHMENT F: CARE OF ADULT CENTRAL
Page 23 and 24: ATTACHMENT G: QUICK REFERENCE FOR V
Page 25: ___________________________________

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