IV bungs

[Jane Barnett]

I received the following response back from our IV nurse educator
(Elizabeth Culverwell) here in Canterbury to the query about line bungs
which may be of interest:

The recommendation for Smartsite Plus positives displacement device is
72hly or 100 activations – manufacturers recommendations (we do this
Tues & Fridays) This testing was carried out inhouse by Alaris & from
memory it was according to the ISO standards( I know I have that info
somewhere) this was to test the devices integrity over 100 activations
or greater to see if it compromised the silicone dome -leaks.

The CDC 2002 recommend changes 72hly & the INS ‘An evidence based
approach’ 2010 recommend to change positive displacement devices no more
frequently than 72hrs. If for eg the catheter was accessed 1x weekly
then the device would be changed 1x weekly. The key to infection
prevention is not the changing of a device but the vigorous cleaning
with approved antimicrobial before accessing it. There are many
different devices on the market so it is important to understand how any
particular device is constructed & what is necessary to maintain its
integrity Regards Elizabeth —–

Jane Barnett

Clinical Nurse Specialist

Infection Prevention & Control

Christchurch Women’s Hospital

Private Bag 4711, Christchurch

Infection Prevention and Control is Everyone’s Business

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