SC infusion sets

[Martha Pike]

Yes, we use 24 ga periph IV caths as an alternative access device for SC infusions. They work just fine and are far less expensive ( SC set is about $12 compared to $3 for the IV cath) than most SC sets, but have caused some confusion. I'm not sure that there is any big liability issue in terms of the device not working correctly for this off label use, however to avoid confusion between IV and SC infusions, our primary SC set is the Quick-set (Minimed). It is also a plastic cannula, but is smaller gauge (26 or 27?) and shorter than the IV cath and is inserted perpendicularly.  It comes in a choice of two cannula lengths (6mm or 9mm), has an adhesive disc around the cannula, and has a pre-attached extension set (also available in two different lengths).   The Quick-set also has a means of covering the metal stylet after it is removed, so it meets the OSHA needle safety requirements.     http://www.minimed.com/products/infusionsets/quickset.html The video clip on this page shows inserting the cannula using a special device (the Quick-serter) designed for home care patients. You do not need to use/purchase this inserter device. MMT-396 43" (110 cm) tubing with 9 mm cannula MMT-398 43" (110 cm) tubing with 6 mm cannula MMT-397 23" (60 cm) tubing with 9 mm cannula MMT-399 23" (60 cm) tubing with 6 mm cannula /Martha On Mar 5, 2006, at 10:27 PM, [EMAIL PROTECTED] wrote: IV catheters are approved by the FDA for vascular use only. Using them for SQ therapy is off label and you are taking 100% of the risk on yourself. Why use something not designed for that use when there is a product approved for and intended specifically for SQ infusions? Nina Elledge, RN, CRNI, MBA -------------- Original message -------------- From: "Bonnie Gandy" <[EMAIL PROTECTED]> Has anyone ever used a 24 guage peripheral catheter, inserted SQ, at a 45 degree angle?  You remove the stylet and connect.  It is more comfortable, as the needle is not sticking into the resident as they move or are turned in bed.  I heard of this option from an IV Nurse on a team in North Carolina.  He has since moved and I have lost track of him, but recall him saying that this was their method of choice for SQ pain management. I have advised nurses in LTC to use the cath instead of the SQ needle and they have had good results. Any comments?  Opinons? Bonnie Gandy, CRNI, RN, BSN American Pharmaceutical Services If you want to share pictures, use the calendar, or start a questionnaire visit http://www.smartgroups.com/groups/vascular To leave the group, email: [EMAIL PROTECTED] Report abuse ====================================================================<<< Whatever you Wanadoo, click below: http://ads.smartgroups.com/adclick/CID=000000b7c79a99a500000000 ====================================================================>>> -- If you want to share pictures, use the calendar, or start a vote visit http://www.smartgroups.com/groups/vascular To leave the group, email: [EMAIL PROTECTED] Report abuse http://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23239