We recently have seen an increase in med errors related to nurses forgetting to unclamp the secondary med set (piggybacked into a primary solution). We have done some education and had a reminder screen added to the pump that reminds the nurse to unclamp the secondary med set before pushing start. Errors are still occurring. Now, staff are requesting a secondary med tubing without a clamp. Does anyone use a secondary med set without a clamp? I feel it is needed, especially when backpriming with bag change. Does anyone have any thoughts on this or know of any evidence to support clamping the secondary med set? Any advice/thoughts is appreciated?