Reply To: CSTD set preservation and tubing changes

  • Kimberly Duback

    February 20, 2019 at 11:04 am

    ​We utilize the OnGuard. When we went live with this as our pediatric system (includes 2 hospitals), we said that if chemotherapy will be given within the next 24 hours and there are continuous fluids running, the tubing can remain for up to the 96 hours (as we have with other tubing).  If chemo will not be given within 24 hours or if it is an intermittent line, it is taken down.

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    United States of America
    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