This specialty practice discussion group is intended for nurse educator members of APHON. Remember... View more
This specialty practice discussion group is intended for nurse educator members of APHON. Remember that anything published in this community can be seen by any member of the community. Please be considerate of the HIPAA Privacy Rule when posting to the community.
——————————————- Kristie Schulz Cardinal Glennon Children’s Hospital Waterloo, IL United States ——————————————-
——————————————- Original Message: Sent: 04-16-2014 03:58 PM From: Mary Lynn Rae Subject: Chemo via IV straight set vs. buretrol
This message has been cross posted to the following Discussions: Pediatric Chemotherapy Biotherapy Instructors and Nurse Educators . ——————————————- Hello:
For those of you that infuse chemotherapy via straight sets a few questions (there is currently a nationwide back-order of buretrols for Carefusion/Alaris): 1. Do you prime your straight set with saline? YES 2. If you do prime the straight set with saline what do you do for slow infusions? If the priming volume of our set is 25 mL/hour and the chemo infusion was going at 10 mL/hour it would take 2.5 hours for the 1st drop to hit the patient.. YES WE ARE AWARE OF THIS BUT FAST PRIMING IS NOT A PREDICATABLE PROCESS EITHER AND THIS MAY GIVE THE PATIENT A BOLUS OR YOU MAY LOSE MEDICATION. 3. Does your pharmacy ever prime the tubing with chemo for you? If so under what circumstances (i.e. a certain rate/hour)? NO STAFF PRIME THE LINE WITH SALINE 4. Do you fast prime the saline if necessary? and if so what is your rate limit (i.e. all drips < or = to 25 mL/hour)? Example: RNs (x2) would set the pump rate to 999 for 25 mL (priming volume of tubing) to let the saline go in fast and then the same 2 RNs would set the ordered chemotherapy rate/hour (both RNs not allowed to leave until the rates are changed). 5. If you do use a fast prime have you seen an increase in errors?
——————————————- Mary Lynn Rae Ann & Robert Lurie Children’s Hospital Chicago, IL United States ——————————————-