We use the CLC2000 on all of our triple lumen CVC's, Hohn Catheters, Hickman 
Catheters and do not use heparing.  No clotting off either.  Would recommend 
trying it on the Power PICC.  One thing I always stress is vigorous flushing 
with the push stop method.  Routinely use 10 ml of NSS flush.
 
 
Margaret M Nicastro, CRNI, OCN
Nurse Manager IV Therapy/Oncology
Gettysburg Hospital
147 Gettys Street
Gettysburg, PA 17325
Phone:  717-337-4312
Fax:  717-337-4485
 

________________________________

From: [EMAIL PROTECTED] on behalf of Artie Hansford
Sent: Thu 3/16/2006 1:25 PM
To: [EMAIL PROTECTED]
Cc: Geraldine Rimando
Subject: Flush Protocols for OPEN ENDED PICCS


Greetings!
 
We are a looking at using Power PICCs and Triple Lumen Catheters at our 
institution.  Traditionally, we have used Groshong and have not had the need 
for the use of heparin.  The MD's generally do not like to use heparin and we 
need to come up with a successful plan for using saline flushes with these 
lines.
 
If you have experience with saline only flushes of open ended PICCs please let 
us know the amount of saline that is used, how often, what injection cap is 
used and which catheters.  
 
Also, if anyone has experience using less heparin than the traditional 300 unit 
as a final flush, please let us know what your experience is.
 
Does anyone know of any literature discussing 10u heparin flush vs. 100u 
heparin flush...or saline flush vs. heparin with open ended catheters?   Thank 
you!!!


Artie Hansford, RN, CRNI
Alta Bates Summit Medical Center
PICC Services
350 Hawthorne Ave, Oakland, CA 94609
510-204-3285 Phone/Pager
510-869-6690 Fax

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