Reply To: Central Lines and Heparin

  • Deborah Echtenkamp

    May 24, 2023 at 10:53 am

    Hi Kathleen,
    Can you provide an update to your question-did your institution move away from using heparin and what has the outcome been?
    thank you

    Deborah Echtenkamp, MSN,RN,CPON,FAPHON
    Plano, TX
    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
    MSK Kids, Memorial Sloan Kettering Cancer Center
    NY, NY