Reply To: Management of Air in Line

  • Michelle Gillard

    September 28, 2018 at 11:35 am

    We use Spiros on the end of our primary tubing, so if needed, can re-circle prime the tubing to get rid of any air.


    ——Original Message——

    Many of us are reflecting on USP 800 guidelines and in doing so, are trying to support or refine current practices to stay as safe as possible.

    One area of concern we have, for ourselves and even non-oncology areas, are management of air that gets into IV tubing.

    Specific to hazardous drugs, how does your facility address actual air in the tubing?

    Are nurses getting into that tubing with closed system transfer devices? Are additional bags being attached? Is the tubing being replaced?

    This is not a question of preventing air in line; more focused on if it’s there.

    I’ve seen and heard variations, both in my practice and from colleagues.


    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Center
    Riley Hospital for Children at IU Health
    Indianapolis, IN