Infusion Via Minibags Does Not Result in an Increase In Extravasations

LISA SCHULMEISTER, RN, MN, APRN-BC, FAAN
Monday, May 08, 2017
Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Inadvertent vincristine administration into the cerebral spinal fluid often is a fatal medication error. Several safety organizations, including the NCCN, recommend vincristine administration via minibag infusion to eliminate the potential for vincristine in a syringe to be inadvertently administered into the central nervous system. However, oncology nurses have expressed concern that placing vincristine in minibags may result in an increase in extravasations of vincristine.

At the 2017 ONS Congress, staff at the Johns Hopkins Sidney Kimmel Cancer Center reported on their study of vincristine infused via minibag infusions and the incidence of extravasation. Beginning in September 2013, all adult pharmacy and nursing staff at the hospital were educated of the practice change with vincristine administration via the minibag, free-flow (IV side-arm technique). A 5-minute administration video was developed for nursing staff, and staff received didactic education regarding the importance of the planned change.

The hospital’s technique includes nurses staying with the patient while the vincristine infuses via gravity. No vincristine extravasations occurred, and the researchers concluded that vincristine administration via minibag infusion is the safest approach to administering this drug. 
 

Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN
 
Blog Info
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN is an oncology nursing consultant and editor-in-chief of Oncology Nursing News.
Author Bio
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN, is the Editor-in-Chief for OncLive Nursing. She is an oncology nursing consultant and adjunct assistant professor of nursing at Louisiana State Health Sciences Center in New Orleans, LA. She provides continuing nursing education to nurses across the Unites States, is active in several professional nursing organizations, and is intrigued by the many ways nurses use technology to communicate.
 
 
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