I have witnessed several nurses performing saline flushes on lines when administering meds, drawing blood, etc. I'm hoping someone can tell me if this is correct procedure because I don't want to be doing something wrong: First, the nurse prepares the prepackaged flush by removing the air in the syringe. He/She takes the cap off the end, careful not to touch it to any surfaces, pushes the plunger until the saline is at the tip and air is expelled, then replaces the cap. (seems safe to me, no contamination). Next, cleans the access cap to the patient's line with alcohol, uncaps the flush and pushes anywhere from 3-5 mls saline into the line, then removes the flush, lays it on the bedside table tray or the bed (this is where I'm concerned), pushes the next syringe of medicine (ok here-no comtamination), and then picks the flush back up and flushes the line again with 3-5mls. My problem is with the second flush. Is it, at this point, contaminated? And should a nurse technically be bringing two flushes to the scene? I have also seen a nurse draw up meds into a syringe, take off the needle, and haul it uncapped to the bedside to administer. I have personally left the needle on and capped, and removed it at the bedside, making sure to throw it away when I'm done. I feel like the fewer times I recap something, the better. Thoughts?