Collaborative Intravenous Nursing Service (CINS) Guidelines

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4PCTcoordinatorMalcolm Smith Mid Cheshire Hospitals Foundation Clinical Skills TutorTrustMargaret Wilkie Bebington and West Wirral PCT Professional Development NurseMichael Varey Clatterbridge Centre for Oncology I/V NurseNHS TrustNeil Malley Halton PCT Community Services ManagerNigel Billington Mid Cheshire Hospitals NHST Hospital at Night LeadNigel Evans Countess of Chester Hospital Trust Critical Care Outreach CoordinatorNorma Holt Royal Liverpool & BroadgreenUniversity Hospital TrustLimb Reconstruction SpecialistNursePauline Brown Royal Liverpool Children’s HospitalTrustLead Nurse IV TherapyPaulineHammondRebeccaMolyneuxClatterbridge Centre for OncologyNHS TrustRoyal Liverpool & BroadgreenUniversity Hospital TrustAssistant Director of NursingNurse Consultant in InfectionControlRuth Glenn Halton & St Helens PCT IV Therapy Nurse PractitionerSandra Roberts Cardio Thoracic Centre NurseSara Melville Alder Hey Children’s NHSFoundation TrustPaediatric IV Nurse SpecialistSarah ClarkeSharon LoweSharon IrvingAlder Hey Children’s NHSFoundation TrustAlder Hey Children’s NHSFoundation TrustInfection Control NurseConsultant/DIPSEPaediatric TPN nurse SpecialistShirley Smith Central Liverpool PCT Community IV Team LiverpoolSiobhan Wade Halton & St Helens PCT IV nurse SpecialistStephen Colfar Liverpool Heart & Chest CentreSue Brown Liverpool Womens Hospital Directorate Manager, Theatres,Critical Care and Clinical SupportServicesSue O’Hanlon Halton & St Helens PCT IV therapy Nurse SpecialistTina Twigg CM&MC Manchester Paediatric IV specialist Nurse,Team LeaderTony Nunn Alder Hey Children’s NHSDirector of PharmacyFoundation TrustTracey Forshaw Knowsley PCT Nurse Consultant, Older PeopleTracy Monaghan University Hospital Aintree Clinical EducatorUsha Downie Countess of Chester, Western IV Nurse specialist, paediatricCheshireViki Carter Countess of Chester, WesternCheshireIV Nurse specialist, paediatricThe CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10
5Appendix 2Merseyside & Cheshire Cancer NetworkMerseyside & Cheshire Cancer NetworkNetwork Guidance for the Prevention and Management of ExtravasationInjuries (Revised Mar 08)STOP! – Have you got the most up to date version of this policy?Always Check www.mccn.nhs.ukbefore reading further.Policy formulated and developed by the following:Clatterbridge Centre for Oncology NHS Foundation TrustCountess of Chester Hospital NHS Foundation TrustNorth Cheshire Hospitals NHS TrustRoyal Liverpool & Broadgreen University Hospitals NHS TrustRoyal Liverpool Childrens Hospital NHS TrustSouthport & Ormskirk Hospitals NHS TrustSt Helens and Knowsley Hospital NHS TrustThe 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
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Central Non-Tunnelled Catheters - S
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Central Non-Tunnelled Catheters - B
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Central Venous Non-Tunnelled Cathet
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Algorithm persistent withdrawal occ
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31References.1. Department of Healt
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• Open sterile pack, allowing inn
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• Open out sterile pack to create
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37Peripherally Inserted Central Cat
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The CINs group hereby assert their
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• Place 0.9% sodium chloride (sal
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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 52 and 53: The CINs group hereby assert their
Page 54 and 55: The CINs group hereby assert their
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 74 and 75: FOR CARE OF PERIPHERAL VENOUS CANNU
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 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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