1,761 Posts
I would vote for just wasting and starting over. IV infections are no joke and at two days, if the tubing is truly contaminated from too long of use, so is the fluid bag that's hanging. So continuing to infuse contaminated fluid just seems like a bad idea. One HAI from IV tubing costs way more than the wasted bag.
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3,498 Posts
If hospital policy says they go after 96 hours and there's no order allowing it to stay in place longer than that, I'd say to change the tubing and half-empty bag entirely. IV bags and tubing are pretty darned cheap... and a whole lot less expensive than treating for a hospital-acquired sepsis. If I were a hospital accountant, I'd much rather pay > $20 for new catheter, tubing, and fluids every 4 days than pay thousands for additional days, medications, high-level care, etc. From a cost perspective, infection control perspective, it's a no-brainer. Change it out.
886 Posts
ixchel
4,547 Posts
Well.... You've already saved money on the tubing by having it sit an extra 2 days, so maybe it evens out a little? :)
At two days, I vote pull it all down and start over. I'd probably just pull it and start a new bag regardless of the time past expiration and starting the fluids. It sucks, but so does sepsis and phlebitis.