Quote from creo
How many mls of each do you use?
1-2 mls for a PICC or other central line to lock it depending in the size of the child (infant vs 22 yr old so it really varied).
I should clarify that we did not routinely lock PIVs with 10u/ml hep but in some circumstances we had....They are almost always NA locked, but I have had a few that were hep locked per MD order so that is why I mentioned that---though I found it strange and quit odd.
I haven't worked in that unit since January but wanted to mention our protocol when I did work there. Not saying I agree with it, but that was the written protocol.
Nurses really have to be on the ball with implementing EBP in their unit.
When I first started working in that PICU (about 2 years ago) they were still using saline to flush down ETT before suctioning.....all the RNs were doing that because that was how it has always been done. Myself and the other new grads started bringing in research articles on how that is EBP to our nurse educator (infection, it hurts the patient, etc) and us new nurses were able to help transition our unit away from that practice. Even though our nurse educator knew about saline not being good for ETT suctioning she was having a hard time really educating and changing all the nurses who worked for that unit (100 RNs total inclusing pt, prn, float, ft, etc). Some practices are just habits no longer backed in evidence based practice.