When giving Dilaudid into a port because of cancer, saline flush first, then the dilaudid, then a saline flush and then a heparin flush? I used to do it but have forgotten the order in which I did it. I remember using four different needles into the port. I am trying to write a book about my daughter's cancer but wasn't really trying to remember what I did or how over 20 years ago. I want it to be accurate as possible. Please help me in any corrections.
You are correct. The way to remember is the acronym SASH, which means Saline flush, Application of medication, Saline flush, and then the Heparin flush.
You must clean the port for 15 to 30 seconds with an alcohol wipe using a "juicing motion", i.e. as if you were juicing an orange, wait 10 seconds for it to dry without blowing on or shaking the port, then open any clamps that are present on the IV line, before you start the SASH procedure.
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