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Hi Helen
We have this statement in our IV infusion care policy:
Intermittent disconnection of administration sets used for continuous infusions, is not recommended due to the increased risk of infection through manipulation of the hub and occlusion due to reflux of blood into the cannula tip when the line is disconnected; Intermittent administration sets should be discarded after each use if disconnected
This is based on the QLD iCARE guidelines (https://www.health.qld.gov.au/__data/assets/pdf_file/0025/444490/icare-pivc-guideline.pdf ).
Hope this helps.
Cheers
Michael
Michael Wishart, CICP-E
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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P Please consider the environment before printing this email
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Wednesday, 21 February 2018 11:31 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Discouraging disconnection of IV fluids for showering patients ad going to X-ray etc.
Hi all,
Does anyone have any evidence or best practice guidelines for the above please?
Where I am currently working, this happens all the time, both with PIVCs and CVADs (rather worrisome).
Sometimes these giving sets are hanging around, disconnected for several hours. And theres the risk of them being forgotten.
But the biggest problem is the staff capping the end and thinking this is ok. Im not seeing good hand hygiene for a start but surely theres a risk of contamination once the giving set is disconnected from the the cannula? And does anyone have anything around how long IV fluids can sit in the giving set for once disconnected?
I have found a guideline from 2009 from the Royal Hospital for Women, but its not quite specific enough.
Thanks in advance,
Helen Scott, ICP.
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