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NEONATAL LONG LINE AUDIT

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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NEONATAL LONG LINE AUDIT

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  1. NEONATAL LONG LINE AUDIT Dr M Chakraborty SpR – Paediatrics Mr Ben Young Audit Facilitator

  2. 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

  3. Condition of baby when procedure done

  4. Type of line used

  5. Site of Insertion

  6. How Inserted

  7. Procedure done by

  8. No of Skin Pricks

  9. No of lines used 1 = 18 2 = 2 Blank = 2 All pt’s had a check x ray done

  10. Contrast Used

  11. Line Tip Visualised

  12. Tip position rechecked after 48 hours

  13. Line complications Blockage – 1/22 Extravasation – 0/22 Infection – 0/22

  14. No of days line used

  15. Line Tip Sent for Culture

  16. 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

  17. Action Plans: Proposed label for Documentation

  18. Proposed Audit Questionnaire

  19. Acknowledgements • All my colleagues who completed the questionnaires • Mr Ben Young – Analysis and presentation Any Questions?

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