Lynn, to clarify, are you saying you would not use a cap of any kind with a continuous infusion, just hub-to-hub ?
We (in-hospital and for home) use a split septum or a luer accepting cap for all infusions, safety in case of disconnects is a big part of the rationale. Almost all of our home TPN patients are on cycled 3 in 1 infusions, and we have them change everything including the cap daily (and scrub the hub). They are taught to never interrupt the infusion. Penny On Sep 20, 2006, at 5:14 PM, Lynn Hadaway wrote: <excerpt>First, I would ask why you are using a needleless injection system for a continuous infusion? I have never seen the need for this. The CDC guidelines state that these injection systems need to be changed at the same time that the tubing is changed. When lipids are infusing, this means changing every 24 hours. Without lipids, you can change tubing and injection system every 72 hours. If it has to be changed at the same time, and it adds another connection plus cost, I can not see the need for its use with any continuous fluid. The only possible reason I have heard would be to make it easier for disconnection while the patient takes a shower. But should IV fluids such as TPN or any other medication be stopped for that period? Lynn At 3:44 PM -0700 9/20/06, sandy damico wrote: <excerpt>Sandy Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. <color><param>0000,0000,EEEE</param>Great rates starting at 1¢/min.</color> </excerpt> <fixed>-- </fixed> 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 </excerpt>
