Reply To: Discharging Patients with PICC lines

  • Patricia Conlon

    Member
    June 6, 2022 at 10:08 am

    May I ask what guidelines or data is used to do this PICC line flushing only once a week? Its per line manufacturer recc.

    Heparin only needed with non-valved PICCs.

     

    I’d love to hear what others are doing for hep locking lines eg. Port, CVL, PICC.  Have others moved away from using heparin to lock?

    IVAD (Port):

    • Flush every 7 days if accessed and not in use.
    • Otherwise, access and flush every 28 days. Has anyone adopted the every 3 month access instead of 28 days?
    • Heparin used.

    CVC: Flush each lumen daily with heparin

    PICC:

    • Valved: flush every 7 days with saline.
    • Non valved (rarely placed): flush twice daily with saline and heparin

     

    Patricia Conlon, MS, APRN, CNS

    Assistant Professor of Nursing

    Pediatric Clinical Nurse Specialist

    Pediatric Infusion Therapy Center

    Ambulatory Hematology/Oncology

    Radiation Oncology

    Ambulatory Pediatric Surgery

     

    Chat on Teams: https://teams.microsoft.com/l/chat/0/0?users=

    Mayo Clinic Children’s Center_Tel: 507-255-6003_Pager: 127- 17435_conlon.patricia@mayo.edu

     

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    Original Message:
    Sent: 6/6/2022 9:14:00 AM
    From: Marlene Reidl
    Subject: RE: Discharging Patients with PICC lines

    Hello

      May I ask what guidelines or data is used to do this PICC line flushing only once a week?

     

    I’d love to hear what others are doing for hep locking lines eg. Port, CVL, PICC.  Have others moved away from using heparin to lock?

     

    Thanks

    Marlene

     

    Marlene Reidl RN BSN CPHON

    Clinical Manager

    Pediatric Hematology/Oncology|Hasbro Children’s Hospital

    Tomorrow Fund Clinic, 156|593 Eddy St , Povidence RI 02903

    Office (401) 444-3760 |Pager (401) 350-7522

     

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    Original Message:
    Sent: 6/5/2022 11:04:00 PM
    From: Julie Casey
    Subject: RE: Discharging Patients with PICC lines

    Hi, for PICC lines that are valved that is our usual procedure. They only need to be flushed once a week. We teach them to keep it dry during bathing and to inspect site every day for redness, swelling and to inspect the dressing to be sure it is still occlusive.

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    Julie Casey, RN,CPHON
    [RN BSN CPHON]
    [Doernbecher Children’s Hospital at Oregon Health and Science University]
    [Portland], [OR]
    United States
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    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
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