Reply To: Discharging Patients with PICC lines

  • Sara Bennett

    June 6, 2022 at 10:01 am

    Any patient we send home with a PICC or CVC is given a central line class by nursing. We teach the family the SASH method of flushing (Saline, Administration of Medication, Saline, Heparin). The families are taught to flush the line daily with saline and heparin regardless if they are administering IV medications. We also teach the family an emergency clean cap change, an emergency dressing change, how to cover for showers, daily assessment of the line, when to call and who to call. Weekly dressing changes and sterile cap changes are done either by home care or in the clinic.

    Sara Bennett, BSN, RN
    Texas Children’s Hospital – Main Campus
    Inpatient Patient and Family Education Specialist 

    Sara Bennett, RN
    Houston, TX
    United States
    Original Message:
    Sent: 06-05-2022 06:34 PM
    From: Kelly Horn
    Subject: Discharging Patients with PICC lines

    What is your practice for sending patients home with a PICC line for those who are not needing medications at home (newly diagnosed leukemia etc,)?  Do you teach them to flush the lines at home?  Lately, some of our physicians have sent the patient home with return to clinic appointment in a week with no flushing in between. Is anyone else doing this?

    Thanks in advance,

    Kelly Horn, MSN, RN, CPON
    Nursing Professional Development
    McLane Children’s Baylor Scott & White Health
    Temple, TX 76502