Policy for IV Bag and Tubing Change

Infusate	Maximum IV Bag Hang Time	IV Tubing Change Frequency
Lipids	24 hr	24 hr Change Y-connector (or trifuse) when changing lipid tubing
HAL	24 hr	Replace IV tubing, including add-on devices, at 24 hour intervals and when clinically indicated.
Blood or Blood Products	4 hrs or less	Change tubing after infusion has been completed.
Albumin	24 hr	24 hr
Commercially–prepared solutions from                  manufacturer, e.g. D5W.	96 hr	Replace IV tubing, including add-on devices, at 96 hour intervals and when clinically indicated.
Commercially–prepared flush solutions for               CVP or Art Line pressure monitoring	96 hr	Simultaneously replace transducer, tubing, and flush solution every 96 hours.
mixtures – made on the Unit	24 hr	Replace IV tubing, including add-on devices, at 96 hour intervals and when clinically indicated.
A        mixtures – prepared in Pharmacy	Pharmacy-assigned expiration date	Replace IV tubing, including add-on devices, at 96 hour intervals and when clinically indicated.
Dextrose >25%	Pharmacy-assigned expiration date	Replace IV tubing, including add-on devices, at 96 hour intervals and when clinically indicated.
Medication Drips	See 8-07 IV Medication Drips table , Appendix C

                              CHM EPID 11-07; Reviewed 11-10                                                                                     


References
IV bag and Tubing Change. Retrieved on March 12, 2011 from Detroit Medical Center Policies  website: https://extraweb.dmc.org/default.aspx?ifsrc=/main_dmcinfo/policies/default.asp?col=1