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

Type of Lines
Blood Drawing
Subclavian Catheters:
• CVC Catheter
• Hohn Catheter
CVC: Use brown port
Hohn: Use red port
CARE OF ADULT CENTRAL LINE CATHETERS
Long-Term External
Catheter:
• Hickman/Broviac
• Groshong Catheter
Hickman/Broviac: use red
port (if double lumen)
Groshong: use red port if
double lumen; may access the
line hub-to-hub as opposed
Venous Access Ports:
• Port-A-Cath
• PAS port
Use a 19 or 20 G non-coring
(Huber) needle for port access
Long Arm Catheters or
PICC
LAC or PICC should be at a
3.0 Fr or larger.
A 10cc NS flush prior to
blood draw would be helpful
through interlink.
Stop all infusions. Using a needleless system, aspirate 6cc of blood (2cc for LAC and midlines) in syringe and discard. In second syringe, aspirate the amount
needed for the specimen and place in a blood tube. Vigorously flush line immediately with 20cc NS and appropriate amount of Heparin (if indicated) as directed
under irrigation section.
Blood Administration
CVC: use the brown port
Hohn: use red port
Hickman/Broviac: use red
port (if double lumen)
Use a 19 or 20 G non-coring
(Huber) needle for port access.
LAC or PICC: Use at least a
3.0 Fr or larger. These are not
optimal gauge given long
lengths.
Administer blood through the needleless injection cap with a needless syringe cannula. After transfusion, vigorously flush catheter with 20cc NS and appropriate
amount of Heparin (if indicated) as directed in the irrigation section.
Catheter Access
All central lines should have a needleless cap on each access port. Only access
the lines through the injection cap, with a few exceptions. The injection cap
should be cleaned with alcohol for 60 seconds prior to access. Use only a
needleless syringe cannula to access the injection.
Cap Changes
For venous access ports, use only a non-coring (Huber) needle. See venous
access attachment.
Frequency of cap changes: for all types of lines, needleless injection caps should
be used on all ports. Caps should be changed every 72 hours (3 days) or PRN.
If a hub-to-hub access is done for a blood draw or CVP reading, a new injection
cap should be placed on the line when finished. In the home setting, cap changes
should occur once a week.
Changing the cap: clamp all lines (except Groshong). Prep the cap/catheter hub
with a 60 second chloraprep scrub. Remove the old cap and apply new cap using
sterile technique. Unclamp the line (if in use) and place a courtesy tab on the
cap/hub. Be sure to date, time and initial the cap changed on the courtesy tab.
Clave Adapter special note: Clamp venous access device before final syringe of
flushing solution used. Betadine should never be used to cleanse the Clave
Adapter. Cleanse it with alcohol or chloraprep, only.
_________________________________________________________________________________________________________________
Title: Venous Access Device
Owner: Clinical Education Department
Effective Date: 07/27/05
Page 22 of 25