Do you leave your med/flush tubing up? - page 3

by BittyBabyGrower

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Do you disconnect your tubing after each med and flush, or do you leave your set up there for X amount of hours? Also, does anyone use the trifurcated connectors with the filter built onto one of the tails? TIA... Read More


  1. 0
    Quote from iyqyqr
    Dopamine would be a drip and is y'd in with the Hal and Lipids , K would be given PIV and watched very carefully. All IV push meds and aby are given PIV except when the line is infected. This has been very hard for me to accept, esp since this is one of the top NICU's in the nation. They also gown, hat, and mask to prime or if they enter the CL, BUT use clean gloves and put all supplies on a CLEAN chux. Their infection rates were high, and I have some ideas why. After much discussion this is the protocol they arrived at and I feel the pt has paid the price. I haven't flushed so many PIV's since the early years of my 26 year NICU career. And this with a Broviac or PICC in place. Most babies have two and the sickest ones three PIV's. And with adult, not neo trifuses; oh, and all PIV's are on arm and footboards. Can you imagine trying to nest one of these pts? I have also been surprised that many units use the adult, red, white and blue trifuses. Do they not know that there are sweet neo brands, so our tiny ones aren't weighted down?
    OMG, this would drive me insane. Have the powers that be realized how much trauma they are causing these patients by all these IV sticks? Do you ever run out of veins? Those poor babies must be so uncomfortable, I can't imagine trying to position a baby with IVs on the majority of it's limbs. I think that maybe your admin has forgotten about other aspects of comfort and care.
    Last edit by Imafloat on Jul 12, '08 : Reason: spelling
  2. 0
    I would never be able to work in that unit. There are some things I will not tolerate in a unit, one being asinine policies that cause patients harm for no forseeable benefit....
  3. 0
    We leave our tubing up. If you are only running clears, the tubing is good for 72 hours. Everything else gets changed q24. So basically, everything gets changed q24 because we barely have a kid on jsut D10. Our infection rates have gotten a lot better, but still aren't up to snuff...I think we are talking about doing less tubing changes. 96 hours sounds awesome!
  4. 0
    We were just discussing our policy on tubing yesterday. The ONLY tubing that's left up for longer than 24 hours is TPN. All drips and lipids are Q24 changes. Things like antibiotics are tossed when the flush is done...even when there's another going up right after it.

    I know I'm new, right? So I'm not into irritating the war horses in my unit, but can someone explain WHY the TPN/Lipid change is sterile, when starting an antibiotic (or whatever) on the other side of the Y isn't? Why they give you the "tisk, tisk" lecture about accessing the lines too often, but then change med tubings 4-5 times a day?
  5. 0
    Quote from ilstu99
    We were just discussing our policy on tubing yesterday. The ONLY tubing that's left up for longer than 24 hours is TPN. All drips and lipids are Q24 changes. Things like antibiotics are tossed when the flush is done...even when there's another going up right after it.

    I know I'm new, right? So I'm not into irritating the war horses in my unit, but can someone explain WHY the TPN/Lipid change is sterile, when starting an antibiotic (or whatever) on the other side of the Y isn't? Why they give you the "tisk, tisk" lecture about accessing the lines too often, but then change med tubings 4-5 times a day?
    I don't know why you're changing tubing so often but I believe that TPN/lipid changes are sterile because the contents are such an excellent medium for bacteria growth.
  6. 0
    Does anyone use a Saf-T-Care system for IV meds? We use it with a small bag of normal saline. We change these out every 3 days.
    Last edit by Imafloat on Jul 17, '08 : Reason: clarify


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