A fellow ICU nurse who was trained in another facility said that reusing IV tubing, let's say for a new bag of LR, is a no-go. If the tubing that is re-spiked with a new bag of whatever is less than 72 hours old, is this a problem? My fellow RN says it is an infection control issue and to never re-spike or reuse IV tubing even if the tube is not expired. Personally, I've been taught it is alright, provided you change it in a sterile fashion. I don't think we have a policy on this.
You also should be adhearing to the recommendation of the manufacturer of the Propofol, and have not seen them change it from the 12 hours as of yet. The 100 ml bottles are also good for only 6 hours and this has not changed either.
CDC guidlines are for respiking and changing the tubing q 96 hours. Although many institutions still go with the 72 hour rule. Exceptions are TPN and Lipid containing products (like propofol) must be changed q 12 hours and/or q 24 hours because of their high infection control risk.
I tend to hang new tubing when I come on shift (as things run out). I always hang brand new tubing when my propofol runs dry.
On our unit we change:
IV tubing every 48 hours
TPN tubing every 24 hours
Electrocath tubing every 48 hours
Transducer lines every 72 hours
Enteral feed giving sets every 24 hours
Vent tubing every 7 days (same for bipap circuits)
HMEs at least daily, or if waterlogged
Everything is dated as it is put up. We change tubing if there is no date sticker.
All patients are screened for MRSA (nose and groin swab) on admission. We also take urine sample for culture and sensitivity at the same time.
We have strict infection control policies and it seems to work.
What I don't like is where bags of antibiotics etc are given and just left there hanging till the next dose is due. I tend to throw them away and get fresh tubing.
CDC guidlines are for respiking and changing the tubing q 96 hours. Although many institutions still go with the 72 hour rule. Exceptions are TPN and Lipid containing products (like propofol) must be changed q 12 hours and/or q 24 hours because of their high infection control risk.
I have been thinking about Propofol. We don't have any special guidelines for it at all...I am going to check into this.
Does anyone have any references/literature etc they could share?
A fellow ICU nurse who was trained in another facility said that reusing IV tubing, let's say for a new bag of LR, is a no-go. If the tubing that is re-spiked with a new bag of whatever is less than 72 hours old, is this a problem? My fellow RN says it is an infection control issue and to never re-spike or reuse IV tubing even if the tube is not expired. Personally, I've been taught it is alright, provided you change it in a sterile fashion. I don't think we have a policy on this.
What say you and what says your facility??
Chris
ICU Navy Nurse in Germany
:typing
Hi! I'm an Infection Prevention and Control Nurse, actually as per Centers for Disease Control (CDC) Guidelines, the IV tubings can be used for 72 hours given that everything will be changed too within 72 hours, which will include the IV Catheter perse, meaning we will reinsert the catheter. All needleless devices with it will also be changed all within 72 hours. The IV bag however should be ideally changed every 24 hours (even for orders of keeping vein open ). It is an established policy here in our hospital. You can browse the this guideline at http://www.cdc.gov
hi sarahrain, it depends on the antibiotic actually. If it is Vancomycin then it will take time, since you cannot give this antibiotic on fast drip or even in bolus since it can cause the Red Man Phenomenon if given in fast drip or cause extravasation if given concentrated by bolus... they say all IV bags (CDC) except for some special bags can only be infused for 24 hours.. especially plain IV lines (those without additives)
Specializes in Not too many areas I haven't dipped into.
Tubing 72 hours, TPN,propofol, ativan, and antibiotic tubing 24 hours
wE ARE 96 HOURS ON MOST TUBING
TPN, Ativan Q24
propofol q12 hrs
You also should be adhearing to the recommendation of the manufacturer of the Propofol, and have not seen them change it from the 12 hours as of yet. The 100 ml bottles are also good for only 6 hours and this has not changed either.
only good for 6 hours? I did not know that. Thanks
suzanne4, RN
26,410 Posts
You also should be adhearing to the recommendation of the manufacturer of the Propofol, and have not seen them change it from the 12 hours as of yet. The 100 ml bottles are also good for only 6 hours and this has not changed either.