Reply To: Central Lines and Heparin

  • Kim Ross Webb

    Member
    August 16, 2021 at 8:59 pm

    1. What types of central lines do you use?  And if you could estimate percentage of pts using each line
           Medports  ___96_____%
           Tunneled central lines  ______1____%
            Non-tunneled central lines ______0____%
            PICC’s  ____3_____%  Only short term treatment. If the have ALL and start with a PICC they get a port at consolidation or sooner
            Peripheral  __0______% We only have 1 patient we use a peripheral

    2. Do you use heparin in your lines? We use 10 units/ ml, 3ml for PICCS each lumen daily when not in use, same for medports if heplocking between meds, and same for tunneled central lines (unless the line states differently); 100 units/ml 3 ml when deaccesing medports
            Medports Yes/No   YES
            Tunneled central lines  Yes/No  Yes
            Non-tunneled central lines Yes/No
            PICC’s  Yes/No   Yes
            Peripheral Yes/No    NO

    3. If you are no longer using heparin in lines, when did you stop?

    4. Have you noticed any increase in either alteplase usage or central line replacements?
             Alteplase   Yes/No    Yes
            Central Line Replacements  Yes/No   NO

    ——————————
    Kim Webb, RN
    Clinical Coordinator
    St. Mary’s Medical Center
    Florida
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    ——————————————-
    Original Message:
    Sent: 08-16-2021 01:57 PM
    From: Kathleen Ackerman
    Subject: Central Lines and Heparin

    We are a pediatric hospital in a adult hospital. Our adult programs recently stopped using heparin in medport, and have not used heparin in other central lines for a couple of years. We are interested in finding out what other pediatric hospitals are doing both inpatient and outpatient. I would ask for your assistance in answering the following questions, and I will post the responses for all to see.

    1. What types of central lines do you use?  And if you could estimate percentage of pts using each line
           Medports  ________%
           Tunneled central lines  __________%
            Non-tunneled central lines __________%
            PICC’s  _________%
            Peripheral  ________%

    2. Do you use heparin in your lines?
            Medports Yes/No
            Tunneled central lines  Yes/No
            Non-tunneled central lines Yes/No
            PICC’s  Yes/No
            Peripheral Yes/No

    3. If you are no longer using heparin in lines, when did you stop?

    4. Have you noticed any increase in either alteplase usage or central line replacements?
             Alteplase   Yes/No
            Central Line Replacements  Yes/No

    Any other comments?

    ——————————
    Kathy Ackerman, MSN, PCNS-BC
    CNS-Pediatrics
    MSK Kids, Memorial Sloan Kettering Cancer Center
    NY, NY
    ——————————