Fig. 2 - Arrow MAC Manual

9. Warning: Due to the risk of exposure to HIV
(Human Immunodeficiency Virus) or other blood
borne pathogens, health care workers should
routinely use universal blood and body-fluid
precautions in the care of all patients.
10. Precaution: For blood sampling, temporarily shut
off remaining port(s) through which solutions are
being infused.
11. Precaution: Do not suture directly to the outside
diameter of the catheter to minimize the risk of
cutting or damaging the catheter or impeding
catheter flow.
12. Precaution: Indwelling
routinely inspected for desired flow rate, security of
dressing, correct position and for proper Luer-
Lock connection.
13. Precaution: Maintain the insertion site with regular
meticulous redressing using aseptic technique.
14. Precaution: Alcohol and acetone can weaken the
structure of polyurethane
ingredients of prep sprays and swabs for acetone
and alcohol content.
Acetone: Do not use acetone on catheter surface.
Acetone may be applied to skin but must be allowed
to dry completely prior to applying dressing.
Alcohol: Do not use alcohol to soak catheter surface
or to restore catheter patency. Care should be taken
when instilling drugs containing high concentration
of alcohol. Always allow alcohol to dry completely
prior to applying dressing.
15. Precaution: Some disinfectants used at the catheter
insertion site contain solvents, which can attack the
catheter material. Assure insertion site is dry
before dressing.
16. Precaution: Properly dispose of sharps in sharps
container in accordance with state/federal OSHA
standards for blood borne pathogens and/or
institutional policy.
A Suggested Procedure:
Use sterile technique.
1. Precaution: Place patient in slight Trendelenburg
position as tolerated to reduce the risk of air
embolism. If femoral approach is used, place
patient in supine position.
2. Prep area of anticipated venipuncture.
3. Drape puncture site as required.
4. Perform skin wheal with desired needle (25 Ga. or
22 Ga. needle). In
SharpsAwayII™ Locking Disposal Cup is used for the
disposal of needles. Firmly push the needles into the
disposal cup holes (refer to Fig. 2). Once placed into
the disposal cup, the needles will be automatically
locked in place so that they can not be reused. Discard
the entire cup at completion of the procedure.
Precaution: Do not attempt to remove needles that
have been placed into cup. These needles are
permanently locked in place. Damage may occur to
the needle if it is forced out of the disposal cup.
catheters should
materials. Check
kits where provided,
be
Where provided, a foam SharpsAway
be utilized by pushing needles into foam after use.
Precaution: Do not reuse needles after they have
been placed into the foam cup. Particulate matter
may adhere to needle tip.
5. Insert tip of desired catheter through Tuohy-Borst
adapter end of catheter contamination shield. Advance
catheter through tubing and hub at other end (refer to
Fig. 3).
Catheter
contamination shield
Catheter tip
6. Slide entire catheter contamination shield to proximal
end of catheter.
7. If flow directed catheter is used, inflate and deflate
balloon with syringe to ensure integrity.
Do not exceed balloon catheter manufacturer's
recommended volume.
contamination shield on sterile field awaiting final
placement.
8. Insert entire length of dilator through hemostasis valve
into catheter pressing hub of dilator firmly into hub of
hemostasis valve assembly. Place assembly on sterile
field awaiting final placement.
9. Insert introducer needle with attached Arrow
Raulerson Syringe into vein and aspirate. (If larger
introducer needle is used, vessel may be pre-located
with 22 Ga. locater needle and syringe.) Remove
locater needle.
Alternate Technique:
a
Catheter/needle may be used in the standard manner as
alternative to introducer needle. If catheter/needle is
used, Arrow
standard syringe, but will not pass spring-wire guide. If
no free flow of venous blood is observed after needle is
removed, attach syringe to the catheter and aspirate
until good venous blood flow is established.
Precaution: The color of the blood aspirated is not
always a reliable indicator of venous access.
reinsert needle into introducer catheter.
2

Fig. 2

Tuohy-Borst adapter
Fig. 3
Place catheter and catheter
®
Raulerson Syringe will function as a
®
system may
Catheter
Precaution:
®
10
Do not