3. REFERENCE
CENTRES FOR DISEASE CONTROL
Guidelines For The Prevention of Intravascular
Catheter-Related Infections
2011
4. MEMORY AID
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Wash Your Hands First.
Use Body Fluid Precautions.
Sterile Gloves Must Be Worn During Access.
Aseptic Care Of Vascular Access Devices.
The Fluid Pathway Must Remain Sterile.
All Cleaning Solutions Must Be Allowed To Dry.
The Access Needle And Tubing Must Be Stable
and Secured.
5.
6.
7.
8.
9.
10.
11. HUBER TIP NEEDLE
• Is designed with a deflected/non-coring tip to
eliminate the potential for “coring” or cutting
a plug from the skin and silicone septum of an
implanted port.
• When the needle is removed the septum
reseals itself.
18. ACCESS
• Obtain an order to access the implanted port.
• Identify the patient and explain the
procedure.
• Assess for pain tolerance and requirement for
transdermal anesthetic.
• Assess port site for
redness, pain, drainage, swelling or erosion
and if present document and report to MRP.
19. ACCESS
• Wash hands thoroughly and palpate the
infusion port site wearing clean gloves.
• Assess for the appropriate non-coring Huber
tipped needle. The patient may be aware of
their usual needle gauge and length. Ideally
when the Huber tipped needle is fully
inserted, the right angle turn should rest as
close to the skin as possible for maximum
stability.
20. ACCESS
• Assemble Supplies and set up the aseptic
field.
• Wear Sterile Gloves To Prepare Supplies.
• Change Sterile Gloves.
• Clean the skin over the port. Allow to dry
completely then clean a second time and
allow to dry completely. Include the whole
area that will be under the transparent
dressing.
21. ACCESS
• Stabilize the implanted port with your nondominant hand.
• Insert the Huber tipped needle
perpendicularly through the skin and septum
of the implanted port using steady pressure
until the needle touches the base of the port
reservoir.
• Confirm correct needle placement by blood
aspiration.
22. ACCESS
• Confirm patency by a blood return and the
ability to flush the implanted port without
evidence of infiltration.
• Dress the implanted port.
• For continuous infusions the Huber tipped
access needle gets changed routinely every 7
days.
23. IMPLANTED PORT DRESSING
• Transparent Dressings get changed every 7
days and prn.
• If sterile gauze is used under a transparent
dressing to stabilize the wings of the access
needle and it does not obscure the access site
it may be considered a transparent dressing.
• Gauze and Tape Dressings get changed every
48 hours and prn.
24. IMPLANTED PORT FLUSHING
• When not accessed - the implanted port gets
accessed and flushed every 4-6 weeks. MRP
to order.
• 5mls heparinized saline for non-valved
implanted ports is appropriate.
25. DOCUMENT
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Assessment of the implanted venous port site.
Aseptic access.
Gauge and length of Huber tipped needle.
Blood return and ease of flushing.
Any changes from the standard and why.
There must be documentation that the MRP is
aware and agrees and there is an order.
