I am in the process of researching the best practice for administering full doses of IV medications. In our organization we have some inconsistencies of whether it is necessary to hang a main line of Normal saline or D5 W if saline is not compatible and administer the medication as a IVPB. Example; our infusion center administers chemotherapy, antibiotics, blood products, and all other types of IV therapy. The Oncology dept uses a main line for every medication to ensure we are giving the full dose of the medication and to ensure safety if the pt were to have an allergic reaction. We have patients get their antibiotic infusions in the outpatient oncology clinic during the week and go to the hospital for IV antibiotics on the weekend. The hospital staff does not use a main line to flush the line with, but Oncology does. So patients end up questioning the difference in the practice.I found one article at http://www.nursingcenter.com titled; "I.V. Rounds; Intermittent I.V. infusions in acute care; Special Considerations" by Karen A. Weeks, RN, CCRN. I wanted to reach out to you for input or to see if you can refer me to any evidence based research article supporting what is best practice. The article that I referred to above states it is recommended to flush the line after the infusion to ensure the full dose is delivered and that no medication is left in the tubing. I appreciate your time and assistance in advance.
Oncology and Palliative Care Coach