Fever Non-Oncology CVC Clinical Pathway — Emergency Department

ED Nursing Central Venous Catheter (CVC) Care Tips

General CVC Requirements	Attach appropriate occlusive cap to all ports on tubing that are not in use When sending blood cultures, not appropriate to use 3 mL withdrawn waste as sample Document in Epic all interactions with central line (accesses, dressing assessments, etc.) If the lumen(s) require more than 6 separate medication administrations (excluding flushes) within 24 hrs, consult FLOC for continuous infusion of stock solution in order to decrease the number of line accesses If child requires specialty lock instilled or removed, and bedside RN is not trained in process, contact VAS
Ports	Accessing All individuals in room, including patient, if appropriate, must wear a mask during procedure De-accessing Ensure 100 mg/mL heparin flush ordered ≥ 10 kg: 5 mL < 10 kg: FLOC and VAS discuss flush volume < 5 mL Heparin Flushing Guidelines for Central Venous and Midline Catheters Job Aid
High Occupancy Holds	Document dressing integrity and insertion site assessment q8hr Assess and document infusing lines q1hr CVC not in use, lock with floor stock heparin 10 mg/mL: PICC and Broviac: q12hr Accessed port: q24hr

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Fever Non-Oncology CVC Clinical Pathway — Emergency Department

ED Nursing Central Venous Catheter (CVC) Care Tips

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Fever, Non-Oncology CVC — ED Nursing Central Venous Catheter (CVC) Care Tips — Clinical Pathway: Emergency

Fever Non-Oncology CVC Clinical Pathway — Emergency Department

ED Nursing Central Venous Catheter (CVC) Care Tips