Just wondering about the "scrub the hub procedure the CDC recommends for catheters. Has anyone experienced any clotting of blood in the lines if you do this procedure mid treatment (i.e you need to switch lines mid treatment). If you scrub and wait for drying as recommended it could be 4-5 minutes if you are preparing both the venous and arterial hubs.
Wonder what you are using to do the scrub? You should be using an alcohol pad, cleaning the threads then moving up the body of the catheter. Once you have gone up the body of the catheter the threads have dried and you are ready to hook up. Should take 60 seconds max
Thanks for your reply. We use chlorhexidine with alcohol which I think has been shown to be more effective in infection prevention than just alcohol due to ongoing bacteriostatic properties of the chlorhexidine.
So, 30 second scrub each lumen and then a 30-60 second dry time as the chlor. doesn't dry as fast as alcohol. Can't really clean both at the same time as need to hold blood lines while cleaning etc. Then some time to irrigate lumens prior to switching.
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