Quote from MunoRN
Medications are defined by purpose, not by the container they come in, whether you're flushing with a syringe or a bag it makes no difference.
I thought NS flushes were a device, not a medication.
If intermittent bags are overfilled with priming volume in mind, which is the case at my facility, then the patient will still receive the full dose.
Also, while infusing 10mL from a pump might be an adequate flush for a PIV, it's not a substitute for pulsatile flushing, as is protocol for CVADs in my facility.
Keeping the patient tethered to an IV pole interferes with mobility, and the risk of the patient unintentionally pulling out their IV is increased. To counteract these things, you disconnect the patient from the line when it's not in use, so you end up manipulating the connections the same amount anyway.
Don't misinterpret me; I actually agree with you. I'm just playing a bit of Devil's Advocate here. I have bumped up against the policy that forbids hanging fluids when not ordered by the physician, because it makes no sense to me. It seems ridiculous that a practice that can increase RN efficiency and decrease infection risk is forbidden at my facility. The rationale I was given was that it was because of the risk of fluid overload in the event of incorrect pump programming, free flowing fluid, etc.
Whether it is a bad practice policy is debatable. Studies of PIV associated infection rates are slim. Evidence one way or the other is not conclusive, as far as I know. All we are left with is our opinion.
Regardless of what you and I might think about it, it is against policy in some facilities, and I think that bears keeping in mind. That's why I originally stated that if one is going to follow this practice (assuming it is not P&P), be careful that your co-workers are not looking for a reason to throw you under the bus.