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In Home Health it is common practice to infuse only the medication (of course following SASH protocol) without the primary bag of Saline. There are a number of devices that do not even allow for piggy-backing such as Ready-Med infusion devices which are basically little rubber balls or tubes pre-filled with the medication using a negative pressure system, all you do is connect the tubing to the IV, unclamp, and let her flow, they are not dependent on gravity or pumps to infuse correctly.
I have always understood that 10 cc syringes are required for flushing central lines related to the amount of pressure created when flushing. Most infusion supply companies provide 10 cc pre-filled Saline and Heparin syringes as a matter of routine, in fact I can't recall ever having seen a smaller size provided. However, I can't find anything in the INS P&P specific to this. Anybody have a good source that states otherwise?
I always use a 10cc on a central or midline/PICC, full 10cc before and after, if you really want to use the change in standard , you could theoretically get the before and after flush and use 1 syringe, I'd rather ensure a good flush rather than risk the line, also however much the amount, you should always use a 10cc syringe as a smaller syringe creates too much pressure and you could risk rupture of the line
rehabhereIcome
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:confused:This is from the P&P manual for hanging IV meds....
"Many divisions no longer use the primary bag of normal saline "
Anyone else follow this..I thought it was just protocol to hang a primary with a secondary line...no???
Thanks