Published Nov 13, 2009
VAJenny
34 Posts
Does anyone know how I can get information from the infusion nurses standards journal?..the latest one??..don't they publish new mags ever year?
I need to know what is the current standard on changing secondary tubing sets.. my facility has started changing secondary iv tubing along with the primary and the flush bag every day now.. it used to be every 3 days... if the patient has a continuous iv infusing then it is still changed everyday.
I am just needing some clarification on this
iluvivt, BSN, RN
2,774 Posts
I believe they say continuous is every 72 hrs..and primary intermittent is every 24 hrs...so if you have a locked VAD and you are using it say q 12 hrs for Vancomycin.that should be every 24 hrs..also remember TPN is usually changed every 24 hrs and some fat based drugs are every 12 hrs ..a secondary that is not disconnected can stay in place as long as a continuous can in your facility..it is the constant connects and disconnects that increase the potential for infection
mykrosphere
151 Posts
changing tubing every day is expensive!
we change all iv tubing every 3 days (if it is labeled....if not labeled, then i change it, and date it, for 3 days)
the only tubing change we do every 24 is tpn/ lipids
AMarie85
22 Posts
Can someone tell me why our facility policy has now changed to IV site and tubing changes to every 96 hours???? Has research shown that this should be the new standard?
It used to be 72..... I would think this is an infection risk....
(exceptions are TPN, LIPIDS, and intermittant infusions)
Rexie68
296 Posts
Our 500 bed hospital changes continuous primary tubing every 96 hours and intermittent tubing every 24 hours, with exceptions such as TPN and propofol as mentioned above.