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Accessing a Port-a-cath

Supplies needed: Appropriate sized Huber needle, Persist or Betadine swabs, 10cc syringe of Normal Saline, 5 cc syringe with 100 unit/ml Heparin, sterile gloves Wash your hands Locate the port septum by palpation Put on sterile gloves Prime needle tubing with saline and leave syringe attached Cleanse skin 5 inches out from center of the port using the antimicrobial swabs. Use a circular motion and work outward

Placing the needle


Relocate the port septum between two fingers, pulling the skin taut. Firmly push the needle be at a 90 degree angle through the skin into the port septum until it hits the bottom of the port chamber

Establish patency
Establish that you are in the correct place by aspirating blood, then irrigiate with 10 cc normal saline. IF the needle is to be left in place, you may cover with a clear occlusive dressing over the site, do not cover the site with gauze. Once blood is drawn, or medications are complete, flush with 10 cc of normal saline and 5 ccs of 100 unit/ml Heparin.

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