Methods on this page:Change of bag or cassette reservoir
Change of bag or cassette reservoir AND tubing
- The steps in the method below may serve as a guide; speak to your healthcare team about the specific equipment that your child uses.
- Optimize your child’s comfort during care with appropriate positioning and the use of distraction.
- Intravenous antibiotic therapy should be carried out in a safe manner, respecting the quantity and frequency of prescribed doses. Your child should not miss prescribed doses of the medication.
- To prevent contamination and transmission of bacteria:
- limit the number of people present during medication administration to yourself, your child and a helper, if needed.
- no animals (eg, dog, cat) should be in the same room as you.
- do not cough or blow on the materials, equipment or on the work surface.
- Handwashing is essential before and after providing care.
- Preservation of medication:
- Keep cassettes reservoir or bags containing the prepared antibiotics in a refrigerator in a drawer, container or closed bag away from food.
- Remove the medication and place it on a clean surface one hour before use (or according to the time specified by your pharmacy) so that it will be at room temperature for administration.
- Do not immerse the antibiotic container in hot water and do not put it in the microwave oven to warm it more quickly.
- The antibiotic is contained in a bag or in a cassette reservoir in sufficient quantity for one or two days. Pumps are programmed to administer drug doses at prescribed times.
- The change of bag or cassette reservoir should be scheduled in between medication doses, ideally at the same time each day.
- The ambulatory infusion pump tubing must be changed at the same time as the bag or cassette reservoir is changed or at the frequency recommended by your healthcare team.
- Disinfectant pads (eg, 2% chlorinehexidine and 70% alcohol)
- At least 2 syringes of sterile saline solution (pre-filled by pharmacy) at room temperature
- Bag or cassette reservoir containing the medication (prepared by the pharmacy) at room temperature
- Ambulatory infusion pump, tubing and other accessories, as directed by your healthcare team
- Equipment to transport the pump (eg, backpack)
- Syringe with locking solution (pre-filled by pharmacy) at room temperature (if necessary)
Refer to your health care team:
- if the material used or the sequence of steps taught is different from what is described in the care method.
- for the specifics of the ambulatory infusion pump used by your child, if applicable: stop/start, on/off, resetting reservoir volume, battery change, alarm management, etc.
The steps outlined in the care method “Administration of intravenous antibiotic by ambulatory infusion pump” refer to the use of the CADD-Legacy® PLUS pump.