Hello All. I wanted to reach out to see if anyone has any new policies/procedures or data regarding what is ok to infuse via a midline catheter. This is coming up once again as we try to better our CLABSI rate and I have not yet been able to find any clearly defined reference. I have seen the updated infusion nursing guidelines, but am just wondering if anyone has developed anything since the last postings on this.
Thanks in advance.

We have recently developed a midline/PICC policy and the IV team RNs are requesting a list of formulary medications that can be administered through the midline based on osmolarity.

1. Does anyone provide Nursing with a list of meds appropriate/contraindicated for midline administration?
2. If yes, is this list included in the policy?
3. If yes, how do you maintain the accuracy of this list?
4. Does anyone have any EMR rules/alerts or order/product comments that speak to midline administration?

Thanks in advance!