Welcome to the Facilitators' discussion forum! The intention of this discussion forum is to share clinical information between health professionals. Please do not add any identifying comments about individual patients. All comments submitted will be available for all users to view and will show your username, time and date the comment was logged. Please also note these comments will not be answered by the eviQ Education team. To send general feedback or if you have an information request, please use the 'Contact us' button or email eviqed@eviq.org.au
 

Facilitators forum > Removal of infuser bottle and port needle? View modes: 
User avatar
Member
Member
tessbeane@gmail.com - 20/03/2020 7:59:55 AM
   
Removal of infuser bottle and port needle?
Hello,
When removing a Fluorouracil infusion bottle attached to a port needle hows do other departments flush the needle before removing it from the port, and how do they discard the infusion.
Our practice has been to disconnect the infusor and pulsate flush the needle with normal saline, placing the needle in the chemotherapy sharps container and the infusor in the chemotherapy waste bin.
However, it has been recently suggested that we flush the needle from the second bung on the port needle leaving the close system complete and then remove the needle still attached to the infuser and discard the whole unit into the sharps container. If we were to remove the complete system with the needle, would or should be use and equashield to flush the port needle as a safety precaution? as this has not been our practice ether?
Any feedback would be most welcome.
Tess


User avatar
Member
Member
haewonp@adhb.govt.nz - 27/03/2020 5:59:00 PM
   
RE:Removal of infuser bottle and port needle?
Hi, I'm from Auckland city hospital in NZ. We have been practicing like 1. Disconnect the infusor bottle (infusor bottle goes into the chemo-waste bin) 2. flush 20mls normal saline 3. Hep Lock 500IU 4. De-access the port gripper (needle) 5. Dispose the needle in the sharp bin.
In our hospital, we are not allowed to put anything in the sharp bin other then sharp materials (needles, scissors, scalpels etc)

User avatar
Member
Member
Jessica.Bennett@health.qld.gov.au - 15/04/2020 10:32:37 PM
   
RE:Removal of infuser bottle and port needle?
Hi Tess,

Oncology ward North Brisbane, we clamp the end of the port needle and flush though the second bung, pulsatile flush and positive pressure lock, then we discard the whole needle and infusor connected. We only utilise the luer lock system with full cyto PPE.

Cheers Jess

User avatar
Member
Member
tessbeane@gmail.com - 21/04/2020 6:50:10 PM
   
RE:Removal of infuser bottle and port needle?
Hello Jess,
are you able to take a picture of your bin that you discard the hole unit into? I am trying to see what the best option for our unit is.
Thank you so much for your reply
Tess