Page 344 - CHHA Binder 2.3.20

4/11/2019

Needleless Connector Change

Do Don’t
• Cleanse junction of connector • Open connection between
and catheter with alcohol wipe catheter and needleless
for 15 seconds and let dry. connector without
thoroughly cleansing the
• Use a new alcohol wipe and
junction (refer to Nurse
wrap around the connection
Advisor article regarding IV
until disconnecting connector
and catheter. Caps)
• Have the patient hold breath or
exhale when changing the
needleless connector.

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Heparinization

 Wash hands.
 Don clean gloves.
 Utilize aseptic no-touch technique throughout procedure.
 Clean needleless connector with 70% alcohol wipe vigorously for 15-20
seconds.
 Attach 10 mL syringe containing 0.9% NaCl.
 Flush 2 mL, then aspirate and check for blood return.
 Once blood return present*, continue to flush remainder of saline.
Remove syringe.
 Attach 10 mL syringe containing Heparin prescribed dose (10 or 100
units/ mL Heparin concentration, 3-5 mL volume) and flush catheter.
After flushing, place pressure on syringe plunger and clamp catheter at
same time.
 Remove syringe.
*If no blood return, but catheter flushes easily continue heparinization and notify physician. Document
physician communication.
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