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Techniques and Procedures: Using Needleless Intravenous Access Devices for Administering Total Parenteral Nutrition (TPN): Practice Update

University of Minnesota School of Nursing, Minneapolis

Mary Dysart, BSN, RN

Infection Control Department, Veterans Affair Medical Center, Minneapolis, Minnesota

Needleless intravenous (IV) access devices have been introduced into many clinical settings for administering TPN and other IV fluids to decrease the risks of needle-stick injury and transmission of bloodborne pathogens. However, reports of outbreaks of bloodstream infections in patients receiving needleless devices illustrated a lack of infection-control guidelines for use of these devices, their components, and variable staff practices. Revised practice standards from the IV Nurses Society recommend rigorous infection-control practices. All components of the IV system used in administering TPN, including the needleless components, should be considered a closed system that is manipulated aseptically and changed daily.

Nutrition in Clinical Practice, Vol. 14, No. 6, 299-303 (1999)
DOI: 10.1177/088453369901400604


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