Last edit by Chuckie on Jan 18, '03
Feb 25, '01
Originally posted by Chuckie:
What are your policies of filtering IV Lines on Pediatric patients.
For years we have filtered all IV Lines and are planning on elliminating them. One of our Nurses is bent out of shape saying the tubing will be too short without a filter extention set on the line. This is a minor concern to me but am interested in what other facilities are doing.
Also is there problems with Phlebitis, Air in lines and particulates in the tubing? I believe if the technique of hanging the IV is correct then there should be no problem. I do know technique is usually an issue everywhere.
We only use filters when infusing certain meds or parenteral nutrition. For example, we use filters with Remicade, Dilantin, etc. We use pumps on all our IV infusions, so air in the line causes the pump to alarm and stop infusing. We do not seem to have a high rate of phlebitis or air in lines. As for the tubing not being long enough, that is just not a problem at all.
Mar 1, '01
We too only filter certain infusions. We have not used filters routinely for years. We do not have problems with "short lines" since we utilize burretrols to assist control of volume which is the greater issue. We also used pumps and lock outs to keep the amounts appropriate for age/size etc. No increase in phlebitis has been seen.
Jun 23, '01
I work at a children's hospital in Canada.
We use filters on all infants, immunocompromised patients (oncology, burns, SCIDS), in ICU, and when specific drugs require them.
Last year a small child died here by tangling himself in the IV tubing. It was horrible. So please always keep tubing lengths to a minimum. It may make more work and tactical moves for us, but we learned the hard way what can happen otherwise.
Jun 27, '01
Our hospital policy states that filters must be used on all central lines in patients under 10 kgs, for TPN Basics regardless of line type, for children with cyanotic heart defects and for certain meds as noted in our PPDM (Pediatric Parenteral Drug Manual). It is considered a breach in safe practice to omit a filter in any of these cases, and is written up as an incident. My philosophy is, "When in doubt, use a filter." Saves seeing my name on an incident report...
Jun 28, '01
We use them for all meds unless contraindicated for a specific med. We also use them for central lines and hyperal. We use non-filtered if a patient is only getting maintenance fluids. We've had no problems with tubing length (also use the burettrol's) or with air in the line. Hospital has actually encouraged us to use filters less, but as a previous poster implied.."better safe than sorry" is my motto!