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

 - Once every day

- 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Document all flushes in MAR Heparin should be withdrawn from all lines prior to infusing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