I am wondering how other places are dealing with "blood return from each lumen every time" with their PICC's. We use an open-ended PICC catheter and CLC 2000. We stopped using heparin flush about 8 weeks ago, great for the patient but we are working ourselves to death no only using Cath-flo for occlusions, but for blood return from every lumen every time. We are a small department that basically has more that enough to do with PICC insertions and all that entails. I was wondering what the group thinks about training med/surg staff and critical care staff to use Cath-flo, ..I know not ideal, but something has to give and I'm trying to figure out what...We have had education to staff about good flushing techniques, etc til blue in the face and have about decided if "its not their problem, and they can call someone to fix it", there will never be great compliance...Any comments?