Collaborative Intravenous Nursing Service (CINS) Guidelines

Central Venous Non-Tunnelled Catheters – Administration of antibiotics/additives/infusions (CVC4)27Administer drugs or IV therapy as prescribed using correct diluent and rate of infusion. Always use 10ml syringe, never use force to flush the catheter.If a triple or quadruple lumen catheter is being used more than once a day there is no need for a Hepsal flushActionEquipment RequiredDressing pack containing sterile towel and glovesGauze swabs x 3,Chlorhexidine Gluconate 2% in 70% Isopropyl alcohol or 2% Chlorhexidineimpregnated wipe.10ml syringes x 42 x 10ml 0.9% Sodium Chloride (saline)5ml Heparin 10units/ml in 0.9% Sodium ChlorideThree green needle/ filter straw. Sharps containerSurgical tapeAlcohol hand rub/gelPlastic apronAntibiotics/additive/infusion as prescribed 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.• Ensure working area is as clean as possible.• Ensure all equipment is gathered before commencing the procedure and all packaging isintact and in date.• 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.• Open sterile pack allowing inner pack to fall onto clean working area.RationaleReduce the risk of infection andcontamination.Ensures patient compliance and reduceanxietyMaintain asepsis.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