COOPER, Dawn, RASSAM, Thomas and MELLOR, Adrian (2018). Non-flushing of IV administration sets: an under-recognised under-dosing risk. British Journal of Nursing, 27 (14), S4-S12.
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Abstract
Background: intravenous (IV) drugs are administered widely and under-dosing can result in therapy failure. The aim of this study was to quantify frequency, volume and dose of drug discarded within administration sets in the clinical setting. Methods: residual volume for 24 different administration sets was measured under controlled conditions in a laboratory. Clinical assessment of current practice regarding post-infusion flushing occurred in 6 departments of one teaching hospital in the UK over 7 days. Details of drug last infused, (concentration, diluent and volume) and type and brand of administration set were collected. Results: 74% of administration sets were not flushed. Non-flushing exceeded 90% and 61% for gravity and pump infusions respectively (p<0.001) in all areas excluding oncology. Oncology was the only area where flushing was standard practice for all infusions (p<0.001). Mean residual volume of the administration sets was 13.1 ml and 16.7 ml for gravity and pump sets respectively. Antibiotics were commonly infused and up to 21% of antibiotic dose was frequently discarded. Conclusions: the findings suggest disposal of substantial volumes of drugs occurs frequently in general hospital areas. Without clear national and local policies this unrecognised under-dosing will continue.
Item Type: | Article |
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Additional Information: | ** From Crossref via Jisc Publications Router. |
Uncontrolled Keywords: | General Nursing |
Research Institute, Centre or Group - Does NOT include content added after October 2018: | Centre for Health and Social Care Research |
Identification Number: | https://doi.org/10.12968/bjon.2018.27.14.s4 |
Page Range: | S4-S12 |
SWORD Depositor: | Margaret Boot |
Depositing User: | Margaret Boot |
Date Deposited: | 09 Aug 2018 14:36 |
Last Modified: | 18 Mar 2021 07:25 |
URI: | https://shura.shu.ac.uk/id/eprint/22227 |
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