How to Flush an Implanted Port (Iport)


Flushing an implanted port, also known as an iport, is important in preventing blockage. Patients must have their iport flushed every 4-6 weeks in order to maintain patency.

Part 1
Setting Up

Setting Up on How to Flush an Implanted Port (Iport)

1
Signs of infection, such as redness, edema, pain or drainage, need to be documented and reported to the provider. Palpitation is necessary to locate borders and to identify the center. [1]

Setting Up on How to Flush an Implanted Port (Iport)

2
Place them on a clean work surface.

Setting Up on How to Flush an Implanted Port (Iport)

3
Proper handwashing prevents the spread of microorganisms.[2]

Setting Up on How to Flush an Implanted Port (Iport)

4
Masks, worn by both the patient and nurse, help prevent the spread of infection.[3]

Setting Up on How to Flush an Implanted Port (Iport)

5
Place the following items on the surface of the opened package: chloraprep, Tegaderm dressing, needleless valve, sterile 10ml syringe, Huber needle, and sterile gloves.

Setting Up on How to Flush an Implanted Port (Iport)

6
The use of sterile gloves lowers infection risks.[4]

Setting Up on How to Flush an Implanted Port (Iport)

7
Allow a drying time of at least 60 seconds. The cleansing of the skin removes microorganisms and prevents the spread of infection.[5]

Setting Up on How to Flush an Implanted Port (Iport)

8
Attach it to the Huber needle.

Setting Up on How to Flush an Implanted Port (Iport)

9
Priming the tubing removes air from the line, thus preventing possible air embolism.[6]

Part 2
Accessing the Iport

Accessing the Iport on How to Flush an Implanted Port (Iport)

1
This grasping technique helps to stabilize the port, as well as, identifying the area of the port for inserting the needle. It also prevents slippage and protects from potential needle injury.

Accessing the Iport on How to Flush an Implanted Port (Iport)

2
Insert the needle, at a 90-degree angle, into the center of the port's septum until the needle touches the base of the port reservoir (maintain a smooth motion while inserting).[7] Once the septum is punctured, avoid tilting or rocking the needle, which may cause leakage or damage to the system. This continuous motion ensures correct placement of the needle tip.[8]

Accessing the Iport on How to Flush an Implanted Port (Iport)

3
Aspirating blood verifies the correct placement and patency of the needle.

Accessing the Iport on How to Flush an Implanted Port (Iport)

4

Accessing the Iport on How to Flush an Implanted Port (Iport)

5
Flush with heparin two times and clamp. Flushing prepares and optimizes patency when the port is not in use.[9]

Part 3
Deaccessing the Iport

Deaccessing the Iport on How to Flush an Implanted Port (Iport)

1
Holding, in this manner, ensures the stabilization of the port.[10]

Deaccessing the Iport on How to Flush an Implanted Port (Iport)

2
Using your dominant hand, pull straight out with a gentle motion, until the needle safety cover clicks. Pulling the needle straight out, in a continuous motion, minimizes discomfort and ensures needle withdrawal is well controlled. [11]

Deaccessing the Iport on How to Flush an Implanted Port (Iport)

3
Holding pressure slows the bleeding, while the band-aid prevents infection risks.[12]