From
EUPSA/ERNICA
Disconnecting the parenteral nutrition infusion for children at home: An ERNICA animation
Chapter 1 of 3 · Patient & Family Education
Room preparation
Introduction and room preparation
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Advice and techniques for disconnecting home parenteral nutrition might vary between clinical teams, and parents should always refer to their own care provider for the local protocol.
This animation video should not replace the extensive formal training that parents should receive from expert clinicians with experience in parenteral nutrition and its administration at home.
Windows should be closed and air conditioning turned off before disconnecting parenteral nutrition.
Hands should be washed after removing jewelry from hands and wrists.
Everybody in the room should put on a surgical mask during the disconnection procedure.
Hands should be washed thoroughly, firstly with normal soap and then again with hydroalcoholic solution for at least 30 seconds.
The catheter hub should be disinfected using gauze with alcoholic chlorhexidine antiseptic solution, wiping for 30 seconds.
The person disconnecting the catheter should put on sterile gloves.
Some clinical teams may encourage wearing a sterile gown during the disconnection procedure.
If not changing the valve, it should be disinfected with an antiseptic gauze for 15 seconds.
Saline should be injected into the catheter using the pulse rinsing technique with 3 to 4 pushes on the 10 milliliter saline syringe.
The saline flush using pulse rinsing technique is a very important procedure to avoid the catheter being obstructed whilst it is not in use.
If prescribed, heparin lock should be injected slowly into the catheter, counting for 5 seconds.
The catheter hub and valve should be protected with a sterile dry gauze and a compressive elastic band after disconnection.