![]() ![]() Do not remove a CVC if inadvertently placed into an artery if the vessel has been dilated. Upon confirmation of a venous waveform, a central venous catheter can be immediately use for the administration of vasopressors, massive transfusion protocol or medications.ĭo not use the catheter if an arterial waveform is displayed. Prepare hemodynamic monitoring circuit prior to central venous line insertion. Connect central line immediately to pressure monitoring, before initiation of any medications or infusions. Measure pressure by direct connection (not through a needleless access connection).Įnsure that pressurized flush solutions are maintained on an IV pole that is not attached to the articulating arm, and placed at least 1 meter from an electrical outlet.Īll central venous lines, including femoral venous lines must be connected to a closed pressure monitoring system at the time of line insertion, and have pressure and waveform monitored. Use the distal port of a multi-lumen catheter for monitoring pressure, unless the quality of the waveform is better from one of the other lumens. Do not flush with syringes smaller than 5 mL as these may cause excessive resistance and damage the catheter or dislodge a clot. RNs in CCTC may flush hemodynamic monitoring circuits as required to maintain patency. RNs in CCTC are responsible for the priming, zeroing, leveling, and maintenance of hemodynamic pressure monitoring circuits and for the assessment and monitoring of hemodynamic pressures and waveforms. Refer to Procedure for Hemodynamic Monitoring Circuits.
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