Do you change your TPN tubing Q24 or Q72??
- 0Dec 9, '06 by KimbalouAt my last job in the NICU, we changed our TPN tubing Q72 hours, this seemed to help our infection rate. At my new job we change it Q24 hours. We have a problem with infections in the new unit. Of course the TPN itself is changed Q24, I'm just talking about the tubing. I'm wondering if breaking into the line Q24 is not a good idea.
If you have any literature supportng Q72, could you please let me know?
I'm trying to give my manager some clinical evidence.
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- 0Dec 9, '06 by augigiAccording to the CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections:
Peripheral venous/midline catheters: Replace intravenous tubing, including add-on devices, no more frequently than at 72-hour intervals unless clinically indicated. Replace tubing used to administer blood, blood products, or lipid emulsions within 24 hours of initiating the infusion. Complete infusion of lipidcontaining parenteral nutrition fluids (e.g., 3-in-1 solutions) within 24 hours of hanging the fluid. Complete infusion of lipid emulsions alone within 12 hours of hanging the fluid. Complete infusions of blood products within 4 hours of hanging the product.
Central Venous Catheters/PICCs: Replace intravenous tubing and add on devices no more frequently than at 72-hour intervals. Replace tubing used to administer blood products or lipid emulsions within 24 hours of initiating the infusion. Complete infusions of lipid containing fluids within 24 hours of hanging the fluid.
- 0Dec 10, '06 by KimbalouQuote from dijaqrnYes, I know. We change our bags and tubing BOTH Q24. Where I used to work we changed the TPN bag Q24, but the tubing was changed Q72.Where I work the standard for TPN tubing is q 24 with the bag because of the glucose content of the solution!!!!!!!!
Please re-read my original post if you don't understand my question.
- 0Dec 10, '06 by KimbalouQuote from P_RNThanks for the link. It says to not change the IV tubing more frequently than every 72 hours, so that definately answers my question! I'm going to bring this to work.CDC recommendations only address TPN lipid content and that is to change the tubing q 24h.
Erratum: Vol. 51, No. RR-10
- 0Dec 10, '06 by augigiQuote from KimbalouActually, no it says any lipid containing solutions should have the administration set changed q24hrs.Thanks for the link. It says to not change the IV tubing more frequently than every 72 hours, so that definately answers my question! I'm going to bring this to work.