PROCEDURES AND INFUSION THERAPY
through a new tattoo
anyone any answers on this poser? Can we give epidurals through
a new tattoo?Thanks for any input.
Heather Cole, RN
Infection Control/Employee Health
#1: I spoke with a CRNA yesterday and she stated that they give
epidurals through tattoos all the time. I would think that if there
is no redness or other signs of infection that it would be okay
to give the epidural.
Reagan, RN, BSN, CIC
Infection Control Coordinator
Wednesday, March 05, 2003 9:57 AM
Subject: IV Flush Bags
would like to ask the Regional list about IV flush bags. We
currently use a 500 cc NS bag which has been spiked with the Clave
Positive pressure bag spike. This will not allow anything to go
into the bag. We use a new syringe each time and change out the
bag every 72 hrs. What are other hospitals using? I realize that
JCAHO has suggested, in their recent (Jan 22nd) sentinel Event Alert,
that hospitals with infection control sentinel events had put certain
strategies in place to prevent recurrences, one being switching
to the use of single-use IV flush vials. I don't see this as a requirement
yet, but as a means to prevent future infections. I'm wonder what
the thoughts of the group are.
Beauregard Memorial Hospital
Response # 1:
Christus/St. Patrick Hospital we do not use flush bags. For a brief
period of time I allowed the use of the clave flush bag valve in
ICU only. The reason I allowed it in ICU only is because I could
count on the manager/staff to change the flush bag every 24 hours.
In other areas including ER I could not count on the bag being changed
used 24 hours because the only quideline available says to change
IV solutions every 24 hours. The new IV therapy quideline from CDC
states you can change flush bags for arterial lines with tubings
hours and one could possibly justify 72 hours on that. The bacteremias
from flush bags were with bags without a one way valve and involved
bags hanging more than 24 hours.
Infection Control/Associate Health Coordinator
Christus/St. Patrick Hospital
Lake Charles, La.