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Eighty-one percent of respondents (mostly nurses) to our 2018 survey reported that they have used a prefilled 0.9% sodium chloride (saline) flush syringe to reconstitute or dilute an IV push medication, particularly the 5 mL or 10 mL flush syringes. This unsafe practice has increased since our 2014 survey, at which time 54% of practitioners said they had diluted medications using a saline flush syringe. When participants in our 2018 survey were asked to describe the process, three methods were reported, resulting most often in a saline flush syringe that also contains a medication (Table 1)...