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Our nurses at Cavendish Homecare are trained to the highest standard. We ensure they are kept up-to-date, knowledgeable, and well-equipped when caring for our clients. As part of our ongoing commitment to both our nurses and clients we undertake a number of courses internally.
Cavendish Homecare has recently ran a Central Line theory training course with Adriana Hogan and Stephanie Silva.
What are central lines?
A central line (or central venous catheter) is like an intravenous (IV) line, it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside the heart. Access site centrally inserted central venous catheters are primarily placed via the internal jugular vein, subclavian vein, or femoral vein. Alternative insertion sites include the external jugular vein, cephalic vein, and proximal great saphenous vein. A patient can get medicine, fluids, blood, nutrition through or even chemotherapy via a central line. It also can be used to draw blood.
What you need to know about central lines
Commonly used central lines include:
- PICC (peripherally inserted central catheter) lines
- Tunneled central lines (also called external central lines)
- Non-tunneled catheter
- Implanted ports
Doctors might use a central line instead of a regular IV line because:
- It can stay in place longer (up to a year or even more)
- It makes it easier to draw blood
- Patients can get large amounts of fluids or medicines (like chemotherapy) that might not go through regular IVs
Doctors may place a central line for someone who:
- has a serious infection so they can get IV antibiotics for a few weeks
- has cancer so they can get chemotherapy and blood tests through the line
- needs IV nutrition
- will need many blood transfusions
Assessments
Prior to any central line care, it is important to observe the surrounding area for any signs of complications and to complete a short assessment.
Observe for:
- Pain – arm, shoulder neck or chest
- Redness
- Swelling, engorged veins in the arm, neck or chest
- Exudate, redness, pain at exit site, Pyrexia or a history of rigors post flushing
- Any history of rigors or feeling unwell post flushing
- Dressing allergy – redness, blistering, itching, pain under the dressing
- Line migration ( for PICC), cuff exposure (Dracon cuff)
- Leaking of fluid beneath the dressing or exit site
Interested in joining us?
If you would like to become part of our team, contact us on 02030085210 or email us at info@cavendishhomecare.com.
