Reply To: Circle Prime and Equashield

  • Heather Cantrell

    December 16, 2020 at 9:43 am

    We do not use Equashield but do circle prime. We have a bifurcated setup from ICU medical that works perfectly. They custom make it for us. It allows the bedside nurse to circle prime with the chemotherapy, then the “blue ball” catches and notifies the nurse of the empty chemotherapy bag, then the nurse unclamps the saline, flushing the line (pushing/infusing the last of the chemotherapy) at the same rate of the chemotherapy. The medications complete on time and additional volume is not needed to be added to the rate or volume to be infused. Pharmacy is considering moving to Equashield, yet are reluctant as we are very comfortable with this system and our spiros.




    Heather M. Cantrell  BSN, RN, CPHON

    Nurse Manager

    Hematology Oncology Department


    Dayton Children’s Hospital

    One Children’s Plaza

    Dayton, Ohio 45404-1815

    O: 937-641-3403

    F: 937-641-5885





    Original Message:
    Sent: 12/16/2020 7:35:00 AM
    From: Mindy Bibart
    Subject: RE: Circle Prime and Equashield

    Following. We are considering moving away from secondary infusions and are having some issues with curos.

    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
    Original Message:
    Sent: 12-16-2020 06:30 AM
    From: Cindi Seidel
    Subject: Circle Prime and Equashield

    Good morning
    The clinic I used to work in are contemplating changing their chemotherapy administration method and the coordinator is wondering if any centers utilize Equashield and circle priming?  If so would you be willing to share your protcol?

    Currently they administer chemo as a secondary infusion and it is a confusing practice for her new orientees.  We believe that circle priming and administering as a primary may be safer and result in more complete administration.

    Thank you in advance for any information that you can provide.

    Cindi Seidel, BSN,CPHON,RN
    Birmingham, AL
    United States