MedComp Split-Stream Mode D'emploi page 9

26. Make any adjustments to catheter under fluoroscopy. The distal
venous tip should be positioned at the level of the caval atrial
junction or into the right atrium to ensure optimal blood flow.
Note: Femoral catheter tip placement is recommended at the junction
of the iliac vein and the inferior vena cava.
27. Attach syringes to both extensions and open clamps. Blood should
aspirate easily from both arterial and venous sides. If either side
exhibits excessive resistance to blood aspiration, the catheter may
need to be rotated or repositioned to obtain adequate blood flows.
28. Once adequate aspiration has been achieved, both lumens should
be irrigated with saline filled syringes using quick bolus technique.
Assure that extension clamps and white secondary clamps are
open during irrigation procedure.
29. Close the extension clamps and white secondary clamps, remove
the syringes, and place an injection cap on each luer lock
connector. Avoid air embolism by keeping extension tubing
clamped at all times, when not in use, and by aspirating then
irrigating the catheter with saline prior to each use. With each
change in tubing connections, purge air from the catheter and all
connecting tubing and caps.
30. To maintain patency, a heparin lock must be created in both
lumens. Refer to hospital heparinization guidelines.
Caution: Assure that all air has been aspirated from the catheter and
extensions. Failure to do so may result in air embolism.
31. Once the catheter is locked with heparin, close the clamps and
install injection caps onto the extension sets' female luers.
32. Confirm proper tip placement with fluoroscopy. The distal venous
tip should be positioned at the level of the caval atrial junction or
into the right atrium to ensure optimal blood flow (as
recommended in current NKF DOQI Guidelines).
Note: Femoral catheter tip placement is recommended at the junction
of the iliac vein and the inferior vena cava.
Warning: Failure to verify catheter placement may result in serious
trauma or fatal complications.
CATHETER SECUREMENT AND WOUND DRESSING:
33. Suture insertion site closed. Suture the catheter to the skin using
the detachable suture wing hub. Second detachable suture wing
may be applied on lumen between exit site and detachable hub at
physician's discretion. Do not suture the catheter tubing. Suture
wing hub(s) should be flush against patient's skin.
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.
34. 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
®
pad 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.
extension set into the receiving grooves of the
®
pad. Remove the backing of one side of the StatLock
1
1
-7-
for catheter
®
extension
®
®