Collaborative Intravenous Nursing Service (CINS) Guidelines

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FOR CARE OF PERIPHERAL VENOUS CANNULA.73The care plan is designed to be used in conjunction with CINSGuidelines for vascular devices.Manufacturers’ specific recommendations should be noted andadhered to by individual practitioners.Patient addressograph label / patient nameIdentify site/s by numbering.SITENUMBERDATE TIME COLOUR/GAUGEREASON FORSITINGCONSENTY/NSIGNED REMOVEDDATESIGNEDThe CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10
Type of device Risks Actions Variations / Comments SIGNInfection due to loss of Site clean and protected with sterile dressingskin integrityas per CINS guidelines.PERIPHERALVENOUSCANNULAMinimum of daily inspection of site for signs ofinflammation or infection.74Observe patient for signs of line infection(vip score)When VIP score 2 or above remove promptly.Ensure administration lines in place followinglocal policy.Replace any infusates with additives and theiradministration lines at 24hrs if constituted inward environment.Label infusion lines with date for renewal.Air embolusOcclusion of lumen.Use needle free systems instead of 3 waytaps/bungs. Change needle free systems asindicated by manufacturers instructionsRecommend all attachments are needle freedevices and are securely fastened. Thisguideline does not promote the use of 3 waytaps.Ensure air dispelled from medication/flushes/infusates prior to administration.Maintain patency via 0.9% Sodium Chloridefor injection flushes as per CINS guidelines,post drug/infusion administration.Ensure compatibility of drugs/infusates toavoid precipitation.If difficult to flush then remove/re-assess.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
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Intravenous Access Care and Mainten
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4Cheshire and Merseyside NHS North
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Open sterile pack, allowing inner p
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Ensure all equipment is gathered be
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Skin Tunnelled Catheters - Blood Sa
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catheter.• Ensure that the cathet
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• Open sterile pack allowing inne
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Algorithm persistent withdrawal occ
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The CINs group hereby assert their
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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 40 and 41: The CINs group hereby assert their
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
Page 64 and 65: solution or open Chlorhexidine impr
Page 66 and 67: 65Care and Management of Peripheral
Page 68 and 69: 67Changing a Needle-free I/V access
Page 70 and 71: 69EXIT SITE INFLAMMATION/PHLEBITISP
Page 72 and 73: SYSTEMIC INFECTION71Signs & Symptom
Page 76 and 77: Bleeding from site / lineitself.Lin
Page 78 and 79: 77Type of device Risks Actions Vari
Page 80 and 81: EVALUATION RECORD79DATE EVALUATION
Page 82 and 83: Type of device Risks Actions Variat
Page 84 and 85: EVALUATION RECORD83DATE EVALUATION
Page 88 and 89: 87EVALUATION RECORDDATE EVALUATION
Page 92 and 93: 91EVALUATION RECORDDATE EVALUATION
Page 94 and 95: 2List of contributors to the Venous
Page 96 and 97: 4PCTcoordinatorMalcolm Smith Mid Ch
Page 98 and 99: 6University Hospital Aintree NHS Fo
Page 100 and 101: 81. IntroductionThe purpose of this
Page 102 and 103: venous shock, flare or phlebitis. S
Page 104 and 105: 12Hyaluronidase: Dilute 1500 units
Page 106 and 107: scheme is co-ordinated through the
Page 108 and 109: 16Appendix 2Specific antidotes in t
Page 110 and 111: experience. Due to the volume of th
Page 112: 20G. Infiltrate the site with 1-3ml
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Collaborative Intravenous Nursing Service (CINS) Guidelines

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