Tego Neutral Pressure Connectors
November 2010Kim Norman CNE ARHCC and ACDU Hemodialysis Units
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