Reply To: CSTD set preservation and tubing changes

  • Julie Moreton

    February 19, 2019 at 2:34 pm

    ​We use the double leg Spiros and we allow the tubing to stay up for 96hrs if it is continuously connected. If the tubing is disconnected from the patient for more than an hour, it has to be changed at 24hrs. We also use low-sorb tubing, so that went into our decision.

    Julie Moreton, MSN RN CPHON CPN CLNC
    President, Palmetto-APHON Chapter
    Nursing Education Specialist
    Prisma Health Children’s Hospital
    Columbia, SC
    Original Message:
    Sent: 02-19-2019 01:12 PM
    From: Amy Spence
    Subject: CSTD set preservation and tubing changes

    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