SASH Technique
|
S |
Saline Flush |
Ensures patency of the line and clears the line of residual medication |
|
A |
Administer |
Administration of the medication or connection of the infustion |
|
S |
Saline Flush |
Ensures patency of the line and clears the line of residual medication |
|
H |
Heparin
(If the device requires heparin for patency) |
To minimize the potential of a blood clot forming inside the central line lumen |
* Cleanse needleless connector with alcohol - 15 second scrub and allow to air dry
* Aspirate for blood return to ensure line patency before each access
The Infusion Nurses Society’s Infusion Nursing Standards of Practice clearly define three purposes of catheter flushing; to assess catheter function, to maintain catheter patency, and to prevent contact between incompatible medications or fluids that could produce a precipitate. For effective catheter flushing, the nurse must have an understanding of technique and the equipment used within his/her institution as well as the type of catheter in use. Specific flushing orders must be documented, in-cluding the saline amount and frequency, and the heparin concentration, amount, and frequency.