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Mon, 04/13/2009 - 23:17

7longpedhemeonc

heparin flush concentrations

I am surveying various pediatric heme/onc hospitals to find out whatÂ dosages ofÂ Â heparin or normal saline are used to flush PICC, broviac and ports in the hospital setting and inÂ home care .Â Â At UCSF Children's Hospital, Â we are using 20 units for PICC and broviacs once a day and 500Â units for ports once a day if accessed.Â Groshong PICC flushedÂ with 5 cc normal saline.Â Â Â Â Any comments appreciated.

Tue, 04/14/2009 - 07:22

Angela Lee

We use 10 u hep/ml (2 ml)

We use 10 u hep/ml (2 ml) for all our central catheters except the port which we increase to 100 u/ml and use 3 ml on discharge only, otherwise it is also 10 u (3 ml).

Tue, 04/14/2009 - 07:29

lynncrni

The Flushing Protocol cards

The Flushing Protocol cards from INS state that 10 units per mL can be used on adults for all types of CVCs, plus there are more specific peds information. The only time that 100 units per mL is recommended is when de-accessing an implanted port.

Lynn Hadaway, M.Ed., RN, BC, CRNI

www.hadawayassociates.com

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Thu, 04/16/2009 - 15:11

AMParry

Hey Lynn, I have the cards

Hey Lynn,

I have the cards but need the resources (we are considering changing to 10 unit/ml form 100 unit/ml) but need the resources used to come up with that.

Thanks

Ann Marie

Ann Marie Parry RN CRNI

[email protected]

Ann Marie Parry, RN, CRNI, VA-BC

[email protected]

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