IV Preparation Guidelines in your hospital

[Sparda29]

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What are the guidelines in your hospital regarding contamination prevention while making IVs?

The first facility I went to was very lax. If I was using the add-vantage system, they just had me combine the connectors outside the hood. If I was inside the hood compounding them with liquids and whatnot, I would just be at the hood, alcohol swabs and that's it.

The facility I'm at now requires us to wear a head cap, shoe covers, full gown, and gloves, even if we're just combining the add-vantage parts.

 

[owlegrad]

What are the guidelines in your hospital regarding contamination prevention while making IVs?

The first facility I went to was very lax. If I was using the add-vantage system, they just had me combine the connectors outside the hood. If I was inside the hood compounding them with liquids and whatnot, I would just be at the hood, alcohol swabs and that's it.

The facility I'm at now requires us to wear a head cap, shoe covers, full gown, and gloves, even if we're just combining the add-vantage parts.

My facility is pretty lax. We have a hood, but it only gets used if we are preparing something that can't be clamped together with the baxter clamping tool. We don't clamp together inside the hood, and I have never seen anyone gown up for anything. Nor have I seen shoe covers or head caps. Gloves worn when working under the hood (rare).

 

[Ackj]

I was an IV tech in summer 08, and we started out sort of lax but we were constantly making changes to be more 707 compliant. We always had gowns and gloves, caps were hit or miss, but became mandatory later on, shoe covers started about 2 weeks in, we added in a pass-through window so you weren't constantly going into and out of the ante room, remodeled the entire stock area so nothing was in the compounding room, etc.

As far as all the hospitals I've seen, I'd say we were the "cleanest." We had a scrub-in ante room, then another room for all the IV bags and vials, and then another room with the hoods. Most other hospitals I've seen are main pharmacy -> room with hoods or maybe there's a small ante room where the first door doesn't even shut before the second one opens.

For the original question, add-vantage was always done under the hood, and to be in the hoods, you needed to be fully gowned.

 

[SpirivaSunrise]

Oh my goodness 😱

 

[p-rog]

I was an IV tech in summer 08, and we started out sort of lax but we were constantly making changes to be more 707 compliant.

797 = USP chapter referring to IV compounding.


707 =

 

[Sparda29]

Oh yeah I forgot, the new facility also requires us to wear those weird N-95 face masks that were all the rage when SARS was going around.

 

[pearljam5a1]

In the hospital I was at previously you entered the anteroom and there was a red line you couldn't cross until you put on shoe covers/hat/mask and then you washed your hands to your elbows. Inside you had all your meds and fluids and 2 computers. You get all your stuff ready and then put on a gown and go behind door number 2. In there you put on your gauntlet gloves and get to compounding. The whole room was basically a vertical flow hood. There were stainless steel tables all along the outside and clear plastic was attached above them to force the air over the tables. I remember it was always so freakin' cold in there.

The hospital I'm at now has the normal hoods. We most often use an isolation cabinet to do the compounding.

 

[aboveliquidice]

What are the guidelines in your hospital regarding contamination prevention while making IVs?

The first facility I went to was very lax. If I was using the add-vantage system, they just had me combine the connectors outside the hood. If I was inside the hood compounding them with liquids and whatnot, I would just be at the hood, alcohol swabs and that's it.

The facility I'm at now requires us to wear a head cap, shoe covers, full gown, and gloves, even if we're just combining the add-vantage parts.

What class clean room? This pretty much drives the sterility of the environment. The stricter you go (meaning less particles per square foot) the more strict everything else gets.