Thursday was the first time I started Adriana on ethanol lock, it was a very long day for both me and her of course. So at 7 she was off and I started the lock and at 9 I was trying to pull back the ethanol from her catheter which was hard. I pulled and pulled and moved her head side to side which at this point she was not happy and it did not make things easier. I was able to remove all of the ethanol from her line. I then tried to flush her line to connect her TPN but to my surprise was not able to flush, I tried to pull back and then flush and nothing it wouldn't go in. I tried a couple times and no luck I called one of our home pharmacist/nurse she told me to take her to the ER that most likely her line had clotted. We got to the ER around 10pm and on our way there I called the GI on call and let him know we were on our way to the ER and for him to update our GI when he had a chance. When we reached Childrens in oakland I explained to the triage nurse what was wrong with Adriana and why she had a broviac and she took us in and then about 20 minutes later a nurse came by and took a chem stick to check her sugar levels, she had been off for about 3 hours and was at 81 they were happy with that. They did not feel they had to start a IV on her, so they tried to flush her line with no luch and then they tried to flush it with TPA med which is used to dissolve blood clots for many different reasons. He tried pulling back and flushing many times untill he was able to get the med in, he let it sit for probably an hour and then came back to remove the med. It seemed to have fix her problem, her line is now still working and she seems to be fine. I tried to explain to the nurse what I did and asked if there was something I did wrong of course I felt it was my fault. I felt horrible but he told me not to beat myself up for it. He said it was not my fault things happen no matter how carefull you are. He said unfortunately not all babies come with broviac catheters so of course your body is just doing what it is suppose to, which means your blood clots. We were discharged at around 1:30 am and were home around 2:15 or so. Things went the best way they possibly could of gone, in worst case the line wouldnt be able to unclot and they would have removed her line and placed a new one. That line is her second one and fairly new, it was placed in sept so its about 6 months old. That is how long her first one lasted, they couldnt get it to unclot and it was infected as well. Well I will update later since its time for Adriana to get up.