Re: Flushing CVAD lumens

[Tim Spencer]

Joanne,
Check the INS guidelines on page S59 (flushing and locking section)

Regards,

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob +61(0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

—–Original Message—–
Hi All

I am reviewing our current CVAD policy – and I need to include an item around flushing un-used lumens

1. Do you flush all un-used lumens (if not heparin locked) for all patients? Or just some groups of patients? E.g Haematology

2. If you flush – how often – e.g once per shift, once per day?

3. Does anyone replace CVAD (using a guidewire) in the situation where the CVAD in-situ has (for example) 5 lumens – inserted in ICU – and on transfer to the wards only needs 2 lumens for on-going clinical management. Providing there is no evidence of sepsis, insertion site is OK etc. Or do you leave the 5 lumen CVAD in and flush the lumens or just note they are not in use and not use them form this point on

The CDC guidelines don’t address flushing of lumens, I can only find it addressed in Oncology (referenced to UK Guidelines) and the ANZICS guide (not referenced)

Thanks for the help

Regards

Jo

Joanne Cocks | Infection Control Coordinator
St Vincent’s Melbourne | PO Box 2900 | 41 Victoria Parade, Fitzroy VIC 3065
t: +61 3 9288 4069 | f: +61 3 9288 4068 http://www.svhm.org.au
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