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[txoldiebutgoodie]

Question what is a PICC line and when does it require heparinization?

[rotteluvr31, ADN, RN]

it is a peripherally inserted central catheter. Used like an IV - but requires specialized training to insert. In our hospital only the MD's insert them. They have multiple lumens that you can run fluids through. They need to be flushed with heparin to keep them patent (open). And I just learned yesterday that you should only use a 10 cc syringe when flushing them because anything smaller has to much pressure that can damage the delicate tubing of the picc line. Hope this helps!

[Daytonite, BSN, RN]

p.i.c.c. stands for peripherally inserted central catheter. there are several weblinks to information about them on post #6 of this sticky thread in the nursing student assistant forum. you will find information about all kinds of other iv devices there as well.

• https://allnurses.com/forums/f205/any-good-iv-therapy-nursing-procedure-web-sites-127657.html - any good iv therapy or nursing procedure web sites
  • post #6 - https://allnurses.com/forums/1458776-post6.html

only p.i.c.c.'s with groshong type tips (these are one way valves) that are capped off (have no continuous iv fluids infusing through them) can be flushed and closed (locked) with saline. all other p.i.c.c. lines must be flushed with heparin to prevent them from clogging with blood clots.

[chevyv, BSN, RN]

Above posters explained what a picc is so all I can add is that some hospitals have different protocol regarding heparin push and you'll have to check the protocol there. The Groshong shouldn't need heparin, but in the last place I did clinicals, it was required. I hate it when I learn something and then have to do unnecessary steps just the same. Oh well, I hear I have to get used to that as a nurse.