Reply To: Filtering IVF

  • Amanda Lulloff

    June 26, 2019 at 10:09 am


    We use Alaris pumps. We only add a filter for medications/fluids that specifically require a filter. All other medications/fluids are unfiltered. Recently had a discussion with our pharmacy about this topic as we’re revising our central line policies; pharmacy was concerned that you could be losing efficacy of some medications if you filter them and that there wasn’t evidence to support filtering all medications.

    I did conduct a literature review on filters before talking to pharmacy and didn’t find really strong evidence either way. If anyone has good references I’d love if they were shared.

    Amanda Lulloff, PhD, RN, PCNS, CPHON
    Clinical Nurse Specialist
    Blank Children’s Hospital
    Des Moines, IA
    Original Message:
    Sent: 06-25-2019 09:29 PM
    From: Heather Hartlage
    Subject: Filtering IVF

    An upcoming conversion to Alaris pumps at my institution has us looking at best practice regarding filtering IVF.  Curious what other hospitals are doing.  We do not filter chemotherapy (with the exception of a Etop and Thiotepa) but do filter most other medications and IVF.   Alaris is telling us they do not have a primary set with both a filter and an injection port close to the pump, and this set will take a year to produce!!  Two questions that I would appreciate some feedback on:

    1.  What is your hospitals practices regarding filtering IVF?  Medications?
    2.  If you use the Alaris pumps, what type of infusion set do you use? Do you add a filter?

    Heather Hartlage, MSN,RN,CPON
    Clinical Nurse Education
    Addison Jo Blair Cancer Care and Renal Center
    Norton Children’s Hospital
    Louisville, KY United States