Re: outpt infusion reusing IV tubing 72hr

[Lynn Hadaway]

Title: Re: outpt infusion reusing IV tubing 72hr

Even with proper labeling, I think it is a dangerous practice. Lynn

At 1:26 PM -0400 5/16/06, ann marie parry wrote:

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 -----

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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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-- 

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