Policy on IV tubing/bag change? - page 2

I'm in a new unit and their policy on changing iv tubing/bags is different from where I worked. I looked up CDC guidelines (actually googled it and got sent to another site but it seems legit) and... Read More

  1. by   Marie_LPN, RN
    We still use the ruler-looking strips.
  2. by   augigi
    I was quite anal retentive in my ICU days - we had sticky labels with each commonly used drug name, or blank ones we could fill in (all different colours). I labelled every bag, line (at the top and at the patient) as well as labelling the pump chambers. One of the first things I did every shift.
  3. by   General E. Speaking, RN
    not to hi-jack the thread but I was wondering what y'all do about mult. IVPBs and the tubing. I was taught to back flush with the main IVF and keep one secondary tubing system in place. I guess I really need to check with our actual policy, but I frequently see numerous secondary tubing hanging on poles. Is this taught in school nowadays? I was taught there would be a greater chance of infection by switching the tubing back and forth, therefore, keeping the system as closed as possible was best.
  4. by   GatorRN
    Quote from augigi
    i was quite anal retentive in my icu days - we had sticky labels with each commonly used drug name, or blank ones we could fill in (all different colours). i labelled every bag, line (at the top and at the patient) as well as labelling the pump chambers. one of the first things i did every shift.
    glad to know i'm not the only one who has done this..lol. i felt lost until i got all my lines and pump chambers labeled accordingly. we didn't have the pre-made labels though, i wrote them all up, all different colors, of course.

    to the original question: all bags changed q 24h. all tubing changed q 72h. with the exception of tpn/ppn, lipids and diprivan which was changed q 24hours.


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    Last edit by GatorRN on Dec 4, '06
  5. by   ElvishDNP
    We change IVF bags q24hrs but rarely have to worry about bags staying up longer than that, as most of our fluids are going in at 100/hr or more and everything has to be on a pump.

    Tubing gets changed q72hr as do IV sites. The only (rare) exception is if there is someone who is a REALLY hard stick, the site is fine, and the pt is not complaining of tenderness/burning etc. Then we have to get the docs to write an order to leave IV site as until it goes bad or whatever. Like I said, that is very rare. But we also very rarely give vesicants and I am anal about checking my site anyway before and during if we do. Sorry for the digression.
  6. by   miko014
    Quote from kriso
    not to hi-jack the thread but I was wondering what y'all do about mult. IVPBs and the tubing. I was taught to back flush with the main IVF and keep one secondary tubing system in place. I guess I really need to check with our actual policy, but I frequently see numerous secondary tubing hanging on poles. Is this taught in school nowadays? I was taught there would be a greater chance of infection by switching the tubing back and forth, therefore, keeping the system as closed as possible was best.
    Depends if the IVPBs are compatible with each other or not. If they are, we use the same tubing. If not, we get another out. If It is compatible, I spike the bag and back prime also.

    For us, nothing (tf included) is to hang greater than 24 hours. Site/tubing changes every 72 hours. Someone said something about tubing every 24 hours and that reusing the same tubing for 3 days allows a greater risk for infection. But I can't think of many pts with a drip rate slow enough for a bag to last them 24 horus, so if that theory is correct, then wouldn't you need new tubing every time you changed the bag? I think as long as you are just unspiking one bag and popping it straight into the next one, it's fine. Just maintain the sterility of the spike. You know, like, don't lick it or anything. :spin:
  7. by   wooh
    Quote from miko014
    You know, like, don't lick it or anything. :spin:
    Ok, do you have evidence to back that up? I'd like to see the literature on that!!
  8. by   augigi
    Lucky coincidence - I am trying to cut down on licking hospital equipment this month!
  9. by   Christie RN2006
    Where I work, TPN bags and tubings have to be changed every 24 hours. IV lines going into a peripheral port have to be changed every 3 days, but lines going into a central line/A-line have to be changed every 2 days. IV bags have to be changed every 24 hours.
  10. by   RazorbackRN
    TPN/Lipids Q24
    Albumin Q shift
    Insulin Q24
    Vitamin C Q24
    All others Q72
  11. by   justpoorfect
    This is interesting. At a clinical site, my pt. had NS 20ml/hr KVO from a 1000 ml bag for 50 hrs. When I checked the tubing, it was tagged to be changed 9 DAYS EARLIER!!
  12. by   Christie RN2006
    Quote from justpoorfect
    This is interesting. At a clinical site, my pt. had NS 20ml/hr KVO from a 1000 ml bag for 50 hrs. When I checked the tubing, it was tagged to be changed 9 DAYS EARLIER!!
    Yikes... that is not good!
  13. by   miko014
    When we do NS @ KVO (20/h where I work), we use a 250 ml bag. It runs out after about 12 hours, but then you just hang another small one. It beats throwing away half a bag! Plus, it MAKES you change it. If it's dry, you have to hang another one. It's easy to look up and see that the bag is still half full and not think about changing it.

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