[Clare Fowler]

Thank you for your reply.
Yes I agree. And as I understand the prefilled cannot be used on a sterile field and my practice is to always open a sterile field at the home ( as variable conditions apply as you would imagine!) and draw up on the sterile field immediately prior to administration.

Much appreciated

Clare

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Sheryl Perry
Sent: Friday, 15 February 2019 8:49 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: CVAD access and flushing

They must use 10 ml syringes and draw up as the caliber is different to pre filled syringes. Pre filled syringes are not recommended for CVAD s . They should be drawing up at the time of commencing a flush
Sent from my iPhone

On 15 Feb 2019, at 8:23 am, Elizabeth A. Reading <Liz.Reading@hnehealth.nsw.gov.au> wrote:
Hi Clare,

Yes, I agree with Michael.
We use the pre-filled syringes too.

Cheers
Liz

Liz Reading

Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 12 February 2019 2:25 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] CVAD access and flushing

Hi Clare

My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Clare Fowler
Sent: Tuesday, 12 February 2019 10:36 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: CVAD access and flushing

Good morning,
May I address the brains trust to ask when accessing CVADs in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/Bs. Sometimes the drawing up is some hours prior to administration.

Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching
I cant find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration?

My gut tells me that drawing up as close as possible to administration is ideal however no evidence available to change clinical practice.

Any help gratefully appreciated

Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
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