Our pharmacy has recently been questioning our practice of administering antibiotics thru a primary/secondary system using a flush bag for intermittent antibiotics. They feel that we should be able to run the antbiotic thru a primary line and then attach a 10 ml saline syringe to the most distal port on the tubing and flush the rest of the antibiotic to the pt.(instead of a flush bag). I disagree with this for many reasons, one being that this does not follow the INS standard for primary and secondary infusions. Our pharmacy states that if we continue the current practice of a "flush " bag that we would have to change the flush bag every time we reconnect the tubing to the pt. as the flush bag is only a "single use" bag according to the Iowa Board of Pharmacy. We currently do change the bag and tubing every 24 hours.
Has anyone else heard of this practice of changing the flush bag every time?
How many of you are using a primary tubing to administer antibiotics and then flushing thru a "port" with 10 ml saline flush? If so, what evidence do you have to support this practice?