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Pam Rogers
Use of a "flush" bag with medications

When the IV team is called for a peripheral restart for patient c/o burning and the patient is receiving an IV med, such as a 10 meQ aliquot of KCL or Vancomycin etc., it has been our recommmendation to the staff RN to simultaneously run normal saline (a flush bag) at a rate of 50 mL/hour along with the offending med. This usually is sufficient to stop the burning and allows for completion of the infusion. (Of course many of these patients would benefit from a PICC but for whatever reason they do not have one.) This practice has been called into question by Pharmacy and some of the nursing leadership as unneccessary and unsupported. I have been told that this just isn't done anywhere else. Is this true?