Hawaii - Pacific Chapter of ACHE - Spring 2014 (Plain Text Version)
In this issue:
Hospitals and healthcare organizations throughout Hawai‘i and the rest of the nation are feeling the effects of a normal saline (NS) shortage.
by William "Bill" Richter, RN; Authorized for reprint by Toby Clairmont, RN, CHEP, Introduction submitted by Jen Dacumos, PharmD, MBA
Keeping you the Healthcare Reader Informaed: CURRENT STATUS REGARDING NORMAL SALINE SHORTAGE
Hospitals and healthcare organizations throughout Hawai‘i and the rest of the nation are feeling the effects of a normal saline (NS) shortage. The manufacturers state increased demand as the cause of the shortage. The shortage of NS has also caused the other IV fluids to become in short supply, including Lactated Ringer’s (LR) and Dextrose 5% (D5W). The three main manufacturers of NS (Baxter, B Braun and Hospira) have their supply on allocation and supply is estimated to return to normal levels sometime in April. Hospitals and healthcare organizations are encouraged to adopt aggressive conservation efforts outlined in the attached Healthcare Association of Hawai‘i (HAH) memo.
CURRENT STATUS REGARDING NORMAL SALINE SHORTAGE
Hospitals and healthcare organizations across the nation are experiencing shortages of 0.9% normal saline says a February 11, 2014, press release from the American Society of Health-System Pharmacists. The findings show that "more than 75 percent of the U.S. hospitals and other health care settings" are being affected. In addition, other products, including those used to conserve stocks of normal saline, are increasingly becoming scarce. Hawaii’s healthcare organizations are feeling the effects of this nationwide shortage as well.
HAH Emergency Services is monitoring the situation and is actively engaged in trying to work with local distributors and mainland manufacturers to secure additional supplies of normal saline. However, despite this effort, we believe that it will be unlikely that additional supplies can be obtained in the near future. Therefore, we are suggesting aggressive conservation efforts by all organizations that routinely use normal saline.
Below is a list of some of the actions your organization can take to conserve the current supplies of normal saline:
The American Society of Health System Pharmacists also recommends the following strategies:
Suggested Bag Sizes for Specific Rates of Infusion: