Question for everyone on implanted ports. 

Before we "deaccess" patients, I know the protocols across the nation
are different, but most will flush with a saline/saline-Heparin Solution
then remove the Huber needle. 

I have a question about those patients who are admitted to the hospital
for antibiotics, but no IV fluids.  The nurses on our Oncology Unit
access their ports, then cap off the Huber needle and leave it in and
use it like a Saline or Heparin Lock IV.  Our question for everyone is
the flushing of these lines in-between antibiotic dosing.  Let's say the
patient receives Gentamycin every 8 hours.  There is no IV fluids
infusing.  Before and after the dose, everyone flushes with 10ml of
Saline, I'll say that's given.  The question....does everyone also
Heparinize the line with a dose of Heparinized Saline after each dose of
antibiotic and every 8-24 ours, or are you using Saline only?  This
question came up this week.  The nurses are questioning practice to make
sure it's current practice.  


Ann Earhart, RN, MSN, CRNI
Clinical Nurse Specialist-Adult
Vascular Access/PICC Team
Banner Desert Medical Center
Mesa, Arizona  85213
office-480-512-3980
pager-602-420-3240
e-mail:  [EMAIL PROTECTED]
 


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