This specialty practice discussion group is intended for nurse educator members of APHON. Remember that... View more
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We flush at the same rate/hour that the chemo is infusing but always flush with the priming volume of the tubing + a little bit more. If you are using Alaris, the standard priming volume is ~26 mL so we flush with 30 mL post.
Mary Lynn Rae, MSN, RN, CPHON
Clinical Educator Hem/Onc/SCT & VAT
Ann & Robert H. Lurie Children’s Hospital of Chicago
225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991
I wanted to reach out to my colleagues at other institution to see what the current practice is for flushing chemotherapy administered in a bag. Our current practice is to infuse the chemo at the rate ordered, not figuring the volume of the flush into the rate. Once the chemo infusion is completed, we flush the IV tubing with 20 mLs of NS or compatible fluid at the same rate the chemotherapy was infused. An hour infusion in reality is an 1.5 hours with the flush. I wanted to see if any other organization configure the volume of the chemo flush into the rate of administration (so an hour infusion is truly an hour infusion) or if our current practice is the standard. Thank you very much in advance for your response, much appreciated!
—————————— Andrea Omsberg BSN, RN, CPHON Hematology/Oncology Clinical Nurse Educator Rady Children’s Hospital San Diego, CA ——————————