You are so right! One syringe attached one time to one catheter lumen. I also see nurses using a 10 ml flush twice by flushing 5 ml before the meds, then trying to save the remainder for the last flush after the medication. There is no way that syringe is still sterile! Lynn

At 4:03 PM -0500 11/7/05, <[EMAIL PROTECTED]> wrote:
Please be sure to only use these devices ONCE> I see nurses flushing dual lines with one
syringe.... I would be using one per lumen !!!


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Nicastro, Margaret
Sent: Monday, November 07, 2005 12:00 PM
To: Lynn Hadaway; Kokotis, Kathy; Wendy Boersma; [EMAIL PROTECTED]
Subject: RE: Attention Manufacturers


Many institutions are going to pre-filled saline and heparin syringes. We just recently switched to prefilled syringes and it is great. Saves nursing staff time. Shoot for prefilled syringes.
Margaret

________________________________

From: [EMAIL PROTECTED] on behalf of Lynn Hadaway
Sent: Mon 11/7/2005 9:57 AM
To: Kokotis, Kathy; Wendy Boersma; [EMAIL PROTECTED]
Subject: RE: Attention Manufacturers



2006 National Patient Safety Goals state that syringes and any other
contains on a sterile field have to be labeled. Too many bad
outcomes, even death when solutions have not been labeled and have
been mixed up.

I am curious to know how this will be applied to other situations
such as catheter flushing. When nurses draw up multiple saline or
heparin filled syringes and use them throughout a shift with no
label. Has anyone had any feedback from JCAHO on this issue? Lynn

At 7:01 AM -0700 11/7/05, Kokotis, Kathy wrote:
The drug bottles are labeled.  Do you pre-fill the syringes?
Kathy

________________________________

From: [EMAIL PROTECTED] on behalf of Wendy Boersma
Sent: Thu 11/3/2005 6:16 AM
To: [EMAIL PROTECTED]
Subject: Attention Manufacturers



JACHO has blessed us with another survey as I speak.  One thing that was
strongly pointed out is that all medications will need to be labeled on
our syringes or a process identifying the different medications when on
our sterile field.  I guess I am asking what others approach will be to
this.  In our Cath Lab they have color coded syringes and this was
acceptable to the Physician surveyor but the manufacturer I use does not
have labels or color coded syringes in the tray that we are currently
using.

What will be everyone's approach to this.  Our process currently is we
use a small syringe and this is the Lidocaine.  We attach our saline
syringe immediately to the catheter when drawn up and our Heparin is on
the right side of our field.

Thanks for your input in advance.

Wendy Boersma, RN, BSN, CRNI
Infusion Therapy Services Coordinator
269-966-8591 or pager 269-410-0385


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--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861




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--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861

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