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IP – Dialysis/Pheresis Catheter Lock Management – Pediatric – Supplemental [3562]

IP – Dialysis/Pheresis Catheter Lock Management – Pediatric – Supplemental [3562] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, GI/Renal


IP - Dialysis/Pheresis Catheter Lock Management - Pediatric - Supplemental
[3562]
Patient Care Orders
Catheter/Site Care [104515]
Refer to:
Policy #1.56AP Central Vascular Access Device Use, Maintenance and Removal (Adult & Pediatric)
Policy #1.28AP Care of Hemodialysis/Apheresis Catheters (Adult & Pediatric)
Guideline Flushing/Locking of Venous Access Devices
Maintain Dialysis/Pheresis Catheter
[NURVAD0075]
CONTINUOUS, Routine
Device Status:
Site:
Location:
Assessment Frequency: EVERY 8 HOURS
Refer to Nursing and Patient Care Policy, 1.28AP for
Dialysis/Pheresis Catheter Care Maintain catheter,
site, and dressing per Nursing and Patient Care
Policy, 1.56 AP.
Do not use chlorhexidine for dressing change if
patient is less than 2 months gestational age.
Tunneled Catheters Only [NURTAD0046] CONTINUOUS, Starting today, Providers to remove
anchor stitch in 14 days.
Hemodialysis Catheter Should Only be Accessed
Under the Direction of Dialysis Staff or Pediatric
Nephrologist [NURVAD0053]
CONTINUOUS, Starting today For Until specified
If Dialysis Catheter is No Longer Being Used for
Dialysis or Pheresis [NURTAD0046]
CONTINUOUS, If dialysis catheter is no longer being
used for dialysis or pheresis, discuss removal with
physician. Until it is removed, aspirate
catheter/locking solution, then flush with normal saline
and fill with locking solution once a week.
Medications - General
Lock/Flush [80636]
Refer to Pediatric Catheter Lock Management Order Set [3562] for orders after dialysis
sodium chloride 0.9% flush 10 mL injection
[785055]
Flush, PRN, flush/line care
Flush each port of dialysis/apheresis catheter with
every use
Dialysis
anticoagulant citrate compound 4% injection -
NOTE: Order for patients who are actively
bleeding or who are allergic to heparin [785039]
0.8-2 mL, Intravenous, PRN, catheter care
Following sodium chloride flush, cap off each port
with printed volume plus 0.1 mL. If no volume printed
on catheter refer to Policy #1.28 Care of the
Hemodialysis/Apheresis Catheters
Dialysis
heparin 1000 units/mL vial [45303] 1,000 units, Other, PRN, catheter care
Following sodium chloride flush, cap off each port
with printed volume plus 0.1 mL. If no volume printed
on catheter refer to Policy #1.28 Care of the
Hemodialysis/Apheresis Catheters. Do NOT use for
the initial 24 hours after catheter placed
Dialysis
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2016CCKM@uwhealth.org