Collaborative Intravenous Nursing Service (CINS) Guidelines

Skin Tunnelled Catheters – Blood Sampling (STC3)11Equipment RequiredActionRationaleDressing Pack containing sterile towel and glovesGauze swabs x 3 and Chlorhexidine Gluconate 2% in 70% Isopropyl alcoholOr use Chlorhexidine Gluconate 2% in 70% Isopropyl alcohol impregnated wipe(Sani Cloth)10ml syringes x 410ml 0.9% Sodium Chloride for injection5ml Heparin10units/ml in 0.9% Sodium ChlorideTwo green needles/filter straws.Sharps containerSurgical tapeAlcohol hand rub/gelPlastic apronNeedle free I/V access connector change as per manufacturer’s guidelines seeNSF1 Cins guideline5ML HEPARIN 10 UNITS/ML IN SODIUM CHLORIDE WITH OPEN ENDED CATHETER Before the procedure begins make sure that your hands are washed and driedthoroughly and that they continue to be decontaminated during the procedure. A plasticapron should be worn.• Maintain aseptic technique at all times.• Explain the procedure to the patient. Ensure that valid consent is gained.• Inspect the catheter exit site for signs of skin discolouration or signs of infection e.g.exudates from exit site. If you suspect infection please contact the hospital team whoplaced the catheter for advice. Refer to trouble-shooting guide.• Ensure working area is as clean as possible.• Ensure all equipment is gathered before commencing the procedure and all packagingis intact and in date.Maintain asepsis and safety.Reduce risk of infectionReduce anxietyPatient complianceTo avoid contaminationTo ensure that the procedure can becarried out safely.To maintain a sterile field.The CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10