Reply To: Closed System Transfer Device

  • Ashley Picca

    April 21, 2020 at 11:47 am

    Yes – we did re-education last year and have had continued problems with increasing frequency.

    We also switched to the spinning spiros when all of this began a couple of years ago.

    Our quality and safety manager put out a message with SPS and had many replies with similar Spiros issues.

    During a meeting today with Spiros they said that the issue may lie with our tubing. We use BD tubing and Spiros said that the BD tubing has one less thread and that could be an issue and recommended an extension piece with a bonded spiros. 

    We are looking to trial three different products (including the bonded spiros extension) and curious as to what other institutions use and their thoughts?





    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN

    Clinical Practice Nurse Expert

    Cancer and Blood Disorders Unit

    Pediatric Hematology/Oncology

    Medical University of South Carolina

    Shawn Jenkins Children’s Hospital 



    ——Original Message——

    First step is to re-educate:  are the staff pushing it first into the tubing (I keep the Spiros in the package and take the back of my hand to engage or push it to the end of the tubing and then twist. 


    If that does not work ICU medical makes a c clip goes between the spiros and spin collar….have them bring you a sample! (ICU medical)



    Mary Lynn

    Mary Lynn Rae, MSN, RN, CPHON

    NPD Practitioner/Clinical Educator Hem/Onc/SCT

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | |

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991



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