Reply To: VCR administration

  • Tiffany Jensen

    Member
    October 29, 2014 at 3:32 pm

    We do not – it runs by gravity

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    Tiffany Randle
    Riley Hospital for Children
    Indianapolis, IN
    United States
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    Original Message:
    Sent: 10-29-2014 11:40 AM
    From: Dawn Mannon
    Subject: VCR administration

    Do you use pumps on peripheral VCR? 

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    Dawn Mannon
    Phoenix, AZ
    United States
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    Original Message:
    Sent: 10-29-2014 10:27 AM
    From: Tiffany Randle
    Subject: VCR administration

    I concur with Susanne.  We tried the stopcock method and it failed.  Stopcocks can be very tricky, especially for the inexperienced nurse.  We had lots of leaking drug.  We now use Alaris pumps and Phaseal.  The Vincristine is sent from pharmacy on a secondary set and we “back prime” a main saline line and program the pump using the secondary infusion feature.  The drug runs over 5-15 minutes.  Blood return is checked before and after. 

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    Tiffany Randle
    Riley Hospital for Children
    Indianapolis, IN
    United States
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    Original Message:
    Sent: 10-29-2014 09:02 AM
    From: Susanne Conley
    Subject: VCR administration

    I would caution against the use of stopcocks since they are not recommended by either ONS or INS for drug administration.  I don’t have the latest APHON chemo course book but I would assume they would feel the same.

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    Susanne Conley
    Clinical Nurse Specialist
    Dana Farber Cancer Institute
    Plymouth, MA
    United States
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    Original Message:
    Sent: 10-28-2014 11:46 AM
    From: William Copeck
    Subject: VCR administration

    This message has been cross posted to the following Discussions: Outpatient Staff Clinic Issues and Nurse Managers .
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    All
    After a lot of pushing by pharmacy we are going to be switching to VCR by minibag in the next week or so. God forbid they give us time to do some research and create a good policy!!
    We have decided that with all the techniques we have discussed that we will use a stopcock and pull VCR into a syringe then push over 5 minutes while checking blood returns. This seems to meet our needs best as far as staffing is concerned and our NP’s and MD’s like the ability to check blood return easily.
    Does anyone have and would they be willing to share a policy utilizing the stopcock method of admin?
    Any help would be appreciated.
    Thanks
    Bill

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    William Copeck
    St. Joseph’s Children’s Hospital
    Bloomfield, NJ
    United States
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