RE: Blood draws/Med admin

[jhull]

See below   Jan Hull, BSN CRNI ADM SDC / Emenhiser Center Lebanon Community Hospital 541-451-7851 fax 451-7520 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Cordell, Laura Sent: Wednesday, May 17, 2006 7:49 AM To: [EMAIL PROTECTED] Subject: Blood draws/Med admin #1:  If you are locking your open ended piccs with heparin, are you flushing first and pushing the heparin into the pt. and then drawing your waste or are you just withdrawing waste? [Jan Hull] Flush then draw unless it is for a culture.  #2:   When giving meds through an open ended picc locked with heparin, are you withdrawing the heparin first? [Jan Hull] NO  #3:    We currently lock with 2.5 ml of 100u/ml heparin.  Is anyone managing with less? [Jan Hull] NO, that is what we use.  We use to use 10unit/ml heparin in the same volume however, I does not matter with HIT if you use 10 or 100... IF you are going to get HIT you will. It was harder for the staff to keep all of the differences in their brain.  We do in patient IV and outpatient infusion. If a person is accessed more than 3 times a day we do a TKO, decreases hub manipulation and keeps the heparin volume down. Laura Cordell, RN, Resource Unit Clinician CNA Educator Ext:2626 Cell phone: 509-433-4801   Confidentiality Disclaimer: This e-mail message, including attachments, may contain confidential or privileged information and is for the sole use of the intended recipient(s). If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this message or any attachments is strictly prohibited. If you have received this e-mail in error, please immediately contact the sender by reply e-mail and destroy the message. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.