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.

See the full description here

Summary:

• Prepare the environment: Identify a routine place for care. Close windows, doors and fans. Wash and dry the work surface and gather the needed materials for the care and to distract your child.
• Prepare your child: Get help if needed. Position your child for comfort to receive the care and start to use the selected distraction method.
• Prepare yourself: Find the right time when you are ready to provide the care safely. Review the list of care steps. Wash your hands.

Now that you are ready to start the care procedure, take the opportunity to encourage and praise your child.

See the full description here

Summary 3 key concepts:

• Safety: Carefully follow the care practice steps as you have been taught.
• Flexibility: Be ready to adjust according to your child’s reactions during the procedure. As needed, reposition or select an alternative distraction strategy. Follow your child’s pace and rhythm.
• Collaboration: Reassure your child, verbally and non-verbally. Acknowledge your child’s emotions and reactions. Help your child differentiate between the different sensations during a procedure.

Position your child:

• to easily reach the catheter entry site,
• in one of the positions discussed with your healthcare team,
• consider your child’s age and ability to collaborate.

This step allows you to more easily view the catheter entry site and keeps your child comfortable.

• The catheter entry site should not change in appearance.
• Do not give the antibiotic or press the “STOP / START” button on the pump (or close the pump as indicated) if:
  • you observe that the site is red, hot, swollen or sensitive to touch,
    
  • there is redness, sensitivity under the dressing or a cord-like feeling along the length of the vein where the catheter is inserted,
  • you notice that the skin is cold around the catheter, that the arm is swollen or if your child reports burning or pain at the entrance site of the catheter.
• Close the clamps of the catheter tubing and the tubing of the pump.
• Contact your healthcare team quickly.

This step allows you to quickly detect problems.

• The dressing should be kept clean and dry at all times.
• If the dressing is wet or blood stained, do not remove the old dressing. The catheter site should always be protected.
• If the dressing is falling off, tape the sides down.
• If the dressing is punctured or torn, install another clear adhesive dressing over the old one.
• Immediately contact your care team.
  

This step helps you quickly identify complications.

• Tubing should not be pinched or bent.
• Make sure the extension tubing is securely fastened. If necessary, use adhesive tape to keep the tubing in place.

This step helps to avoid complications.

• The outer part of the catheter must remain the same length at all times; it should not move, neither inwards or outwards.
• If you notice a change in length of the external portion of the catheter, DO NOT push the catheter back into the vein; contact your healthcare team immediately.

This step will confirm the catheter has remained in the proper position. Allows quick action if the catheter has moved out of the proper position.

See the full description here

Summary:

The treatment is finished. Wash your hands again.

Be prepared to recognize the challenges faced and to provide positive feedback. Help your child recognize his/her strengths. Acknowledge the collaborative teamwork.

• Listen to what your child says about the parts of the procedure that were difficult or painful.
• Comfort your child and recognize your child’s collaboration with positive feedback.
• Highlight your child’s  specific strengths that helped make the procedure positive.
• Discuss with your child what might be done the same or differently the next time the care is needed.
• Keep your promises if you have promised a reward, follow through.
• Reward yourself too.

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.

See the full description here

Summary:

• Prepare the environment: Identify a routine place for care. Close windows, doors and fans. Wash and dry the work surface and gather the needed materials for the care and to distract your child.
• Prepare your child: Get help if needed. Position your child for comfort to receive the care and start to use the selected distraction method.
• Prepare yourself: Find the right time when you are ready to provide the care safely. Review the list of care steps. Wash your hands.

Now that you are ready to start the care procedure, take the opportunity to encourage and praise your child.

See the full description here

Summary 3 key concepts:

• Safety: Carefully follow the care practice steps as you have been taught.
• Flexibility: Be ready to adjust according to your child’s reactions during the procedure. As needed, reposition or select an alternative distraction strategy. Follow your child’s pace and rhythm.
• Collaboration: Reassure your child, verbally and non-verbally. Acknowledge your child’s emotions and reactions. Help your child differentiate between the different sensations during a procedure.

• Select and clean a workspace surface (eg, tabletop).
• Gather the necessary equipment.
• Check that the saline syringe is at room temperature.

This step ensures safety and allows the subsequent procedure.

• Hold the syringe vertically with the protective cap facing up.
• Push the plunger of the syringe to release it.
• Strike the syringe vigorously with your thumb and forefinger to raise the air bubbles.
• Partially unscrew the protective cap.
• Gently push the plunger until there is no more air in the syringe and a drop of liquid appears at the junction of the protective cap and the end of the syringe.
• Screw the protective cap back onto the syringe tip.
• Place the syringe on your table.

If necessary, refer to the technique taught by your healthcare team, pharmacy or manufacturer’s recommendations.

This step is necessary for the security of the administration of the solution.

Position your child:

• to securely reach the catheter entry site,
• in one of the positions discussed with your healthcare team,
• depending on comfort, age and ability to collaborate.

This step facilitates the work.

Refer to steps 5 through 8 of the Catheter site monitoring procedure.

This step allows you to quickly detect problems.

• Use a disinfectant swab to vigorously scrub the top and sides of the needleless connector.
• Allow the connector to dry completely by holding it in one hand.
• Do not blow on the connector.
• Do not touch the connector between the time of disinfection and the syringe connection.

This step is necessary to prevent contamination (transmission of bacteria).

• Take the saline syringe with one hand and remove the protective cap with the other.
• Take care that nothing touches the tip of the syringe to avoid contaminating it.

This step allows the procedure to continue safely.

• Take the needleless connector between the thumb and forefinger of one hand.
• With the other hand, push the syringe into the connector.
• Fasten the syringe by turning it about a quarter turn clockwise until the connection is solid.
• Never use a needle to inject into the needleless connector.

This step allows the rest of the procedure.

• Open the clamp of the catheter tubing.
• Press the plunger of the syringe to inject 1 ml at a time: using a brisk start-stop technique with each ml that is pushed (this helps keep the catheter from getting blocked).
• When the entire solution is injected, close the clamp of the catheter tubing.

This step removes deposits that accumulate in the catheter and prevents it from blocking.

• Hold the needleless connector between the thumb and forefinger of one hand.
• With the other hand, disconnect the syringe by turning it counterclockwise.
• Dispose of the syringe in the trash.

This step allows the rest of the procedure.

Using your two hands prevents the needleless connector from unscrewing instead of the syringe.

• Remove the air bubbles from the locking solution syringe.
• Disinfect the needleless connector.
• Take the locking solution syringe with one hand and remove the protective cap with the other.
• Take care that nothing touches the tip of the syringe to avoid contaminating it.
• Screw the syringe onto the needleless connector.
• Open the clamp of the catheter tubing.
• Inject the locking solution, as instructed by your healthcare team.
• Close the clamp of the catheter tubing.
• Disconnect the syringe from the needleless connector.
• Dispose of the syringe in the trash.

This step prevents the formation of clots at the tip of the catheter when a prolonged delay is expected before its next use.

Refer to steps 5 through 8 of the Catheter site monitoring procedure.

This step allows you to verify that the catheter site is intact.

See the full description here

Summary:

The treatment is finished. Wash your hands again.

Be prepared to recognize the challenges faced and to provide positive feedback. Help your child recognize his/her strengths. Acknowledge the collaborative teamwork.

• Listen to what your child says about the parts of the procedure that were difficult or painful.
• Comfort your child and recognize your child’s collaboration with positive feedback.
• Highlight your child’s  specific strengths that helped make the procedure positive.
• Discuss with your child what might be done the same or differently the next time the care is needed.
• Keep your promises if you have promised a reward, follow through.
• Reward yourself too.

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.

See the full description here

Summary:

• Prepare the environment: Identify a routine place for care. Close windows, doors and fans. Wash and dry the work surface and gather the needed materials for the care and to distract your child.
• Prepare your child: Get help if needed. Position your child for comfort to receive the care and start to use the selected distraction method.
• Prepare yourself: Find the right time when you are ready to provide the care safely. Review the list of care steps. Wash your hands.

Now that you are ready to start the care procedure, take the opportunity to encourage and praise your child.

See the full description here

Summary 3 key concepts:

• Safety: Carefully follow the care practice steps as you have been taught.
• Flexibility: Be ready to adjust according to your child’s reactions during the procedure. As needed, reposition or select an alternative distraction strategy. Follow your child’s pace and rhythm.
• Collaboration: Reassure your child, verbally and non-verbally. Acknowledge your child’s emotions and reactions. Help your child differentiate between the different sensations during a procedure.

• Make sure that the infusion pump containing the medication is at room temperature.
• Check the label to verify:
  • your child’s name,
  • the medication has not expired,
  • the drug name and dose are the same as those prescribed for your child.
• Inspect the pump carefully. It must not contain air bubbles or particles. If this is the case, contact your pharmacy or healthcare team.

This step ensures the safety of the procedure and helps to prevent medication errors.

• Select and clean a work surface (eg, tabletop).
• Gather the necessary equipment.
• Check that:
  • the balloon and the tubing of the perfusion pump are not broken or split,
  • the drug does not leak,
  • the cap located at the end of the tubing is present,
  • the filling site cap is in place.

This step ensures the safety and allows the rest of the procedure.

Position your child:

• to securely reach the catheter entry site,
• in one of the positions discussed with your healthcare team,
• depending on comfort, age and ability to collaborate.

This step facilitates the work.

Refer to steps 5 through 8 of the care method Monitoring of the catheter site.

This step helps to quickly detect problems.

• Remove the air bubbles from the saline syringe.
• Disinfect the needleless connector.
• Take the saline syringe with one hand and remove the protective cap with the other.
• Take care that nothing touches the tip of the syringe to avoid contaminating it.
• Screw the syringe onto the needleless connector.
• Open the clamp of the catheter tubing.
• Press the plunger of the syringe to inject 1 ml at a time.
• When the entire solution is injected, close the clamp of the catheter tubing.
• Disconnect the syringe from the needleless connector.
• Dispose of the syringe in the trash.

This step removes deposits that accumulate in the catheter and prevents it from blocking.

• Disinfect needleless catheter connector.
• Take the tubing of the perfuser with one hand and remove its protective cap with the other.
• Make sure that nothing touches the end of the tubing to avoid contaminating it.
• Take the needleless connector between the thumb and forefinger of one hand.
• With the other hand, insert the end of the tubing of the infuser.
• Turn clockwise about 1/4 turn until the connection is tight.

This step allows the rest of the procedure and avoids contamination.

• Open all clamps.
• The drug enters the catheter very slowly. The duration of infusion varies according to the medical prescription.
• During the drug administration, the balloon gradually decreases in volume.

• Place the pump near your child’s body in a pocket of clothing, a waist pack or a backpack.
• If possible, keep the elastomeric infusion pump at the same level as the catheter insertion site.

This step helps protect the pump and ensure proper flow of the drug.

Administration of the antibiotic dose is complete when the balloon is empty, flattened and small ridges are visible.

This step verifies that the medication has been administered and that the balloon is empty.

• Wash your hands again.
• Close all clamps.
• Hold the needleless connector between the thumb and forefinger of one hand.
• With the other hand, disconnect the tubing from the perfuser by turning its end counterclockwise.
• Put the empty perfusion pump and tubing in the trash.

This step completes the medication administration and prepares for final flushing of the catheter.

The use of both your hands prevents the needleless connector from unscrewing instead of the tubing.

• Remove the air bubbles from the saline syringe.
• Disinfect the needleless connector.
• Take the saline syringe with one hand and remove the protective cap with the other.
• Take care that nothing touches the tip of the syringe to avoid contaminating it.
• Screw the syringe onto the needleless connector.
• Open the clamp of the catheter tubing.
• Press the plunger of the syringe to inject 1 ml at a time.
• When the entire solution is injected, close the clamp of the catheter tubing.
• Disconnect the syringe from the needleless connector.
• Dispose of the syringe in the trash

This step removes deposits that accumulate in the catheter and prevents it from blocking.

Instructions how to irrigate the catheter here.

This step prevents the formation of clots at the tip of the catheter when a prolonged period is expected before its next use.

Refer to steps 5 through 8 of the catheter site monitoring procedure.

At the end, make sure that all the clamps are closed.

This step allows you to verify that the catheter site is intact.

See the full description here

Summary:

The treatment is finished. Wash your hands again.

Be prepared to recognize the challenges faced and to provide positive feedback. Help your child recognize his/her strengths. Acknowledge the collaborative teamwork.

• Listen to what your child says about the parts of the procedure that were difficult or painful.
• Comfort your child and recognize your child’s collaboration with positive feedback.
• Highlight your child’s  specific strengths that helped make the procedure positive.
• Discuss with your child what might be done the same or differently the next time the care is needed.
• Keep your promises if you have promised a reward, follow through.
• Reward yourself too.

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.

See the full description here

Summary:

• Prepare the environment: Identify a routine place for care. Close windows, doors and fans. Wash and dry the work surface and gather the needed materials for the care and to distract your child.
• Prepare your child: Get help if needed. Position your child for comfort to receive the care and start to use the selected distraction method.
• Prepare yourself: Find the right time when you are ready to provide the care safely. Review the list of care steps. Wash your hands.

Now that you are ready to start the care procedure, take the opportunity to encourage and praise your child.

See the full description here

Summary 3 key concepts:

• Safety: Carefully follow the care practice steps as you have been taught.
• Flexibility: Be ready to adjust according to your child’s reactions during the procedure. As needed, reposition or select an alternative distraction strategy. Follow your child’s pace and rhythm.
• Collaboration: Reassure your child, verbally and non-verbally. Acknowledge your child’s emotions and reactions. Help your child differentiate between the different sensations during a procedure.

• Make sure the new bag or cassette is at room temperature.
• Check on the label that:
  • your child’s name appears,
  • the date of the drug has not expired,
  • the drug name and dose are the same as those prescribed for your child.
• Inspect the bag or cassette carefully. It must not contain air bubbles or particles. If this is the case, contact your pharmacy or healthcare team.

This step ensures the safety of the procedure and helps prevent medication errors.

• Select and clean a work surface (eg, tabletop).
• Gather the necessary equipment.
• Check that the pump tubing is not broken or split and that there is no leakage coming from the medication bag or cassette.

This step ensures safety and allows the subsequent procedure.

Position your child:

• to securely reach the catheter entry site,
• in one of the positions discussed with your healthcare team,
• depending on comfort, age and ability to collaborate.

This step facilitates the work.

Refers to the CADD-Legacy® PLUS pump

• Push and hold the “STOP/START” button of the pump until 3 sets of dashes appear on the pump screen (or follow the instructions of your healthcare team for the special features of your child’s pump).
• Close the clamps of all tubing.
• Pump with bag: go to the next step.
• Pump with cassette-reservoir: go to step 9.

This step allows the rest of the procedure.

• Disconnect the tubing of the empty bag from the tubing already in place on the pump.
• Set aside the empty medication bag and old tubing.
• Do not touch the end of the pump tubing to avoid contamination.
• Holding the tubing of the pump with one hand, remove the protective cap from the tubing of the new bag.
• Connect the tubing of the new bag to the tubing already in place on the pump.
• Return the residual volume to the starting volume:
  • press the “NEXT” button on the pump to display the residual volume screen,
  • then press the “ENTER/CLEAR” button to restore the residual volume to the starting volume
    (or follow the instructions of your healthcare team for the special features of your child’s pump).
• Dispose of the empty medication bag in the trash.
• Go to step 11.

This step allows the rest of the procedure.

• Press the “ON/OFF” button on the pump to turn the pump off (or follow the instructions of your healthcare team for the special features of your child’s pump).
• Unlock the cassette lock.
• Remove the empty cassette reservoir from the pump.
• Disconnect the empty cassette from the extension tube attached to the catheter already in place.
• Do not touch the end of the tubing already in place to avoid contaminating it.
• Dispose of the empty cassette in the trash.

This step allows the rest of the procedure.

• Remove the protective cap from the tubing of the new cassette-reservoir.
• Connect the tubing of the new cassette to the extension tube attached to the catheter already in place.
• Connect the new cassette to the pump.
• Secure the cassette lock (at the side of the pump).
• Place the reservoir cassette tubing into the pump air sensor.
• Press the ON/OFF button on the pump to turn on the pump.
• Return the residual volume to the starting volume.

This step allows the rest of the procedure.

Refer to steps 5 through 8 of the Catheter site monitoring procedure.

This step allows you to quickly detect problems.

• Hold the needleless connector of the catheter with one hand and the tubing of the pump with the other.
• Disconnect the tubing by turning it counterclockwise.

This step makes it possible to prepare for the irrigation of the catheter.

Use two hands to prevent the needleless connector from detaching from the catheter.

• Remove the air bubbles from the saline syringe.
• Disinfect the needleless connector.
• Take the saline syringe with one hand and remove the protective cap with the other.
• Take care that nothing touches the tip of the syringe to avoid contaminating it.
• Screw the syringe onto the needleless connector.
• Open the clamp of the catheter tubing.
• Press the plunger of the syringe to inject 1 ml at a time.
• When the entire solution is injected, close the clamp of the catheter tubing.
• Disconnect the syringe from the needleless connector.
• Dispose of the syringe in the trash.

This step removes deposits that accumulate in the catheter and prevents it from blocking.

• Disinfect the needleless connector.
• Take the needleless connector between your thumb and forefinger in one hand.
• With the other hand, insert the end of the tubing of the pump.
• Turn clockwise gently about a quarter turn, until the connection is tight.

This step allows the rest of the procedure.

• Open the clamps of all tubing.
• Press and hold the “STOP/START” button of the pump and hold until the 3 sets of dashes disappear from the pump screen (or follow the instructions of your healthcare team for the special features of the pump used by your child).

This step allows the administration of the antibiotic.

• Place the antibiotic bag near your child’s body in a waist pack or backpack.
• Make sure that the pump is well positioned and the tubing is not bent or compressed.

This step helps protect the pump and ensure proper flow of the medication from the pump into your child.

See the full description here

Summary:

The treatment is finished. Wash your hands again.

Be prepared to recognize the challenges faced and to provide positive feedback. Help your child recognize his/her strengths. Acknowledge the collaborative teamwork.

• Listen to what your child says about the parts of the procedure that were difficult or painful.
• Comfort your child and recognize your child’s collaboration with positive feedback.
• Highlight your child’s  specific strengths that helped make the procedure positive.
• Discuss with your child what might be done the same or differently the next time the care is needed.
• Keep your promises if you have promised a reward, follow through.
• Reward yourself too.

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.

See the full description here

Summary:

• Prepare the environment: Identify a routine place for care. Close windows, doors and fans. Wash and dry the work surface and gather the needed materials for the care and to distract your child.
• Prepare your child: Get help if needed. Position your child for comfort to receive the care and start to use the selected distraction method.
• Prepare yourself: Find the right time when you are ready to provide the care safely. Review the list of care steps. Wash your hands.

Now that you are ready to start the care procedure, take the opportunity to encourage and praise your child.

See the full description here

Summary 3 key concepts:

• Safety: Carefully follow the care practice steps as you have been taught.
• Flexibility: Be ready to adjust according to your child’s reactions during the procedure. As needed, reposition or select an alternative distraction strategy. Follow your child’s pace and rhythm.
• Collaboration: Reassure your child, verbally and non-verbally. Acknowledge your child’s emotions and reactions. Help your child differentiate between the different sensations during a procedure.

• Make sure the new bag or cassette is at room temperature.
• Check on the label that:
  • your child’s name appears,
  • the date of the drug has not expired,
  • the drug name and dose are the same as those prescribed for your child.
• Inspect the bag or cassette carefully. It must not contain air bubbles or particles. If this is the case, contact your pharmacy or healthcare team.

This step ensures the safety of the procedure and reduces the risk of medication errors.

• Select and clean a work surface (eg, tabletop).
• Gather the necessary equipment.
• Check that the new tubing is not damaged.

This step ensures the safety and allows the rest of the procedure.

Position your child:

• to securely reach the catheter entry site,
• in one of the positions discussed with your healthcare team,
• depending on comfort, age and ability to collaborate.

This step facilitates the work and optimizes your child’s comfort.

Refers to the CADD-Legacy® PLUS pump

• Push and hold the “STOP/START” button of the pump until 3 sets of dashes appear on the pump screen (or follow the instructions of your healthcare team for the special features of your child’s pump).
• Close the clamps of all tubing.

This step allows the rest of the procedure.

• Press the “ON/OFF” button on the pump to turn the pump off (or follow the instructions of your healthcare team for the special features of your child’s pump).
• Unlock the cassette lock.
• Remove the old cassette or the empty cassette reservoir from the pump.
• Set aside the old cassette and empty bag or empty cassette reservoir connected to the catheter extension tubing on the work table.
• Pump with bag: go to the next step.
• Pump with cassette réservoir: go to step 10.

This step allows the rest of the procedure.

• Insert the new cassette into the pump.
• Secure the cassette lock.
• Remove the protective cap from the tubing of the new bag.
• Remove the protective cap from the cassette tubing.
• Make sure that nothing touches the openings of the tubing to prevent contamination.
• Connect the tubing of the cassette to the tubing of the new bag by turning a quarter turn clockwise until the connection is tight.
• Press the ON/OFF button on the pump to turn on the pump.
• Return the residual volume to the starting volume:
  • press the “NEXT” button on the pump to display the residual volume screen,
  • then press the ENTER/CLEAR button to restore the residual volume to the starting volume.
• Go to step 11.

This step allows the rest of the procedure.

• Insert the new cassette reservoir into the pump.
• Secure the cassette lock.
• Remove the protective cap from the tubing of the cassette.
• Remove the protective cap from the new extension tube.
• Connect the tubing of the cassette reservoir to the new extension tube by turning clockwise about 1/4 turn until the connection is tight.
• Press the ON/OFF button on the pump to turn the pump on.
• Return the residual volume to the starting volume:
  • press the “NEXT” button on the pump to display the residual volume screen,
  • then press the ENTER/RESET button to restore the residual volume to the starting volume.

This step allows the rest of the procedure.

• Open the tubing clamp of the new cassette reservoir or the clamp of the tubing of the new bag.
• Keep the protective cap on at the end of the tubing to prevent contamination.
• Prime the tubing:
  • press and hold down the “PRIME” button,
  • stop pressing down when “Prime” and 3 sets of dashes appear on the pump screen,
  • press again without releasing the button. “Priming…” will appear on the screen.
  • repeat until the solution reaches the end of the tubing.
• Check that a drop appears at the end of the tubing and is visible through the transparent cap.
• When the tubing is filled with solution (and no air), close the clamps.
• Place the tubing in the pump air sensor.

This step ensures the safety of the administration of the drug.

• Hold the needleless connector with one hand and the tubing of the pump with the other.
• Disconnect the tubing by turning it counterclockwise.
• Discard the old tubing with the cassette and the empty bag or the empty cassette reservoir in the trash.

This step completes the disconnection of the used tubing and the installation of the new tubing in preparation for flushing of the catheter, if required.

The use of both your hands prevents the needleless connector from unscrewing instead of the tubing.

Refer to steps 5 through 8 of the catheter site monitoring procedure.

This step helps to quickly detect problems.

• Remove the air bubbles from the saline syringe.
• Disinfect the needleless connector.
• Take the saline syringe with one hand and remove the protective cap with the other.
• Take care that nothing touches the tip of the syringe to avoid contaminating it.
• Screw the syringe onto the needleless connector.
• Open the clamp of the catheter tubing.
• Press the plunger of the syringe to inject 1 ml at a time.
• When the entire solution is injected, close the clamp of the catheter tubing.
• Disconnect the syringe from the needleless connector.
• Dispose of the syringe in the trash.

This step removes deposits that accumulate in the catheter and prevents it from blocking.

• Disinfect the needleless connector.
• Remove the protective cap from the new tubing.
• Take the needleless connector between the thumb and forefinger of one hand.
• With the other hand, insert the end of the new tubing into the needleless connector.
• Turn clockwise about 1/4 turn until the connection is tight.

This step allows the rest of the procedure.

• Open the clamps of all tubing.
• Press and hold the STOP/START button of the pump and hold until the 3 sets of dashes disappear from the pump screen.

This step allows the medication delivery to be restarted.

• Place the antibiotic bag near your child’s body in a waist pack or backpack.
• Make sure that the pump is well positioned and the tubing is not bent or compressed.

This step helps protect the pump and ensure proper flow of the medication from the pump into your child.

See the full description here

Summary:

The treatment is finished. Wash your hands again.

Be prepared to recognize the challenges faced and to provide positive feedback. Help your child recognize his/her strengths. Acknowledge the collaborative teamwork.

• Listen to what your child says about the parts of the procedure that were difficult or painful.
• Comfort your child and recognize your child’s collaboration with positive feedback.
• Highlight your child’s  specific strengths that helped make the procedure positive.
• Discuss with your child what might be done the same or differently the next time the care is needed.
• Keep your promises if you have promised a reward, follow through.
• Reward yourself too.