Good morning all
Im trying to understand the current practice with the delivery of IV medications in the home setting. I have spoke to a few nurses that have informed me that it is there practice to have the Air-in-line alarms turned off and the tubing has an air eliminating filter to prevent the air going to the patients. The rationale for this was nuiciance air in line alarms for the patients would be eliminated and air is now just trapped by the filter.
I wanted to understand if this is a common practice or not would you please resond and let me know if this is your practice also
thank you
Air infusing to the patient is a problem, even the small champagne type bubbles can lead to problems for your patients with enough infusions over time, although many do not recognize them as an issue, and it goes far beyond nuisance alarms. Air-eliminating inline filters 0.22 micron size is the way to remove air along with other particulate matter and bacteria. Being able to turn off this specific alarm and not the others would depend upon the infusion pump being used. In home care are you using the large volumetic infusion pumps or the ambulatory infusion pumps? Ability to add a filter is dictated by the sets needed for each type of pump. the amount of air in the line varies with each type of infusion system. Then you must consider the drugs that have a molecule size too large to pass through a filter - lipid based drugs such as all Amphotericin preparations. From my experience, filters were used many years ago in the hospital, then we stopped because they were not considered to prevent infection. But that is not the only issue and we are now realizing they have other benefits. I don't think they are commonly used for all infusions in home care though. Their need and ability to add would depend upon your pumps, sets, etc. What is the level of so-called nuisance alarms among your patients? That is where I would start.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861