Clinical Guidelines (Nursing)

Insuflon insertion guide

  • This guide was created as part of the Clinical Guideline (Nursing): Subcutaneous Catheter devices; Management of Insuflon ™ and BD Saf-T-Intima™ devices

     

    Equipment

    Insuflon™ catheter with dressing supplied

    Alcohol wipe

    Sharps container

    Local anaesthetic cream and transparent occlusive dressing (for example tegaderm or opsite), or ice if required (based on patient preference; local anaesthetic cream is the most effective)

    Oral sucrose 33% should be used for procedural pain relief in infants up to 18 months of age. Refer to Sucrose (oral) for procedural pain management in infants clinical guideline

    NB: All orders for oral sucrose 33% and/or local anaesthetic cream must be documented on the patient’s Medicine Chart (MR690/A)

    Medications should be administered as per the Royal Children’s Hospital Medication Management Procedure http://ww2.rch.org.au/policy_rch/index.cfm?doc_id=6570

     

    Procedure

    1. Perform hand hygiene and assemble equipment
    2.  Explain the procedure to the child (if appropriate) and parents/caregivers
    3.  Utilise an aseptic technique and non sterile gloves for insertion
    4.  Select an insertion site refer to assessment in guidelines
    5.  If required, (based on patient age and preference): Apply local anaesthetic cream to the site 30-60 minutes prior to insertion or Apply ice to the insertion site for 5 minutes until numb or Administer oral sucrose 33%
    6.  After appropriate length of time has elapsed, perform hand hygiene, allow to dry prior to putting on non sterile gloves
    7.  Clean the selected site with an alcohol swab and allow to dry
    8.  Open the package containing the Insuflon™ and dressing by pulling the paper lid from the plastic package. Ensure that the pack is undamaged and sterile and within the expiry date
    9.  Hold the catheter hub between the thumb and index finger and remove the protection capNursing guideline subcut devices insuflon insertion1
    10.  Place the cap in the rear of the grip
    11.  Pinch the skin at the site of insertion. You may need assistance to stabilise the insertion siteNursing guideline subcut devices insuflon insertion2
    12.  Insert the Insuflon™ into the subcutaneous tissue, advancing the total length of the catheter at a 20 to 45° (degree) angle to the skin surface. This should be done in one quick, smooth movement with the bevel up Nursing guideline subcut devices insuflon insertion3
    13.  Remove the needle by holding the catheter hub firmly and pulling the needle out slowly, leaving the catheter in place
      NB: Do not reinsert the needle if catheter is dislodged/withdrawn. Repeat the procedure with a new Insuflon™
    14. Dispose of the needle in a puncture-resistant, leak-proof sharps container
    15. Secure the Insuflon™ by applying the dressing as supplied from the catheter end first, ensuring the insertion site is visible through the plastic window and the hub is open to air.
    16. Totally adhere dressing to skin to prevent bacteria from entering insertion site
    17. Write date of insertion on the dressing
    18. Complete appropriate documentation; record the date, procedure and insertion site in the Inpatient Progress Notes MR660/A

     

    Please remember to read the discliamer.