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Re: cvc & other IV device bung/port cleaning protocol

Home Forums Infexion Connexion FW: cvc & other IV device bung/port cleaning protocol Re: cvc & other IV device bung/port cleaning protocol

#69039
Tim Spencer
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Tim Spencer

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Yes, an unfortunate incident.
And on that DOH Safety Alert, we changed ALL our CHG & IPA to red tinted
solution.
We also use the large and small lollipops.
However, I think the swabs are still clear – not sure if they come in a
tinted solution.
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 Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

________________________________

Behalf Of Prue Wright

Hi Jayne,

Recently there was a case when a woman was injected with clear
chlorhexidine by error – she was having an epidural inserted .

Because of this; it is preferred that prep for lines be dyed. This also
has the advantage of being able to see what parts of the skin have been
prepped.

The ICU I used to work in used “lollipops”; so there could be no error.

Regards

Prue Wright

Infection Control Co-ordinator

Hurstville Private

Behalf Of Tim Spencer

Hi Jayne,

Currently, the CDC Guidelines, along with NICE (UK), SHEA (USA), INS
(USA) and AVA (USA), ESPEN (Europe) and IVNNZ (New Zealand) all
recommend 2% CHG with 70% IPA.

It’s is pretty much the worldwide standard for skin antisepsis prior to
inserion of a IV device (peripheral or central), as well as
hub/cap/valve decontamination on any IV device.

Never heard of it being injected into the patient! I would be interested
to see your ID physicians supportive evidence to show any accidental
injection of CHG & IPA into the patient and any detriments it may have.

The evidence speaks correctly. I would base your policy from
“evidence-based research and practices’, not speculation from various
individuals.

There is plenty of supportive literature.

Regards,

Tim..

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 Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

________________________________

Behalf Of Jayne OConnor

Dear All,

We are currently revising our CVC policy and just wondering what
everyone used for cleaning the ports? All evidence points to 2%
Chlorhexidine in 70% alcohol, but we have had conflicting advice from
our ID physicians due to safety issues of injecting chlorhexidine into
lines?

Look forward to responses.

Kind Regards

Jayne

Jayne O’Connor RN, BSc.in Infection Control

Clinical Nurse Consultant- Infection Prevention & Control

Sydney Adventist Hospital,

185 Fox Valley Rd,.

Wahroonga,

NSW 2076.

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