I just started at a new institution and am a little puzzled by one the the practices on the floor. When an IVPB gtt such as Zosyn or Vanco is written for a pt who's not on IV maintenance fluids/heplocked, the nurses here will connect and run it without setting up a 0.9NS primary. They just put the abx gtt on primary tubing, program the pump and run it (at the correct rate) until the pump alarms IV-complete.
My gut reaction is this is not a good thing, but of course that may be because it's new and strange to me. I'm uneasy about it, but can't think of a reason not to do this. Any thoughts?