Reply To: USP800

  • Vanessa Bertini

    October 29, 2019 at 5:47 pm

    At Children’s Hospital of the King’s Daughters, we use the Care Fusion tubing with bonded Texium for Alaris pumps as our closed system devices. Our IV infusion bags are fitted with a closed system adapter piece, which creates a safe situation, so the bedside RN can safely prime the agent at the point of care using the Circle Prime method. These totally alleviates the whole priming issue, as nursing primes all chemo over 50 ml via this method, and make it so start and stop times are very accurate.


    We introduced Circle Priming for USP800 purposes, so that was a big and worthy change. Nursing likes it so much better. So does pharmacy. We are actually training all units to deal with all HDs in infusion form in this manner, so these engineering devices can be used for best safety practice. We are also going to double gloves ( except for intact pills) and using the yellow bins for all chemo waste including PPE. We are using PAPRs if there is a significant inhalation risk, as in the case of spills.   


    Hope this helps!


    Vanessa Bertini MSN RN CPN CPON

    Clinical Practice and Education Specialist

    Hematology/Oncology Unit 8B



    ——Original Message——

    I have a couple of areas r/t USP800 that we are trying to benchmark to other institutions. 

    1. What closed system brand/devices are you utilizing in pharmacy and at the bedside? 
                 Have you used other products in the past?
                         If yes, why did you change?
                 What were the deciding factors for the product line chosen?

    2. Where/who primes chemo tubing?
                 How is tubing primed (manually, circle priming, piggyback, etc.)?
                 Is your tubing primed with chemotherapy or compatible priming solution?
                 Does pharmacy or nursing prime chemo?
                 If primed with compatible solution, how do you document accurate start time of chemo?

    3. Are you implementing any changes r/t USP 800 and, if yes, what?

    Thank you for your replies!!

    Terese Weart, MSN,RN,CPNP
    Clinical Educator, Aflac Cancer & Blood Disorders Center
    Children’s Healthcare of Atlanta