Insulin Pump in ED – order the ED Only- insulin pump powerplan

Central Lines –

• Couple key reminders, (apply to NON-emergent lines):
• They actually prefer a PIV, when reasonable, even if pressors involved. Obivously, if a massive fluid or long term pressors, or other considerations, go with central line.
• Prefer higher lines over femoral lines
• Prep steps:
• wash hands
• dry site (subclavian) — very rare of course, need 30 second scrub, 30 second dry time
• wet site (IJ, femoral) — 2 minute scrub, one minute dry time
• large sterile drape to fully cover field/patient
• MD fully gowned with hat/mask/gown/gloves
• maintain sterile field
• sterile technique when applying dressing
• biopatch used
• dressing dated