Collaborative Intravenous Nursing Service (CINS) Guidelines

Disconnection of Ambulatory Chemotherapy (Infusor/ Infuser) from Central Venous Access Device (DST1)54ActionEquipment RequiredDressing Pack containing sterile towel and glovesGauze swabs x 3, 10ml syringes x 3Chlorhexidine Gluconate 2% in 70% Isopropyl alcohol or Chlorhexidine Gluconate 2% in70% Isopropyl alcohol impregnated wipe10ml 0.9% Sodium Chloride for injection5ml Heparin10units/ml in 0.9% Sodium ChlorideTwo green needles/filter straw. Sharps containerSurgical tape,Alcohol hand rub,Needle-free systemPlastic apronPlastic bag for empty cytotoxic chemotherapy infusorLuer lock stopper for InfusorHEPARINISED SALINE WITH OPEN ENDED CATHETER• Explain procedure to the patient. Ensure that valid consent is gained. Before the procedure begins make sure that your hands are washed and dried thoroughlyand that they continue to be decontaminated during the procedure. A plastic apron shouldbe worn. Maintain aseptic technique at all times Ensure that the working area is as clean as possible. Ensure that all equipment is gathered before commencing the procedure and allpackaging is intact and in date. Open sterile pack allowing the inner pack to fall onto the clean working area. Open out sterile pack to create a sterile field. Open remaining equipment ensuring nocontamination of the sterile field. Decontaminate handsRationaleEnsures patient compliance andreduces anxietyReduce the risk of infection, toavoid contaminationTo maintain asepsisLuer lock stopper will preventleakage of chemotherapy frominfusor this is now a sealed unitThe CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10