Reply To: Implanted port flushing

  • Jennifer Nordin

    Member
    September 23, 2019 at 9:54 am

    ​We do not aspirate when heparin has been placed in a port. Our policy reflects aspirating based on concentration of heparin, so only 1,000 unit heparin is aspirated when used.

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    Jennifer Nordin, RN
    Leawood, KS
    United States
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    Original Message:
    Sent: 09-20-2019 04:21 PM
    From: Denise Vermaat
    Subject: Implanted port flushing

    We do aspirate 5 cc when we access the port, to reduce incidence of Heparin-Induced Thrombocytopenia, before we flush.  This is why we also routinely stopped flushing PIVs with Heparin, and only flush with Saline now.

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    Denise Vermaat, RN
    Boca Raton, FL
    United States
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    Original Message:
    Sent: 08-30-2019 03:43 AM
    From: Sarah Hakim
    Subject: Implanted port flushing

    Hello,

    ​​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,

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    Sarah Hakim, MSN,RN
    Clinical Educator
    Lebanon
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