Central Line Care & Maintenance

The category of Central Line Care and Maintenance includes care of central lines and staff competencies related to these. Methods and techniques used during central venous catheter insertion and management are critically important to preventing catheter-associated blood stream infections or central line associated bacteraemia.

Photo: "The Many Faces of AMSN Members," taken at a recent annual convention.

Question: When a patient has a PICC line, must all IV push meds be given through a 10-ml syringe?...

Answer: Per Infusion Nurses Society (INS) guidelines, 10 ml syringes can be used to evaluate line paten-cy and for flushing of the line...

Question: Is it evidence based practice to keep patient in flat position in bed for 45-60 minutes after PICC line removal?

Answer: The Infusion Nurses Society in their Policies and Procedures (2016) state to position the patient supine flat or Trendelenburg, unless contraindicated for any type of CVAD during removal...

Question: Is it appropriate to draw blood for lab work from PICC lines?

Answer: The Centers for Disease Control and Prevention (CDC) does not state that it is inappropriate to draw blood from a PICC line. Instead they give the following process as the one to follow when drawing blood from a PICC line (CDC, 2011)...

Question: Do you support the removal of central lines on a med-surg floor by non-ACLS trained staff?

Answer: Organizational practices vary from allowing Med-Surg staff RNs to D/C a CVC, to requiring that their IV Resource Teams remove all CVCs, to Staff RNs being permitted to D/C CVCs once competency is established...