Collaborative Intravenous Nursing Service (CINS) Guidelines

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6University Hospital Aintree NHS Foundation TrustWirral University Teaching Hospitals NHS Foundation 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
7CONTENTSPAGENUMBER1 Introduction 32 Definition 33 Scope 44 Evidence Base 45 Causes 46 Risk Reduction 477.1RecognitionSymptoms458 General Procedure for the Management of Extravasation orsuspected Extravasation59 Further notes on treatments for cytotoxic extravasations 61010.110.21111.111.2Extravasation KitsContentsLocationDocumentation & ReportingLocal ProceduresGreen Card Reporting88888812 References & Suggested Further Reading 9Appendix 1 Classification of Cytotoxic Drugs according to their Potential 10to cause severe necrosis when extravasatedAppendix 2 Specific Antidotes in the management of peripheral11extravasationAppendix 3 Extravasation – Evidence behind recommendations 12The 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
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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
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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 96 and 97: 4PCTcoordinatorMalcolm Smith Mid Ch
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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