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Andrea Mosteller
BBraun tubing

> Does anyone ever have problems with Ultrasite IV set for the Outlook
> Safety Infusion System by BBraun? On 2 different occasions we have
> had multiply   secondary bags drain rapidly into the primary bag. We, of
> course, pulled the lot immediately. The primary bag was dropped down
> below the secondary bag. The tubing was on the pump and the pump was
> running to infuse the secondary bag. Within minutes the secondary bag
> drained into the primary bag. We first thought that this was happening
> with a new inexperience nurse, but it happened with experience nurses
> that have had training from the company. Purchasing attempted to contact
> the company, but I still have not heard anything.
> Andrea Mosteller BSN,RN,C OCN
> Outpatient Chemotherapy Infusion Nurse Manager
> Jack C. Montgomery VAMC
> 1011 Honor Heights Drive
> Muskogee, OK 74401
> Phone (918)577-3146
> Pager (918)684-0116