PRIMARY SYMBIQ SET PIGGYBACK WITH BACKCHECK VALVE

Description of Event or Problem

PATIENT ON SURGICAL NURSING UNIT WITH BOWEL OBSTRUCTION AND GASTROENTERITIS WAS TO RECEIVE POTASSIUM CHLORIDE 250 ML BAG OF 40 MEQ LIDOCAINE 20 MG OF 1% OVER 4 HOURS. IV TUBING WAS CONNECTED AT THE Y-SITE. RN WAS ATTEMPTING TO DISCONNECT FROM THE Y-SITE AND THE END OF THE TUBING SNAPPED OFF. BROKEN TUBING PIECES AND Y-SITE HUB WERE SAVED. THERE WAS NO HARM TO THE PATIENT.PREVANTICS SWAB (CHLOROHEXIDINE GLUCONATE) 3.5% AND ISOPROPYL ALCOHOL (70%) SWAB ANTISEPTIC ARE USED TO WIPE OFF THE HUB OF THE IV SET, LEAVING A WHITE RESIDUE. RN QUESTIONS WHETHER THE WHITE RESIDUE ON THE HUB COULD HAVE CONTRIBUTED TO THE TUBING BREAK.