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port/Huber needle length

  • 1.  port/Huber needle length

    Posted 9 days ago
    ​Hello Fellow Outpatient Oncology Nurses!
    I work at H Lee Moffitt Cancer Center in Tampa, Florida in an outpatient setting. My coworkers and I would like to know what other cancer centers are doing with port access needles, specifically the length. Currently we use 3/4" needles routinely, 1" only when patient size or duration of access requires it.
    My questions are: What length needle does your facility use for infusion? Is there a specific requirement for those patients going home with an ambulatory pump? What length needle is used when a biopatch is required? Are any or all of these dictated by facility policy or nurse discretion?
    When you answer these questions, will you please designate in what facility and setting you're in?
    Thank you so much for you assistance.
    Patty Fox, RN​

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    Patricia (Patty) Fox RN BSN
    Staff Nurse
    H Lee Moffitt Cancer Center
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  • 2.  RE: port/Huber needle length

    Posted 8 days ago
    We routinely use 3/4" and only use 1" if the patient's size requires it.  We do not have a requirement on the length of the needle for our CADD pump patients or with a biopatch.  It is left up to the nurse's discretion.  I am in an outpatient oncology infusion center.

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    Holly DeFeo MSN/Ed
    Oncology Nurse Educator
    The Hospital of Central Connecticut
    Wallingford CT
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  • 3.  RE: port/Huber needle length

    Posted 8 days ago
    Hello,
    We usually use 3/4 inch on most patients unless the port is deep then 1 inch or longer. For home infusions we use Tegaderm to cover the siteand if patient is allergic then we use Duoderm. In hospital, the needle can stay for 7 days accessed in the port. If patient will have CT scan he needs power port needle to push the contrast.

    Aneta Babieradzki, RN, BSN
    Bassett Medical Center
    Cooperstown, NY

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    Aneta Babieradzki
    Oncology Nurse Clinician
    Bassett Medical Center
    Oneonta NY
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  • 4.  RE: port/Huber needle length

    Posted 8 days ago
    Hi

    Leticia From Miami Hematology and Oncology Associates we use 1" Huber needles for all of are treatment, we found that the 3/4" ​ we did not have enough needles and blood return was not successful, once we changed to the 1" that issue is no longer existent unless there is a true issue with the port. We do keep even longer needles for those patients that have more adipose tissue in the port area but those are far an few in-between. That I am aware of need of a required size, we follow standard access port  procedure and secure the Huber needles and apply a bio-occlusive bandage.

    Regards,

    ------------------------------
    Leticia Hernandez
    Practice Manager
    Homestead FL
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  • 5.  RE: port/Huber needle length

    Posted 5 days ago
    Hi

    In my outpatient infusion center w usually use 3/4 inch Huber needle for our patient. There are instances mainly because of the patient's size or to obtain a blood return or, the placement position of port, a 1 inch will be used.  A biopatch is usually used for patients going home with ambulatory pumps.

    Thanks

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    Sharon Walters
    RN
    Lauderdale Lakes. FL
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  • 6.  RE: port/Huber needle length

    Posted 8 days ago

    We typically use ¾ inch length needles for patients unless patient size requires it. For most patients the ¾ inch length is appropriate. We place the biopatch on either length dependent on whether the patient is going home with an ambulatory pump.

    This is in all of our ambulatory oncology infusion areas at the Cleveland Clinic.

     

    Inst-Cancer

    Georgina "Gigi" Rodgers, RN, BSN, OCN, NE-BC

    Director, Clinical Cancer Services 

    Cancer Center Administration  |  10201 Carnegie Ave/CA62

    Cleveland, OH 44195  |  (216) 444-7920  rodgersg@ccf.org

    NOTE NEW OFFICE LOCATION

     

     


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  • 7.  RE: port/Huber needle length

    Posted 7 days ago
    ​HI I ANSWERING CONCERNING HUBER NEEDLE LENGTH. IWORK IN AN ACUTE CATE HOSPITAL IN CHATTANOOGA TENN. WE HAVE A SMALL OUTPATIENT CLINIC. WE HAVE NO STRICT POLICY ABOUT LENGTH OF NEEDLE. IT IS UP TO NURSES DECISON. MOSTLY WE USE 1 INCH UNLESS PT IS VERY SMALL AND THIN. WE HAVE 11/2 LENGTH AS WELL IF WE NEED IT.  WE COVER IT WITH TEGA DERM AND ALWAYS USE A BIO PATCH. THIS APPEARS TO WORK WELL FOR US AND OUR PATIENTS.

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    Vicky Haney RN ONC
    REGISTERED NURSE IN ACUTE CARE SETTING
    Ringgold GA
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  • 8.  RE: port/Huber needle length

    Posted 8 days ago
    We use 3/4" and 1" (on rare occasion some patients have required 1 1/2" due to size and/or depth of port).  We do not have a requirement on the length, it is all at the discretion of the nurse performing the treatment.  We do make sure and use the shortest length needed when patients are needing to remain accessed; as with a CADD pump.

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    Jack Cedar RN OCN BSN
    Clinical Supervisor Medical Oncology/Infusion Serv
    Northeastern Health System
    Broken Arrow OK
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  • 9.  RE: port/Huber needle length

    Posted 8 days ago
    Hello! Port needle length is at nurse discretion and is dependent upon the depth of the port. I believe our policy states to use a needle length appropriate for the depth of port. We stock 3/4 inch, 1 inch, 1.25 inch, and 1.5 inch port needles in our infusion centers, but 90% of the time use the 3/4 inch. Use of a biopatch or if going home on a pump does not change the needle length chosen.
    Summa health system
    Akron, OH

    - Tiff




  • 10.  RE: port/Huber needle length

    Posted 8 days ago
    Hello from Georgia.  I work at Atlanta Cancer Care under Northside Hospital.  We routinely use 3/4" needles, though we do have 1" avaiable.  We do not use a biopatch at our facility.  Nnorthside Hospital governs which supples ie needles we are allowed to use.
    In the past, when I was in private practice the nurse manager was the go to person.  I have used up to 1 1/2 " needle in very busty women.​

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    Jerri Pettersson RN
    RN
    Hampton GA
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  • 11.  RE: port/Huber needle length

    Posted 7 days ago
    ​We do not include this in our policy and I don't think that we could.  The length of the needle would be at the nurses discretion: how deep is the port?

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    Valerie Quigley BSN RN
    Infusion Manager
    The Valley Hospital
    Pompton Lakes NJ
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  • 12.  RE: port/Huber needle length

    Posted 7 days ago
    The needle length selection relies on the critical thinking of the nurse accessing the port.  Like you, we use primarily 3/4 inch, with occasional larger length if required to ensure the needle reaches the back of the port. We always use bio patch on patients who remain accessed after leaving our center.  The 3/4 inch needle is usually adequate even when using a biopatch.

    Our hospital policy does not include needle gauge or length, only that the port be accessed with a non-coring needle.  A hospital policy that was specific enough to include needle length would need to include multiple options for needle length due to the variability in ports. This would be both for patient safety and to protect the facility in litigation if an adverse event occurred.

    Have a great day!
    Julie Shomo BSN, OCN, CRNI
    Oncology Infusion- St Joseph's/Candler Health System
    Savannah, GA

     







  • 13.  RE: port/Huber needle length

    Posted 7 days ago
    In our home care agency we use huber needles ranging  from 22 -20 G. (mostly 20G) with lengths ranging from 1/2 to 1 inch. The decision on needle length is more related to the patient size. Patients'  at home are concerned about comfort and safety of the needle and tend to be  dissatisfied if the needle protrudes too much.
    I have ran across some Huber needles that seem to be a little short. For  example, .3/4 worked with one product but not when it was switched to another . As far as the biopatch it can be tricky. We have better luck with the very small patch. sometimes having to wrap around the needle. Hope that is helpful.
    I work as an infusion coordinator in a large hospital based home care agency

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    Jan Hodgson RN, BSN, PHN
    Infusion Advanced Clinician
    Sharp Home Health
    San Diego, CA
    858-395-8518
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  • 14.  RE: port/Huber needle length

    Posted 3 days ago
    ​Thank you for your response. Have you had any issues with the shorter needles dislodging or partially dislodging in the home care setting as the patients are very likely more active?

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    Patricia (Patty) Fox RN BSN
    Staff Nurse
    H Lee Moffitt Cancer Center
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  • 15.  RE: port/Huber needle length

    Posted 2 days ago

    Actually, we had reports of the Huber needle (3/4) being dislodged from patient who received home infusion. As a result the decision was made to discontinue the use of the biopatch for patients with the 3/4 inch needle insitu for home infusion. That occurred after there was a change in the type of Huber needle used. There was insufficient space between the patient's body and the needle which made it possible for the needle to be less stable.

    Sharon





  • 16.  RE: port/Huber needle length

    Posted 2 days ago
    We have not had any problems with the needle coming out. The other thing, is that the infection rate is much lower in the home care setting so I wonder how imperative the anti -microbial disc is in the home care population

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    Jan Hodgson RN, BSN, PHN
    Infusion Advanced Clinician
    Sharp Home Health
    San Diego, CA
    858-395-8518
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