CENTRAL VENOUS CATHETER MAINTENANCE		version 12/5/2022		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		
	☑	Nursing communication	Every visit	S	Until discont'd	
		Please continue to schedule subsequent infusion appointments manually as appropriate.		

PICC Line or Implanted Port 	

	
	Interval	Defer Until	Duration	
	☐	Change dressing: PICC	1 time a week	S	Until discont'd	
		No details available for preview		
	☐	Change dressing: Port-a-cath	1 time a week	S	Until discont'd	
		Port-a-cath dressing is changed ONLY when non-coring needle is changed and as needed.		
	☐	Access Portacath	Every visit	S	Until discont'd	
		Clinic Performed, Normal		
	☐	Replace StatLock	1 time a week	S	Until discont'd	
		No details available for preview		
	☐	Notify Physician if arm swelling, drainage, or other complications arise concerning the central line	Every visit	S	Until discont'd	
		No details available for preview		
	☐	Discontinue IV	Every visit	S	Until discont'd	
		No details available for preview		

Centrally Inserted Catheter or Temporary Dialysis Catheter 	

	
	Interval	Defer Until	Duration	
	☐	Change dressing	1 time a week	S	Until discont'd	
		No details available for preview		
	☐	Notify Physician if arm swelling, drainage, or other complications arise concerning the central line	Every visit	S	Until discont'd	
		No details available for preview		

Line Flush 	

	
	Interval	Defer Until	Duration	
	☐	sodium chloride 0.9% flush 10 mL	Every visit	S	Until discont'd	
		10 mL, intravenous, Starting when released
	Aspirate and flush for saline locked IV. ONLY USE 10 mL SYRINGE OR LARGER TO FLUSH LINE.		
	☐	sodium chloride 0.9% flush 20 mL	Every visit	S	Until discont'd	
		20 mL, intra-catheter, Starting when released
	Flush Port-a-cath with 20 mL. ONLY USE 10 CC OR LARGER TO FLUSH LINE.		
	☐	sodium chloride 0.9% flush 10 mL	PRN	S	Until discont'd	
		10 mL, intravenous, PRN, line care, Starting when released, Until Discontinued
	Aspirate and flush 10 mL IV push before and after medications and as needed using turbulent method. ONLY USE 10 mL SYRINGE OR LARGER TO FLUSH LINE.		
	☐	sodium chloride 0.9% flush 20 mL	PRN	S	Until discont'd	
		20 mL, intravenous, PRN, line care, Starting when released, Until Discontinued
	Flush with 20 mLs IV push after blood withdrawals and TPN. ONLY USE 10 mL SYRINGE OR LARGER TO FLUSH LINE.		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	HEParin, porcine injection 500 Units	Every visit	S	Until discont'd	
		500 Units, intra-catheter, once, Starting when released		
	☐	alteplase (CATHFLO) for NON Quinton and NON Hemodialysis Catheters 1 mg	PRN	S	Until discont'd	
		1 mg, intra-catheter, PRN, Starting when released, Until Discontinued
	1 mg dose of Cathflo is for NON Quinton and Hemodialysis Catheter Clearance.  For occluded catheter port. Up to 2 doses may be used per port separated by 120 minutes.
	Alteplase is to be instilled into the catheter then removed and NOT flushed into the patient.		
	☐	alteplase (CATHFLO) for Quinton and Hemodialysis Catheters 2 mg	PRN	S	Until discont'd	
		2 mg, intra-catheter, PRN, Starting when released, Until Discontinued
	2 mg dose of Cathflo is for Quinton and Hemodialysis Catheter Clearance.  For occluded catheter port. Up to 2 doses may be used per port separated by 120 minutes.
	2 mg dose of Cathflo is for Quinton and Hemodialysis Catheter Clearance.		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	CBC hemogram	1 time a week	S	Until discont'd	
		Routine, Normal, Clinic Collect		
	☐	Basic metabolic panel	1 time a week	S	Until discont'd	
		Routine, Normal, Clinic Collect		
	☐	Sedimentation rate	1 time a week	S	Until discont'd	
		Routine, Normal, Clinic Collect		
	☐	C-reactive protein	1 time a week	S	Until discont'd	
		Routine, Normal, Clinic Collect		
	☐	Blood culture, aerobic & anaerobic	1 time a week	S	Until discont'd	
		Routine, Normal, Clinic Collect		
	☐	Blood culture, fungus	1 time a week	S	Until discont'd	
		Routine, Normal, Clinic Collect, Blood