PICC LINES

HDC PICC
4

VAXCEL PICC6

GROSHONG PICC 8

VAXCEL PASV PICC
10

BARD POWER PICC
12

BD MIDLINE
14

CENTRAL LINES

TRIPLE LUMEN TEMP LINE
16

TRIPLE  PRECEPT CATHETER
18

TUNNELED PERMANENT ACCESS LINES

SINGLE ACCESS LINE
20

DOUBLE ACCESS LINE
22

TRIPLE ACCESS LINE
24

NON HEPARIN ACCESS LINE 26

TUNNELED POWER ACCESS LINES

SINGLE POWER ACCESS LINE
28

DOUBLE POWER ACCESS LINE 30

INDWELLING PORTS

SINGLE INDWELLING PORT
32

DOUBLE INIDWELLING PORT
34

HUBER SAFETY ACCESS NEEDLE 36

DIAYLSIS LINES

TEMPORARY PERMANENT

DIALYSIS LINE
002

PRE-SHAPED DIALYSIS LINE
004

DIALYSIS LINE & ACCESS PORT
006

DBL PERM DIALYSIS LINE
008

PHERESIS LINES

TEMPORARY

PHERESIS LINE
010

PRE SHAPED PHERESIS LINE
011

PHERESIS LINE & ACCESS PORT 012

PERMANENT PHERESIS LINES

DBL PERM PHERESIS LINE
002

TL PERM PHERESIS LINE
004

CRITICAL CARE USE ONLY LINES

ARROW SHEATH INTRODUCER
004

EDWARDS AVA CATHETER
008

CAPS

MAX PLUS CAP012

CLAVE (CAP)
010


EDUCATIONAL RESOURCES

LUMEN EXIT SITES

SINGLE LUMEN EXIT SITE
014

DOUBLE LUMEN EXIT SITE
016

TRIPLE LUMEN EXIT SITE
018

TRIPLE EXIT HOLE
020

FIBRIN SHEATHS

FIBRIN SHEATH
002

FIBRIN TAIL
004

LINE DRESSINGS

PICC DRESSING
006

SUBCLAVIAN DRESSING
008

IJ DRESSING
010

DIAGRAMS

LINE DIAGRAM
012

VASCULAR ACCESS DIAGRAM
014

FLUSHING GUIDELINES
016






HDC PICC

HDC PICC

Available as Double or Single Lumen

Heparin Required

Bedside Insertion

Flush with 10ccs normal Saline before and after medication and blood specimen collection.


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Vaxcel PICC

Vaxcel PICC

Available as Double or Single Lumen

Heparin Required

Interventional Radiology Insertion

Flush with 10ccs normal Saline before and after medication and blood specimen collection.

Note: Gauge printed on side of Lumen


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Groshong PICC

Groshong PICC

Available as Single & Double Lumen

Interventional Radiology and bedside insertion

Note: No Clamps. This product does not require Heparin

Flush with 10ccs Saline after meds and Blood. Flush with 10ccs Saline after blood specimen collection.


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Vaxcel PASV PICC

Vaxcel PASV PICC

Available as Single & Double Lumen

Bedside Insertion

Note: No Clamps. This product does not require Heparin

Flush with 10ccs Saline after meds and blood. Flush with 20ccs Saline after blood specimen collection.


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Bard Power PICC

Bard Power PICC

Used for power injection of contrast dye

Available as Double or Single Lumen

Heparin Required

Interventional Radiology Insertion

Flush with 10ccs normal Saline before and after medication and blood specimen collection.

Note: Injection rate printed on clamps. Can Inject at rate of 5ccs per second.


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BD Midline

BD Midline

Not a Central Line / Tip not in SVC

Midline printed on Lumen

No Blood Draws

Comes as 18 or 20 Gauge

For fluid and short term Antibiotics

Contact IV team if patient from outside hospital is admitted with this line to Identify as midline.

Flush with 10ccs normal saline before and after medication doses.

Perform central line dressing change per protocol every 3 days.


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Triple Lumen Access Line

Triple Lumen Access Line

Available in Single, Double, Triple or Quad

Heparin required

Bedside insertion / OR and IR insertion

Dressing and cap changes
Every 3 days or PRN


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Triple Lumen Access Line with VO2 SAT Monitoring Cable

Triple Lumen Access Line with VO2 SAT Monitoring Cable

Used for MUST Protocol
(Sepsis)

Heparin required

Bedside / ED Insertion

Dressing and cap changes
Every 3 days or PRN


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Single Lumen Tunneled

Single Lumen Tunneled
Access Line

Used for long term access

Heparin required

OR / IR Insertion

Dressing and cap changes
Every 3 days or PRN


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Double Lumen Tunneled

Double Lumen Tunneled
Access Line

Used for long term access

Heparin required

OR / IR Insertion

Dressing and cap changes
Every 3 days or PRN

Note: Red and White Lumen


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Triple Lumen Tunneled

Triple Lumen Tunneled
Access Line

Used for long term access

Heparin required

OR / IR Insertion

Dressing and cap changes
Every 3 days or PRN


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Non Heparin Double Lumen Tunneled

Non Heparin
Double Lumen Tunneled
Access Line

Used for long term access

No Heparin required (For HIT Patients)

OR / IR Insertion

Dressing and cap changes
Every 3 days or PRN

Note: Red and White Lumen


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Single Lumen Tunneled Power

Single Lumen Tunneled
Power Access Line

Used for long-term access

Can be used for power injecton
of contrast dye

Heparin Required

OR / IR Insertion

Dressing and cap changes every
3 days or PRN

Note: Injection rate printed on clamps.
Can inject at rate of 5 ccs per second


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Double Lumen Tunneled Power

Double Lumen Tunneled
Power Access Line

Used for long-term access

Can be used for power injection of contrast dye

Heparin Required

OR / IR Insertion

Dressing and cap changes every 3 days or PRN

Note: Injection rate printed on clamps. Can inject at rate of 5 ccs per second


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Single Lumen Indwelling Port

Single Lumen Indwelling Port

Used for long term intermittent access
(ex., Chemotherapy)

Heparin and Non-Heparin ports available
(Power port not placed here)

OR / IR Insertion

Dressing and cap changes weekly with Huber Needle change / PRN

When not in use, port is de-accessed
(Huber Needle removed) and requires Heparin flush every 4 to 6 weeks.  


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Double Lumen Indwelling Port

Double Lumen Indwelling Port

Used for long term intermittent access
(ex., Chemotherapy)

Heparin and Non-Heparin ports available

OR / IR Insertion

Dressing and cap changes weekly with Huber Needle change / PRN

When not in use, ports are de-accessed (Huber needles removed) and Lumens requiring Heparin are flushed every  4 to 6 weeks.


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Huber Port Access Needle

Huber Port Access Needle

Available in .5, .75, 1 and 1.5 inch lengths

Available in 22, 20 and 19 gauges

Needle changed every 7 days.


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Double Lumen Temporary Dialysis

Double Lumen Temporary
Dialysis Line

Used for Acute Renal failure

High Heparin Concentration
(5,000 Unit / ML / Volume)

Only to be flushed by Dialysis or trained nurses

Only access in emergency situations after withdrawing Heparin

Bedside and IR Insertion

Dressing and cap changes with dialysis or PRN


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Pre-Shaped Double Lumen Temporary

Pre-Shaped Double Lumen
Temporary Dialysis Line

Used for Acute Renal failure

High Heparin Concentration
(5,000 Unit / ML / Volume)

Only to be flushed by Dialysis or trained nurses

Only access in emergency situations after withdrawing Heparin

Bedside and IR Insertion

Dressing and cap changes
with dialysis or PRN


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Double Lumen Temporary Dialysis Line with Central Access Port

Double Lumen Temporary
Dialysis Line with Central
Access Port (VIP Port)

High Heparin Concentration for Dialysis Lumens. Red and Blue clamps.
(5,000 Unit / ML / Volume)

Dialysis Lumens only to be flushed by Dialysis or trained nurses

Only access Dialysis Lumens in emergency situations after withdrawing Heparin

Central access lumen for Intravenous needs, Heparin Required, refer to flushing Guidelines.

Bedside and IR Insertion

Dressing and cap changes
with dialysis or PRN


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Double Lumen Tunneled Dialysis

Double Lumen Tunneled
Dialysis Line

Used for Chronic Renal failure

High Heparin Concentration
(5,000 Unit / ML / Volume)

Only to be flushed by Dialysis or trained nurses

Only access in emergency situations after withdrawing Heparin

OR and IR Insertion

Dressing and cap changes with dialysis or PRN

Note: Red and Blue Lumens


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Double Lumen Temporary Pheresis

Double Lumen
Temporary Pheresis Line

High Heparin Concentration
(1,000 Unit / ML / Volume)

Only to be flushed by
Pheresis or trained nurses

Only access in emergency
situations after withdrawing Heparin

Bedside and IR Insertion

Dressing and cap changes
with Pheresis or PRN


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Pre-Shaped Double Lumen Temporary Pheresis

Pre-Shaped Double Lumen
Temporary Pheresis Line

High Heparin Concentration
(1,000 Unit / ML / Volume)

Only to be flushed by Pheresis or trained nurses

Only access in emergency
situations, after withdrawing Heparin

Bedside and IR Insertion

Dressing and cap changes
with Pheresis or PRN


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Double Lumen Temporary Pheresis Line with Central Access Port

Double Lumen Temporary
Pheresis Line with Central
Access Port (VIP Port)

High Heparin Concentration for Dialysis Lumens.
Red and Blue clamps.
(1,000 Unit / ML / Volume)

Pheresis Lumens only to be flushed by Pheresis or trained nurses

Only access Pheresis Lumens in emergency situations
after withdrawing Heparin

Central access lumen for intravenous needs, Heparin required, refer to flushing Guidelines.

Bedside and IR Insertion

Dressing and cap changes with Pheresis or PRN


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Double Lumen Tunneled Pheresis

Double Lumen Tunneled
Pheresis Line

High Heparin Concentration
(1,000 Unit / ML / Volume)

Only to be flushed by Pheresis or trained nurses

Only access in emergency situations after withdrawing Heparin

OR and IR Insertion

Dressing and cap changes with Pheresis or PRN

Note: Red and Blue Lumens


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Double Lumen Tunneled Pheresis Line with Central Access Port

Double Lumen Tunneled
Pheresis Line with Central
Access Port

Heparin required daily for all Lumens

Pheresis Lumens (Red and Blue) only to be used for infusion by Pheresis trained nurses

Daily flushes by all nursing staff

Central access lumen (White) for Intravenous needs

OR and IR Insertion

Dressing and cap changes
with Pheresis or PRN

NOT FOR DIALYSIS/CVVH USE


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Arrow Sheath Introducer

Arrow Sheath Introducer

Critical Care Use Only


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Edwards AVA Catheter

Edwards AVA Catheter

Critical Care Use Only


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Max Plus Cap

Max Plus Cap

Used in home therapy patients for Needleless System

Should be removed upon admission and replaced with Medical Center Cap


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Clave

Clave

Used in home therapy patients for Needleless System

Should be removed upon admission
and replaced with Medical Center Cap


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Tunneled Single Lumen20

Tunneled Single LumenTunneled Single Lumen03
Tunneled Single Lumen02

 

Tunneled Single Lumen
Exit Holes
 
Designed to enable patient specific
Catheter lengths


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Temporary Non-Tunneled Triple Lumen Exit Holes

Temporary Non-Tunneled
Triple Lumen Exit Holes

Comes in standard sizes
of 16 cm and 20 cm lengths


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Fibrin Sheath

Fibrin Sheath

A fibrin sheath can cause infusates to track up along extra luminal sides of catheter and extravagate infusion through Insertion site.

In the event that this occurs, notify physician and plan to either replace or strip catheter of fibrin.


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Fibrin Tail

Fibrin Tail

If not totally dissolved, can continue to build up and eventually transform into Fibrin sheath interfering with blood draws and infusion.

Proper installation of TPA over appropriate length of time helps to avoid increase of fibrin tail


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PICC DRESSING

PICC DRESSING


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SUBCLAVIAN DRESSING

SUBCLAVIAN DRESSING


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IJ DRESSING

IJ DRESSING


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LINE DIAGRAM

LINE DIAGRAM


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VASCULAR ACCESS DIAGRAM

VASCULAR ACCESS DIAGRAM


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