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Posted on 17 Apr 2019
Clinical/acute care
Incident response/review

SCV has become aware of the risk of under dosing when administering low-volume intermittent intravenous therapy.

Actions for health services

Services that provide low-volume intermittent intravenous therapy

Please perform an urgent audit into how staff deliver low-volume intermittent intravenous therapy.

Contact SCV immediately if you discover any discrepancies.

All services

Remind staff across all clinical areas that when administering intravenous medication, a sodium chloride 0.9% (normal saline) flush is required between medications and at completion of administration.  

Compatibility of the drug with sodium chloride must be checked prior to administration.

This does not apply to the administration of continuous infusions. 

Background

We are aware of inconsistent practice in flushing lines at the end of administering therapy.

Not flushing lines can potential reduce doses by up to 25 per cent. This may be clinically significant, particularly for high potency therapies delivered in low volumes (<100 mL).

Best practice advice

When administering intravenous medication, a sodium chloride 0.9% (normal saline) flush is required between medications and at completion of administration. 

Compatibility of the medication with sodium chloride must be checked prior to administration. 

Contact

Adam McKinstry

Adam.mckinstry@safercare.vic.gov.au

Page last updated: 17 Apr 2019