Infusion
Nursing Notes
By Nufactor

Infusion Nursing Notes by Nufactor provides education, resources and support to promote successful patient therapy within the infusion nursing community.

How to Pool Medications into a Pooling Bag

By Candy Finley, RN, IgCN and Joe DiStefano, RPh

Pooling is the process of transferring the total dose of drug plus overfill into an empty IV bag ("pooling bag"). Although NuFACTOR prefers administering IVIG by spiking vials one at a time sequentially or adding drug directly into a bag of diluent (e.g., infliximab/Remicade®), there are some times when pooling is appropriate. These include lyophilized powder IVIG requiring reconstitution (e.g., Gammagard® SD and Carimmune®), HyQvia® (IG component only) and infliximab doses greater than 1000 mg. The process of pooling medications into a specially designed pooling bag is a relatively simple process. [More]

The Curlin Pump

By Candy Finley, RN, IgCN and Joe DiStefano, RPh.

NuFACTOR Specialty Pharmacy programs pumps specifically to the patient orders. Always verify the patient's order with the pump program. Pumps are sent out in Variable Mode, which means the pump will titrate up on its own as it has been programmed. Remember to attach the vented spike adaptor to the spike of Curlin tubing. Per our policy, after spiking three vials, the nurse must use a new spike adaptor and Curlin tubing as they become dull and it is nearly impossible to separate them. [More]