What are prefilled saline syringes used for?

Initiative Type

Redesign

Service Improvement

Last updated

26 July 2022

Summary

The Pre-filled Saline Syringe (PreSS) initiative involves the introduction of a pre-filled saline syringe specifically designed for flushing vascular access devices.

PreSS was introduced to the Emergency and Trauma Centre at the Royal Brisbane and Women’s Hospital by Senior Clinical Research Nurse Tracey Hawkins.

Partnerships

Queensland Emergency Department Strategic Advisory Panel (QEDSAP)

Aim

PreSS aims to decrease potential for infection by improving adherence to Aseptic Non Touch Technique (ANTT) principles and extend patency life of PIVCs with the use of the pre-filled saline syringe.

Benefits

Benefits to using PreSS instead of manual flushing include:

  • reduction in risk of catheter related blood stream infections
  • improved adherence to ANTT principals
  • improved cost effectiveness.

Background

The Queensland Health I-CARE Guidelines (2015) designated aseptic flushing as a prime step in the process of inserting and maintenance of Vascular Access Devices, including PIVCs. It was observed that at the Royal Brisbane and Women’s Hospital Emergency Trauma Centre (RBWH ETC) that the customary method of drawing up a normal saline flush was resulting in deviation from best practice guidelines including potential for contamination, and breach of medication labelling guidelines.

In recognition that pre-filled syringes were not used in many Queensland EDs, PreSS was adopted under the PROV-ED Project for state-wide rollout.

Solutions Implemented

Implementation of prefilled saline syringes involves:

  • key stakeholder engagement
  • identification of clinical change champions
  • staff education
  • appropriate ordering and organising of equipment monitoring and feedback

Evaluation and Results

The implementation of PreSS at the RBWH ETC saved an estimated $10,982 per year, based on material costings alone. Not included in this estimate is the released staff time and prevention of potential medication errors and Hospital-Associated Blood Stream Infections.

Further Reading

Queensland Health Intra-vascular Device Management; Australian Commission on Safety and Quality in Health Care (ACSQHC) Management of Peripheral Intravenous Catheters Clinical Care standard.

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What are prefilled syringes used for?

Prefilled provide greater patient safety by reducing the potential for inadvertent needle sticks and exposure to toxic products that can occur while drawing medication from vials. [4,5] Prefilled syringes, with their pre measures dosage, can reduce dosing errors and increase patient compliance.

What are sodium chloride syringes used for?

Sodium chloride 23.4% injection is used to replenish lost water and salt in your body due to certain conditions (eg, hyponatremia or low salt syndrome). It is also used as an additive for total parenteral nutrition (TPN) and carbohydrate-containing IV fluids.

What does pre filled syringe mean?

A pre-filled syringe is a disposable syringe that is supplied already loaded with the substance to be injected. The solution is supplied as a pre-filled syringe already containing the liquid for injection. A pre-filled syringe is a single dose of medication to which a needle has been fixed by the manufacturer.

Which are examples of medications that come in prefilled syringes?

Humira®, Enbrel®, Copaxone®, Lovenox®, Rebif® and Pegasys® are examples of blockbuster drugs that are being extensively administered via prefilled syringes.