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Re: Needleless access devices and PN

Home Forums Infexion Connexion Needleless access devices and PN Re: Needleless access devices and PN

#69783
Klintworth, Gemma
Participant

Author:
Klintworth, Gemma

Email:
G.Klintworth@ALFRED.ORG.AU

Organisation:

State:

Hi, thanks for your responses. I agree that changing the needleless
access device every 24 hours and ‘opening’ the system so frequently may
introduce additional risk and would be costly.
For other solutions, we recommend changing the needleless access device
along with continuous infusion administration lines (but no more
frequently than 72 hours) as per the CDC. The issue with TPN lines is
therefore inconsistent with this.
Gemma
Gemma Klintworth
CLABSI Project Coordinator
Infection Prevention and Healthcare Epidemiology

t 03 90762250 e G.Klintworth@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and
Sandringham Hospital
http://www.alfredhealth.org.au

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________________________________

Behalf Of Tim Spencer

Hi Gemma,

As far as I know, there is no specific literature that describes
needlefree caps/valves to be changed specifically in PN patients.

However, that said, going off current international guidelines and
recommendations, I would say a weekly change is justified.

Most PN admin sets are changed at 24hrs (if a 3 in 1 solution) because
of the lipid content.

I see no reason to be changing the needlefree port at 24hrs as that
induces excessive cost as well.

I would maintain a 7 day change period unless clinically indicated to do
so.

I do have current PN European guidelines, so feel free to contact me if
you might like a copy.

Regards,

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
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Behalf Of Klintworth, Gemma

Hi all,

With regard to administration of parenteral nutrition via a central
line, I’m wondering how frequently people recommend that the needleless
access device is changed (if one is used at all in this case).

Thanks,

Gemma

Gemma Klintworth
CLABSI Project Coordinator

Infection Prevention and Healthcare Epidemiology

t 03 90762250 e G.Klintworth@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and
Sandringham Hospital
http://www.alfredhealth.org.au

CONFIDENTIALITY NOTICE: This email and any files transmitted with it are
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to whom they are addressed. If you have received this email in error,
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If you are not the intended recipient, you are hereby notified that any
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