Course Access
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Hello brains trust
I am forwarding a question from Colleagues which I am hoping some of our more benevolent vascular access experts on line may be able to better advise / ref me to in being able to adequately respond their query below
thanks for any advice in advance
“Can you please advise me what you guys do regarding IV lines – as we are trying to settle a debate here.
We currently use a single spike IV and then use a piggy back line attached into the side port to infuse drugs.
The alternative is to use a double spike system to run in fluids and drugs, and save money by not having to use a side line. My personal preference is to stick with the side line as I think it is the safer option. However the pressure to save money is there.
Can you tell me what you guys do, and provide me with any other contacts you have that I might talk to?”
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it 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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Afternoon,
Dependant on the scenario, here at Mackay we use a side arm.Regards,
TInaTina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au[Email Signature]
Hello brains trust
I am forwarding a question from Colleagues which I am hoping some of our more benevolent vascular access experts on line may be able to better advise / ref me to in being able to adequately respond their query below
thanks for any advice in advance
“Can you please advise me what you guys do regarding IV lines – as we are trying to settle a debate here.
We currently use a single spike IV and then use a piggy back line attached into the side port to infuse drugs.
The alternative is to use a double spike system to run in fluids and drugs, and save money by not having to use a side line. My personal preference is to stick with the side line as I think it is the safer option. However the pressure to save money is there.
Can you tell me what you guys do, and provide me with any other contacts you have that I might talk to?”
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it 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 acipclist@acipc.org.au
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You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
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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.
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Reply from RBWH:
At the Royal we advocate use of single, double or triple spike adaptor, depending on number of infusions, compatibility and device type. Karen Davies has done a cost analysis and it is hugely cost saving but more importantly is time saving for nurses. This system also allows lines to remain attached so there is less connection/ disconnection therefore less potential to introduce contaminants. There are times when we may utilise the Y site but we expect nurses/ midwives (for the most part) to use critical thinking and good clinical judgment. The RBWH PIVC Infusion procedure has some great images which might be helpful as well
Barbara Hewer
Clinical Nurse Consultant
Vascular Access Surveillance & Education
Level 6, Butterfield Street
Ned Hanlon Building| RBWH
Herston Qld 4029
barbara.hewer@health.qld.gov.au
metronorth.health.qld.gov.auGillian Ray-Barruel, RN, PhD, MACN
Senior Research Fellow | QEII Jubilee Hospital | School of Nursing and Midwifery | Alliance for Vascular Access Teaching and Research (AVATAR) | Menzies Health Institute Queensland | Griffith University
Editor-in-Chief | Vascular Access: The official journal of the Australian Vascular Access Society
Honorary Research Fellow | Royal Brisbane and Women’s Hospital | Nursing and Midwifery Research Centre
Visiting Scholar | Princess Alexandra Hospital | Nursing Practice Development UnitGriffith University | Nathan campus | QLD 4111 | N48_0.09
T +61 7 3735 8442 | email g.ray-barruel@griffith.edu.auFollow the AVATAR Group
LinkedIn Facebook Twitter________________________________
Hello brains trust
I am forwarding a question from Colleagues which I am hoping some of our more benevolent vascular access experts on line may be able to better advise / ref me to in being able to adequately respond their query below
thanks for any advice in advance
Can you please advise me what you guys do regarding IV lines as we are trying to settle a debate here.
We currently use a single spike IV and then use a piggy back line attached into the side port to infuse drugs.
The alternative is to use a double spike system to run in fluids and drugs, and save money by not having to use a side line. My personal preference is to stick with the side line as I think it is the safer option. However the pressure to save money is there.
Can you tell me what you guys do, and provide me with any other contacts you have that I might talk to?
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it 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 acipclist@acipc.org.au
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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.
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Response from Karen Davies (with permission) to this IV lines question:
Some audits conducted at the RBWH 2014 and 2016. Not published but presented as posters. The 2014 results were presented at the Brisbane AVAS Conference.
Also the RBWH procedure with diagrams as Barb mentioned.
The advantages for using a y-adaptor are multiple:
1. No disconnect, decreased risk of infection
2. One line for multiple administrations instead of disconnecting and throwing out the IV line connected to the y-site. Reduced cost and waste of line ~$9 each.
3. Not using 100mL bags, cost of ~$1.50 for each administration as opposed to using 1000mL bag for 24hrs ~$1.10 each.
4. One line meaning only one pump is required to administerHope this is helpful.
Kind Regards
Karen
Karen Davies RN, BN, PhDc MACN
CNC Safe Medication Practice
Lecturer, University of Queensland
Clinical Pharmacology
Level 1, Ned Hanlon Building
Royal Brisbane and Womens Hospital
Butterfield Street
Herston Qld 4029
P: (07) 36464399
karen.davies@health.qld.gov.au
http://hi.bns.health.qld.gov.au/ims/clinicalpharmacology/default.htm
http://www.health.qld.gov.au/metronorth
Metro North Hospital and Health Service2 days/ week Tuesday / Wednesday
Gillian Ray-Barruel, RN, PhD, MACN
Senior Research Fellow | QEII Jubilee Hospital | School of Nursing and Midwifery | Alliance for Vascular Access Teaching and Research (AVATAR) | Menzies Health Institute Queensland | Griffith University
Editor-in-Chief | Vascular Access: The official journal of the Australian Vascular Access Society
Honorary Research Fellow | Royal Brisbane and Women’s Hospital | Nursing and Midwifery Research Centre
Visiting Scholar | Princess Alexandra Hospital | Nursing Practice Development UnitGriffith University | Nathan campus | QLD 4111 | N48_0.09
T +61 7 3735 8442 | email g.ray-barruel@griffith.edu.auFollow the AVATAR Group
LinkedIn Facebook Twitter________________________________
Afternoon,
Dependant on the scenario, here at Mackay we use a side arm.
Regards,
TIna
Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387E:tina.muller@health.qld.gov.au
[Email Signature]
Hello brains trust
I am forwarding a question from Colleagues which I am hoping some of our more benevolent vascular access experts on line may be able to better advise / ref me to in being able to adequately respond their query below
thanks for any advice in advance
Can you please advise me what you guys do regarding IV lines as we are trying to settle a debate here.
We currently use a single spike IV and then use a piggy back line attached into the side port to infuse drugs.
The alternative is to use a double spike system to run in fluids and drugs, and save money by not having to use a side line. My personal preference is to stick with the side line as I think it is the safer option. However the pressure to save money is there.
Can you tell me what you guys do, and provide me with any other contacts you have that I might talk to?
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it 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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
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