I work in the home infusion world and I have a question: if a patient is allergic to heparin, and saline flush only does not keep the CVAD open and we are having to use Cathflo often to resolute the partial occlusion, what is the next step? Has anyone used sodium citrate as the CVAD locking soluction in the home care setting? If so, would you be willing to share your policies and procedures? We are currently using positive displacement needleless connector.
Thanks so much for your thoughts on this.
Carole Rumsey, RN, CRNI
Home Infusion Program Manager
Sutte Care at Home