The answer is as simple as labeling - the tubing should be labeled with the
date and time it is hung and the the patient identifiers (ie name, DOB, Med
Record number) additionally there is labeling on the medication bag it is
attached to.
Ann Marie
----- Original Message -----
Sent: Tuesday, May 16, 2006 1:10 PM
Subject: RE: outpt infusion reusing IV
tubing 72hr
My bigger problem with this whole issue is how you would
absolutely guarantee that the correct tubing was used on the correct patient
when they came back subsequent days. One mistake would cost your
institution so much in a lawsuit that it would negate any savings you hope to
have--not to mention the potential of disease transmission, an allergic
reaction etc. I feel that saving a tubing from day to day is simply a
very bad practice in the outpatient setting regardless of what any standard
would allow you to do.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Behalf Of Lynn Hadaway
Sent: Tuesday, May 16, 2006 8:48 AM
To: Marilyn
Hanchett; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: outpt
infusion reusing IV tubing 72hr
Then my question to you is - In the
absence of evidence, what do we
use to guide our practice? Is this just
supposed to be a vacuum while
we wait for the science to catch up? I
totally understand the need
for evidence, but you know as well as I do
that many, many nursing
and medical standards and guidelines are written
on nothing less than
the professional opinions of experts. I am not saying
that is ideal,
but I am saying that until we have evidence, this is the
best that we
can do.
I am very curious to know what your approach
would be to any
situation when there are no studies, yet professional
organizations
are expected to provide some guidance on these issues.
Lynn
At 11:26 AM -0400 5/16/06, Marilyn Hanchett
wrote:
>So - once again - we have a "national standard" without
any evidence
>whatsoever to support it. This process, including the
"logic" behind it,
>is an embarrassment to all of us who advocate for
evidence-based
>practice.
>
>Even if you feel compelled to
defend the current (or previous) standards
>documents, this is just too
much. Good grief!
>
>Marilyn Hanchett
RN
>
>
>-----Original Message-----
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED]
On Behalf Of Lynn Hadaway
>Sent: Tuesday, May 16, 2006 9:54
AM
>To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
>Subject: Re: outpt
infusion reusing IV tubing 72hr
>
>This practice would be in
direct conflict with the INS standards of
>practice. This set would be
an intermittent set, therefore it should be
>changed every 24 hours
according to the INS standards of practice.
>CDC guidelines states this
is an unresolved issue. There are absolutely
>no studies that have
looked at the use, change interval or anything
>regarding sets used for
intermittent infusion. This is the reason for
>the INS standard of
changing every 24 hours. You are manipulating both
>ends of the set
frequently. Based on principles of basic infection
>control and in the
absence of any studies, it seems wise to follow the
>standards. One the
other hand, your facility could do a study of this
>practice and publish
your findings which would benefit everyone. Also,
>the INS standards
apply to all settings.
>While primary and secondary sets should be
changed no more frequently
>than 72 hours, INS separates the
intermittent sets and this would apply
>to both inpatient and outpatient
settings.
>
>One other thought is that you would need to have a
foolproof method to
>make sure that the right set gets hooked back to
the right patient each
>day. I can imagine lots of cross-contamination
between patients if they
>were to get mixed up. With busy, understaffed
units, I can easily see
>this happening. Lynn
>
>At 7:50 PM
-0400 5/15/06, [EMAIL PROTECTED] wrote:
>>To
reduce cost a suggestion was made to reuse the IV tubing for
72hours
>
>>on a patient that comes in for daily infusion. The
patient would have a
>
>>PICC and come for maybe daily abx's.
The infusion is done the tubing
>>flushed with NS, disconnected from
the PICC and a sterile cap placed on
>
>>the IV tubing. It is
stored in the med room and used by the same pt for
>
>>3
infusions.
>>We have been discarding the tubing daily and replacing
with new IV
>>tubing daily.
>>
>>Any support for or
against this suggested practice. P&P is for tubing
>>change 72
hrs but that was written for
inpt
>>
>>Thanks
>>
>>Pat
Dobson
>
>
>--
>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
--
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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