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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

#69784
Richard Bartolo
Participant

Author:
Richard Bartolo

Email:
richard.bartolo@wh.org.au

Organisation:
Western Health

State:
VIC

Hi All,
Is anyone use needle free connector in haemodialysis? I cant seem to find any in Australia.

Richard Bartolo
Manager Infection Prevention

Western Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Klintworth, Gemma
Sent: Friday, 1 March 2013 9:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Needleless access devices and PN

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

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

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Friday, 1 March 2013 08:59
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Needleless access devices and PN
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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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Klintworth, Gemma
Sent: Thursday, 28 February 2013 4:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Needleless access devices and PN

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

[cid:364084200@28022013-0175]

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 confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

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