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Reply To: Heparin Flush versus Saline Flushes and Home Care Flushes
Hey Deborah, Honestly, the idea of not using hep on a CVL gives me heart palpitations.
We use hep and saline on all of our kids with mediports. 100u/ml (yellow hep) for any kid with a mediport over the age of 1 year. 10u/ml (blue hep) for any kid with a mediport younger than 1 year. For PICC’s we flush q25hr with saline and hep (100u/ml) if they have a standard PICC. Power PICC’s only require a saline flush q24hr and no hep. We don’t have any tunneled or broviacs right now. We never hep lock PIV’s, though when I worked in adult oncology it wasn’t unheard of to put 1ml of the 100u/ml hep in a PIV if it was going to be used the next day.
Jessica A. Miller, BSN, CPHON Lubbock, TX United States
—————————— Jessica Miller RN Lubbock, TX United States —————————— ——————————————- Original Message: Sent: 05-24-2023 10:40 AM From: Deborah Echtenkamp Subject: Heparin Flush versus Saline Flushes and Home Care Flushes
Good Morning, Bringing back a couple of questions that have been discussed before:
1. Has anyone switched to using Saline only flushes for central lines (any or all) and if so, would you be willing to share your policy/procedure
2. For central line flushing in the home-has anyone switched to using only Heparin flushes without saline, or have you gone to only Saline flushes.
Thanks so much, Deb
—————————— Deborah Echtenkamp, MSN,RN,CPON,FAPHON Plano, TX United States ——————————