Policy Manual sample

MDT Home Health Care Agency, Inc. CATHETER FLUSHING PROTOCOL (SASH) * Supplies Needed: 2 Saline syringes (sodium chloride) 2 Heparin syringes Alcohol prep pads Wash Hands: With soap and water for at least 15 seconds and dry with paper towels. (S) Step 1: Saline flush Remove cap from Saline syringe · Remove air from syringe by first pulling back on plunger, then pushing forward on plunger until all air is removed. · Scrub the clave with alcohol prep pad for 10-15 seconds. · Twist the syringe onto the end of the clave. · Open the clamp on the catheter/extension set and flush the catheter with ____ mL of Saline (sodium chloride) · 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 · Remove cap from Heparin syringe · Remove air from syringe by first pulling back on plunger, then pushing forward on plunger until all air is removed. · Scrub the clave with alcohol prep pad for 10-15 seconds. · Twist the Heparin syringe onto the end of the clave. · Flush the catheter with _____ mL of Heparin. (As ordered) · 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. Home Health Agency Nursing Care & Procedures K-236