This is a recurrent debate where I work and it's come up again so I'm looking for how this is generally interpreted:
The first disagreement is about how do we define "intermittent" tubing. Is it tubing that is infusing intermittently or tubing that is connected intermittently.
If we define it by being intermittently connected, do we say that all disconnections make the tubing "intermittent", or is it just when tubing is disconnected for periods between medications and is left unattended. And depending on that answer, how often is it changed.
I'd be quite happy with just answers to these questions, but if anyone can support their policies with evidence or rationale then that's bonus points. (Yes, we've tried to clarify this with the INS with no response for many years).