It was just a med in a syringe. I couldn't push or pull anything from his IV, and even let heparin sit in there for awhile. That usually works, but didn't. Alteplase is one they use. So now I'm doing Saline push, then the antibiotic in a five min push, then saline again, then 2 mil of heparin, and doing this every six hrs. Before we just used the heparin on the fourth time. Have another week of this round, it's been a three week round. There's not much to be trained for, it's just getting access to the med.