Reply To: Chemo bag overfill

  • Kathleen Stakes

    Member
    August 15, 2014 at 4:13 pm

    I think part of the inaccuracy problem may have to do with tubing and pumps.  DEHP free tubing which is usually used for Chemo at our institution is stiffer and has an error rate which increases depending on the length of the infusion.  We also use the Sigma Pumps and if the distance between the primary and secondary is not 18 in. it causes variability in how the fluid runs in the pump.  Very frustrating.

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    Kathleen Stakes
    Massachusetts General Hospital
    Winchester, MA
    United States
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    Original Message:
    Sent: 08-15-2014 03:46 PM
    From: Sandra Randall
    Subject: Chemo bag overfill

    Our hospital brought in the Institute for Safe Medication Practices (ISMP) who informed our hospital that weighing chemo bags is not a practice that should be utilized. ISMP further stating that chemo is a high risk medication and there should be no guessing as to rate and total volume for the nurse to guess or weigh.   Per ISMP, pharmacy is to start with an empty bag and measure every ml and mark the chemo bags with exact ml volume.   Our pharmacy is starting to make those changes.  Prior to this action nurses were weighing bags.
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    Sandra Randall
    Nurse Manager
    Doernbecher Children’s Hospital
    Portland, OR
    United States
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    Original Message:
    Sent: 08-15-2014 03:28 PM
    From: Mary Lynn Rae
    Subject: Chemo bag overfill

    Our pharmacy weighs all of the chemo bags before delivery to the floor and if there is > 5% difference they will re-make. 

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    Mary Lynn Rae
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 08-11-2014 02:14 PM
    From: Traci Marsh
    Subject: Chemo bag overfill

    Hello all,

    We are currently having some issues with the amount of overfill noted in our chemotherapy bags, more commonly Ifosphamide and Etoposide. I was just curious to see if anyone else has issues with overfill in the bags and if so what do you do to correct or help with that issue. We have already spoken to pharmacy and they state they do everything correctly on their end. I wasn’t sure if anyone weighed the bags to do calculations or not? If so, how does that seem to work for your institution? Any advice, research, direction would be greatly appreciated.

    Thanks,
    Traci

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    Traci Marsh
    Guyton, GA
    United States
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