I don't know if I am weird or not. I'm not a big fan of saline locks unless it is strictly for a "just in case" when they get to the floor. Otherwise, when starting a saline lock, I will opt for a 250 ml bag of saline with extension tubing hooked in.
One reason I do this, is that usually if I am starting an IV site, then I have probably been given orders for medications and I just don't like giving meds without a running IV. I'd rather flush the med in with running fluid than to try and push it in slow and then flush with 6 ccs of saline after. It seems like to me it is easier to give a slow IV push by letting the fluids run and push the meds a little at time (no, I don't pinch the tubing).
If giving someone nitro, I always hang a 500 ml bag; I've seen too many patients dump their blood pressure and then the nurses are scrambling to grab fluids and hang them in a hurry.
If I am giving an antibiotic, I will hang a 250 bag and piggyback the ATBS into it, then when the ATBS is through, I just have to let the fluid run long enough to chase the rest of the ATBS in, then I put it at KVO.
Just wondered if anyone else had any thoughts or things they do that are helpful hints.