Hi,

We have had a significant uptick in one of our ICUs around RNs forgetting to open the roller clamp on intermittent infusions, resulting in missed doses. Their proposed solution is to run everything as a primary infusion, noting that "some facilities have stopped running intermittent infusions via secondary tubing due to med errors and delays in med therapies."
This would greatly increase their need for pump channels, and I don't know that we can support that in current state.

I am part of a 500+ bed, urban, academic organization. As far as antibiotic infusions go, we currently only run Zosyn as a primary infusion (run over 4 hours); our other antibiotic infusions are run as a primary/secondary set up. During the normal saline shortage, we ran all antibiotics primary and flushed with a 10 mL flush post infusion. Now that we are able to go back to our primary/secondary set up, we are getting some pushback from nursing.

How does your organization infuse IV antibiotics?