Reply To: Implanted port flushing

  • Maritza Salazar Abshire

    August 30, 2019 at 12:46 pm

    We do not aspirate the heparin. We do check for blood return first, for the purposes of validating patency to the line,  the heparin is aspirated at that point, but we do not aspirate for the intent to clear the line of heparin from an implanted port.

    Regarding the number of ml you would need to aspirate the clear the port, I would check with the manufacturer.  It would also depend on the size of the child –i.e.–the length of the line.

    Maritza Salazar-Abshire, MSN, MED, RN, CPON
    Senior Nursing Instructor
    The Children’s Cancer Hospital at The University of Texas MD Anderson Cancer Center
    Houston, Texas
    Original Message:
    Sent: 08-30-2019 12:26 PM
    From: Michael Hans
    Subject: Implanted port flushing

    We do not aspirate the heparin.


    Michael Hans, MS, BSN, RN-BC (NPD), CPON®

    Nursing Professional Development Educator

    Nursing Education Department

    St. Jude Children’s Research Hospital

    262 Danny Thomas Place, Mail stop 731

    Memphis, TN 38105

    p: 901.595.5283

    f: 901.595.4478


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    Original Message——


    ​​it is highly appreciated to answer my below concern:

    – if you have an implanted port locked with  heparin, do  u ASPIRATE the content of the implanted port to prevent accidental push of heparin systemically before flushing  ??
    if yes how many ml do we need to aspirate to clear the port from the locked heparin with Normal saline

    Thank you in advance,

    Sarah Hakim, MSN,RN
    Clinical Educator