This specialty practice discussion group is intended for nurse educator members of APHON. Remember that... 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.
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.
——————————————- Kathleen Stakes Massachusetts General Hospital Winchester, MA United States ——————————————-
——————————————- 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. ——————————————- Sandra Randall Nurse Manager Doernbecher Children’s Hospital Portland, OR United States ——————————————-
——————————————- 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.
——————————————- Mary Lynn Rae Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, IL United States ——————————————-
——————————————- Original Message: Sent: 08-11-2014 02:14 PM From: Traci Marsh Subject: Chemo bag overfill
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.
——————————————- Traci Marsh Guyton, GA United States ——————————————-