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May 27, 2013 - 12:00pm
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Resource Finder at Kennedy Krieger Institute
Submitted by admin on June 23, 2011 - 3:08pm
A free resource that provides access to information and support for individuals and families living with developmental disabilities.
Specific Health Issues: Vascular Access -- SHNIC School Nurses Information
- Student's underlying condition, as well as potential problems associated with the condition or treatment.
- The need for an additional dressing kit, spare clamp, heparin, saline and syringes as necessary.
- Notification about the vascular access to school staff who have regular contact with the student.
- Report of any fever to the family or primary physician.
- Proper hand washing before and after handling vascular access.
- Determine whether or not dressing needs to be changed under sterile conditions.
- Determine when and under what conditions the tubing or the dressing should be handled.
- Steps to be taken if a complication occurs.
- Prescribed dosage of flush with use of correct syringe size, and correct amount of flush.
- Latex allergy alert.
- Universal precautions, including what equipment would be needed for student and caregiver.
Important Issues (Checklist):
- Type of line student has.
- Diagnosis and reason for vascular access.
- Does student receive treatment or flush at school?
- If student has a port, is it accessed?
- Does student have dressing kit with him or her?
- If student has central line, does the student have clamps with him or her?
- Does the student have extra heplock caps at school?
- Does the student know how to care for their access?
- If you have to flush line, do you have the order from doctor stating amount and type of flush?
- Does the student have a latex allergy?
- Guidelines of when to notify physician (i.e., fever, pus, line pulled out, etc.).
- Do you have orders of what size syringe to use for flushing line?