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NEONATAL LONG LINE AUDIT. Dr M Chakraborty SpR – Paediatrics Mr Ben Young Audit Facilitator. Introduction. Goal of Long-lines To achieve successful insertion with minimal discomfort to the infant

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Presentation Transcript
slide1

NEONATAL LONG LINE AUDIT

Dr M Chakraborty

SpR – Paediatrics

Mr Ben Young

Audit Facilitator

slide2

Introduction

  • Goal of Long-lines
    • To achieve successful insertion with minimal discomfort to the infant
    • To ensure that the long-line tip is placed at the correct level (superior vena cava-atrial junction OR inferior vena cava at the level of the diaphragm)
    • To insert using an aseptic technique
  • Norfolk, Suffolk & Cambridgeshire Neonatal Network Clinical Guideline; Insertion of a Peripheral Venous Long Line; NSC 13/05, September 2006
  • Indications of long-lines
  • Basis of audit
  • Methods
    • Time period
    • Prospective questionnaire audit
slide10

No of lines used

1 = 18

2 = 2

Blank = 2

All pt’s had a check x ray done

slide14

Line complications

Blockage – 1/22

Extravasation – 0/22

Infection – 0/22

slide17

Conclusions & Recommendations

  • Successful insertion in all patients; most on first attempt (77%)
  • Line tip visualised for all lines; if not in ideal position, then was revised immediately before use
  • Aseptic technique used in all; no incidence of sepsis during the use of the line
  • Low incidence of complications (only one was blocked and had to be removed)
  • Need to follow the Network guidelines strictly
  • Re-audit in 6 months time prospectively
  • Good documentation for future insertions
slide20

Acknowledgements

  • All my colleagues who completed the questionnaires
  • Mr Ben Young – Analysis and presentation

Any Questions?