Reply To: High Dose Heparin

  • Katharine Schjodt

    August 6, 2020 at 9:05 am

    We have pre-printed “high dose heparin” stickers that are placed on the lumen to alert staff that the lumen needs to be aspirated prior to flushing.


    Katharine Schjodt, MSN, APRN-PCNS-BC, CPN, CPHON

    Clinical Nurse Specialist 6MS



    Children’s Hospital & Medical Center

    8200 Dodge Street Omaha, NE 68114-4113



    We know


    Original Message:
    Sent: 8/6/2020 8:55:00 AM
    From: Chris Donaghey
    Subject: High Dose Heparin


    We have had multiple recent issues with high dose heparin use for our large bore catheters, especially remarkable on our stem cell transplant unit as they take dialysis patients, too. Nurses are forgetting to aspirate the HD heparin for various reasons.

    What do your nurses do with large bore lumens in order to prevent errors from occurring? Line labeling? Alternative local processes?

    Thanks everyone for your thoughts and ideas.

    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Cancer and Blood Diseases
    Riley Hospital for Children at IU Health
    Indianapolis, IN