Flushing a central line - page 2

by SuesquatchRN

6,790 Views | 19 Comments

We only get PICCs except one of my guys came back with a central. Of course, I have never been trained on one so have researched it. I have read that prior to flushing one is supposed to check for blood by drawing back -... Read More


  1. 2
    FLArn, I'm in LTC/skilled rehab. We don''t have no steenkin' specialists.
    netglow and wooh like this.
  2. 1
    Who is your main pharmacy or which pharmacy provides your IV meds?
    SuesquatchRN likes this.
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    A couple of the SNF's I worked at used private IV nurse companies to place midlines and PICCs because it was cheaper than sending the patient out for them. I thought yours might also 'cause we all know it's always about saving a buck!
    SuesquatchRN likes this.
  4. 0
    Quote from FLArn
    A couple of the SNF's I worked at used private IV nurse companies to place midlines and PICCs because it was cheaper than sending the patient out for them. I thought yours might also 'cause we all know it's always about saving a buck!
    We only get them in that way. The most we'll do is place a peripheral line.

  5. 0
    Quote from Asystole RN
    Who is your main pharmacy or which pharmacy provides your IV meds?
    That's a thought. I'm going to get the DON to clarify procedure when I go in on Tuesday.
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    You can flush a bit with a few ml of NS and then check for your blood return...if you were getting true air and not just pulling back against the vacuum then maybe you did have a break in the system ( an air source such as a loose cap a hole in the central line). So check for that as well. A push pause technique was originally thought to keep the rate of occlusion low even though there is no research proving that has any benefit....NOW with more research on biofilm being done some experts believe that a slow and steady and smooth flush is the way to go!!!!! Also always make sure that you have a confirmed tip placement...you can have a malpositioned CVC that will still give you an awesome blood return
    SuesquatchRN likes this.
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    Quote from AlmostABubbieRN
    Oh, that's a good one. I keep getting told to look in the manual. Can't find anything in there and it hasn't been updated since 1986.

    Thanks, all, for your input. I'g going to continue to flush the way I do a PICC. I don't know how much air I'm getting, but it always looks like I've got a big, honkin' bubble in there. That's a technical term.

    Referencing the manual can be tedious, and of course, is not hands-on. My suggestion would be to ask for clarification from the nurse educator on your floor or institution. If you've never been trained or inserviced with CVCs, it really isn't fair to expect you to empirically know what to do. Anytime I come across a piece of hardware I've never seen, I will check with the educator on the floor. If they're not familiar with it, they make it a point to investigate the hospital policy and educate the nurse on it. It's a win-win in that situation - you get an 'official' answer and the educator knows the answer for the next nurse who asks.
    SuesquatchRN likes this.
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    The OP stated there is no STEENKIN SPECIALIST...lol
    SuesquatchRN and netglow like this.
  9. 1
    Yeah, and that big policy binder entitled, "Figure It Out Yourself"
    SuesquatchRN likes this.
  10. 0
    Quote from 2ndwind
    Yeah, and that big policy binder entitled, "Figure It Out Yourself"
    HA! Best title I've ever heard for it.


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