Heparin locking the CVL or PICCHHeparin locking the CVL or PICCHeparin locking the CVL or PICCEnglishOther;Other(diagnostic imaging, bloodwork, picc line, procedures�.)Child (0-12 years);Teen (13-18 years)BodyVeinsProceduresAdult (19+) CaregiversNA2019-03-18T04:00:00ZHealth (A-Z) - ProcedureHealth A-Z<p>Learn why heparin locking is done, and the steps you must follow to heparinize your child’s CVL/PICC.</p><p>Heparin is used to prevent blood from clotting in the <a href="/Article?contentid=52&language=English">central venous line (CVL)</a> or <a href="/Article?contentid=1012&language=English">peripherally-inserted central catheter (PICC)</a> and blocking the line when it is not in use. This is done when the CVL/PICC is no longer required for medication or fluid infusions.</p><h2>Key points</h2><ul><li>Heparin stops blood from clotting and blocking your child’s CVL or PICC.</li><li>It is important to maintain a sterile work environment while heparinizing the CVL/PICC.</li></ul><h2>Heparin locking procedure</h2><ol><li><a href="/Article?contentid=3391&language=English">Clean your work surface</a> with alcohol and allow it to dry. <a href="/Article?contentid=3392&language=English">Wash your hands</a> and gather your supplies</li><li>Prepare heparin syringe as instructed for your child’s weight</li><ul><li>Check expiry date of heparin and saline</li><li>Children under 10 kg will have their heparin diluted with saline</li><li>Make sure air bubbles are removed from the syringe</li></ul><li>To stop your child’s infusion, clamp the CVL/PICC and detach tubing from cap</li><li>Wash your hands</li><li>Scrub the cap vigorously with an alcohol wipe for 15 seconds. Allow cap to dry completely</li><li>Attach the saline syringe to the cap, unclamp the CVL/PICC and flush the line with saline using a firm pulsing motion (push/pause)</li><ul><li>Turbulent flushing (push/pause) is very important to clear off any residue that is stuck to the inside of the line</li><li>Make note of any resistance when flushing. It may mean that a clot or build up is starting to form. Notify your health care team</li></ul><li>Close the clamp on the line when the flushing is complete</li><li>Remove the saline syringe and attach the heparin syringe to the cap</li><ul><li>If you place the line down, scrub the cap with an alcohol swab for 15 seconds before attaching the heparin syringe</li><li>Make sure you take the needle off the heparin syringe</li></ul><li>Unclamp CVL/PICC and slowly push the heparin into the CVL/PICC</li><ul><li>Smaller syringe sizes create higher pressure when pushing quickly into CVL/PICCs</li></ul><li>Once the heparin is in the line, close the clamp on the CVL/PICC</li><ul><li>Clamping while pressing on the plunger will create positive pressure to prevent blood backing up in the CVL</li></ul><li>Remove heparin syringe</li><ul><li>Dispose of supplies in appropriate container (i.e. sharps container)<br></li></ul></ol><h2>Supplies you will need</h2> <figure> <img src="https://assets.aboutkidshealth.ca/AKHAssets/HeparinLockingCVLorPICC_EN.jpg" alt="heparin locking supplies" /> </figure> <ul><li>5 mL syringe</li><li>10 mL saline syringe</li><li>10 mL saline vial for children under 10 kg</li><li>20 g needle or smaller</li><li>Heparin flush solution 100 u/mL (1000 units/10 mL re-useable vial) or pre-filled heparin syringes</li><li>CHG or alcohol wipes</li><li>Sharps container for needle disposal</li></ul>

 

 

 

 

Heparin locking the CVL or PICC3404.00000000000Heparin locking the CVL or PICCHeparin locking the CVL or PICCHEnglishOther;Other(diagnostic imaging, bloodwork, picc line, procedures�.)Child (0-12 years);Teen (13-18 years)BodyVeinsProceduresAdult (19+) CaregiversNA2019-03-18T04:00:00ZHealth (A-Z) - ProcedureHealth A-Z<p>Learn why heparin locking is done, and the steps you must follow to heparinize your child’s CVL/PICC.</p><p>Heparin is used to prevent blood from clotting in the <a href="/Article?contentid=52&language=English">central venous line (CVL)</a> or <a href="/Article?contentid=1012&language=English">peripherally-inserted central catheter (PICC)</a> and blocking the line when it is not in use. This is done when the CVL/PICC is no longer required for medication or fluid infusions.</p><h2>Key points</h2><ul><li>Heparin stops blood from clotting and blocking your child’s CVL or PICC.</li><li>It is important to maintain a sterile work environment while heparinizing the CVL/PICC.</li></ul><h2>Heparin locking procedure</h2><ol><li><a href="/Article?contentid=3391&language=English">Clean your work surface</a> with alcohol and allow it to dry. <a href="/Article?contentid=3392&language=English">Wash your hands</a> and gather your supplies</li><li>Prepare heparin syringe as instructed for your child’s weight</li><ul><li>Check expiry date of heparin and saline</li><li>Children under 10 kg will have their heparin diluted with saline</li><li>Make sure air bubbles are removed from the syringe</li></ul><li>To stop your child’s infusion, clamp the CVL/PICC and detach tubing from cap</li><li>Wash your hands</li><li>Scrub the cap vigorously with an alcohol wipe for 15 seconds. Allow cap to dry completely</li><li>Attach the saline syringe to the cap, unclamp the CVL/PICC and flush the line with saline using a firm pulsing motion (push/pause)</li><ul><li>Turbulent flushing (push/pause) is very important to clear off any residue that is stuck to the inside of the line</li><li>Make note of any resistance when flushing. It may mean that a clot or build up is starting to form. Notify your health care team</li></ul><li>Close the clamp on the line when the flushing is complete</li><li>Remove the saline syringe and attach the heparin syringe to the cap</li><ul><li>If you place the line down, scrub the cap with an alcohol swab for 15 seconds before attaching the heparin syringe</li><li>Make sure you take the needle off the heparin syringe</li></ul><li>Unclamp CVL/PICC and slowly push the heparin into the CVL/PICC</li><ul><li>Smaller syringe sizes create higher pressure when pushing quickly into CVL/PICCs</li></ul><li>Once the heparin is in the line, close the clamp on the CVL/PICC</li><ul><li>Clamping while pressing on the plunger will create positive pressure to prevent blood backing up in the CVL</li></ul><li>Remove heparin syringe</li><ul><li>Dispose of supplies in appropriate container (i.e. sharps container)<br></li></ul></ol><h2>Supplies you will need</h2> <figure> <img src="https://assets.aboutkidshealth.ca/AKHAssets/HeparinLockingCVLorPICC_EN.jpg" alt="heparin locking supplies" /> </figure> <ul><li>5 mL syringe</li><li>10 mL saline syringe</li><li>10 mL saline vial for children under 10 kg</li><li>20 g needle or smaller</li><li>Heparin flush solution 100 u/mL (1000 units/10 mL re-useable vial) or pre-filled heparin syringes</li><li>CHG or alcohol wipes</li><li>Sharps container for needle disposal</li></ul>Heparin locking the CVL or PICCFalse