Reply To: Closed System Transfer Devices and Dead Space

  • Katie Madril

    July 18, 2018 at 6:14 pm

    ​We went to equashield for our CSTD, about a year ago. We have not had issues, or aware of problems with air in the line. Pharmacy primes our syringe tubing with equashield connectors. We do not use the equashild syringe on our pumps, because they are not recognized/approved for alaris pumps. When nursing uses the equashild connector to attach a saline flush, I have not heard of air in the line being an issue or concern.
    What needleless connectors are you using? We currently do not use equashield closest to the patient because we felt that the connection was not secure with baxter one-link needleless connectors that we currently use.

    [Katie] [Madril], RN, CPHON
    [Clinical Nurse Educator]
    [Sutter Medical Center]
    [Sacramento], [CA]
    Original Message:
    Sent: 07-18-2018 12:44 PM
    From: Kathleen Montgomery
    Subject: Closed System Transfer Devices and Dead Space

    Hi All,
    We recently implemented Equashield for our closed system transfer device (CSTD). There is free air in the adapter(s) dead space that in some circumstances cannot be primed (e.g. syringe pump). The maximum free air is around 0.17mL. Curious if anyone has a contact at their institution to help address the following questions?

    1. What is the current threshold for pumps to alarm when detecting air in lines?
    2. Does your institution NOT use CSTDs on select IV administrations due to potential increase for air in line?

    Thanks so much,

    Kitty Montgomery, CNS,CPHON,PHD,RN
    Madison, WI
    United States