Indications:

  • Irrigation (or flushing) of the catheter with saline solution (0.9% sodium chloride injection) prevents the catheter from becoming blocked. It removes accumulated deposits in the catheter and prevents obstruction of the catheter.
  • The steps in the method below may serve as a guide; speak to your healthcare team about the specific equipment that your child uses.
Considerations:
  • Consider whether you need another helper to keep your child in a safe position during the procedure.
  • Irrigation with a locking solution (eg, heparin solution) is sometimes used to prevent the formation of clots at the tip of the catheter. Your healthcare team will tell you if this type of irrigation is appropriate for your child and under what circumstances.
  • Preserving pre-filled syringes: keep the syringes at room temperature or as recommended by your healthcare team or pharmacy.
  • Good handwashing is essential before and after providing care.
  • Optimize your child’s comfort during care with appropriate positioning and the use of distraction.

Frequency:

  • Irrigation with saline solution should be carried out according to the recommendations of the care team:
    • before and after each administration of antibiotic if you are using an elastomeric infusion pump or an ambulatory infusion pump operating on a discontinuous basis.
    • at least once a day when changing the bag or cassette reservoir with or without the tubing, if a continuous ambulatory infusion pump is used.
  • Your care team may recommend different irrigation frequency rates depending on your child’s catheter type.
  • If a long period is anticipated before the next catheter is used, irrigation with a locking solution (eg, heparin solution) may be necessary.

Required materials:

Refer to your healthcare team if the material used or the sequence of steps taught is different from what is described in the method of care.

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Step 1: Anticipation

See the full description here

Summary:

Collaborate and form a team with your child. When you invest the time to form a strong team, children feel more comfortable and less anxious – this will help you complete the care with less stress – for you and your child.

Use these tips, from the start, to set the stage for a positive care procedure:

  • Create the right moment: integrate the care in a routine.
  • Alert your child to the needed care and communicate together.
  • Form a team with your child: Encourage autonomy by offering realistic choices such as the method of distraction. Stay tuned to your child. Manage pain and anxiety, using distraction and positioning for comfort.

.Reviser : Ross .Version : 1.0