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Catheter Flushing Protocol (SASH)

Supplies Needed:

Wash Hands:

With soap and water for at least 15 seconds (sing Happy Birthday) and dry with paper towels.

(S) Step 1: Saline flush

  1. Remove cap from Saline syringe
  2. Remove air from syringe by first pulling back on plunger, then pushing forward on plunger until all air is removed.
  3. Scrub the clave with alcohol prep pad for 10-15 seconds.
  4. Twist the syringe onto the end of the clave.
  5. Open the clamp on the catheter/extension set and flush the catheter with ____ mL of Saline (sodium chloride)
  6. Remove the Saline syringe from the clave.

(A) Step 2: Administer Therapy

You will be administering your therapy by:
  IV Pump____
  IV Push____
  Gravity ____

(S) Step 3: Saline flush

Disconnect medication tubing/syringe from the end of clave, then See Step 1 and repeat.

(H) Step 4: Heparin flush

  1. Remove cap from Heparin syringe
  2. Remove air from syringe by first pulling back on plunger, then pushing forward on plunger until all air is removed.
  3. Scrub the clave with alcohol prep pad for 10-15 seconds.
  4. Twist the Heparin syringe onto the end of the clave.
  5. Flush the catheter with _____ mL of Heparin.
  6. Remove the Heparin syringe from the clave and clamp extension set.

Suggestions:

  • If you meet resistance while flushing, make sure all clamps are open.
  • Do not force a flush. Call your nurse with any questions or concerns.

Reminders:

  • Double Lumen: Flush the unused lumen with _____mL of Heparin every day.
  • Blood in Line: Flush the lumen with _____mL of Heparin as needed.
  • DO NOT put caps on the end of the clave.

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