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EMR
EMT
AEMT
Paramedic
Extended
Central Venous Catheter Access
Central Venous Catheter Access
Universal Patient Assessment
Assess
need to access the external
central venous catheter.
Critical Patient
Cardiac Arrest
Clinical Considerations
Failure to use aseptic
technique could result in
sepsis, hemorrhage, or loss
of access site.
Diligently wipe all
accesses with alcohol
preps prior to every use.
Be sure to unclamp/
reclamp and uncap/ recap
all sites appropriately.
Many non-intravenous
routes are available.
Consider an alternative
route of administration.
If the device is used
prehospitally, the hospital
will likely need to replace
it.
Subcutaneous Venous
Access Ports
Never access without the
appropriate needle
(Huber needle)
Never access without the
appropriate training
This protocol is not for
subcutaneous devices
Uncap
and
diligently clean
the
intended port and maintain
sterility throughout the procedure
Draw
back 10mL of blood from
intended port and set syringe aside
Flush
port with 10mL of normal
saline to ensure patency
Watch for Signs of
Infiltration
Swelling
Redness
Pain
Leakage/drainage
Connect
syringe and
unclamp
the
intended lumen
Administer
intended medications
Flush
port,
reclamp
, and
recap
.
Monitor
site for complications.
Failure to properly
handle and reclamp the
device will lead to an air
embolism
Do not access dual
lumen ports intended
for hemodialysis unless
patient is in cardiac
arrest and you have no
alternative.