|
Procedure
|
Peripheral |
Midline Catheter |
Short-Term Central Catheter
|
Groshong Tunneled Catheter
|
Hemodialysis Catheter |
Implanted Port
|
PICC Line |
|
Routine Flush |
- 2 cc
0.9% NS - Once
every eight hours |
- 10 cc
0.9% NS followed by 2cc 100units:1cc
Heparin |
- 10 cc
0.9% NS - Once
every eight hours |
- 10 cc
0.9% NS - Once
every week |
- 10 cc
0.9% NS followed by 1.5 -2 cc 1000units:1cc
Heparin after hemodialysis or when used |
-
10 cc 0.9% NS followed by 5cc 100units:1cc Heparin - Once
every day |
- 10cc
0.9% NS followed by 3cc 100units:
1cc Heparin - Once
every 8 hours |
|
Flush After: - Medication - Discontinuation of Fluids |
- 2cc
0.9% NS |
- 10cc 0.9% NS followed by 2cc 100units:1cc
Heparin |
- 10 cc
0.9% NS |
- 10cc
0.9% NS |
- 10cc 0.9% NS followed by 1.5 – 2cc 1000units:1cc
Heparin |
- 10 cc 0.9% NS followed by 5cc 100units:1cc Heparin |
- 10cc
0.9% NS followed by 3cc 100units: 1cc Heparin |
|
Flush After: - Blood
Transfusion - Blood Draw - Blood in Tubing - TPN Infusion |
- 2cc
0.9% NS |
- 20cc
0.9% NS followed by 2cc 100units:1cc Heparin |
- 20cc
0.9% NS |
- 20cc
0.9% NS |
- 20 cc
0.9% NS followed by 1.5-2cc 1000units:1cc Heparin |
- 20cc
0.9% NS followed by 5cc 100units:1cc
Heparin |
- 20 cc
0.9% followed by 3cc 100units:1cc Heparin |
| Document all flushes in MAR |
Heparin should be withdrawn from all lines prior to infusing |
| Obtain physician order for heparin flushes |
Following the administration of TPN, flush the port with 20 cc 0.9%NS prior to blood draw |
| Use only 10 ml or larger syringe when flushing Central Lines |
Do not use hemodialysis catheters for blood draws or other uses other than hemodialysis except during dialysis or in emergency situations |
| Always use positive pressure technique when flushing Central lines |
Catheter occlusion? Recommended drug of choice is Alteplase 2mg/2cc |