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Setting up IV giving sets ahead of time

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  • #70008
    Anonymous
    Inactive

    Author:
    Anonymous

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    State:

    Hi everyone,

    I am having trouble convincing the anaesthetists and the theatre nurses that
    it is not advisable for them to set up all the lines for all the patients on
    the theatre list first thing in the morning, let alone not putting the
    prepared bags and administration sets into a fluid warming cabinet.

    They want me to provide evidence to support my recommendation that IV lines
    be set up immediately prior to each patient. The Australian Guidelines for
    Infection Prevention and Control in Healthcare does not specify any
    requirements for this.

    Can anyone offer any advice, guidelines or evidence on this matter?

    Thanks in anticipation.

    Regards

    Terry McAuley

    Sterilisation & Infection Control Consultant

    STEAM Consulting

    E: terry@steamconsulting.com.au

    W: http://www.steamconsulting.com.au

    A: PO BOX 779

    Endeavour Hills

    VIC Australia 3802

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    #70015
    Claire Rickard
    Participant

    Author:
    Claire Rickard

    Email:
    c.rickard@GRIFFITH.EDU.AU

    Organisation:

    State:

    Hi Terry

    Here’s a good one for you.
    In a study of solutions used in an emergency department,

    15.4% of 669 bags were colonised after connection to the administration set
    but prior

    to patient connection (Carrasco

    *et al. *2004).

    Carrasco JAP, Prieto IC, Escorza JG, Sanchez JLA, Sanchez MMC, Bouza MR.
    (2004)

    Physico-chemical stability and sterility of previously prepared saline
    infusion

    solutions for use in out-of-hospital emergencies.

    *Resuscitation **62*, 199-207.

    Best regards, Claire

    *Professor Claire Rickard RN PhD*
    c.rickard@griffith.edu.au | +61 7 3735 6460 | Skype: clairexm1 | Twitter:
    IVAD_Research |
    http://www.griffith.edu.au/health/centre-health-practice-innovation/research/acute-critical-care/intravascular-devices

    Intravascular Access Device Research Group | NHMRC Centre of Research
    Excellence in Nursing | Centre for Health Practice Innovation | Griffith
    Health Institute | Griffith University
    Visiting Scholar: Royal Brisbane & Women’s Hospital | Princess Alexandra
    Hospital | The Prince Charles Hospital

    Research frequently takes me off campus. Please contact Jenny Chan 3735
    5406 *j.chan@griffith.edu.au* or
    Jo.Wright@griffith.edu.au 3735 4886 with any urgent enquiries.

    On 13 May 2013 14:55, Terry McAuley wrote:

    > Hi everyone, ****
    >
    > ** **
    >
    > I am having trouble convincing the anaesthetists and the theatre nurses
    > that it is not advisable for them to set up all the lines for all the
    > patients on the theatre list first thing in the morning, let alone not
    > putting the prepared bags and administration sets into a fluid warming
    > cabinet.****
    >
    > ** **
    >
    > They want me to provide evidence to support my recommendation that IV
    > lines be set up immediately prior to each patient. The Australian
    > Guidelines for Infection Prevention and Control in Healthcare does not
    > specify any requirements for this.****
    >
    > ** **
    >
    > Can anyone offer any advice, guidelines or evidence on this matter? ****
    >
    > ** **
    >
    > Thanks in anticipation.****
    >
    > ** **
    >
    > Regards****
    >
    > *Terry McAuley*****
    >
    > *Sterilisation & Infection Control Consultant*****
    >
    > *STEAM Consulting*****
    >
    > *Mob: +61 (0)438 109 692*****
    >
    > *E: terry@steamconsulting.com.au*****
    >
    > *W: http://www.steamconsulting.com.au*****
    >
    > *A: PO BOX 779*****
    >
    > * Endeavour Hills *****
    >
    > * VIC Australia 3802*****
    >
    > ****
    >
    > *
    > *****
    >
    > *CONFIDENTIAL COMMUNICATION:* The information contained in this message
    > may contain confidential information intended only for the use of the
    > individual or entity named above. If the reader of this message is not the
    > intended recipient, you are hereby notified that any dissemination,
    > distribution or duplication of this transmission is strictly prohibited. If
    > you have received this communication in error, please notify us by
    > telephone or email immediately and return the original message to us or
    > destroy all printed and electronic copies. Nothing in this
    > transmission constitutes an agreement of any kind unless otherwise
    > expressly indicated.****
    >
    > ****
    > Messages posted to this list are solely the opinion of the authors, and do
    > not represent the opinion of ACIPC.
    >
    > 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
    >

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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