Pre-CVC Insertion & Patient Assessment Activities Procedural Pause For reference literature concerning patient assess- Preparing for Catheter Insertion ment, clinician education, insertion techniques and potential complications associated with this Prep Puncture Site procedure refer to Arrow International, Inc. website: Flush Catheter www.arrowintl.com...
The Arrow® CVC is indicated to provide short-term (< 30 days) embolism, catheter occlusion, thoracic duct laceration, central venous access for treatment of diseases or conditions requiring bacteremia, septicemia, thrombosis, inadvertent arterial central venous access including, but not limited to: •...
Choose appropriate sized catheter for size of vessel to be Properly handle and dispose of sharps in sharps container cannulated. in accordance with US OSHA or other governmental standards for blood borne pathogens and/or hospital/ Catheter tip must be located in central circulation when institutional policy.
CVC | Cautions: Do not apply excessive force in removing guidewire or catheter. If withdrawal cannot be easily accomplished, a Check ingredients of prep sprays and swabs before using. visual image should be obtained and further consultation Some disinfectants used at catheter insertion site contain requested.
Become familiar with instructions for individual component(s) before beginning the actual insertion procedure. Arrow Advancer™: Arrow Advancer™ is used to straighten “J” Tip of Spring-Wire Guide (SWG) for introduction of guidewire into Arrow® Raulerson Syringe or a needle. Figure 4 •...
Figure 7 • Snap rigid fastener onto catheter clamp (refer to Figure 8). Arrow® Raulerson Syringe: Arrow® Raulerson Syringe is used in conjunction with Arrow Advancer™ for SWG insertion. Warning: Do not withdraw guidewire against needle bevel to reduce risk of possible severing or damaging of guidewire.
• Dressing: Apply skin prep (where provided) to coat skin and maximize adherence. A transparent dressing should be used in accordance with manufacturer’s • Allow to dry thoroughly. instructions for use. • Position catheter stabilization device appropriate distance from • Prepare site.
CVC | Guidewire / SWG: Kits/Sets are available with a variety of guidewires/SWGs. Guidewires are provided in different diameters, lengths, and tip configurations for specific insertion techniques. Become familiar with the guidewire(s) to be used with the specific technique before beginning the actual CVC insertion procedure. Image guidance may be used to gain initial venous access.
Maximal Barrier Drape: • Unfold towards head (refer to Figure 19). Drape(s) provide a maximal sterile barrier. Follow the CDC Category 1A Recommendation. • Unfold the Maximal Barrier Drape: • Peel off fenestration backing (refer to Figure 16). Figure 19 Figure 16 • Unfold towards hand (refer to Figure 20).
CVC | Protected Needle: SharpsAway II™ Locking Disposal Cup: See individual manufacturer’s instructions for product use, when used as a single The SharpsAway II™ Locking Disposal Cup is used for disposal of needles product and not as a kit component. (15 Ga.
• before and after donning and removal of gloves 2. Drape puncture site. A procedural checklist is included in many Arrow® products. Check individual See unfolding instructions for Maximal Barrier Drape (where provided) under product labeling to see if one is included.
See Arrow Advancer™ under Accessory Component Instructions section. catheters in central venous puncture site. Air embolism can occur with these practices. 2. Insert tip of SWG into plunger of Arrow® Raulerson Syringe or into introducer needle. 1. Insert introducer needle or catheter/needle with attached syringe or Arrow®...
Do not reinfuse blood to reduce risk of blood leakage from 4. Hold catheter at desired depth and remove SWG. rear (cap) of syringe. NOTE: Arrow® catheters are designed to pass freely over SWG. Warning: Do not withdraw guidewire against needle bevel to reduce...
CVC | 13 • Use catheter clamp and fastener as a secondary suture site 2. Procedure specifics: as necessary. • time out or procedural pause Caution: • informed consent, as required Minimize catheter manipulation throughout procedure to maintain proper catheter tip position. • date, time of insertion, insertion site, number and site attempts, inserter’s identification See Catheter Clamp and Fastener, Staple Anchoring Device under Accessory...
For reference literature concerning patient assessment, • unresolved complication(s) clinician education, insertion techniques and potential • discontinuation of therapy complications associated with this procedure refer to Arrow International, Inc. website: www.arrowintl.com • source of infection...