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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
—————————— Kelly Horn, MSN, RN, CPON Nursing Professional Development McLane Children’s Baylor Scott & White Health Temple, TX 76502 kelly.horn@BSWHealth.org ——————————