Collaborative Intravenous Nursing Service (CINS) Guidelines

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