Reply To: Closed system infusion devices

  • Kristen Ammon

    Member
    March 29, 2021 at 10:13 pm

    I’m facilitating a roundtable discussion on Spiros disconnects…please feel free to share!

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    ——————————
    Kristen Ammon, MSN, RN
    Nurse Manager
    Pediatric BMT/Onc inpatient unit and clinic/Valvano Day Hospital
    Duke Children’s
    Durham, NC
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    Original Message:
    Sent: 03-29-2021 10:56 AM
    From: Mary Lynn Rae
    Subject: Closed system infusion devices

    Yes we heard the same thing and we have Alaris-EPIC intraop so we are not changing anytime soon either but I also am displeased with the % error rate of this pump too especially when chemo infusions running behind….

     

    Thanks,

    Mary Lynn

    Mary Lynn Rae, MSN, RN, NPD-BC, CPHON

    Nursing Professional Development (NPD) Practitioner/Clinical Educator Hem/Onc/SCT (LC17/LC18)

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | mlrae@luriechildrens.org | luriechildrens.org

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

     

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    Original Message:
    Sent: 3/29/2021 8:21:00 AM
    From: Mindy Bibart
    Subject: RE: Closed system infusion devices

    Great question Mary Lynn. there is definitely a weak point between the Alaris connection and spiros connection. When we met with the ICU Medicine reps a couple of weeks ago, this was a point of discussion. Although I can’t remember the terminology for insuring parts are luer locks are compatible, there is a measurement with a range that is appropriate. We are concerned that there may have been changes/improvements to pieces that make them incompatible, or variabilities within manufacturing that is creating pieces outside of the acceptable range. I am displeased with Alaris on many levels, although changing out our infusion pumps would be a herculean undertaking. I hope it doesn’t come to that!

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    Mindy Bibart, MSN RN CPHON NE-BC CSSBB
    Director of Patient Care Services, Hematology/Oncology/Blood and Marrow Transplant
    Nationwide Children’s Hospital
    Columbus, OH
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    Original Message:
    Sent: 03-26-2021 05:58 PM
    From: Mary Lynn Rae
    Subject: Closed system infusion devices

    I wonder if anyone out there is having any issues with other CSTDs and the BD/Alaris tubing? I am thinking it is more the BD/Alaris tubing with the spin collar on the end vs. CSTDs

    Mary Lynn
    Mary Lynn Rae, MSN, RN, CPHON, NPD-BC
    NPD Practitioner/Clinical Educator:  Hem/Onc/SCT (LC17/LC18)
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    225 E. Chicago Avenue
    Chicago, Illinois  60611
    Phone:  312-227-4224
    Pager:  312-227-4000, ask for pager 74224
    email:  mlrae@luriechildrens.org

    Original Message:
    Sent: 3/26/2021 1:58:00 PM
    From: Heather Cantrell
    Subject: RE: Closed system infusion devices

    We are currently deciding between Equashield and Chemoclave. Equashield has a locking adapter that will be done with production this summer, leaving only the microclave as a potential disconnect site. The team likes the chemoclave ease of connection. We have used spiros for many years with minimal disconnects. I am curious what other hospitals prefer.

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    Heather Cantrell, RN
    Dayton, OH
    United States

    Original Message:
    Sent: 03-26-2021 12:26 PM
    From: Mindy Bibart
    Subject: Closed system infusion devices

    ​We are considering changing products for our closed system infusions devices. We currently use ICU Medicine’s spiros products and continue to struggle with line disconnections. What product lines are you using and what are the pros and cons of that system.

    Thank you,
    Mindy​​

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    Mindy Bibart, MSN RN CPHON NE-BC CSSBB
    Director of Patient Care Services, Hematology/Oncology/Blood and Marrow Transplant
    Nationwide Children’s Hospital
    Columbus, OH
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