IV Therapy Bonus Cards, Illustration Credits
Flushing Guidelines
| Device | Intermittent | Blood Administration | Blood Draw | Flushing with NO Therapy | Heparin Locking |
|---|---|---|---|---|---|
| Peripheral Catheters (PIV) | Minimum 2 mL | Preadmin 2 mL Postadmin 10 mL | NA | At least q12 hours | NA |
| Midline | Minimum 3 mL | Preadmin 3 mL Postadmin 10 mL | NA | At least q12 hours | 3 mL 10 units/mL heparin |
| Peripherally Inserted Central Catheter (PICC) | Minimum 5 mL | Preadmin 5 mL Postadmin 10 mL | Predraw 5 mL Postdraw 10 mL | Nonvalved-at least q 24 hours Valved—at least weekly | 5 mL 10 units/mL heparin |
| Nontunnelled | Minimum 5 mL | Preadmin 5 mL Postadmin 10 mL | Predraw 5 mL Postdraw 10 mL | Nonvalved-at least q 24 hours Valved—at least weekly | 5 mL 10 units/mL heparin |
| Tunnelled | Minimum 5 mL | Preadmin 5 mL Postadmin 10 mL | Predraw 5 mL Postdraw 10 mL | Nonvalved-at least 1—2 times per week Valved at least weekly | 5 mL 10 units/mL heparin |
| Port | Minimum 5 mL | Preadmin 5 mL Postadmin 10 mL | Predraw 5 mL Postdraw 10 mL | Accessed Nonvalved-at least 1—2 times per week Valved—at least weekly Deaccessed—at least monthly | 3—5 mL 10 units/mL heparin |
Source: Infusion Nurses Society. (2008). Flushing Protocols, with permission.