Becton, Dickinson and Company · NYSE:BDX
Becton, Dickinson and — Investor Presentation (June 2020)
18 slides from Becton, Dickinson and's investor presentation, June 2020
Slide 1: Fundamentals of Flushing and Locking Vascular Access Devices
Fundamentals of Flushing and Fundamentals of Locking Vascular Access Devices Flushing and Locking Purpose, product and process BD, the BD Logo, PosiFlush For internal use only
Slide 2: Informational use disclaimer
The following is for informational use and not intended to set or be a replacement of your hospital protocols or procedures.
Slide 3: Purpose
Purpose The Purpose lesson provides an overview of: • Flushing and locking • The ACLs of flushing and locking – Assess – Clear – Lock • Vascular Access Device (VAD) complications – Types and causes – Prevention and detection of complications – Flushing and locking
Slide 4: Flushing and locking
Flushing and locking Flushing The Infusion Nurses Society (INS) defines flushing as the act of moving fluids, medications, blood and blood products out of a VAD and into the bloodstream to assess and maintain patency and prevent precipitation due to solution/medication incompatibility.1 Locking Is t
Slide 5: ACLs of flushing and locking
ACLs of flushing and locking 2 Assess the status and function of the vascular access device to confirm location and patency Clear medications and solutions from the vascular access device to avoid any incompatibilities Lock the vascular access device during periods of nonuse to ensure patency
Slide 6: VAD complications
VAD complications 3 The use of VADs is associated with a variety of complications. Flushing and locking VADs can help prevent and detect VAD-related complications, including: Occlusion Infiltration and extravasation Catheter related infection Phlebitis Medication Mechanical errors problems Complicat
Slide 7: Process
Process Before flushing and locking a VAD, the following must be carefully selected: • Method of infusion – Continuous infusions are administered at a consistent rate over a specific period – Intermittent infusions are prescribed when continuous fluids are not required and are administered over a sp
Slide 8: Selection: Flush and lock solutions
Selection: Flush and lock solutions VADs are indwelling catheters or cannulas used to obtain venous access. There are several types of VADs. The types of flushing solution and volumes used depend on the type of VAD being used.2 Solutions used for flushing include: • 0.9% sodium chloride – Preservati
Slide 9: Selection: Syringe
Selection: Syringe Syringe size and catheter pressure4 • Intraluminal pressure rises when the force applied to the syringe plunger meets resistance inside the catheter lumen or vessel.4 – This pressure can reach a level that causes catheter rupture. • Infusion Nurses Society, 2016 Infusion Therapy S
Slide 10: Selection: Flush volume
Selection: Flush volume Use a minimum volume equal to twice the internal volume of the catheter system, (e.g. catheter plus add-on devices) to flush the catheter system.1 3mL BD PosiFlush™ Saline Syringe Add on Devices + Catheter = Prime Volume x2 Prime Volume Extension Set 1.00 mL + 20 G Peripheral
Slide 11: Disinfection
Disinfection Disinfecting the surface of the connector before the connection of each syringe or IV set is a critical step in reducing the entrance of organisms into the VAD lumen.1 Infusion Nurses Society recommends the following best practice protocols for the disinfection of needleless devices: •
Slide 12: Product
Product The Product lesson provides an overview of pre-filled flush syringes used to flush VADs, with a focus on the: • BD PosiFlush™ Pre-Filled Syringe – Benefits of product portfolio – Features – Instructions for use
Slide 13: BD PosiFlush Pre-Filled Syringe product portfolio
BD PosiFlush™ Pre-Filled Syringe product portfolio BD PosiFlush™ Pre-Filled Syringes are available in several options: BD PosiFlush™ Pre- BD PosiFlush™ SF BD PosiFlush™ Heparin BD PosiFlush™ Filled Saline Syringe Normal Saline Lock Flush Syringe SureScrub™ Pre-Filled Syringe Syringe 3 mL, 5 mL and 1
Slide 14: BD PosiFlush Pre-Filled Syringe features
BD PosiFlush™ Pre-Filled Syringe features BD PosiFlush™ Pre-Filled Saline Syringes are designed for flushing and locking of indwelling vascular access devices. Features include: • Selection – Barcode on each syringe – Bold print for clarity – Proper medication labeling requirements – 3 mL, 5 mL and
Slide 15: BD PosiFlush Pre-Filled Syringe features
BD PosiFlush™ Pre-Filled Syringe features • Administration – BD PosiFlush™ Pre-Filled Syringes have a consistent 10 mL syringe barrel diameter which may help lower the risk of catheter damage caused by injection pressure. – Latex and preservative free. • Disposal – Utilizing smaller sized (3 mL and
Slide 16: BD PosiFlush Pre-Filled Saline Syringes Instructions for Use
BD PosiFlush™ Pre-Filled Saline Syringes Instructions for Use* • Tear open package at either end and remove syringe. • Depress plunger with tip cap on to relieve the resistance between the stopper and the barrel. This step is known as “breaking the seal”. • Disinfect the connector, per facility poli
Slide 17: BD PosiFlush Pre-Filled Saline Syringe Quiz
BD PosiFlush™ Pre-Filled Saline Syringe Quiz Order the instructions in the correct sequence from start to finish Depress plunger with tip cap on to relieve the resistance between the stopper and the barrel. 1. Discard used syringe, including any unused solution, per facility policy. 2. Hold the syri
Slide 18: References
References 1.Infusion Nurses Society. Infusion Nursing Standards of Practice. Journal of Infusion Nursing. 2016; S51,S68-69,S77-S79,S149-S151. 2.Hadaway, L. Principles of flushing vascular access devices. Franklin Lakes, NJ: Becton Dickinson, 2006: 6-8. 3.Helm R, Klausner J, Klemperer J, Flint L, Hu
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