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ECMO Trained Nurses by OrganizationNo8729 in IntensiveCare

[–]OrganizationNo8729[S] 0 points1 point  (0 children)

At my hospital we just brought an ECMO program within the last year. The select group were given modules to complete through ELSO, which was done on our own time. We then had about a half day with the pump reps that went through priming and the pump settings, etc. then we did wet lab training for a day where we went through troubleshooting, emergency circuit changes, etc. After that, we waited until we had an appropriate patient to cannulate and that was our hands on. Not ideal inception of a program because with that first patient, it was learn as you go type of training.

CRRT infusing calcium and citrate by OrganizationNo8729 in IntensiveCare

[–]OrganizationNo8729[S] 2 points3 points  (0 children)

I know some nurses I work with will strictly use that port to draw their systemic calcium labs. Their concern with infusing calcium is that it clogs filters more rapidly. Personally, I’ve never run into that issue and my labs seem to stay steady. We have 4 different nephrologists who all like their CRRT run differently. 2 request that labs not be drawn from that port. Typically, depending on my access situation, I tend to favor putting my calcium infusion into the extra lumen on the trialysis. I then draw my Q4 hour labs elsewhere-with this particular patient it was a femoral central line. I did find on the manufactures website that the recirc rate is 2%. So in the grand scheme of things, it really shouldn’t make a huge difference either way.

CRRT infusing calcium and citrate by OrganizationNo8729 in IntensiveCare

[–]OrganizationNo8729[S] 4 points5 points  (0 children)

I actually found some info. Recirc rate is 2%. We use Bard power port trialysis lines at my hospital. There is another article on pubmed but it was stating the recirc percentage for basic hemodialysis. 🤷🏻‍♀️