Standardizing central venous catheter care: hospital to home The guideline for Standardizing central venous catheter care: hospital to home was obtained from the National Guideline Clearinghouse. This guideline standardizes care of the central line to ensure continuity of care and decrease complications. Central line infection and thrombosis cause thousands of deaths each year and increases medical costs (CDC). Proper care of the central line utilizing antibacterial dressings, passive disinfection caps and pulsatile flushing can decrease infection. Properly obtaining blood specimens can result in faster identification of bacteria and proper intravenous (I.V.) antibiotic administration. Thrombosis can be decreased with proper flushing and monitoring. Patients transitioned to home from the hospital with a central line need to understand their role in self-care and reporting of complications.
Theoretical Foundation Dorothy Orem’s theory of self-care speaks to a person’s knowledge of potential health concerns (Petiprin, 2016). One of …show more content…
However, current research indicates more thought needs to be given when drawing specimens. The following laboratory tests: glycemia, azotemia, alkaline, Phosphatase, SGPT, bilirubin, amylase, GGT, chlorine, troponin I, CK-MB and platelets showed no value changes when drawn from the central line with different waste volumes or drawn peripherally. Also, the values did not change if the catheter was flushed with 5ml or 10 ml of NSS prior to obtaining the specimens. Alternatively, drawing specimens for LDH, calcium, potassium and white blood count showed significant discrepancy between a central line draw and obtaining peripherally (Cicolini). Further research would be necessary to determine if larger waste volumes had an effect on laboratory values. The study also does not indicate if the patient was receiving continuous infusion via the Central
Theoretical Foundation Dorothy Orem’s theory of self-care speaks to a person’s knowledge of potential health concerns (Petiprin, 2016). One of …show more content…
However, current research indicates more thought needs to be given when drawing specimens. The following laboratory tests: glycemia, azotemia, alkaline, Phosphatase, SGPT, bilirubin, amylase, GGT, chlorine, troponin I, CK-MB and platelets showed no value changes when drawn from the central line with different waste volumes or drawn peripherally. Also, the values did not change if the catheter was flushed with 5ml or 10 ml of NSS prior to obtaining the specimens. Alternatively, drawing specimens for LDH, calcium, potassium and white blood count showed significant discrepancy between a central line draw and obtaining peripherally (Cicolini). Further research would be necessary to determine if larger waste volumes had an effect on laboratory values. The study also does not indicate if the patient was receiving continuous infusion via the Central