How long can a prefilled IV medication bag hang for

[Denyer, Vicki]

Hi All,

Would appreciate any assistance with this issue…

Do you know of any policy that describes how long a prefilled IV medication can hang for?

I had it in mind that ALL IV infusions should be replaced at 24 hours to reduce risk of infection (even if it’s a prefilled bag) but I can’t find this documented anywhere.
e.g. patient in ICU using a prefilled morphine bag, bag is stable for >24 hours, and the dose is low enough that it would last 3 days. Nurses have been changing every 24 hours but someone asked me today if they *had to*.

Thanks

Vicki

Vicki Denyer

Infection Prevention & Control Clinical Nurse Consultant
Lismore Base Hospital

Infection Prevention & Control is Everyone’s Business

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[Cath Murphy]

Vicki

In my mind the best source of advice for all things IV is the US INS Infusion Therapy Standards of Practice. Can you access the Standards? If not PM me and I can direct you. Standard 84 makes multiple recommendations that will be helpful for you.

It would be so useful if ACSQHC endorsed or adopted these Standards rather than leaving blanks in guidance. The NZ draft IV Standards are largely based on these US INS Standards also.

Perhaps the AVAS group could also endorse them?

Gorski, L. A., L. Hadaway, M.E. Hagle, M. McGoldrick, M Orr, and D. Doellman. 2016. “Infusion nursing standards of practice.” J Infus Nurs 39 (1S):1-256.

Yours sincerely

Cath

Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, Australia

E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au

Hi All,

Would appreciate any assistance with this issue…

Do you know of any policy that describes how long a prefilled IV medication can hang for?

I had it in mind that ALL IV infusions should be replaced at 24 hours to reduce risk of infection (even if it’s a prefilled bag) but I can’t find this documented anywhere.
e.g. patient in ICU using a prefilled morphine bag, bag is stable for >24 hours, and the dose is low enough that it would last 3 days. Nurses have been changing every 24 hours but someone asked me today if they *had to*.

Thanks

Vicki

Vicki Denyer

Infection Prevention & Control Clinical Nurse Consultant
Lismore Base Hospital

Infection Prevention & Control is Everyone’s Business

________________________________

This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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[Claire Rickard]

Hi Vicki
We just finished a multi-site RCT on 4 day vs 7 day replacement of IV
tubing of crystalloids and medications in crystalloid. From a BSI
perspective, there was no benefit in replacing infusion (including
non-lipid PN) tubing before 7 days. Exemptions to this (not studied) were
blood, lipids, chemo, inotropes. We recommend change of all infusions and
tubing at any time if there is suspected sepsis (even if the CVC is not
resited), just in case one of the infusions is contaminated and is the
source.
We didn’t study morphine specifically but there would have been plenty of
morph infusions in the ICUs. I’m not sure how many adhered to 24 hour
bag/syringe replacement but Emily Larsen (Project Manage) might know – she
will be presenting this at ACIPC if you would like to catch up with her you
can get her on e.larsen@griffith.edu.au

Healthy wishes
Claire

On 12 September 2017 at 12:05, Vicki Denyer wrote:

> *Hi All, *
>
>
>
>
>
> *Would appreciate any assistance with this issue*
>
>
>
>
>
> *Do you know of any policy that describes how long a prefilled IV
> medication can hang for?*
>
>
>
> *I had it in mind that ALL IV infusions should be replaced at 24 hours to
> reduce risk of infection (even if its a prefilled bag) but I cant find
> this documented anywhere.*
>
> *e.g. patient in ICU using a prefilled morphine bag, bag is stable for >24
> hours, and the dose is low enough that it would last 3 days. Nurses have
> been changing every 24 hours but someone asked me today if they *had to*.*
>
>
>
>
>
>
>
> *Thanks*
>
>
>
> *Vicki*
>
>
>
> *Vicki Denyer*
>
>
>
> Infection Prevention & Control Clinical Nurse Consultant
>
> Lismore Base Hospital
>
> Ph: 02 66 202385
>
> Fax: 02 66 202287
>
>
>
>
>
> *Infection Prevention & Control is Everyones Business*
>
>
>
>
>
>
>
> ——————————
>
> This message is intended for the addressee(s) named and may contain
> confidential information. If you are not the intended recipient, please
> delete the message and any attachments and notify the sender. Views
> expressed in this message are those of the individual sender, and are not
> necessarily the views of NSW Health or any of its entities.
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
> NOT REPRESENT THE OPINION OF ACIPC.
>
> The use of trade/product/commercial brand names through the list is
> discouraged by ACIPC. If you wish to discuss specific reference to products
> or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new
> message send an email to aicalist@aicalist.org.au
>
> To send a message to the list administrator send an email to
> aicalist-request@aicalist.org.au.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without
> the quotes) to listserv@aicalist.org.au
>

—

*Claire Rickard | RN PhD FAHMS FACN*
*Director*

*|**Alliance for Vascular Access Teaching and Research (AVATAR)*
*Professor*

*|**National Centre of Research Excellence in Nursing Interventions*

*|**Menzies Health Institute Queensland*
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*|**Princess Alexandra*

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*|**Royal Brisbane & Women’s Hospitals *
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*| *

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*

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