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Nutrition in Clinical Practice
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Care of Central Venous Catheters for Total Parenteral Nutrition

Eileen Collins, PHD, RN

Nursing Service, Edward Hines Jr. Hospital

Lauren Lawson, PHD, RN

Nursing Service, Edward Hines Jr. Hospital

Mary Theresa Lau, BSN, RN, CNSN

Nursing Service, Edward Hines Jr. Hospital

Louise Barder, MPH, RN

Nursing Service, Edward Hines Jr. Hospital, Research Service, Edward Hines Jr. Hospital

Frances Weaver, PHD

Research Service, Edward Hines Jr. Hospital

Denise Bayer, MPH, RN, CRNI

Nursing Service, Edward Hines Jr. Hospital

Margaret Schulz

Nursing Service, Edward Hines Jr. Hospital

Ray Byrne, PHARMD

Pharmacy Service, Edward Hines Jr. Hospital

Marion Hauser, MS, RD, CNSD

Dietary Service, and Surgical Service, Edward Hines Jr. Hospital, Department of Veterans Affairs, Hines, Illinois

Alvin Neubia

Nursing Service, Edward Hines Jr. Hospital

David Dries, MD

Department of Surgery, Loyola University Medical Center, Maywood, Illinois

This report summarizes data obtained via a mailed questionnaire from 129 Department of Veterans Affairs (VA) hospitals regarding current practices in the care of central venous catheters (CVCs) used for total parenteral nutrition (TPN). The size of VA hospitals' acute medical-surgical beds ranged from 14 to 1320 (median 168) beds. Over 6000 patients annually received CVCs for TPN. Hospitals reported using triple-lumen catheters most frequently as their CVC for TPN (80.3%). A povidone-iodine scrub was used to prepare the skin for CVC insertion by 72.6% of reporting hospitals. Sixty percent of hospitals used transparent polyurethane dressings. Care of CVCs varied among hospitals. Catheter-related infection and sepsis rates were within the national average, although <50% of responding hospitals provided data on these outcomes. The results of this survey point to the need for a national standardized database relative to patients receiving TPN via a CVC.

Nutrition in Clinical Practice, Vol. 11, No. 3, 109-115 (1996)
DOI: 10.1177/0115426596011003109
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This article has been cited by other articles:


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 JPEN J Parenter Enteral NutrHome page
D. R. Duerksen, N. Papineau, J. Siemens, and C. Yaffe
Peripherally Inserted Central Catheters for Parenteral Nutrition: A Comparison With Centrally Inserted Catheters
JPEN J Parenter Enteral Nutr, March 1, 1999; 23(2): 85 - 89.
[Abstract] [PDF]