HEMS Central Line Placement Procedure Note

Procedure: Central Line Placement

Decision to obtain central access was based on the following assessment: [checkbox name="variable_1" value="volume replacement via Cordis access for large volume resuscitation|blood infusion|medication administration|central venous pressure monitoring|pulmonary artery catheterization|transvenous pacing wire placement"].

[checkbox name="variable_1" value="right|left"] internal jugular access selected, patient positioning with head of bed flat with the patient’s head turned to the [checkbox name="variable_1" value="right|left"].  The site was prepped with chlorohexidine and draped to create a sterile field. Central line kit opened and placed in sterile area, and the Internal Jugular vein was located and identified on ultrasound.  A 9-French Cordis catheter was introduced into the [checkbox name="variable_1" value="right|left"] internal jugular using the Seldinger technique under ultrasound guidance. The catheter was threaded smoothly over the guide wire and appropriate blood return was obtained.  The lumen of the catheter was evacuated of air and flushed with sterile saline.

Line placement verified under direct ultrasound visualization.  
The catheter was then sutured in place to the skin and a sterile dressing applied. No complications associated to the procedure were noted.  Line is patient, with no swelling, redness, or bleeding at the site noted.  

The procedure was started at [text name="variable_1" default=" "].

The procedure was completed at [text name="variable_1" default=" "].
Procedure: Central Line Placement

Decision to obtain central access was based on the following assessment: .

internal jugular access selected, patient positioning with head of bed flat with the patient’s head turned to the . The site was prepped with chlorohexidine and draped to create a sterile field. Central line kit opened and placed in sterile area, and the Internal Jugular vein was located and identified on ultrasound. A 9-French Cordis catheter was introduced into the internal jugular using the Seldinger technique under ultrasound guidance. The catheter was threaded smoothly over the guide wire and appropriate blood return was obtained. The lumen of the catheter was evacuated of air and flushed with sterile saline.

Line placement verified under direct ultrasound visualization.
The catheter was then sutured in place to the skin and a sterile dressing applied. No complications associated to the procedure were noted. Line is patient, with no swelling, redness, or bleeding at the site noted.

The procedure was started at .

The procedure was completed at .

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.67, 6 form elements, 166 boilerplate words, 2 text boxes, 4 checkboxes, 14 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: