We used the q syte with the extension loop for our IV starts. We found the loop end that twist connects with the Q syte would crack after several meds were given. There is a possilbility that the cap tightens on the extension tubing hub with each twist on of syringe. When the extension tube cracks the IV fluids/ meds and blood pour out of the IV...
It appears to be a manufacturing defect. Shocked that it hasn't had widespread recall yet.
I work in homecare, and there are 2 hospitals in my area I know of that use the Qsyte. My objection to the Qsyte is that is clear, and small, and when it is connected to a clear IV tubing it is difficult to differentiate where the cap begins and the tubing ends. I have had patients disconnect their infusion and remove the Qsyte with the tubing because it looks like a continuation of the tubing! If it was a different color that would help. I usually switch to the type of cap the providing homecare infusion company is supplying so don't have lengthy experience with it.
Hallene E Utter, RN, BSN Intravenous Care, INC
Well, you may have a problem in the future because the trend seems to be moving toward clear needleless connectors for all. The reason is so the nurse can be able to tell if all the blood has been adequately flushed from the device. Many devices are now clear rather than opaque. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
I don't think I'd mind the clear so much if it was shaped a little differently. It's a very short cap and when a tubing is attached it's more difficult to distinguish when the tubing ends and the cap begins. Just sharing my experience with it. In homecare when one is teaching the patient to self administer, any and all color "keys" help!
Halle Utter, RN, BSN
Denver metro area
I find the clear discussion interesting. Relying on eyesight can be misleading. I would ask for flush recommendations and supportive data to KNOW when the device is free of hemoglobin. Without my readers on I can't order at a restaurant!
Tom Billings, RN
Sr. Product Specialist
ICU Medical, Inc
I agree with Tom in that visual is only for gross contamination. In addition, clear housing only allows the outer surface to be visualized. Many of the connectors have working parts that are not visible. It takes a study that demonstrates when a fluid pathway is cleaned. Laboratory studies are fine for this.
We were using the Q-syte connectors for our patients' Hickman lines for several months. Our patients are on long-term, continous infusion therapy. We had a problem with the leaking. Our elderly clients also had problems keeping them sterile as they are small and difficult to handle. We have since changed to another type of connector.
Susan Di Giuseppe, RN, MSN
I trialed the IV cath product that comes with the Q-site. The Q-site would not flush clear, even with 20 mL flush. The rep told me to turn the syringe a quarter turn to get it to clear but I found this too cumbersome to be teaching my nurses and not possible to teach to agency staff. You never know how many flushes to bring into the room. The negative reflux is the worst I have ever seen, which makes sense because the prime volume is high so that the flow rate is high. But this also means more places to have biofilm form. I also did not find that the cap is possible to clean fully because the slit extend too far into the product. Put some toothpaste on and try to scrub it off with the alcohol preps--good luck with that. I do see a use for this cap though. I think that all EMTs should use them because they need cheap products that are used very short term and high flow and they don't draw blood through their lines. The cap is changed to the hospital's cap as soon as they are admitted so there is not time to have the problems that Q-site has. I would never consider them for any other use.
I used the interlink type before and it seemed to come clear when scrubbed. But it was a negative pressure as well and I mostly just hate all the contraptions that go with them. I prefer the inVision Caps.
Michelle Todd, CRNI--Head PICC Nurse, Vibra Specialty Hospital of Portland [email protected]