Kayla.01123

@MyAimIsTrue The order is for IVPB, so I feel like that means hanging it on a primary is technically not going by what the order says. Hanging a primary is solely for the purpose of ensuring the line is fully flushed to ensure the entire dose of medication is given. So the patient should not be getting any more than maybe 10 mL of fluid outside of the antibiotic- based on just setting the pump to infuse an extra 30-45 mL to help flush the tube. And if the patient is on a fluid restriction, maybe PO medications would be better.

@MunoRN I don't even know now. I was digging forever and couldn't find anything specific. I knew it had to still be an acceptable thing due to the decreased risk for infection with the disconnecting/reconnecting. I appreciate your info! @JBMmom Thank you!

Found an article that suggested the Infusion Nurses Society does not recommend backpriming secondary tubing from their 2016 recommendations. See the screen shot... I am trying to find a more recent bit of info or a better explanation as to why this might be. Any info is greatly appreciated!

@HappyCCRN1 YES- not only does it drive me crazy, are nurses who do this contributing to the development of those resistant organisms?? There's enough fluid in those IVs to be considered a substantial amount missed, especially if the patient is getting multiple doses a day for multiple days. As a former traveler- I saw this in every one of the 15 facilities I worked in... One facility even stopped stocking smaller IV bags and secondary tubing with the expectation that nurses were going in and flushing the IV line to be sure the patient got the whole dose. Ya sure...