Reply To: Closed System Transfer Device

  • Cara Johnson

    April 21, 2020 at 12:03 pm

    We were having issues also awhile back and we re educated because staff weren’t fully engaging the Spiros. There is a way to remove the Spiro if you pull the floating collar up and pull hard. The C clip will help prevent this however you still have to put the Spiro on correctly…….

    Cara Johnson RNIII, BSN, CPON®
    Clinical Manager
    Hematology/Oncology Inpatient
    Cincinnati Childrens Hospital
    Work: (513)803-0306
    Cell: (513) 490-9253
    Original Message:
    Sent: 04-21-2020 11:37 AM
    From: Ashley Varnes
    Subject: Closed System Transfer Device

    What closed system transfer device do you use on the end of your lines for chemotherapy?

    We currently use spiros and have had multiple issues with disconnecting and chemo spills.

    What do you use at your institution? If you use spiros, have you had an issue with disconnections?


    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN
    Clinical Practice Nurse Expert
    Cancer and Blood Disorders Unit
    MUSC Children’s Hospital