00:04
Now using a new antiseptic pad, we're going to
perform that vigorous mechanical scrub again
for at least 30 seconds.
00:11
And don't forget to allow it to fully air dry.
00:15
Now we're going to attach a new 10 ml normal
saline syringe to that needleless connector
and inject all that volume through the lumen.
00:22
So we otherwise call this 'flushing the line'.
00:26
The reason why this is important,
if you remember in previous steps,
we pulled all that blood in the lumen
that's just hanging out in the line
and that's not what we want.
00:35
So we want to make sure we inject
all that volume and flush the line
to remove it and clear out that line for our patient.
00:42
Now we want to detach the 10 ml normal
saline syringe from the needleless connector.
00:47
And just to finish up, we're
going to use that antiseptic pad,
perform that vigorous scrub again
for 30 seconds and allow this to dry.
00:55
Now this is important because
we're reattaching the IV infusion
that may have
been going to this lumen,
and at that point, we can restart
our IV infusion as ordered,
make sure to label all those blood collection tubes.
01:09
Place those tubes in our biohazard bag for transport
and dispose all of our equipment appropriately.
01:15
And of course, for safety when you leave
the room, before you leave the room,
lower that bed to the lowest
position, remove your gloves,
perform your hand hygiene and of
course, document the procedure.
01:31
Then I'm going to use my antiseptic pad
again once I've gotten all of my labs,
I'm going to use my anesthetic
pad and do that scrub again.
01:43
So we're going to make sure again, we're going
to scrub this hub for at least 30 seconds
and do this vigorously.
01:50
It's really important to cut down
our central line infections.
01:53
Now once I've scrubbed, don't forget
to allow it to completely air dry.
01:58
Now this is the point where we would
get a new 10 ml saline syringe.
02:07
Don't forget I'm going to release that pressure,
pry my syringe
and attach this back to my needleless
connector here because remember,
we've just pulled a bunch of blood through
that line and we want to clear this line out.
02:24
So once I've done this, I'm going
to inject the volume into the lumen.
02:28
And once I've done this, I'm going to
detach this from the needleless connector
And then don't forget to swab
again with a new alcohol pad.
02:38
And we're going to perform that scrub again.
02:43
So using that new antiseptic pad, we're
scrubbing that hub, doing that 32nd scrub
and again, allow it to completely air dry.
02:52
The reason why we're going to do this is
because we're going to reattach the IV infusion
if that was infusing in this lumen,
restart the IV infusion as ordered,
make sure those blood tubes that we've
got, we've labeled those correctly
and place these in our biohazard bag
to transport it to lab immediately.
03:12
We can now dispose of all of
our equipment appropriately,
lower the bed to the lowest
position, remove our gloves,
perform hand hygiene and document our procedure.
03:22
Thanks for watching, guys.