CF Guidelines - Venous Access & Longline Insertion

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CF Guidelines - Venous Access & Longline Insertion

Venous Access & Longline Insertion:
		All patients with CF are likely to require indwelling venous access at some point in their lives. The choice of venous access should be governed by the planned treatment and for best possible patient comfort and function. If a course of intravenous antibiotics is planned the patient should have venous access that is designed to last for the whole course of the treatment, which is usually at least 14 days. Therefore it is rare for a cannula to be suitable. A peripherally inserted mid/long line catheter or peripherally inserted central catheter (P.I.C.C) is usually the preferred choice of venous access. When/if inserting peripheral lines becomes a problem a permanent intravenous access device is used. The usual choice is a totally implanted venous access device (T.I.V.A.D) (see section on T.I.V.A.D’s).

Equipment required for line insertion:
	-	Tourniquet.
	-	Betadine/Iodine solution.
	-	Dressing pack.
	-	5ml syringe.
	-	10ml syringe.
	-	Blue needle.
	-	Green needle.
	-	Sterile gloves - appropriate size.
	-	Longline - 2 sizes available - kept in Cystic Fibrosis office.
	-	Venflon - variety of sizes available.
	-	Clave.
	-	Additional dressing towel.
	-	Cotton wool balls.
	-	Clear plastic adhesive dressings x 2.
	-	N/saline 10ml vial.
	-	Hepsel.

Preparation Procedure:
	-	Prepare trolley using aseptic technique.
	-	Pour betadine/iodine into gallipot.
	-	Using aseptic technique draw up n/saline in 10ml syringe.
	-	Using aseptic technique draw up Hepsel in 5ml syringe.
	-	Check which size venflon and longline are required prior to opening.
	-	Open all other equipment.
	-	Place Sterile dressing towel over trolley.

Post Procedure:
	-	Clean any excess blood and betadine/iodine off the skin.
	-	Place 2 clear adhesive dressings over insertion site.
	-	Bandage securely.
	-	Inform the patient that they should not get the area wet or remove the dressings.

		Dowloadable PDF File - PDF File
			Document approved - 2011
			Document due for review - December 2013

		Acknowledgements: The Peninsula CF team acknowledges the use of guidelines produced by The CF Trust, Manchester, Papworth, Leeds and Brompton CF teams during development of these local Peninsula protocols and guidelines.

Disclaimer: While efforts have been made to ensure that all the information published on this web site is correct, the authors take no responsibility for the accuracy of information, or for harm arising as a consequence of errors contained within this web site. If you have concerns regarding treatment, drugs or doses then consult your local CF consultant.