about flushing a saline lock about flushing a saline lock | allnurses

about flushing a saline lock

  1. 0 This is a procedure that I am finding some information
    about on the Internet. One source said that the flush
    is to be gentle.
    Another source said to create turbulence (using push-pause).
    Which is suitable?
    Is there a video that will demonstrate?
  2. 7 Comments

  3. Visit  SuesquatchRN profile page
    #1 1
    I have never heard of doing a flush any way but gently.

  4. Visit  gibson0726 profile page
    #2 3
    Peripheral IV's are flushed gently, with at least 3mls NS.

    Push-pause method is used for central lines only, which creates turbulence. You also want to make certain to use nothing smaller than a 10ml syringe. This is because the smaller syringes will cause too much pressure and can damage the line.
  5. Visit  jmgrn65 profile page
    #3 1
    flush gently
  6. Visit  Katers* profile page
    #4 1
    I found this procedure outline online... hopefully it helps!

    - Check Dr.'s order/MAR for frequency
    - Draw up 2cc saline (or use a pre-filled syringe)
    - Check patient's armband/ID
    - Check site for: swelling, redness, pain, temperature
    - Note: gloves do not have to be worn unless there is potential for blood contact
    - Connect syringe to adaptor
    - Aspirate back gently (if you get blood return, then try to inject the saline gently. If it flows easily, continue. Make sure to watch the site for swelling and assess for any pain)
    - If you meet resistance, stop and reassess. It is recommended that you reposition arm and gently manipulate site before attempting to aspirate again. If you get blood return when attempting to aspirate a second time, then continue with the procedure. If there is still no blood return, attempt to inject the saline. BUT, do not try to push against resistance. If you meet any resistance, you'll likely have to restart the site.
    - It is important not to give any IV meds though a saline lock without checking the patency first
    - Patency should be checked at least once a shift

    For more information:
  7. Visit  Amy2005 profile page
    #5 0
    Thanks for all this information. I tried the link above, but it doesn't seem to work right now.
  8. Visit  midget23 profile page
    #6 0
    I find alot of things on video I google you tube and it usually shows me. Good luck!
  9. Visit  MedicalNerd profile page
    #7 0
    Any time I have flushed a SL I used the 10ml syringe and was gentle with the pressure. If I met resistance I would apply slightly more pressure but if there was still resistance I would call the RN or my instructor. It is hard sometimes to know how much pressure is needed VS how much is too much. I think it will come with experience.