SIP 11: CVAD

You are going to obtain blood sample from CVC line. There is an ongoing IV Hartman solution infusion via distal lumen. What should you do?

• Stop the IV infusion and proceed with blood sampling from non-infusion port

• Obtain the blood via unused port without stopping the ongoing infusion.

• Stop the IV infusion, flush the non-infusion port with additional 20mls N/S prior to blood sampling

• Call Doctor to obtain blood specimen

Which catheter line can NOT be used for IV medication administeration?

• Central venous catheter

• Vascular catheter without independent port

• Peripheral inserted central catheter

• Independent port of vascular catheter

Nurses are allowed to obtain blood samples from PICC line

• True

• False

What position should the patient be placed during inter-jugular vein CVC removal?

• Supine position

• Semi fowler's position

• Reverse Trendelenburg position

• Trendelenburg position

What is the recommended size of syringe to be used for central line flushing?

• 10 mL

• 20 mL

• 5 mL

• Any size

SN Stephanine has completed taking blood sample from a CVC line. Which is the most appropriate action she should do next?

• Flush the lumen with 10mls NaCL 0.9%

• Flush the lumen with Heparin saline

• Flush the lumen with 20mls NaCL 0.9%

• Lock the lumen with concentrated Heparin

Which of the following complication requires IMMEDIATE & CRITICAL medical attention? (Choose the best option)

• Brusing over line insertion site

• Hematoma over the insertion site

• Pain and tenderness over insertion site

• Redness and warm to touch at the insertion site

1. Which of the followings are the appropriate nursing action following a post femoral access CVC removal?

2. 1. To instruct patient avoid bending the affected groin area for at least 4 hours

3. 2. Neurovascular monitoring Every 15mins x4, 30mins x2, then 1 hour later

4. 3. Assess the site for bleeding or hematoma

5. 4. To instruct patient RIB in supine position for at least 1 hour

• 1, 2 & 3

• 1, 2 & 4

• 2, 3 & 4

• 1, 2, 3 & 4

What nursing interventions and best practices should be followed to properly care for and maintain patency for CVC line? Select all that apply:

• StatLock device should be changed every 3 days

• Ensure all connections are visible and secured; no loose connections or backflow of blood in the catheter

• Check backflow for each unused CVC ports and flush the line using pulsatile technique

• Use Normal saline solution for dressing change

• Keep dressing dry and intact at all times.

What type of dressing should be applied for a vascular catheter?

• Primapore + Tegaderm

• Tegaderm

• IV advanced dressing

• Tegaderm with pad