Submitted by Meechel82, RN, Froedtert Hospital on Sun Jul 12 12:31:54 2009
I am curious of any insight to a commonly occuring problem at our hospital. The Bard Solo Power PICCS need a neutral valve placed to prevent the line from clotting as the Bard Solo already has a valve built into the PICC. Our hospital only carries negative pressure ClearLink valves.Â This causes the two valves to fight each other causing back up of blood in to the PICC and often clotting the line. Thus, we have had numerous Bard Solo Power PICCS clot off due to nurses placing our negative pressure caps onto these PICCS. Often times we are unable to unclot the device. Furthermore, this often causes many unhappy patients/families. Has this been occuring at any of your hospitals? Any suggestions of how to prevent? Currently our hospital will not purchase any neutral caps even after numerous attempts to suggest the need. If our hospital will not purchase the correct valves, does anyone have a solution of possbile options we might have within our hospital to prevent the lines from clotting? Currently, we suggest to the patient/family if possible to bring in an appropriate valve from home (although this is not often an easy solution---as for example the other day the family stated they lived 2 hours away).
Thanks for any help!