Collaborative Intravenous Nursing Service (CINS) Guidelines

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catheter.• Ensure that the catheter is secure and comfortable.• Remove dressing towel and discard. Remove gloves and apron.• Clear away equipment disposing of waste as per organisational policy.• Wash hands• Document care in patient’s records.13The CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10
Skin Tunnelled Catheters – Administration of antibiotics/infusion/additives (STC4)Administer drugs or IV therapy as prescribed using correct diluent and rate of infusion. Always use 10ml syringe, never use forceto flush the catheter.ActionRationaleEquipment RequiredDressing pack containing sterile towel and glovesGauze swabs x 3,Chlorhexidine Gluconate 2% in 70% Isopropyl alcohol or Chlorhexidine Gluconate2% in 70% Isopropyl alcohol impregnated wipe10ml syringes x 42 x 10ml 0.9% Sodium Chloride for injection5ml Heparin10units/ml in 0.9% Sodium Chloride for injectionThree green needle/ filter straw.Sharps containerSurgical tapeAlcohol hand rub/gelAntibiotics/Infusion/additives as prescribedPlastic apron145ML HEPARINISED SALINE 10 UNITS/MLWITH 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.• Inspect the catheter exit site for signs of skin discolouration or signs of infection e.g.exudate from exit site. If you suspect infection please contact the hospital team whoplaced the catheter for advice. Refer to trouble-shooting guide.• Explain the procedure to the patient. Ensure that valid consent is gained.• Ensure working area is clean.• Ensure all equipment is gathered before commencing the procedure and all packagingis intact and in date.Reduce the risk of infection andcontamination.Ensures patient compliance and reduceanxietyThe CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10
Page 3 and 4: Intravenous Access Care and Mainten
Page 5: 4Cheshire and Merseyside NHS North
Page 8 and 9: Open sterile pack, allowing inner p
Page 10 and 11: Ensure all equipment is gathered be
Page 12 and 13: Skin Tunnelled Catheters - Blood Sa
Page 16 and 17: • Open sterile pack allowing inne
Page 18 and 19: Algorithm persistent withdrawal occ
Page 20 and 21: The CINs group hereby assert their
Page 22 and 23: Care and Maintenance of a non tunne
Page 24 and 25: Central Non-Tunnelled Catheters - S
Page 26 and 27: Central Non-Tunnelled Catheters - B
Page 28 and 29: Central Venous Non-Tunnelled Cathet
Page 30 and 31: Algorithm persistent withdrawal occ
Page 32 and 33: 31References.1. Department of Healt
Page 34 and 35: • Open sterile pack, allowing inn
Page 36 and 37: • Open out sterile pack to create
Page 38 and 39: 37Peripherally Inserted Central Cat
Page 42 and 43: • Place 0.9% sodium chloride (sal
Page 44 and 45: References431. Department of Health
Page 46 and 47: Care and Maintenance of a Periphera
Page 48 and 49: Peripheral Midline - 0.9% Sodium Ch
Page 50 and 51: 49Peripheral Midline -Administratio
Page 56 and 57: Put on sterile glovesPlace sterile
Page 58 and 59: ampoule(s) near to the working area
Page 60 and 61: 59Totally Implanted Venous Access D
Page 62 and 63: If TIVAD was accessed for flushing
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solution or open Chlorhexidine impr
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65Care and Management of Peripheral
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67Changing a Needle-free I/V access
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69EXIT SITE INFLAMMATION/PHLEBITISP
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SYSTEMIC INFECTION71Signs & Symptom
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FOR CARE OF PERIPHERAL VENOUS CANNU
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Bleeding from site / lineitself.Lin
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77Type of device Risks Actions Vari
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EVALUATION RECORD79DATE EVALUATION
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Type of device Risks Actions Variat
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EVALUATION RECORD83DATE EVALUATION
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87EVALUATION RECORDDATE EVALUATION
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91EVALUATION RECORDDATE EVALUATION
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2List of contributors to the Venous
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4PCTcoordinatorMalcolm Smith Mid Ch
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6University Hospital Aintree NHS Fo
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81. IntroductionThe purpose of this
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venous shock, flare or phlebitis. S
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12Hyaluronidase: Dilute 1500 units
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scheme is co-ordinated through the
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16Appendix 2Specific antidotes in t
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experience. Due to the volume of th
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20G. Infiltrate the site with 1-3ml
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Collaborative Intravenous Nursing Service (CINS) Guidelines

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