Pt. Identifier IV Line Maintenance Orders(Central and Peripheral) **** Scan to pharmacy and place in orders section of chart*** ALL IV Lines: NS Syringe (10mL)– flush all lumen(s) every 8hrs when not in use OR after: intermittent IV fluids medications insertion and/or post initial access NS Syringes (20mL) – flush after each blood sampling For Specific Line Maintenance indicate the line type below Peripheral Intravenous Access (Short Term and Extended Dwelling Catheters) Lidocaine 1% - prn per policy subdermal prior to insertion Central Venous IV Catheter (TLC) Triple Line Peripherally Inserted Central Venous Catheter (PICC) Single Line Dual Line Heparin 100units/mL (3mL) if line to remain post discharge Implanted Ports (lifeport, port-a-cath) Single Port Dual Port Sterile NS Syringe 10mL for each initial implanted port access Lidocaine 1% - prn per policy subdermal prior to access Heparin 100units/ml (5mL) –flush with any needle de-access including the weekly needle change or if port remains accessed at discharge Tunneled Central Venous Catheter (Hickman) Single Line Dual Line Triple Line Heparin 100units/mL (3mL) prior to discharge Dialysis Catheters (Permacath) Only those who have demonstrated competency may access any hemodialysis catheter after receiving an order from the physician. See Nursing Policy: Venous Access for Patient with Chronic Kidney (Renal) Disease (CKD): Hemodialysis Catheter, Peripheral Venous Access, AV Fistula, AV Graft, Dialysis Catheters (Temporary/Trialysis) Flush third purple lumen with NS as outlined above for all IV lines. Prior to implementation review the Central Catheter Declotting policy. Central Catheter Declotting-Alteplase / Cathflo Activase® Alteplase 2mg in 2.2ml sterile water IVP for negative blood return from a central line with ______number of lumens, May repeat x1. Outpatient Use Only: Begin on ______________x 1year (or)____________ months. Physician Signature _____________________________ Date_______ Time______ Nurse Signature ______________________________ Date_______ Time_______ *1056* Orig:11/10 Revised: 6/13, 3/14; 3/15; 4/15, 10/15 .