MedComp HEMO-FLOW Gebrauchsanleitung Seite 11

INFECTION:
Caution: Due to the risk of exposure to HIV (Human
Immunodeficiency Virus) or other blood borne pathogens, health
care professionals should always use Universal Blood and Body
Fluid Precautions in the care of all patients.
•
Sterile technique should always be strictly adhered to.
• Clinically recognized infection at a catheter exit site should be
treated promptly with the appropriate antibiotic therapy.
• If a fever occurs in a patient with a catheter in place, take a
minimum of two blood cultures from a site distant from
catheter exit site. If blood culture is positive, the catheter must
be removed immediately and the appropriate antibiotic therapy
initiated. Wait 48 hours before catheter replacement. Insertion
should be made on opposite side of original catheter exit site, if
possible.
MICRO PUNCTURE INSERTION METHOD
•
Once an .018" guidewire has been introduced into the target
vein, the 4F sheath dilator should be threaded over the
proximal end of the wire and inserted into the target vein.
• When the 4F sheath dilator is located in the target vein, remove
the guidewire and dilator one at a time.
• Insert an .038" guidewire into and through the sheath until it is
located in the target vein.
•
Remove the sheath and continue following directions starting at
#11.
Warning: Only a physician familiar with the appropriate techniques
should attempt the following procedures.
Caution: Always review hospital or unit protocol, potential
complications and their treatment, warnings, and precautions prior
to catheter removal.
1. Palpate the catheter exit tunnel to locate the cuff.
2. Administer sufficient local anesthetic to exit site and cuff
location to completely anesthetize the area.
3. Cut sutures from suture wing. Follow hospital protocol for
removal of skin sutures.
4. Make a 2cm incision over the cuff, parallel to the catheter.
5. Dissect down to the cuff using blunt and sharp dissection as
indicated.
6. When visible, grasp cuff with clamp.
7. Clamp catheter between the cuff and the insertion site.
8. Cut catheter between cuff and exit site. Withdraw internal
portion of catheter through the incision in the tunnel.
9. Remove remaining section of catheter (i.e. portion in tunnel)
through the exit site.
Caution: Do not pull distal end of catheter through incision as
contamination of wound may occur.
CATHETER REMOVAL
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