Tego Neutral Pressure Connectors

November 2010Kim Norman CNE ARHCC and ACDU Hemodialysis Units

Kim.norman@fraserhealth.ca

Reviewed by:

Parm Gill CNE RCH and Tricities HD Units

Allstone Huang CNE SMH, Newton and Panarama HD Units

ObjectivesTo: Understand what a Tego neutral pressure cap is. Establish reported benefits of its use in HD. To understand internal components and its use To highlight differences between other designs

of closed luer lock devices currently being used in FHA

Have the opportunity to practice using the cap. Ensure staff evaluate product once implemented

Central Venous Catheter:A closed system

The Tego NP Connecter creates: A mechanical closed system Eliminates manipulation of catheter hub Easy to use Less time consuming Reduction in complications associated with

CRBSI’s1

Reduction in antibiotic use

Tego Neutral Pressure Connectors

Differences with other FHA devices

Other luer lock devices currently being used in FHA contain mechanical valves

Hemolysis could occur3

Tego: Functions

Tego remains in place during HD Permits flows greater than 600mls/min Non-abrasive exterior Has a silicone seal that closes when not in

use2+3

During HD fluid pathway closes eliminating blood exposure during HD treatment.

Blood flow Resistance

Eloot et al, (2007). How much is catheter flow influenced by the use of closed luer lock access devices. Nephrol Dial Transplant, 22:3061-30643

1.

2.

3.

Practice Session

Reference : ICU Medical, Inc. (2004). Tego Connector. San Clemente, Ca USA.5

Patient Safety Alert

Patient Safety Alert

Due to suspected blood degassing, an air column occasionally appears in the arterial limb of the circuit, at the bloodline/TEGO junction.

ALWAYS check for the presence of any air in the circuit at Rinseback.

Refer to the new Draft CVC (HD) Guidelines for the modified Rinseback procedure with some manufacturer’s recommendations.

Patient Safety Alert

QUESTIONS?

References

1. Adams D, Karpanen T, Worthington T et al. Infection risk associated with a closed luer access device. Journal Hospital Infection 2006; 62: 353-357

3. Eloot et al. How much is catheter flow influenced by the use of closed luer lock access devices. Nephrol Dial Transplant (2007), 22: 3061-3064

4. Adams D, Karpanen T, Worthington T et al. Infection risk associated with a closed luer access device. Journal Hospital Infection 2006; 62: 353-357

5. ICU Medical, Inc. (2004). Tego Connector. San Clemente, Ca USA.

Tego Connection Action Plan

ApprovalVA, CNE/Mngers, Infection Control

Sept 2010

Approval from PH use of

policySept 2010

Education by CNE’sNov 2010

Educate: Renal RNs, site CNE’s, PCC’s and CC

staffNov 2010

Implementate device

Dec 1st 2010