Reply To: Heparin Flush versus Saline Flushes and Home Care Flushes

  • Martina Jones

    May 24, 2023 at 12:18 pm



    We use heparin on all CVADs, we use saline then flush with heparin 10u/ml (2mls for PICC and 3mls for Port). In the adult world we use the 10u/ml heparin for ports but only use saline for PICCs. I’m not sure if they have been finding an increase in occlusion rates as I only work in peditarics.




    Martina Jones



    Pediatric Oncology Nurse

    Pediatric Oncology/Haematology Clinic

    Saint John Regional Hospital




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    Original Message:
    Sent: 5/24/2023 12:02:00 PM
    From: Jessica Miller
    Subject: RE: 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
    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,

    Deborah Echtenkamp, MSN,RN,CPON,FAPHON
    Plano, TX
    United States