The current 2021 INS Standards (36) discuss to change the needleless connectors no more frequently than 96-hour intervals or according to the manufacturers' directions for use. It goes on to state "when used with a continuous infusion system, the needleless connector is changed when the primary administration set is changed (eg. 96 hours). One study reported that changing the needleless connector every 24 hours with blood or lipid infusion increased CABSI rates in pediatric stem cell transplant patients".
I am currently working on policies at the hospital and the question came up about needleless connector changes with parenteral nutrition. we change the administration set for PN every 24 hours - the question raised is do we change it every 24 hours with the adminstration set change? It seems conflicting in the standard and I was looking for clarification to make the best recommendation for the policy.
Ideally, the use of the needleless connector wouldn't be used with a continuous infusion, but this practice is sparatic at best.
Any guidance would be greatly appreciated.