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Venous Access Device Maintenance - Adult/Pediatric/Neonatal - Inpatient/Ambulatory [2]

Venous Access Device Maintenance - Adult/Pediatric/Neonatal - Inpatient/Ambulatory [2] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Delegation/Practice Protocols, Ambulatory Delegation Protocols




Delegation Protocol Number: 2

Delegation Protocol Title:
Venous Access Device Maintenance – Adult/Pediatric/Neonatal – Inpatient/Ambulatory

Delegation Protocol Applies To:
All UW Health patients

Target Patient Population:
Any patient with a venous access device that requires flushing for device maintenance.

Delegation Protocol Champion:
Bartho Caponi, MD – Department of Medicine - Hospitalists

Delegation Protocol Reviewers:
Philip Trapskin, PharmD, BCPS - Drug Policy Program
Kristin Strampe - Manager - Venous Access Team

Responsible Department:
Department of Medicine

Purpose Statement:
To maximize the patency of venous access devices through the delegation of the ordering of venous
access device maintenance solutions according to established UW Health guidelines from encounter
providers to Registered Nurses (RNs), Pharmacists, and Radiologic Technologists.

Who May Carry Out This Delegation Protocol:
Registered Nurses (RNs), Pharmacists (RPhs) and Radiologic Technologists who have a documented
competency in the management of venous access devices and who are trained in the use of this
protocol.

Guidelines for Implementation:
1. This delegation protocol is initiated when a patient has an order for insertion and/or maintenance of
a venous access device; or a patient presents with a venous access device in place or the patient
requires a venous access device for treatment or assessment.
2. The RN/RPh/ radiologic technologist will order the necessary flushing/lock solution and frequency
per the UW Health Flushing/Locking of Venous Access Devices- Adult/Pediatric –
Inpatient/Ambulatory Clinical Practice Guideline.

Order Mode: Meds: Protocol/Policy, Without Cosign

References: NA

Collateral Documents/Tools:
1. UW Health Policy 1.56 AP – Central Vascular Access Device Use, Maintenance and Removal (Adult & Pediatric)
2. UW Health Flushing/Locking of Venous Access Devices- Adult/Pediatric – Inpatient/Ambulatory Clinical Practice
Guideline. 2016. https://uconnect.wisc.edu/clinical/cckm-tools/content/?path=/content/cpg/medications/name-
97566-en.cckm
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org



3. IP – Flushes for Venous Access Devices – Supplemental Order Set [3606]

Approved By:
UW Health Ambulatory Protocol Committee: August 2014; *January 2017
UWHC Nursing Practice Council: September 2014; *January 2017
UWHC Pharmacy and Therapeutics Committee: September 2014; *January 2017
UWHC Medical Board: September 2014; *January 2017
UW Health Chief Clinical Officer: September 2014; *January 2017

Effective Date: January 2017

Scheduled for Review: January 2020
*Accelerated Review Process






Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org