IV Access Review

Type:
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for
flush?

Type:
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for flush?

Type:
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for
flush?

Type:
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for
flush?

Type:
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for
flush?

Type:
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for flush?

Where does tip of

catheter rest?

Where does tip of

catheter rest?

Where does tip of

catheter rest?

Where does tip of

catheter rest?

Where does tip of

catheter rest?

Where does tip of catheter rest?

Assessments:

Assessments:

Assessments:

Assessments:

Assessments:

Assessments:

Potential Nursing
Diagnosis:

Potential Nursing
Diagnosis:

Potential Nursing
Diagnosis:

Potential Nursing
Diagnosis:

Potential Nursing
Diagnosis:

Potential Nursing Diagnosis:

Outcomes:

Outcomes:

Outcomes:

Outcomes:

Outcomes:

Outcomes:

TNIs:

TNIs:

TNIs:

TNIs:

TNIs:

TNIs:

L. Palmer Spring 2011

Type: peripheral access

(angiocatheter)
Short or Long Term? 3 days
Flush:
SASH or
SAS
Size of syringe for flush? No
specific requirements (agency
policy often 3 ml)

Type: Triple Lumen Catheter

Type: Hickman (tunnelled)

Type: Groshong (tunneled)

Type: PICC

Short or Long Term? 7 days

Flush:
SASH or
SAS
Size of syringe for flush? 10 ml

Short or Long Term?

Flush:
SASH or
SAS
Size of syringe for flush? 10 ml

Short or Long Term?

Flush:
SASH or
SAS (due to self-sealing valve)
Size of syringe for flush? 10 ml

Short or Long Term?

Flush:
SASH if nonGroshong type
SAS if Groshong PICC
Size of syringe for flush? 10 ml

Type: Implanted vascular access device

IVAD
Short or Long Term?
Flush:
SASH or
SAS
Size of syringe for flush? 10 ml

Where does tip of catheter

rest? 1-1 inches within
peripheral vein

Where does tip of catheter rest?

Superior Vena Cava

Where does tip of catheter

rest? Superior Vena Cava

Where does tip of catheter

rest? Superior Vena Cava

Where does tip of catheter

rest? Superior Vena Cava

Where does tip of catheter rest?

Superior Vena Cava

Assessments:
Site assessment Q1h

Assessments:
Site assessment Q1h

Assessments:
Site assessment Q1h

Assessments:
Site assessment Q1h

Assessments:
Site assessment Q1h

Assessments:
Site assessment Q1h

Potential Nursing Diagnosis:

Risk Infection
Risk Injury (thrombophlebitis,
infiltration, air embolism)

Potential Nursing Diagnosis:

Risk Infection
Risk Injury (thrombophlebitis,
infiltration, air embolism,
pneumothorax)

Potential Nursing Diagnosis:

Risk Infection
Risk Injury (thrombophlebitis,
infiltration, air embolism,
pneumothorax)

Potential Nursing Diagnosis:

Risk Infection
Risk Injury (thrombophlebitis,
infiltration, air embolism,
pneumothorax)

Potential Nursing Diagnosis:

Risk Infection
Risk Injury (thrombophlebitis,
infiltration, air embolism,
pneumothorax)

Potential Nursing Diagnosis:

Risk Infection
Risk Injury (thrombophlebitis, infiltration,
air embolism, pneumothorax)

Outcomes:
No injury or infection

Outcomes:
No injury or infection

Outcomes:
No injury or infection

Outcomes:
No injury or infection

Outcomes:
No injury or infection

Outcomes:
No injury or infection

TNIs:
Assess site Q1h
Change site Q3days
Teach pt to report redness,
edema, discomfort
Asepsis at all times

TNIs:
Assess site Q1h
Assess for resp distress
CXR to confirm placement prior to
first use of line
Teach pt to report redness,
edema, discomfort
Asepsis at all times (cap changes
M-W-F, 10-15 sec scrub alcohol,
chlorhexidine scrub 30 sec for dsg
change, dsg change Q7days)

TNIs:
Assess site Q1h
Assess for resp distress
CXR to confirm placement prior
to first use of line
Teach pt to report redness,
edema, discomfort
Asepsis at all times (cap
changes M-W-F, 10-15 sec
scrub alcohol, chlorhexidine
scrub 30 sec for dsg change,
dsg change Q7days)

TNIs:
Assess site Q1h
Assess for resp distress
CXR to confirm placement prior
to first use of line
Teach pt to report redness,
edema, discomfort
Asepsis at all times (cap
changes M-W-F, 10-15 sec
scrub alcohol, chlorhexidine
scrub 30 sec for dsg change,
dsg change Q7days)

TNIs:
Assess site Q1h
Assess for resp distress
CXR to confirm placement
prior to first use of line
Teach pt to report redness,
edema, discomfort
Asepsis at all times (cap
changes M-W-F, 10-15 sec
scrub alcohol, chlorhexidine
scrub 30 sec for dsg change,
dsg change Q7days)

TNIs:
Assess site Q1h
Assess for resp distress
CXR to confirm placement prior to first use
of line
Teach pt to report redness, edema,
discomfort
Asepsis at all times (cap changes M-W-F,
10-15 sec scrub alcohol, chlorhexidine scrub
30 sec for dsg change, dsg change Q7days)

L. Palmer Spring 2011