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Accessing an implanted port

You will need the following supplies:

(1) 10 cc syringe with Cannula attached (1) 100u/cc vial heparin (1) Vial Adapter (1) bent Huber needle with mini tubing (1) sterile dressing kit tape sterile gloves Injection Site

DANGER: KEEP ALL SUPPLES OUT OF REACH FROM CHILDREN AND PETS.

1. Wash your hands (SeeHandwashingsection for more information.)2. Open sterile dressing kit on a clean, dry, flat surface.3. Open Huber needle package and drop on sterile barrier alongside dressing kit.4. Open interlink injection site.5. Attach injection site to end of Huber needle tubing. Be careful not to touch the Huber

needle.

6. Wipe interlink injection site with alcohol. Setdown in sterile field.

7. Flip off the top of Heparin ( 100 u/cc) vial andclean with alcohol wipe and let dry.

8. Remove cover from Vial Adapter.9. Firmly insert vial adapter into Heparin vial.10.Carefully open 10 cc syringe.11.Pull back the plunger and draw up 5 cc air.

(See picture #8)

12.Remove cap from syringe.13.Insert Cannula syringe into center of vial

adapter (100 u/cc) and turn over.

14.Inject 5 cc air and withdraw 5 cc Heparin. (Seepicture #11)

15.Remove syringe from heparin vial and removeall air from syringe.16.Carefully pick up bent needle by the interlinkinjection site. DO NOT TOUCH THE NEEDLE!

17.Insert 10 cc syringe filled with 5 cc heparin(100 u/cc) into interlink injection site and flush

heparin until it goes through the needle to getrid of all the air. Place on sterile barrier.

18.Put on sterile gloves.

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19.Open the alcohol swabs. With each swab, scrub the skin over the port using acircular motion from inside out.

20.Repeat, using the betadine swabs. Let dry.21.Remove the extra betadine with the large gauze pad.22.Open the betadine ointment package and place back in sterile tray.23.Remove cover on implanted port needle.24.With your _______ hand (nondominant), findthe center of the port and place two fingers on

the edges of the port to steady it.25.Hold the bent needle with your hand

_______(dominant). While applying pressurewith your index finger over where the needle

bends, insert the needle into the center of the

port. Push in the needle until you feel the back

of the nort and vou cannot advance the needleany further.

26.With your _______ hand (nondominant), flushthe port with 5 cc of heparin.

27.Apply the Betadine ointment around the needlesite.

28.Apply 2 x 2 split sponge around needle.29.Apply 2 x 2 sponge over top of split dressing.30.Remove your gloves and apply medipore to

secure dressing.

31.IF YOU ARE UNABLE TO FLUSH THE PORT.A. If you are unsure that the needle is in the correct position DO NOT INFUSE

ANY SOLUTIONS. Remove the needle and go back to the first step ofaccessing the port.

B. If you are certain the needle is in the correct position try lying down ormoving in different positions and then try flushing again.

C. Make sure you can feel the needle touching the back of the port, and try toflush again.

D. If you are still unable to flush, STOP and remove the bent needle. Notify yourphysician.