IV site changes/tubing changes???

  1. Hi just wondering how often people are changing IV site, bags and tubing?? We are currently re-doing our policies and wondering if items need to be changed as often as we are doing....q 24 hours on bags, q 72 hours on sites and tubing. Also does anyone know what the CDC recommendation for this is?? We will be researching from newborn to geriatric population and also those that come in with an IV started in the field and how soon to change that site. Thanks in advance for any help that you can give on this topic. Sharon
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  2. 12 Comments

  3. by   leslie :-D
    Quote from babies_r_us
    Hi just wondering how often people are changing IV site, bags and tubing?? We are currently re-doing our policies and wondering if items need to be changed as often as we are doing....q 24 hours on bags, q 72 hours on sites and tubing. Also does anyone know what the CDC recommendation for this is?? We will be researching from newborn to geriatric population and also those that come in with an IV started in the field and how soon to change that site. Thanks in advance for any help that you can give on this topic. Sharon
    bags- 24 hrs
    sites-q72h
    tubing-q72h, continuous; q24h ivpb
  4. by   barefootlady
    I think the policy you use now is universal to most institutions these days.
  5. by   RNPATL
    Quote from babies_r_us
    Hi just wondering how often people are changing IV site, bags and tubing?? We are currently re-doing our policies and wondering if items need to be changed as often as we are doing....q 24 hours on bags, q 72 hours on sites and tubing. Also does anyone know what the CDC recommendation for this is?? We will be researching from newborn to geriatric population and also those that come in with an IV started in the field and how soon to change that site. Thanks in advance for any help that you can give on this topic. Sharon
    We have recently change our policies regarding site changes as well as tubing changes.

    IV Sites - every 72 hours - researching is showing that 96 hours is ok.
    IV Tubing - every 72 hours
    IV Tubing for IVPB - every 36 hours
    IV Fluid - every 24 hours
    TPN Tubing every 24 hours
  6. by   Tweety
    IV sites and tubing q96 hours except tpn which is q24 with each new bag
    IV fluid bags q24

    A couple of years ago we went to q96 hours, but not sure which resource they used, perhaps the IV nurses association website can help you
  7. by   Dixiedi
    Quote from earle58
    bags- 24 hrs
    sites-q72h
    tubing-q72h, continuous; q24h ivpb
    Pretty standard around here too.
  8. by   babies_r_us
    Thanks for all your replies!! I think our institution is hoping to go to the 96 hour policy but needs the statistics to back it up. I am trying to find something on teh CDC website but not having luck. I will check the IV site also. thanks again.
  9. by   HamsterRN
    The current CDC recommendation is that both primary and secondary (intermittent) tubing be changed no more often than every 76 hours, except certain solutions such as lipids and blood. This is a class 1A recommendation, the strongest level of recommendation possible.
    http://multimedia.mmm.com/mws/mediaw...6661a5COrrrrQ-
  10. by   Christie RN2006
    If we are running cardene, our policy is site change Q12 hours.
  11. by   diane227
    tubing q 24 hours
    iv sites q 3 days. Can extend dwell if the patient has poor veins, is a hard stick. Extend dwell IV must be checked by the IV nurse.
  12. by   blondy2061h
    We change tubing and dressings every 4 days.

    We don't use peripheral IV sites, but when we do our official policy is every 4 days, but it also says if the site is showing no signs of distress we can go longer based on RNs judgment. Since pretty much none of us are able to start a peripheral IV, we let them go as long as possible. Generally, anyone that is there longer than 96 hrs gets at least a PICC.
  13. by   blondy2061h
    Quote from Tweety
    IV sites and tubing q96 hours except tpn which is q24 with each new bag
    IV fluid bags q24

    A couple of years ago we went to q96 hours, but not sure which resource they used, perhaps the IV nurses association website can help you
    We're also q24h on TPN.

    Also not sure where we got q96h, but it doesn't seem to be common.
  14. by   Chica_bella813
    I have been under the impression that IV sites and tubing were to be changed every 96hrs. I must look into the CDC site to see if anything has changed.

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