One of the challenges for new-grad RNs is becoming familiar with the correct IV tubing used for the various types of infusions. They must also know how frequent IV tubing must be changed to prevent infections. At my hospital, we use Baxter IV tubing, which is rated for a maximum of 96 hours. The correct style of IV tubing and the frequency of changes depend on 1) the infusion type and 2) whether or not the line is detached and reattached repeatedly. The more frequent the line is disconnected, the more risk there is for infection, and the more often tubing must be changed to protect the patient.
Product: | Tubing to Use: | Tube Change Frequency |
Blood Products | 2C8750 - When used with IV pump, use this Y-Type Blood/Solution Set with Standard Blood Filter (10 drops/mL)  | After each unit infused or every 4 hours |
Albumin | Vented | q4h |
Mannitol | | |
Clevidipine (Cleviprex).  Propofol (Diprivan)  |  | q12h and with each vial container (which ever comes first) |
Amiodarone | 2C8571 - Non-DEHP Solution Set with DUO-VENT Spike (0.2 micron)  | |
Total Parenteral Nutrition (TPN) | Non-DEHP Solution Set with DUO-VENT Spike (0.2 micron) | q24h and with each bag (which ever comes first) |
Fat Emulsion Nutrition | 1.2 Micron Filter | q24h and with each bag (which ever comes first) |
Primary and secondary continuous lines | | q96h (4 days) |
Primary intermittent lines (infusions repeatedly disconnected and reconnected) | | q24h |
secondary intermittent lines (infusions detached from primary set or used intermittently) | | q24h |
Secondary lines if not disconnected | | q96h (4 days) |
Transducer with fluid bag, patient tube, and bifurcated tubing to pressure bag | | q96h (4 days) |
More Important Notes:
Use "date" stickers on ALL IV tubing. Ensure label includes the date & time when hung and initials of the person who hung it.
IV administration sets should be changed whenever the peripheral IV (PIV) catheter site changes or when changing to a CVC. For example, if the patient was receiving IV fluids in the left PIV, which is no longer functioning, the nurse changes the administration set before switching to the right PIV and/or to the CVC.
Change the set when contamination or compromise in integrity of the system or product is suspected.
When possible, change the IV solution and tubing at the same time to decrease risk of contamination.