Disconnecting Your CADD-Prizm Pump and Deaccessing Your Implanted Port for Pediatric Patients

This information explains how to disconnect your CADD-Prizm® Pump and deaccess your implanted port (such as a Mediport®). For the rest of this resource, our use of the words “you” and “your” refers to you or your child.

Disconnecting Your CADD-Prizm® Pump

Disconnect your CADD-Prizm® Pump on (date)_____________ at (time)_______________.

When your infusion is finished, you must disconnect your CADD-Prizm® Pump from your Mediport® or central venous catheter (CVC) line. You will know the infusion is finished when the CADD-Prizm® Pump beeps, the reservoir volume indicator has reached “0,” and your infusion displays the words “infusion complete.” Your treatment will be finished even if there is still fluid in the bag.

Before you disconnect your CADD-Prizm® Pump, you will need to remove the battery. The battery is located on the right side of the pump. To remove the battery, press and hold the white button on the battery compartment and slide the door out toward you. Take out the battery and push the door back into place.

You are now ready to disconnect and flush your CADD-Prizm® Pump.

Equipment

  • 1 (10 mL) syringe prefilled with normal saline
  • 1 pair of nonsterile gloves
  • 1 swab cap
  • Alcohol pads
  • A puncture-proof sharps container marked “Chemotherapy.” Use a heavy plastic detergent bottle or metal coffee can with a lid. Do not use plastic or paper bags.

Steps

  1. Prepare a clean workplace. Do not use a bathroom.
  2. Gather your equipment.
  3. Wash your hands, with soap and warm water. Wet your hands, apply soap, and rub them together thoroughly for 20 seconds, then rinse. Dry your hands with a clean towel. If you’re using an alcohol-based hand sanitizer, cover your hands with it, and rub them together until they are dry.
  4. Put on the nonsterile gloves.
  5. Pick up the syringe filled with normal saline. To release the air bubbles in the syringe, gently tap the side of the syringe. Point the syringe up as you do this. Loosen but do not remove the cap on the syringe. Press the plunger on the syringe until the air is pushed out. Retighten the cap and put the syringe down.
  6. Clamp the CADD-Prizm® Pump tubing at the Y site that is closest to your Mediport® or CVC clave.
  7. Follow the clear CADD-Prizm® Pump tubing to where it connects to the clave. Twist the CADD-Prizm® Pump tubing counter-clockwise (to the left) to disconnect it from the clave. Place the pump and tubing back in the backpack and zip it closed.
  8. Clean the clave at the end of your port or central line for 15 seconds with an alcohol pad. Let it dry for 15 seconds.
  9. Remove the cap from the syringe with normal saline solution by turning it counter-clockwise (to the left).
  10. Push the syringe into the clave and turn it clockwise (to the right).
  11. Use the push/pause method to flush the tubing with 10 mL of normal saline:
    • Quickly inject one-third of the saline
    • Pause
    • Repeat
    • Quickly inject the last one-third of the saline
  12. Clamp the Mediport® or central line.
  13. Twist the syringe counter-clockwise (to the left) to remove it from the clave.
  14. Open the swab cap. Apply the swab cap to the clave by firmly pressing it in and twisting it clockwise (to the right). Pull off the clear protective cover from the swab cap.
  15. Place all of the used supplies into your sharps container and screw on the lid. If you are also deaccessing your Mediport® now, you can keep the same gloves on to do this.

You have now disconnected your CADD-Prizm® Pump. Remember to bring the backpack, CADD-Prizm® Pump, and tubing to the Pediatric Day Hospital (PDH) at your next visit.

Back to top

Flushing and Deaccessing Your Mediport®

Flushing your Mediport®

Before you deaccess your Mediport®, you must flush it with normal saline and heparin. This will keep it from becoming clogged.

Equipment

  • 1 gauze pad
  • 1 (10 mL) syringe prefilled with normal saline
  • 1 (3 mL) syringe prefilled with 300 units (3 mL) of heparin
  • 1 bandage (Band-Aid®)
  • 1 pair of nonsterile gloves
  • Alcohol pads
  • A puncture-proof sharps container marked “Chemotherapy.” Use a heavy plastic detergent bottle or metal coffee can with a lid. Do not use plastic or paper bags

Steps

  1. Prepare a clean workplace. Do not use a bathroom.
  2. Gather your equipment.
  3. Wash your hands, with soap and warm water. Wet your hands, apply soap, and rub them together thoroughly for 15 seconds, then rinse. Dry your hands with a clean towel. If you’re using an alcohol-based hand sanitizer, cover your hands with it, and rub them together until they are dry.
  4. Put on the nonsterile gloves.
  5. Pick up the syringe filled with normal saline. To release the air bubbles in the syringe, gently tap the side of the syringe. Point the syringe up as you do this. Loosen but do not remove the cap on the syringe. Press the plunger on the syringe until the air is pushed out. Retighten the cap and put the syringe down.
  6. Pick up the syringe filled with heparin. To release the air bubbles in the syringe, gently tap the side of the syringe. Point the syringe up as you do this. Loosen but do not remove the cap on the syringe. Press the plunger on the syringe until the air is pushed out. Retighten the cap and put the syringe down.
  7. Clean the clave at the end of your Mediport® for 15 seconds with an alcohol pad. Let it dry for 15 seconds.
  8. Remove the cap from the syringe with normal saline by turning it counter-clockwise (to the left).
  9. Push the syringe with normal saline into the clave and turn it clockwise (to the right).
  10. Use the push/pause method to flush the tubing with normal saline:
    • Quickly inject one-third of the normal saline
    • Pause
    • Repeat
    • Quickly inject the last one-third of the normal saline
  11. Twist the syringe counter-clockwise (to the left) to remove it from the clave.
  12. Clean the clave at the end of your Mediport® for 15 seconds with another alcohol pad. Let it dry for 15 seconds.
  13. Remove the cap from the syringe with heparin by turning it counter-clockwise (to the left).
  14. Push the syringe with heparin into the clave and turn it clockwise.
  15. Repeat the push/pause method in step 10 from above to flush the tubing with heparin.
  16. Twist the syringe counter-clockwise (to the left)to remove it from the clave.
  17. Remove the dressing over your Mediport® by peeling the tape off of your skin. If you need to, you can use adhesive remover spray or alcohol pads to help remove the dressing.

Deaccessing Your Mediport®

  1. To deaccess your Mediport®, grasp the base of the needle with your nondominant hand (the hand you don’t write with) to stabilize your Mediport®. Use your dominant hand (the hand you write with) to firmly pull the needle head straight out until you feel either a firm stop, a click, or both (see Figure 1). This means that the needle is locked in the safety position.
  2. Place the needle directly into your sharps container.
  3. Apply pressure to the site with a gauze pad, if there is any bleeding. Place a bandage on the site.
  4. Place all of the used supplies into your sharps container and screw on the lid. Bring the container to the PDH for disposal at your next visit.
Back to top

Contact Information

If you have any questions or concerns, call your healthcare provider. If you are calling between 7:00 am and 7:00 pm, call the Pediatric Day Hospital at 212-639-5948. After 7:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the doctor on call for your doctor.

You can also call InfuSystem clinical support at 800-315-3287, if you have any questions about your pump. 

Back to top

Last Updated