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Product Reference - Alcavis
50
Preparation of Central Venous Catheter for Initiation
and Discontinuation of Hemodialysis Treatment
Purpose:
To prevent contamination and infection of the dialysis catheter
access during initiation and discontinuation of the hemodialysis
treatment.
Supplies:
Alcavis 50 solution, 2 packages of sterile 4x4 gauze pads,
chux sheet, sterile underpad, non sterile gloves, staff face
shield, patient mask.
Procedure:
- Staff should wash their hands and don
a face shield. Patient should don a face mask.
- A sterile underpad should be placed
under the catheter.
- On a chux sheet, carefully open both
packages of 4x4 gauze pads keeping pads on sterile wrappers.
- Saturate both sets of 4x4 gauze pads
with ample amounts of Alcavis 50 solution (10 to
15 cc's for each gauze pad).
- Put on clean non sterile gloves.
- Carefully place the catheter venous
port in an Alcavis 50 saturated 4x4 gauze pad and
scrub the catheter end and port for 1 minute.
- Carefully place the catheter arterial
port in an Alcavis 50 saturated 4x4 gauze pad and
scrub the catheter end and port for 1 minute. Make sure
to rub in an agitating motion when cleaning ports.
- Carefully wrap the arterial port in
an Alcavis 50 saturated gauze pad.
- Carefully wrap the venous port in an
Alcavis 50 saturated gauze pad. Leave each port wrapped
for at least 2 minutes.
- Carefully unwrap the catheter ports
for initiation of dialysis treatment as per clinic protocol.
- Repeat this process for the discontinuation
of the dialysis treatment as per clinic protocol.
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Amu-Safe Procedure
Purpose:
To disinfect dialysis disposables.
Supplies:
Alcavis 50, PPE, non-sterile gloves.
Procedure:
- After completion of C.A.P.D., exchange procedure.
Leave Alcavis 50 in upright position, twist luer
connector of the Y-set onto Alcavis 50.
- Turn Alcavis 50 over and elevate bottle
to eye level.
- Visually locate measurements on side of bottle.
- Unclamp outlet port clamp on the drain line.
- Squeeze bottle until you have infused 25ml.
- Clamp outlet port clamp on drain line.
- Place bottle in upright position.
- Disconnect bottle, cap bottle and store from
sunlight.
- Wait 5 minutes before disposing of solution
and tubing.
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Transfer Set Change using
Alcavis 50
Purpose:
To change the transfer set using a sterile technique.
Supplies:
Alcavis 50, sterile gloves, 3 packages of sterile 3x3
gauze pads, 2 sterile drapes, plastic clamp without teeth
or seam, transfer set and other supplies to complete exchange,
2 masks.
Procedure:
- Have patient remove transfer set from
clothing.
- Place plastic clamp on the peritoneal
catheter.
- Staff should wash their hands and don
a face shield. Patient should don a face mask.
- Open sterile drape.
- Open all packages of sterile 3x3's.
Saturate two packages of 3x3's with Alcavis 50 (at
least 20 cc's for each gauze pad).
- Have patient pick up catheter and transfer
set.
- Nurse needs to place the sterile drape
under the catheter and transfer set, and have patient drop
transfer set onto the drape.
- Prepare transfer set to be attached
at this time.
- Put on sterile gloves.
- Pick up the first set of 3x3's saturated
with Alcavis 50, and scrub at connection between transfer
set and patient catheter, maintaining contact for one minute.
- Using the second set of Alcavis
50 saturated 3x3's, scrub the connection site for another
minute, maintaining contact time.
- Pick up dry 3x3's, and drop patient
transfer set and catheter into dry 3x3.
- Using twisting motion, disconnect patient
transfer set.
- Pick up new transfer set, maintaining
sterility, and apply new transfer set to catheter making
sure connection is tight.
- Discard used supplies and proceed with
exchange.
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Procedure for Disinfecting Minicap Transfer Set after Contamination
Purpose:
To disinfect the end of the transfer set after a touch contamination.
Supplies:
Sterile specimen cup, bottle of Alcavis 50, mask, sterile
minicap.
Procedure:
- Wash hands.
- Using sterile procedure, open sterile
cup.
- Open minicap.
- Fill cup 1/2 -3/4 with Alcavis
50.
- Place end of the transfer set, into
Alcavis 50, and soak for 1 minute.
- Remove transfer set. Using sterile
procedure apply new minicap.
- Teach patient to observe patient for
signs and symptoms of peritonitis and to call unit if symptoms
develop.
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Procedure for Having Patient
Disinfect Minicap Transfer After Contamination at Home
Purpose:
To disinfect the end of the transfer set after a touch contamination
at home.
Supplies to give to patient:
3 sterile specimen cups (extras to keep at home), bottle
of Alcavis 50, mask, sterile minicap.
Procedure:
- Wash hands.
- Using sterile procedure, open sterile cup.
- Open minicap.
- Fill cup 1/2 -3/4 with Alcavis 50.
- Place end of the transfer set, into Alcavis
50, and soak for 1 minute.
- Remove transfer set. Using sterile procedure
apply new minicap.
- Teach patient to observe for signs and symptoms
of peritonitis and to call unit if symptoms develop.
- Teach patient to record symptoms, on his/her
logs when they need to, and to call the unit or nurse on
call if they have any problems.
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Adding Intraperitoneal Medication to Dianeal
Purpose:
To add prescribed medication to
dianeal in a sterile manner.
Supplies:
Appropriate dianeal solution, Alcavis 50, syringes
(number depends on volume of medication to be given), sterile
needles (22g. 1/12in.), appropriate medications, mask, labels,
tape, 2x2 gauze pads (2 packages).
Procedure:
- Don Mask.
- Check medication bottle or prefilled
syringe for correct type, dose and expiration date.
- Aseptically place Alcavis 50
soaked 2x2's on rubber port of medication vial and dianeal.
- Leave Alcavis 50 soaked 2x2's
in place for two minutes. Open syringe and aseptically attach
sterile needle to syringe. Draw up prescribed amount of
medication. Recheck amount of medication.
- Recap needle loosely on syringe and
lay on dominant side. Remove Alcavis 50 2x2's from
med port and position in non-dominant hand without contaminating.
- Retrieve syringe in dominant hand and
withdraw cap.
- Insert needle through medication port
of dianeal bag and inject medications. Aspirate dialysate
into syringe and reinstall.
- Mix medication thoroughly by inverting
bag several times.
- Label bag with medication, dosage,
time, date, and nurse's initials.
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