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  • Standardized Small Volume Flush in Adults

Standardized Small Volume Flush in Adults

Published:
April 28, 2026

What You Need To Know

Beginning on May 19, 2026, a new IV flush infusion panel will be implemented across all HMH sites to ensure the optimal administration of IV medications diluted as small volume parenteral (SVP - defined as 100 mL or less). This practice is intended to prevent loss of residual medication in IV tubing at the completion of each infusion.

  • An OPA will fire when a SVP is ordered, suggesting the Flush Infusion order panel be ordered as well.
    • Note: If active orders for flush infusions are already present on the patient’s medication list, the OPA will NOT fire.

Flush infusion OPA

  • Nurses will flush the SVP using 25 mL of the same carrier fluid as the SVP diluent. 
    • Example:  ampicillin/sulbactam (Unasyn) in 0.9% NaCl infused at 200 mL/hour would be flushed with 25 mL of 0.9% NaCl at 200 mL/hour.
  • Pharmacy has been working with Purchasing to ensure that adequate carrier fluids are available. Unit nursing leaders should work with Materials Management to ensure that a sufficient quantity of carrier fluids are accessible for their units (see below for PS numbers).

Flush Infusions order

Flush Infusions order

Peoplesoft Numbers

Braun sites: HUMC, PMC, JFKUMC, BMC, RMC, JSUMC, OUMC & SOMC

Braun Sites - Peoplesoft numbers

Baxter sites: RBMC & OBMC

Baxter Sites - Peoplesoft numbers

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