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We used to do that. But we had to increase the rate of the infusion to make up for the extra tubing. And there is also extra volume. We changed to circle priming recently and we haven’t had any issues since!
Tracey Mickens BSN,RN
The Children’s Hospital of San Antonio
Pediatric Oncology, Hematology and Rheumatology clinic lead
——————————————- Original Message: Sent: 7/15/2021 9:47:00 AM From: Sarah Eidt Subject: Chemotherapy
Hello all! I have recently transitioned to a new hospital that uses SECONDARY INFUSION (on normal saline line) to hang chemotherapy. My institution administered as a primary infusion only, with some chemotherapies primed by pharmacy (24 hr infusions and high reactive meds). What are some other methods being utilized? From my understanding the chemotherapy should be in primary tubing directly to the patient. If there are any other institutions utilize secondary infusions and have issues please let me know. I am looking into literature to support EBP change.
—————————— Sarah Eidt,BSN, RN CNL Hem/Onc Division USA Childrens and Womens United States ——————————