Answers below your questions:
At 11:40 AM -0400 9/20/06, Beverly Reynolds wrote:
I have a couple of questions for folks on the listserv.
Is "back priming" the method of choice for priming tubing for your
secondary infusion (mini-bag). Staff do this to maintain a "closed"
sysytem. (Use the primary solution to prime the secondary tubing.)
Yes, a perfectly acceptable technique if the secondary medication is
compatibile with any medication that may have been added to your
primary fluid.
Under what conditions is this acceptable?
The only time it would not be acceptable would be when there are drug
incompatibilities between the durgs in the primary fluid and the
secondary medication.
If you have 3 different secondary medications, do you use the same
tubing for all 3 infusions or do you use a separte tubing set for each
drug.
Same secondary set for all 3 medications if there are no
incompatibilities. If you have a system that will accommodate 2 or 3
secondary sets connected at the same time, you can have a dedicated
set for each medication, but this depends upon the type of needleless
connection system being used.
How often do you change the secondard tubing?
According to INS standards, when the secondary set has remained
connected to the primary set and **not** been disconnected, both sets
can be changed together no more frequently than at 72 hour intervals.
If you are using the same tubing for all of your secondary infusions,
is it still acceptable to "back-prime"?
Yes, that is the purpose of backpriming, saves nursing time, saves
money on secondary sets.
Lynn
--
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
