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For those of you who don't change your clear fluids every 24 hours, do you have any research resources for that?
Our unit changes ALL tubing every 24 hours no matter what the fluid is, TPN/IL, clears, vasoactive drips, etc. My concern is that at one point we had the highest rate of CLABSI's in our hospital and I am suspecing it is partly because of the frequency that we change our fluids.
It's always dumbfounded me because it is drilled into our heads that we don't ever want to break the line on our central lines especially but yet here we are breaking into them every 24 hours when it may not be needed. Especially when you have a PICC line with fluid going at 0.5 or 1 mL/hr just to TKO.
I have a question on dopamine infusion practices. This may have already been covered. I have been away from the bedside for 6yrs now I did NICU in Level III for 7yrs. How often dose dopamine drip have to be changed? I seem to remember it being every 24hrs, but I can't seem to pull from that part of my brain right now...Thanks so much for any input! Kari[/quote']
We change TPN/IL bags and tubing every 24 hours. Anything that may be running in the same lumen as that also needs to be changed. Clear fluids we change tubing q96, and pharmacy is usually good about sending bags with enough fluid to last so we don't break lines. Used to be that TPN tubing was q96, but no longer in case the ingredients change (they may also expire, I can't remember). We also do our line changes as sterile as possible (hat, mask, sterile gloves, yellow gown, on a sterile towel) and we use curos caps quite religiously.
kthelander
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I have a question on dopamine infusion practices. This may have already been covered. I have been away from the bedside for 6yrs now, I did NICU in Level III for 7yrs. How often dose dopamine drip have to be changed? I seem to remember it being every 24hrs, but I can't seem to pull from that part of my brain right now...
Thanks so much for any input!
Kari