This specialty practice discussion group is intended for discussion of outpatient staff clinic... View more
This specialty practice discussion group is intended for discussion of outpatient staff clinic issues. Remember that anything published in this community can be seen by any member of the community. Please be considerate of the HIPAA Privacy Rule when posting to the community.
I am also curious what other institutions have been doing since there is a heparin shortage. When our Central Access Team reached out to other pediatric institutions, they found that many of them have been flushing with saline for years now instead of heparin. They said the key with flushing with saline is in the technique. Staff must use a pulsatile motion when capping with saline and clamp the lumen before removing the syringe.
I also haven’t been able to find a lot of literature to support saline use vs heparin among pediatrics. The few articles that I did find used a sample of both adults and pediatrics and found that there is no evidence to support the use of heparin lock and that the prevention of occlusion is based on proper flushing technique.
—————————— Elissa Shulta, DNP,RN,CPHON Clinical Nurse Specialist EShulta@chw.org Milwaukee, WI United States —————————— ——————————————- 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 ——————————