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Childrens Health IrelandTransthoracic Intracardiac Line(s) and/ or Extracardiac Glenn Line, Post Cardiac SurgeryQ Pulse Reference: CHINPGCCTILEGLPCSVNETTCKM102023Approval date: October 2023Crumlin
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How to fill out right atrial lines as
01
Gather all necessary equipment such as sterile gloves, chlorhexidine solution, right atrial line kit, and sterile drapes.
02
Ensure proper hand hygiene and put on sterile gloves.
03
Position the patient appropriately, usually in a supine or semi-Fowler's position.
04
Identify the appropriate insertion site, usually the right jugular vein or the right subclavian vein.
05
Cleanse the insertion site with chlorhexidine solution and drape the area with sterile drapes.
06
Use a local anesthetic to numb the area.
07
Make a small incision to access the vein.
08
Insert the guidewire through the incision and advance it into the vein.
09
Remove the needle and dilate the incision site with a dilator.
10
Insert the introducer sheath over the guidewire.
11
Remove the guidewire and attach the pressure monitoring tubing to the introducer sheath.
12
Secure the right atrial line in place with sutures or adhesive strips.
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Ensure proper connection and integrity of the line.
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Flush the line with sterile saline solution and connect it to the appropriate monitoring system.
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Document the procedure and any relevant patient information.
Who needs right atrial lines as?
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Right atrial lines are often needed for patients who require close hemodynamic monitoring.
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This includes individuals with severe cardiac conditions, critical illnesses, or undergoing complex surgeries.
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They are particularly useful in monitoring central venous pressure (CVP) and for administering fluids or medications.
04
Patients in the intensive care unit (ICU) or those undergoing major interventions may benefit from the placement of right atrial lines.
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Right atrial lines refer to a specific type of data or documentation related to the financial and operational performance of certain health care services, particularly concerning patient care and hospital management.
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