/clinicians/,/clinicians/iv-fluid-bag-shortage-resources/,/clinicians/iv-fluid-bag-shortage-resources/nursing-information/,

/clinicians/iv-fluid-bag-shortage-resources/nursing-information/

201710303

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UWHC,UWMF,

Patient Care,

https://uconnect.wisc.edu/media/u-connect/clinical-hub/iv-fluid-bag-shortage-resources/BMGS80045384-417x273.JPG
For Physicians/APPs,IV Fluid Bag Shortage Resources

Nursing Information

Nursing Information - For Physicians/APPs, IV Fluid Bag Shortage Resources

Focus

All Areas


Clinics, Madison Surgery Center, Transformations, DHC, Rehab, 1 S. Park Infusion Center, Cancer Center, Transplant Clinic, CHETA, MedFlight


University Hospital, TAC, AFCH, UWHC Infusion Center


stop signPlease read the administration instructions on the MAR for any medications, and particularly medications provided in syringes. To conserve fluid bags, many medications historically prepared in bags will now be prepared in syringes. 


Medication Administration Changes

Inpatient staff at University Hospital and UW Health at The American Center have been using ADD-Vantage and Duplex containers for administration of select antibiotics. The next change will be the use of the syringe pump.

Important: Nurses must differentiate between the two vial types. See image below: Circled with red shows the flip top on the vial needing the ADDaptor and the plastic pull tab on the vial that does not. If your unit runs out of ADDaptors, contact pharmacy for restocking.

Vial types

Antibiotics Below Are Being Delivered in Syringes for Manual IV Push

The four antibiotics below are being delivered in syringes for manual IV push in The American Center and University Hospital units:

**Please note, the above (IV Push) medications can also be administered via syringe pump, when we begin using them, if the RN feels that is necessary


This is the message given to Physicians/APP/Fellows/Residents. Nurses should be aware of these changes as well and discuss possible alternatives with providers based on these recommendations:

Key Points


Antibiotics

Patient specific risk factors and response must be taken into consideration, however, in general a maximum duration of 7 days should be considered:


Electrolytes

Resources

ADD-Vantage System

Duplex System

Duplex System Video

Syringes

Alaris Syringe Checklist

Syringe Adapter Sets for Adults

Syringe Pump Training Video

Syringe Pump Product CS Numbers for Adult Patients