Reply To: CSTD set preservation and tubing changes

  • no-user-found

    February 19, 2019 at 2:13 pm


    Generally, our tubing is discarded each day.  we will use a flush bag for up to four hours if it has the ChemoLock on it.





    Lisa Honeyford RN, MN, CPHON

    Interprofessional Education Specialist |Haematology/Oncology/Blood and Marrow Transplant, Medication Safety

    The Hospital for Sick Children|555 University Avenue, Toronto, ON M5G 1X8

    Phone: 416.813.7654 ext. 202326|Pager: 416.442.6587



    Cross-Appointed Faculty
    Lawrence S. Bloomberg Faculty of Nursing, University of Toronto



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    ——Original Message——

    We’ve recently implemented closed system transfer devices at our hospital. We use a combination of Spiros on the patient end/chemo syringe and chemo clave/chemo lock on the medication bag side. We have done the set up with a set preservation concept, using the tubing for subsequent days. Is anyone else doing this-keeping chemo tubing for subsequent days/doses? Or are you still using tubing only for 1 day/dose? If you are using a saline flush bag, how long do you keep this bag for? I appreciate any information you can provide. Thank you!

    Amy Spence MS, RN, CPN, CPON®
    Advanced Nursing Education Specialist
    Cancer & Blood Disorders Institute
    Johns Hopkins All Children’s Hospital
    St. Petersburg, Florida