Power Trialysis Catheter
Power Trialysis CatheterWhat is it?A dialysis line that has an extra (3rd) purple central infusion portThe red and blue ports with blue caps on the end are for Dialysis OnlyThe purple line is the most distal and can be used as central access for:IV therapy, medication infusionsBlood drawsPower injection for CT with contrast mediaCentral venous pressure monitoring (ICU only)Who will have a Power Trialysis Catheter?The Trialysis catheter will be placed in the ICU bedside by a physician for hemodialysis or continuous renal replacement therapy (CRRT)The Power Trialysis catheter is temporary (to be used <30 days)Angio department is not available to place this catheter, it must be placed bedside by a physicianHow do you take care of a Power Trialysis Catheter?Dressing & site care to be done by a Dialysis RN, ICU RN or the PICC line teamHow do you flush and draw blood from the Power Trialysis Catheter?The blue and red dialysis ports are to be flushed per policy by a Dialysis RN, ICU RN or STAT RNPolicy #SJMHS-PR-22: Sodium Citrate 4% Flush for Hemodialysis Access CathetersThe purple central line port will be flushed and blood drawn per the Central Venous Access policyPatient Care Policy # 255 Appendix C – Guideline for Midline & Central Venous Access DevicesPCT’s can access the purple central line port for blood draws if they have demonstrated competency for accessing central lines per their unit policyThe blue and red Dialysis ports are to be capped with blue capsThe purple central line port is to be capped with a clear Micro Clave capNursing communication regarding the Power Trialysis Catheter?Communication in nurse to nurse shift hand-offCommunication to receiving unit when patient is transferred out of ICU if the line is still in placeCommunication to ancillary units (CT, Angio) receiving patient if central line port will be usedNursing Documentation of the Power Trialysis Catheter:Charting of Trialysis catheter under Iview Lines/tubes/drains Central LinesLabels identifying the dialysis port and purple central line port will be made available in the ICU and should be placed on the Trialysis catheter immediately after bedside insertion ................
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