central line flushes

  1. Help! I'm updating a policy, and I'm trying to determine what everyone is ACTUALLY doing to flush triple lumen non-tunnelled central lines (routine flushes, flushes between meds). Do you use saline (how much) or heparin (concentration/how much). Thanks so much for all of the help!
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  2. 12 Comments

  3. by   MitziK
    CLs not in use/or port not in use - flushed q shift 3-5cc Hep flush 100u/ml per port
    (May be qd, I'll check at work tomorrow and let you know for sure)

    In between meds - 3-5cc NS port used

    Dressing changes - q 72hr and prn, also depends on dssg used.
  4. by   snickers
    10cc saline followed by2.5cc heparin flush(100units/ml) q.24h. and prn(after meds).

    sj.
  5. by   raiderron
    3-5cc saline followed by 1.5cc heparin flush(100units/ml) Q 8 hrs.
  6. by   crazedredhead
    Originally posted by JeannieM
    Help! I'm updating a policy, and I'm trying to determine what everyone is ACTUALLY doing to flush triple lumen non-tunnelled central lines (routine flushes, flushes between meds). Do you use saline (how much) or heparin (concentration/how much). Thanks so much for all of the help!
    10cc nss followed by 3cc heplock solution every 24 hours in the lumens not used for blood draws or pushes. The same routine for use (either for draws or pushes) except that the 10cc nss flush is before the procedure and after the procedure, with the heplock used last.
  7. by   misti_z
    10 cc saline flush and 2 cc heparin flush(100units/ml) q shift and between meds/labs.
  8. by   live4today
    Originally posted by misti_z
    10 cc saline flush and 2 cc heparin flush(100units/ml) q shift and between meds/labs.

    Yepper, this is the way I was taught, too!
  9. by   Bermuda
    Single or Multi-Lumen Central Line (each port)..SASH method..with each med...when not in use flush q8h. Blood draw:Flush c/10ml NS,waste 5ml blood,draw,then flush 10ml NS and 2ml hep flush. SASH....saline 2ml adm med. saline 2ml hep flush 100U/ml 1ml. Now an infusaport is different...10ml NS after infusion of med followed by 5ml of heparin flush.... when not in use flush every 4 weeks
  10. by   darlinnurse
    In the LTC facility where I work, we use only 5 cc NS if ports are not in use, in between meds, and when we flush once daily.
  11. by   pauls-gal
    At my hospital, routine flush is 2 cc nss followed by 10 units of heparin qd. After blood draws or transfusions we use 10 cc nss/10 units heparin.
  12. by   Agnus
    Originally posted by cheerfuldoer



    Yepper, this is the way I was taught, too!

    Same here.
  13. by   nurs4kids
    If not in use, we flush 3-5cc with 100u heparin QD. However, if intermittently used for meds, we flush with 3cc NS before and after meds and HL w/ 3-5cc 10u heparin.
  14. by   mspringer
    With some of the newer caps coming out, like the CL2000 (i think that's it) you only need to flush with NS. Works like a Groshong. always keeping + pressure in the line.

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central line flushes