IVPB antibiotics and saline locks....

  1. 1
    If your patient is getting IV antibiotics but does not need to get IV fluids in between receiving antibiotics, do you get new tubing each time you hang the antibiotic (let's say it's supposed to infuse every 6 hours over 30 minutes)? So once that 30 minutes is up, you disconnect the IV tubing from the patient, leaving just the saline lock so you have access for the next dose and the patient isn't tied down having the IV running unnecessarily. New tubing? Or do you plug the end of the IV tubing into a cleaned port of the IV tubing? Just curious...
    Joe V likes this.
  2. Get the Hottest Nursing Topics Straight to Your Inbox!

  3. 29 Comments so far...

  4. 1
    Flush the saline lock with 3 ml NS before any med administration. New tubing for antibx and bolus meds (if your patient needed a gram of magnesium for example) every 24 hours. Disconnect from the patient, cap the tubing of the antibx and flush the saline lock with 3 ml NS.
    bewilly likes this.
  5. 0
    And saline locks get changed every 96 hours (use to be 72...just recently changed) or if they stop working ie clot, infiltrate or get removed by mistake. Hope this helps!!
  6. 0
    All tubings MUST be dated as they are good for only 24 hrs. During an audit or survey, there could be be a meltdown if no date is found (same goes for enteral feeding tubings, IV drsgs, oxygen equip, etc). If there's no date, it really should be thrown out/changed. And that's an unnece$$ary wa$te that the facility has to eat the co$t.
  7. 1
    Shouldn't you hang a 500ml bag of NS and run 20 mls after the abx so the pt gets the remainder in the tubing, plus it doesn't dwell in the line?
    ArgentumRN likes this.
  8. 4
    Quote from amoLucia
    All tubings MUST be dated as they are good for only 24 hrs. During an audit or survey, there could be be a meltdown if no date is found (same goes for enteral feeding tubings, IV drsgs, oxygen equip, etc). If there's no date, it really should be thrown out/changed. And that's an unnece$$ary wa$te that the facility has to eat the co$t.
    All tubing? We change ours every 96 hours at my hospital. Except for tube feeding and TPN, those are both changed every day.
    KelRN215, wooh, Altra, and 1 other like this.
  9. 2
    Medication tubing is good for 72 hours, per the last facilty that I worked for.

    I always date mine and flushed with saline to make sure all the medication was out. IT IS NOT NECESSARY to get new tubing for each medication if the medications are compatible with each other and you are not leaving medication in the line.
    JennHepRN and wooh like this.
  10. 0
    Ok thanks. I've been doing it correctly but heard some things so I was just curious what some of you guys do. Thanks for the replies!
  11. 3
    Another thing that I do (check your facility's P&P, this is OK with mine) is to hang a 100 mL bag of NS on the primary and set it at 10cc/hr, then run all antibiotics as secondaries. I work nights, so this works fantastically for those patients who might be getting several doses during the night. I don't have to come in and wake them up often to hook or unhook their fluids. It makes for happier nurses and happier patients. Plus, it's cheaper for the hospital. We're allowed to hang our primary tubing for 72 hours, but the intermittent infusions have to be changed daily. It's way cheaper to change the secondary tubing than the primary.
    ellienix05, JRP1120, RN, and wooh like this.
  12. 0


Top