# Heparin infusion

Monitoring a prescribed infusion during interfacility transport; not a field initiation protocol.

Population: Adult & pediatric scope. Scope: IFT-ALS.
Status: published. Source-linked OCEMS summary.
Summary updated: 2026-09-16.
Source checked: 2026-09-16.
Source version: See linked source for document dates and scope restrictions..
Canonical page: https://www.ocmedic.com/guides/heparin/
Official source: [PR-220 — Monitoring Heparin Infusion during Interfacility Transports](https://www.ochealthinfo.com/sites/hca/files/import/data/files/49721.pdf)

Independent OC Medic summary. Does not replace the complete policy, current system notices, or clinical judgment.

## Scope & authority

- This is continuation/monitoring authority during an authorized IFT, not routine 9-1-1 heparin administration.
- Bleeding and falling BP require action under the procedure.

## Source documents

- [PR-220 — Monitoring Heparin Infusion during Interfacility Transports](https://www.ochealthinfo.com/sites/hca/files/import/data/files/49721.pdf)

## Adult / adolescent

- PR-220 addresses a pre-existing heparin infusion. Obtain the prescribed rate, bleeding history, and relevant transfer records from the sending RN/physician.
- Use a working infusion pump at the sending facility’s prescribed rate. The procedure does not provide an independent field loading dose or titration schedule.

## Pediatric

- The source supplies no distinct pediatric dosing regimen. A pediatric transfer needs the sending team’s explicit order and appropriate transport authorization; do not weight-scale an adult heparin infusion from this page.

## Pediatric dosing availability

- Use the sending team’s patient-specific transport order and authorized scope. The cited transport procedure supplies no independent pediatric initiation regimen.
| Weight | OCEMS pediatric dose |
| --- | --- |
| Any weight | No general pediatric dose under the cited source; follow the applicable order / medical direction. |

## Use, monitoring & documentation

- Secure the vascular access and verify the pump. Continuously observe vital signs, rhythm, and bleeding.
- Stop the infusion and transport to the nearest appropriate ERC for bleeding, systolic BP below 90, or a systolic decrease greater than 20 mmHg from the initial measurement, as directed by PR-220.
- Document the ordered rate, monitoring, any stop time/reason, and the patient’s condition at transfer of care.