Reply To: Vesicant drug administration

  • Vanessa Bertini

    July 27, 2020 at 9:52 am

    Our policy is also 15 minutes or less, as that is the definition of an IV Push med, and free flow is basically that.

    Vanessa Bertini

    Original Message:
    Sent: 7/27/2020 7:34:00 AM
    From: Mary Lynn Rae
    Subject: RE: Vesicant drug administration

    Our policy is 15 minutes or less

    Mary Lynn
    Mary Lynn Rae, MSN, RN, CPHON
    NPD Practitioner/Clinical Educator:  Hem/Onc/SCT (LC17/LC18)
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    225 E. Chicago Avenue
    Chicago, Illinois  60611
    Phone:  312-227-4224
    Pager:  312-227-4000, ask for pager 74224

    Original Message:
    Sent: 7/27/2020 7:25:00 AM
    From: Loucine Kaplanian
    Subject: Vesicant drug administration

    Dear members,

    We are reviewing our chemotherapy/hazardous drug policy. With regards to vesicant drug administration, the infusion therapy standards of practice recommend peripherally infused vesicants to be administered free-flowing, up to a maximum of 60 minutes. In addition, they recommend that nurses “remain with the patient for the entire infusion”. The latter part is a little time-inefficient, since we cannot afford for the bedside RN to remain up to a whole hour with the patient (i’m thinking of our infusion unit staffing!).

    Does anyone have any practices they can share, and any literature to support?

    Loucine Kaplanian, RN