MedComp SPLIT-STREAM Instructions D'utilisation page 20

Caution: Detachable hub(s) should be removed and discarded once
catheter is secured by cuff and sutures are removed. Remove by
depressing tabs at base of hub.
38. To prevent catheter migration, use StatLock
securement. Clean the area where the Split-Stream
set will lie on the patient with alcohol. Push the collar section of
the Split-Stream
StatLock
®
and position on patient. Once positioned, remove the remaining
protective backing. Apply slight pressure on the pad to assure
adherence.
Caution: Care must be taken when using sharp objects or needles in
close proximity to catheter lumen. Contact from sharp objects may
cause catheter failure.
39. Cover the insertion and exit site with an occlusive dressings.
40. Catheter must be secured/sutured for entire duration of
implantation.
41. Record catheter length and catheter lot number on patient's chart.
•
The heparin solution must be removed from each lumen prior to
treatment to prevent systemic heparinization of the patient.
Aspiration should be based on dialysis unit protocol.
•
Before dialysis begins, all connections to catheter and
extracorporeal circuits should be examined carefully.
•
Frequent visual inspection should be conducted to detect leaks to
prevent blood loss or air embolism.
•
If a leak is found, the catheter should be clamped immediately.
Caution: Only clamp catheter with in-line clamps provided.
•
Necessary remedial action must be taken prior to the continuation
of the dialysis treatment.
Caution: Excessive blood loss may lead to patient shock.
•
Hemodialysis should be performed under physician's instructions.
•
If the catheter is not to be used immediately for treatment, follow
the suggested catheter patency guidelines.
•
To maintain patency between treatments, a heparin lock must be
created in each lumen of the catheter.
•
Follow hospital protocol for heparin concentration.
1. Draw heparin into two syringes, corresponding to the amount
indicated on catheter lumen. Assure that the syringes are free of
air.
Note: Priming volume values printed on lumen include extension set.
2. Remove end caps from the extensions.
3. Attach a syringe containing heparin solution to the female luer of
each extension.
4. Open extension clamps and white secondary clamps.
5. Aspirate to insure that no air will be forced into the patient.
extension set into the receiving grooves of the
®
pad. Remove the backing of one side of the StatLock
HEMODIALYSIS TREATMENT
HEPARINIZATION
-18-
for catheter
®
extension
®
pad
®