Methods on this page:Change of bag or cassette reservoir
Change of bag or cassette reservoir AND tubing
- 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.
- The steps in the method below may serve as a guide; speak to your healthcare team about the specific equipment that your child uses.
- 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.
- 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.
- Good handwashing is essential before and after providing care.
- Optimize your child’s comfort during care with appropriate positioning and the use of distraction.
- 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 healthcare team:
- if the material used or the sequence of steps taught is different from what is described in the method of care.
- 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 method of care “Administration of intravenous antibiotic by ambulatory infusion pump” refer to the use of the CADD-Legacy® PLUS pump.