My facility is ready to go heparin free.Â I now have a critical care doc who wants to go heparin free in ALL lines.Â Â We use all open ended catheters, so I already have in place a positive pressure cap (Maxplus) and prefilled saline syringes (Kendall).Â I have read where other facilities have had an increase in clotting incidents after the switch, so I would like to do an informal survey of current practice.
1.Â How often are you flushing triple lumen and PICC lines?Â q12 or q8?
2.Â What volume of saline are you flushing with?
3.Â Â What do you do with tunneled (open-ended) lines and ports?
4.Â Â What do you do with arterial, PA, and CVP lines?