Published Jun 10, 2008
rehabhereIcome
48 Posts
: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
Peripheral flush: a 3cc pre and post flush is required....what is the size of syringe used..I know 10cc syringe is used for central lines etc.
TazziRN, RN
6,487 Posts
If 3ccs are required then you can use a 3cc syringe.
HmarieD
280 Posts
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?
GrumpyRN63, ADN, RN
833 Posts
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