Our facility is looking at our current practice of hanging all small volume IV medications as secondaries. We currently consider any volume less than 500 mls to be "small volume". This is to minimize waste, but for patients without a primary, fluid must be hung to use as that primary in order to flush the line. I have not been able to find anything in the literature or the internet that gives any guidance for this practice. We use the Alaris pumps; the volume for the primary tubing is 25 ml; the secondary (Baxter) is small (probably less than 10 mls).
Can people please share their policy for infusion of small volume minibags? Thank you, Nan