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    Co-Connectors 2013

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    api-302708069
    This document provides guidelines for safely changing out a faulty or clotted straight connector without luer lock on extracorporeal life support (ECLS). It specifies that only those with advanced ECLS training, such as perfusionists or ECLS team leaders, are to perform the procedure. The procedure involves preparing the patient, clamping the tubing, cutting out the old connector and inserting a new sterile connector, filling it with crystalloid, reconnecting the tubing, and checking for air before resuming ECLS flow. Any changes must be documented on the patient's ECLS flow sheet.

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    Co-Connectors 2013

    Uploaded by

    api-302708069
    34 views2 pages
    This document provides guidelines for safely changing out a faulty or clotted straight connector without luer lock on extracorporeal life support (ECLS). It specifies that only those with advanced ECLS training, such as perfusionists or ECLS team leaders, are to perform the procedure. The procedure involves preparing the patient, clamping the tubing, cutting out the old connector and inserting a new sterile connector, filling it with crystalloid, reconnecting the tubing, and checking for air before resuming ECLS flow. Any changes must be documented on the patient's ECLS flow sheet.

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    co-connectors 2013

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    This document provides guidelines for safely changing out a faulty or clotted straight connector without luer lock on extracorporeal life support (ECLS). It specifies that only those with advanced ECLS training, such as perfusionists or ECLS team leaders, are to perform the procedure. The procedure involves preparing the patient, clamping the tubing, cutting out the old connector and inserting a new sterile connector, filling it with crystalloid, reconnecting the tubing, and checking for air before resuming ECLS flow. Any changes must be documented on the patient's ECLS flow sheet.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    34 views2 pages

    Co-Connectors 2013

    Uploaded by

    api-302708069
    This document provides guidelines for safely changing out a faulty or clotted straight connector without luer lock on extracorporeal life support (ECLS). It specifies that only those with advanced ECLS training, such as perfusionists or ECLS team leaders, are to perform the procedure. The procedure involves preparing the patient, clamping the tubing, cutting out the old connector and inserting a new sterile connector, filling it with crystalloid, reconnecting the tubing, and checking for air before resuming ECLS flow. Any changes must be documented on the patient's ECLS flow sheet.

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    © All Rights Reserved
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    of 2

    STRAIGHT CONNECTOR CHANGE-OUT- NO LUER LOCK

    Established: 1998

    Revised: Nov. 2013

    PURPOSE
    To safely change-out a faulty or clotted connector

    SITE APPLICABILITY
    Applicable to all areas within BCCH and all patients requiring ECLS.

    PRACTICE LEVEL/COMPETENCIES
    ECLS is considered an advanced skill and only those with advanced training in ECLS are to perform this
    task.

    Perfusionist

    In the event of an emergency or directed by the Perfusionist

    ECLS Team leader

    ECLS Specialist

    EQUIPMENT
    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.

    8 clamps.
    Sterile towels
    Sterile scissors
    2 x 60 ml syringes
    Sterile connector
    Sterile gloves (staff protection)
    2% chlorhexidine gluconate with 70% alcohol swab (CHG/alcohol)
    Blunt needle

    PROCEDURE
    1. Prepare for separation from bypass as per protocol.
    2. Cool the patient if applicable (see cooling guidelines).
    3. Separate as per protocol
    4. Place clamp #1 at connector inlet tubing place clamp #2
    5. Place clamp #3 at connector outlet, tubing place clamp #4
    6. CHG/alcohol swab between clamp #1 and clamp # 2 and between clamp # 3 and clamp #4.
    7. Use sterile scissors to cut the tubing next to clamp #1 and clamp #3.
    8. Insert new connector into inlet tubing
    9. Fill and de-air the new connector with crystalloid using a 60ml syringe and blunt needle.
    10. Fill the outlet tubing with crystalloid and connect the outlet tubing to the new connector. Have an
    assistant drip into connector point during the maneuver.
    Policy #

    BCCH Child & Youth Health Policy and Procedure Manual

    Page 1 of 2

    STRAIGHT CONNECTOR CHANGE-OUT- NO LUER LOCK


    Established: 1998

    Revised: Nov. 2013

    11. Remove clamps # 3 and # 4


    12. Remove clamp from bridge
    13. Turn the pump RPMs to 1000 and re-circulate via the bridge.
    14. Check for air at the oxygenator and the blood pump.
    15. If circuit is free of air clamp the bridge and resume ECLS as per routine.
    16. Re-establish bridge flow via laminar bridge clamp or thumb screw clamp.
    17. Dispose of old equipment appropriately

    DOCUMENTATION
    Chart all ECLS parameters on ECLS flow sheet.

    Policy #

    BCCH Child & Youth Health Policy and Procedure Manual

    Page 2 of 2

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