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Dear Brains Trust,
I was asked a question today regarding the frequency of line changes, for patients receiving ‘slow chemo infusions’ i.e. over 4 days, (our policy is 72 hours) in the case of a slow chemo treatment where do we stand as this means changing line partway through treatment. Doing this delays treatment for a period of time and may reduce therapeutic dose , prolongs the process, requires disconnect of a closed system which could be detrimental to the patient from an IPC perspective and expose the staff unnecessarily to cytotoxic drugs. The chemo is being administered via a PICC line. Logically, I would think it OK to prolong length of time for the line changes but would be interested in your views, or indeed if you know of any evidence to support this.
Many thanks in advance.
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Hi Jane,
CDC, SHEA and INS have expanded their administration set change to 96hr, but no longer.
S84 if he INS SOP covers all aspects of administration set changes.Im not near my computer at the moment but feel free to email offline and I can help you.
Tim..Sent from my iPhone
> On Apr 5, 2018, at 20:21, Jayne OConnor wrote:
>
> Dear Brains Trust,
>
> I was asked a question today regarding the frequency of line changes, for patients receiving ‘slow chemo infusions’ i.e. over 4 days, (our policy is 72 hours) in the case of a slow chemo treatment where do we stand as this means changing line partway through treatment. Doing this delays treatment for a period of time and may reduce therapeutic dose , prolongs the process, requires disconnect of a closed system which could be detrimental to the patient from an IPC perspective and expose the staff unnecessarily to cytotoxic drugs. The chemo is being administered via a PICC line. Logically, I would think it OK to prolong length of time for the line changes but would be interested in your views, or indeed if you know of any evidence to support this.
>
> Many thanks in advance.
>
> Jayne O’Connor RN ,BSc.,Inf.Cont
> IPC Co-Ordinator
> Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
>
> p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
> http://www.sah.org.au
>
> [SAH_EntitySignature2017][cid:image003.png@01D3CDA6.E53B99B0]
>
>
>
> CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
> If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
> is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
> Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
> by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
> _____________________________________________________________________
> This e-mail has been scanned for viruses by Symantec Hosted Services
> Scanning Services – powered by MessageLabs. For further information
> visit http://www.messagelabs.com
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> 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.auMESSAGES 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.
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