A quick reference guide to haemofiltration and renal failure March ...

THE DO’S AND DON’T’S OF VASCULAR ACCESS
DO confirm position by x ray, except if it is placed in the femoral
vein. X ray will exclude or confirm complications of insertion such
as pneumothorax.
DON’T start therapy until position is confirmed.
DO ensure connections are tight, the lines are secured and in
view at all times.
DON’T allow the area between the patient and the machine to be
too big, this deters people from ‘stepping over’ the lines.
DO heparin lock both lumens when not in use, and mark on the line
that it has been heparin locked.
DON’T flush the heparin lock into the patient; be sure to
withdraw the heparin lock prior to recommencing treatment.
DO dressings regularly and aseptically. Use a clear occlusive
dressing, the insertion site should be visible at all times.
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