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Best practice related to use of Heparin

Does anyone know of any "best practice" articles or research related to the use or non-use of Heparin flushes with PICCs/CVCs. Thanks,  Cindy Hunchusky,RN,CRNI/PICC Team-THHMFW

There are numerous articles

There are numerous articles on this issue, too many to list here. To me, the bottom line is that normal saline alone is not sufficient to maintain patency and we can not eliminate heparin yet as there is no alternative solution in a single-use container yet. There is an alternative solution in a prefilled syringe in Canada now, but it will be several more years before we see it here. This is 4% sodium citrate and 30% ethanol in a prefilled syringe. Lynn

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

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Thanks Lynn for responding.

Thanks Lynn for responding. Cindy


Cindy Hunchusky, BSN, RN, CRNI

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