Reply To: Administration of Chemo through Syringe Pump

  • Jennifer Kellner

    April 19, 2022 at 1:43 pm

    We administer chemotherapy through a syringe pump.  Our pharmacy adds a spiros to the end of our syringe (locks onto the chemo syringe), which then attaches to a clave on tubing.  On the opposite end of the tubing is another spiros that connects to the patient.  Once chemotherapy is complete we unhook the syringe with spiros attached and add a normal saline flush to the clave to flush the line.  I can attempt to send you a picture if that is helpful or you have more questions.

    Jennifer Kellner, BSN, RN, CPN
    Montana Children’s
    Kalispell MT
    Original Message:
    Sent: 04-19-2022 11:48 AM
    From: Michelle Maixner
    Subject: Administration of Chemo through Syringe Pump


    We are seeing infants needing very small volumes of chemotherapy. I am curious of common practice when administering chemotherapy through a syringe pump. 

    Do you/how do you flush after the medication is complete? Our hospital policy will not allow us to disconnect the chemotherapy syringe to add a flush for risk of exposure. We are looking for the best practice when administering volumes less than 10 ml. 

    Thanks for your feedback!

    Michelle Maixner, RN BSN CPN
    Education Resource Specialist
    Children’s Memorial Hermann Hospital
    Houston, TX