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PORT ACCESSING AND FLUSHING PROCEDURE
Accessing the Implanted Port
•To be done weekly if accessed, or monthly for routine maintenance
- Assemble Supplies
•Betadine swabsticks
•Alcohol swabsticks
•Masks
•Sterile gloves
•Huber needle
•Prefilled 10" NSS syringe
•Prefilled 5" Heparin syringe
•2 x 2 gauze
- Wash hands with soap and water
- Peel open one corner of the Huber needle package only;
Extend end of extension tubing only out the
opening
- Attach 10cc NSS syringe to extension tube.
- Prime tubing and needle with NSS
- Place Huber needle package on a secure flat surface and
peel back package open. Do NOT touch
Huber needle until sterile gloves are on
- Caregiver applies mask; the patient has the option of
putting on a mask or turning their head away from the port
area
- Put on sterile gloves
- Open alcohol swabsticks; prep site from center of port
and work outward in a circular motion to include a 2"-3"
area; repeat using all three swabsticks
- Allow alcohol to air dry and then repeat procedure with
three Betadine swabsticks
- Pick up Huber needle with NSS syringe attached; touch
only the Huber needle as this is sterile and the syringe
is not.
- Fold wings of Huber needle back and hold securely; remove
clear protective sheath from the needle.
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IMPLANTED INFUSION PORTS
An infusion "port" or implanted "central
catheter"
is surgically placed into a large vein in the chest near
the collar bone. All parts of the implanted port are
placed completely below skin level.
• Infusion ports are commonly used for long-term,
intermittent I.V. therapy.
• A specially trained registered nurse inserts a
special
needle through the skin to "access the port."
• Medications can be administered and all blood work
should be drawn through a port rather than your
arm.
• The port is flushed with heparin, to keep the
catheter open, at the end of each treatment or once
per month when not in use. |
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| 13. |
Locate and stabilize the port site with your thumb and index
finger; creating a "V" shape. |
| 14. |
Access the port by inserting the Huber needle at a 90°
angle into the reservoir |
| 15. |
Once accessed, the needle must not be twisted; excessive twisting
will cut the septum and create a drug leakage path |
| 16. |
Flush the port with 2-5cc NSS and then attempt to aspirate
a blood return; this confirms proper placement; Do
NOT aspirate an arterial port |
| 17. |
Slowly inject the remaining 10cc NSS; observe
for resistance, swelling or discomfort; if present, assess needle
placement; if still present, remove the Huber and re-access
or call Horizon Healthcare Services |
| 18. |
If this is a routine maintenance flush, close
clamp, remove empty NSS syringe and attach Heparin filled syringe;
Do NOT attempt to aspirate blood with the Heparin syringe |
| 19. |
Flush with 5cc Heparin and close the clamp |
| 20. |
Secure the port with your thumb and forefinger
and pull the Huber needle straight out |
| 21. |
Hold slight pressure with a 2 x 2 until bleeding,
if any, stops; there should never be excessive bleeding |
| 22. |
This procedure should be done every 4 weeks if
port is not used |
B. Dressing the Port Site
| 1. |
If port is being used for continuous infusion, connect IV
tubing after step 17 of the accessing procedure; if port is
being used for intermittent infusion, apply clave clamp after
step 19 of the accessing procedure |
| 2. |
Port should be redressed once a week with needle change |
| 3. |
Assemble Supplies
• CVC dressing kit
• Flat clean work surface |
| 4. |
Wash hands with soap and water |
| 5. |
Remove old dressing and deaccess port |
| 6. |
Access port using the procedure described in A. |
| 7. |
Open the package of 2 x 2's if extra padding is needed |
| 8. |
Place one 2 x 2 under the wings to provide padding on the
skin if Huber is not flush with chest |
| 9. |
Tear a piece of Durapore tape approximately 3" long;
split tape lengthwise; tape over Huber wings in a "X"
format |
| 10. |
Cover site with Tegaderm; this provides an occlusive dressing
and allows the patient to bathe or shower without disturbing
the dressing |
| 11. |
Secure the extra tubing with tape to prevent catching on clothes |
For any questions or concerns, call your
home IV nurse according to the instructions your nurse has given
you. Horizon Healthcare Services can also be reached 24 hours a
day at (717) 544-3590 or toll free at (800) 848-3204
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