Removed from the CS Catalog
The following items have been eliminated from CS:
- 1203661: Tympanic Probe Cover 4006145
- Restraint Vest XXL 2201723
- Battery for Glucose Scan.
Please contact NursingProductsWeb@uwhealth.org with any questions or if you feel these were inappropriately eliminated.
Incontinence Wipes Disposal
We continue to have problems with sewer blockages. Frequently, the disposable cloths used for incontinence care are found to be the cause of the blockage. Please do not flush these cloths.
These cloths should NOT be placed in the bathroom for patients to use when toileting. DO NOT flush these cloths, or any other wipes down the toilet.
The only product that can be flushed down the toilet is toilet paper.
Key Points for Midline IV Catheters
Why use a midline?
- Can stay in up to 29 days- minimize repeated PIV placements
- Lower infection rate than central lines
- Indications for use:
- Expected therapy less than 30 days
- Hospital admission 5 days or longer
- Poor venous access
- IV infusions ordered that are appropriate for midline use
What can you do with a midline?
- Draw blood
- Give any IV medications you can give through a PIV
What can’t you do with a midline?
- Draw blood cultures
- Give medications that are only for central line administration
How do I get a midline placed on my patient?
- MD/NP places order. Venous Access Team (VAT) is auto notified
- If patient has an order for “Insert & Maintain Peripheral IV” it is within RN scope of practice to determine if a midline is more appropriate and can place the midline order “per protocol without cosign
- If a patient is admitted with a midline that is NOT UW’s designated type of device (Bard Power Glide), page the VAT to remove and replace within 24 hours
- You can use the midline right after insertion, no Xray confirmation needed
- Sterile dressing change every 7 days (or sooner if loose/wet/soiled)
- Flush according to IV flushing guideline
- Use saline, heparin not needed
- Examples of medications that require a central line (not midline):
- We are not currently giving alteplase if occluded (consult VAT if occluded)
- Bedside RNs can remove midlines
See policy 1.55 Midline IV Peripheral Catheters
Cleaning and Disinfection Guidelines for the CareFoam Chairs
Below outlines the cleaning and disinfection guidelines for the fall reduction chairs
manufactured by CareFoam.
- Use a sheet, blanket and/or pink pad to line the inside of the chair for patient use.
- Do not utilize the wool or fleece slip cover provided by the manufacturer as there is not an adequate way to disinfect these covers between patients.
- After patient discharge, do the following:
- Launder any linen cover utilized.
- Disinfect the entire chair cover (tan and blue fabrics) with one of the following products:
- Bleach wipes or OxyCide - (Always use on Enhanced Contact Isolation patients)
- Inspect the chair for any rips and tears, especially at the seam of the tan fabric to the blue fabric. If a rip/tear is found, remove the chair from service and place a work order to have the chair repaired.
DIRTY BED PROCESS
Effective November 1, we will implement a new process for all DIRTY beds that are removed from the patient’s room:
- After the terminal cleaning of the bed is completed, Environmental Services will place a folded blue bag under the mattress
- The blue bag will be in a clear pouch
- Nursing should not remove the pouch when changing linens
- When a dirty bed is placed in the hallway, this blue bag should be opened and placed over the entire bed to designate that the bed is soiled
- This process should be used in both the CSC and AFCH
- This process is currently being utilized with our Sizewise specialty beds
- When the bed is cleaned in the patient’s room, the blue bag is not needed. Environmental Services will wipe down the clear pouch, as part of their terminal cleaning. The pouch will be put back under the clean mattress. This has been approved by Infection Control and will reduce waste and cost.
- A large roll of blue bags will be kept in the clean ACCO for the Environmental Services staff to use for replacements when needed
- Blue bags will be provided by Environmental Services. They are NOT available for order from CS.
SCD Machine Disposal Process
When a patient is no longer using the SCD machine or when they are discharged, place the machine, hoses and the sleeves in the dirty acco area on your unit. Do not discard in the trash. Sleeves should only be discarded when they are visibly soiled with body fluids.
Place the entire unit (machine, hoses and sleeves) in the dirty acco.