Antibiotic Tubing Antibiotic Tubing | allnurses

Antibiotic Tubing

  1. 0 Being a new nurse, I am running into alot of nurses jumping down my throat for doing things this or that way. And it often leaves me stuck as to what is personal preference vs standard of care. This weeks question, it standard practice to use a different PB tubing for each antibiotic or is it ok to hang 3 various antibiotics using the same line?
  2. 15 Comments

  3. Visit  xtxrn profile page
    0
    Check the facility policy and procedure manual- then YOU are covered. Don't rely on others for the info that will protect YOUR butt, and your patient's health

    Personally, I had different tubing for each med.
  4. Visit  Reno1978 profile page
    2
    I will sometimes hang different PB using the same lines if I'm 100% sure of compatibility - for example, I'll hang KCl after running a compatible abx. I typically use different tubing though, capping off the ends of each PB line. It doesn't take long to unscrew one, cap it, and plug in another one. Some nurses will back prime the line and use the same one, but it only took me one time of having something crystalize in my line that I stopped doing that.
    Quickbeam and xtxrn like this.
  5. Visit  xtxrn profile page
    1
    Quote from Reno1978
    I will sometimes hang different PB using the same lines if I'm 100% sure of compatibility - for example, I'll hang KCl after running a compatible abx. I typically use different tubing though, capping off the ends of each PB line. It doesn't take long to unscrew one, cap it, and plug in another one. Some nurses will back prime the line and use the same one, but it only took me one time of having something crystalize in my line that I stopped doing that.
    Yep. Having murky 'jello' form instantly in a tube that's moving at a fair clip towards the patient is not a good situation.
    apocatastasis likes this.
  6. Visit  talaxandra profile page
    2
    We mix almost all meds on site and most often administer via burette, so yeah, I usually use the same line, with a minimum 30ml N/Saline (or other compatable fluid) flush between drugs.

    However, you absolutely can't go wrong checking the policy of your hospital, ward or department.
    carolmaccas66 and xtxrn like this.
  7. Visit  merlee profile page
    1
    CHECK YOUR FACILITIY'S POLICY. Check with the pharmacy. Most want seperate tubings. Don't go with what people 'say'.

    I 'grew up' with different tubing for each med, and that would be my choice.

    Best wishes.
    xtxrn likes this.
  8. Visit  GGT1 profile page
    0
    If it's compatible, absolutely.
  9. Visit  StrwbryblndRN profile page
    0
    I use different tubing with each med. I am not opposed to using same tubing for compatible meds. But when I am rushed or have alot on my plate, I do not want to make a mistake, so I stay consistent just in case.
  10. Visit  That Guy profile page
    1
    Different tubing for each ABX is how I do it. I never know how well the previous nurse checked compatibility and dont want to run that risk.
    MN-Nurse likes this.
  11. Visit  MunoRN profile page
    0
    Our policy is to use the same secondary tubing to reduce infection risk. We use the same tubing regardless of compatibility using a back flush.
  12. Visit  Hay Nars, RN profile page
    1
    I always use a different PB line per antibiotic.
    I.E. Flagly has it's own, Zithro has it's own and Zosyn will have it's own. ;D
    Make sure to date all your lines! ;D
    xtxrn likes this.
  13. Visit  elthia profile page
    0
    Quote from MunoRN
    Our policy is to use the same secondary tubing to reduce infection risk. We use the same tubing regardless of compatibility using a back flush.
    I agree...I was taught the more often you break open the lines, the higher the chances of contamination and risk for infection.
  14. Visit  Tait profile page
    1
    With costs skyrocketing it is highly recommended to backflush and use the same tubing for subsequent antibiotics. Check with pharmacy on compatibility. Our hospital was even beginning to add notes to meds in the computer like "compatible with Zosyn" on commonly combined abx therapies so nurses would know it was ok to run them in the same line.
    talaxandra likes this.

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