RE: Inclusion/exclusion criteria for IV to PO conversion

Brenda Seaver Fri, 28 Jul 2006 07:48:31 -0700

Title: RE: Inclusion/exclusion criteria for IV to PO conversion

Hello everyone, I am sorry to tag onto your topic here, but I have had some trouble posting. I have a question to put out to those working in homecare. We are trying to evaluate the necessity of sharps containers. At the present time the nurses all carry a small box. We only dispense containers to patients receiving blood products like Prolastin, IVIG where the nurse mixes in the home. The glass bottles are disposed of in the containers. All our products except SubQ sets are safety. Are other agencies having their nurses carry sharpstainers? Would it be OK to just double bag everything? I appreciate any feedback you may have.

Brenda

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lynn Hadaway
Sent: Friday, July 28, 2006 9:46 AM
To: Patricia Howell; [EMAIL PROTECTED]; Vascular List Serve; Venous Listserve
Subject: RE: Inclusion/exclusion criteria for IV to PO conversion

I have been looking at the entire set of literature on catheter flushing for over 2 years now and have not seen many about sodium citrate, although there are a couple of articles that mention it. It is often used in combination with taurolidine in some studies. But the bottom line is it's commercial availability. Marc Stranz may have to address this for us, but I am not aware of any of the alternative flush solutions that has actually made it into a commercial product yet. Do you have a compounding pharmacy that will make it for you? Lynn

At 8:11 AM -0500 7/28/06, Patricia Howell wrote:

Hello everyone!

I'm searching for evidence based practice research on the use of Sodium Citrate to maintain patency of PICCs versus Heparin. Has anyone completed this type of study? Our librarian hasn't been very successful with her searcher, so I'd thought perhaps your institution may have or be in the process of looking at an alternative flush solution to maintain PICC patency. We as an institution are no longer going to use Heparin flush bags for swans & art lines. Any information would be appreciated.

[EMAIL PROTECTED]

-Via Christi

-929 N. St. Francis

-Wichita, Kansas 67214

-(316) 268-5597 or (316) 689-5795

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Rebecca Satarawala
Sent: Friday, July 28, 2006 7:00 AM
To: 'Lynn Hadaway'; 'Vascular List Serve'; 'Venous Listserve'
Subject: RE: Inclusion/exclusion criteria for IV to PO conversion

This is what one of my PharmD friends sent me (and this is what my other RPh associate was looking for):

Are you referring to IV antibiotic to PO conversion? Usually this conversion is the most common conversion that demands criteria:

Clinical improvement in signs and symptoms
Afebrile or consistent improvement in fever over a 24 hour period
WBC count normalizing
Infection being treated does not require IV therapy
(e.g., endocarditis, meningitis)
GI absorption likely normal
(absence of vomiting or abnormal GI anatomy)
Ability to receive oral dosage form either orally or via tube (concomitant oral or via tube administration of other meds)

The above criteria is used in the LTC setting by the consultant RPhs.

Rebecca Satarawala, RN, BSN, CRNI

3445 Guilford Ave NW

Canton, OH 44718

330.353.0722 mobile

330.491.1896 fax

[EMAIL PROTECTED]

Infusion Expertise You Can TrustŠ.

From: Lynn Hadaway [mailto:[EMAIL PROTECTED]
Sent: Wednesday, July 26, 2006 11:04 AM
To: [EMAIL PROTECTED]; Vascular List Serve; Venous Listserve
Subject: RE: Inclusion/exclusion criteria for IV to PO conversion

This decision is a drug-specific thing. For instance, Vancomycin IV and Vancomycin PO are for distinctly different indications and can not be switched. I have not ever worked with any written guidelines for this conversion. It has always depended upon the medication, the patients ability to tolerate PO fluids and meds, and the physician's order. Lynn

At 3:33 PM -0400 7/24/06, Rebecca Satarawala wrote:

Sorry my note wasn't clear. It is for Conversion from IV meds to po meds, e.g., antibiotics. I was asked this by a pharmacist who has not had alot of experience with infusion therapy. I know the pharmacy I used to work for had inclusion/exclusion criteria, however I don't have that information anymore.

Rebecca Satarawala, RN, BSN, CRNI

3445 Guilford Ave NW

Canton, OH 44718

330.353.0722 mobile

330.491.1896 fax

[EMAIL PROTECTED]

Infusion Expertise You Can Trust·.

From: Lynn Hadaway [mailto:[EMAIL PROTECTED]
Sent: Friday, July 21, 2006 11:25 AM

To: [EMAIL PROTECTED]; Venous Listserve; Vascular List Serve
Subject: Re: Inclusion/exclusion criteria for IV to PO conversion

Conversion of what? Fluids, meds? I am not sure what you are asking. Lynn

At 9:06 AM -0400 7/21/06, Rebecca Satarawala wrote:

Does anyone have any guidelines you would be willing to share for inclusion/exclusion criteria for IV to PO conversion?

Marc-any thoughts??

Thanks!

Rebecca Satarawala, RN, BSN, CRNI

3445 Guilford Ave NW

Canton, OH 44718

330.353.0722 mobile

330.491.1896 fax

[EMAIL PROTECTED]

Infusion Expertise You Can Trust·.

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

RE: Inclusion/exclusion criteria for IV to PO conversion

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