Collaborative Intravenous Nursing Service (CINS) Guidelines

Bleeding from site / lineitself.Line migration /displacementLine in situ when nolonger required.Chloride for injection flushes as per CINSguidelines, Pre & post drug / infusionadministration. Use heparinised saline asCINS guidelines if open ended catheter• Ensure compatibility of drugs/infusates toavoid precipitation.• Ensure weekly flushes when not in use.Use needle-free system according toCINS guidelines using positive pressureflush• Ensure regular flushes when lumens notin use.• Observe for signs of bleeding from site.• Apply pressure above dressing• Ensure add on devices/taps securelyfastened.• Ensure clotting studies in acceptablerange prior to removal of line.• Check notes to ensure medical staff havedocumented line is in correct place andsafe to use (for sub-clavian and jugularlines)• Ensure line securely sutured.• Check each shift for signs of linemigration, eg visible lumens outside ofexit point.• Anchor lines to avoid accidentaldisplacement.• If in doubt do not use line and ensurepatient is aware of problems which mayoccur.• Daily review on need for line/ consideration ofchange to more appropriate line for patient.• Daily documentation on need for linedocumented in nursing/medical notes.• Ensure prompt removal when line no longerrequired.78The CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10