EBP re Soda Laim

towntalker · Apr 19, 2008

WELCOME TO SITE

looking forward to seeing your posts

WVUturtle514 · Apr 19, 2008

Hi copycake! To be honest with you, not too many CRNA's come to this site anymore. If you're looking for relevant answers to your clinical questions then I would strongly suggest looking at the website for the American Association of Nurse Anesthetists (http://www.aana.com) It has a lot of information about practice guidelines in the US and also has links to some good websites where you might be able to find more answers. PM me if you have any questions!!!

ebear, BSN, RN · Apr 19, 2008

Copycake, for some reason, I think it's 30 days! Just go to the top of this page and click "advanced practice nursing", then the CRNA forum. They will know over there! Good luck! :wink2:

ebear

allnurses Guide · Apr 20, 2008

Hallo Allnurses:redbeathe
I am CRNA and new in this forum.
want to say Hallo and ask for help, information...
I'm Swiss and now, for last 15 months, living & working in UAE :bowingpur.
What a difference !
At the moment am trying to establish some SOP's and Guidelines in my new working place and need help in regard to maintainance of Soda Laim.
(Back home we've stopped using it for ages?!)
As in my current hospital the PPG's, SOP's, POP's etc are equivalent to yours in USA, I was wondering if someone could help me in following:
For how long can Soda Laim be kept in its container, not beeing used but attached to anesthetic machine ? One month? Two?
Evidence Based Practice would be ideal but I also would appreciate any other link.:pntlft:
Yours sincerely
Copycake

Here is what I found on the web. This is from the anesthesia patient safety foundation journal. The specific information you are looking for is on page 28 on the right hand side. It should help you set up an SOP. Also, you should go by the manfucture's recommendations when setting up your SOP. http://www.metropolitanmedical.com/attachments/APSF%20Newsletter%20Summer%202005.pdf

I hope this helps.

jwk · Apr 21, 2008

For how long can Soda Laim be kept in its container, not beeing used but attached to anesthetic machine ? One month? Two?
Yours sincerely
Copycake

How long are you keeping it out unused? If you go weeks at a time without using a machine, I wouldn't put any in until you're ready to use it.

Our practice is to change one of the two canisters every week, regardless of how much the machine has or hasn't been used. Each canister is dated when opened and installed. Each Monday morning, the oldest of the two canisters is discarded, the other canister is moved to the position where the older canister was, and then a new canister put in place. That assumes of course that a canister hasn't become exhausted during the week, which I don't ever see in our high-volume practice.

And why Monday mornings? Just in case someone left the O2 flowing over the weekend, totally dessicating the soda lime that's on the machine. We start each work week with at least one fresh canister.

copycake · Apr 21, 2008

How long are you keeping it out unused? If you go weeks at a time without using a machine, I wouldn't put any in until you're ready to use it.
Our practice is to change one of the two canisters every week, regardless of how much the machine has or hasn't been used. Each canister is dated when opened and installed. Each Monday morning, the oldest of the two canisters is discarded, the other canister is moved to the position where the older canister was, and then a new canister put in place. That assumes of course that a canister hasn't become exhausted during the week, which I don't ever see in our high-volume practice.
And why Monday mornings? Just in case someone left the O2 flowing over the weekend, totally dessicating the soda lime that's on the machine. We start each work week with at least one fresh canister.

dear jwk, thanx 4 replaying. Althought it was some time ago, I do have a general experience in using SL. (I even remember switching the exchang policy from Fryday on Monday out of same reason you mantioned!). But the situation that I recently was faced with is about the a.mashine on radiotherapy dprtmnt for a treatmant of onko pediatrics. As that kind of treatment hapends once or twice a year! I'm prety sure that keeping SL for unlimited time isn't a safe practice. What you suggested it's exactly what I've done: took the container asaide and now keeping it empty until use. To make it applicable as SOP and for QI chart, I now need either an EBP or approved source of information.

Anyway, thank you so much for your help.