What is Flushing in Nursing?
Flushing in the context of nursing refers to the process of cleaning a catheter or intravenous (IV) line by injecting a solution, typically saline or heparin, to maintain patency and prevent
blockages. This procedure is essential in ensuring that the line remains functional and free from any obstructions that could impede medication administration or fluid infusion.
Prevents
clot formation within the catheter or IV line.
Maintains the patency of the line, allowing for uninterrupted medication and fluid administration.
Reduces the risk of
infection by clearing any residual medication or blood.
Ensures the accurate delivery of prescribed medications.
Before and after administering medications or fluids.
After blood draws.
At regular intervals, as per the institution's protocol, to maintain line patency.
Saline solution: Commonly used for routine flushing to maintain patency.
Heparin solution: Used in specific circumstances to prevent clot formation, especially in central lines.
Gather all necessary supplies: gloves, syringes, saline or heparin solution, and antiseptic wipes.
Perform
hand hygiene thoroughly and don gloves.
Prepare the syringe by drawing the appropriate amount of flushing solution.
Clean the catheter or IV port with an antiseptic wipe and allow it to dry.
Attach the syringe to the port using aseptic technique.
Slowly inject the solution, observing for any signs of resistance or leakage.
Remove the syringe and re-cap the port if necessary.
Document the procedure, noting the amount and type of solution used.
Resistance during flushing, indicating a potential
blockage or kink in the catheter.
Leakage from the insertion site, suggesting a dislodged or damaged catheter.
Infection, which may present as redness, swelling, or discharge at the insertion site.
Phlebitis, an inflammation of the vein, which can cause pain and redness along the vein.
Stop the flushing procedure immediately if resistance or leakage is encountered.
Assess the patient and the site for signs of
infection or phlebitis.
Notify the healthcare provider for further evaluation and intervention.
Document any complications and actions taken in the patient's medical record.
Best Practices for Flushing
To ensure the efficacy and safety of the flushing procedure, adhere to these best practices: Always follow institutional protocols and guidelines.
Use
aseptic technique to minimize the risk of contamination.
Regularly assess the catheter or IV site for signs of complications.
Keep accurate records of all flushing procedures, including the amount and type of solution used.
Conclusion
Proper flushing is a vital nursing procedure that ensures the functionality of catheters and IV lines, preventing complications such as blockages and infections. By adhering to recommended guidelines and protocols, nurses can maintain patient safety and optimize the effectiveness of intravenous therapy.
