In our home program, we have been practicing IP antibiotics administration for treatment for peritonitis on our PD patients. We have a new supervisor that is saying that we are not allowed as nurses to mix Abx with dianeal solutions and should be done by pharmacist. She has minimal experience with PD– performing exchanges for patients in an acute setting in the hospital. Has anyone ran into any of these issues before? Where can we find the answer and or source to show her that this is allowed practice?
In our home program, we have been practicing IP antibiotics administration for treatment for peritonitis on our PD patients. We have a new supervisor that is saying that we are not allowed as nurses to mix Abx with dianeal solutions and should be done by pharmacist. She has minimal experience with PD– performing exchanges for patients in an acute setting in the hospital. Has anyone ran into any of these issues before? Where can we find the answer and or source to show her that this is allowed practice?
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Mary C, Nurse from NY asked
In our home program, we have been practicing IP antibiotics administration for treatment for peritonitis on our PD patients. We have a new supervisor that is saying that we are not allowed as nurses to mix Abx with dianeal solutions and should be done by pharmacist. She has minimal experience with PD– performing exchanges for patients in an acute setting in the hospital. Has anyone ran into any of these issues before? Where can we find the answer and or source to show her that this is allowed practice?

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⋅ Nurse Canada with members of the ISPD Nurse Committee ⋅ April 7, 2022

We thank you for your question. ISPD is an international organization; therefore, it is difficult for us to comment on a local practice – in your case, regulations for nursing practice in the state of New York. Our recommendation is for you to check with your local chapter of the American Nephrology Nurses’ Association (ANNA). You should be able to find contact information for your local chapter at this website: https://www.annanurse.org/chapters

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