A recent query to an emergency nursing listserve concerned the de-accessing of pediatric intravenous “ports.” Kelli Rosenthal, MS, RN, BC, CRNI, ANP, APRN, BC, President and CEO of ResourceNurse.Com of Oceanside, NY, responded that in general, the ports used in pediatrics are the same as the ones used in adults, just usually a lower profile model. Most institutions use 10 Units/mL of heparin to maintain lines in pediatric patients, but the flush volume would still be 5 mL because the port volume is the same. Rosenthal suggests that you follow your institution's protocol for port de-accessing, which typically includes these steps: (1) flush with saline solution (usually 5 mL); (2) flush with heparin (usually 5 mL); (3) close the clamp on the port needle extension; (4) clean around the site like you would for a central line dressing change; (5) secure the port with your nondominant hand, and (6) with your dominant hand, pull straight out. Finally, apply an adhesive bandage to the site. Theresa Cromling, RN, ED Pediatric Educator at Duke University Medical Center in Durham, NC, also shares her expertise by reminding us of the assessment and care parameters involved in caring for pediatric port infusions and sites. Cromling says that we should assess the patient's vital signs; assess whether or not the child is experiencing pain or discomfort; assess for a heparin allergy; and assess for unexplained swelling and sensations felt during fluid administration, always maintaining asepsis. These assignments can be particularly challenging in young, nonverbal children; Cromling suggests that you always solicit the help of the parent or caregiver in interpreting the child's typical responses to care. It also is important to avoid the use of latex gloves, because many special needs children are particularly sensitive to this allergy.