IV fluid shortage
At this time we do not have any saline supply to distribute or funding sources available to alleviate this shortage. The Centers for Disease Control does not plan on opening up the Strategic National Stockpile.
Early in November the CDPHE-OEPR requested situational awareness information from healthcare partners on the IV Saline and medication shortage. The shortage existed prior to Hurricane Maria and intensified with damage to the distributor’s manufacturing sites in Puerto Rico. The intent was to gather situational awareness on the impact to organizations, engage partners to identify possible solutions for those experiencing acute shortages, or consider the implementation of the statewide hospital memorandum of understanding.
Our findings were that most organizations were well aware of the shortages and had already made adjustments to their purchasing processes, supply chains, medication delivery protocols and overall IV solution usage. Based on the current situation, CDPHE recommends that health care facilities continue to:
- Review your organization's supply disruption plan (facility or corporate level) for IV solutions, disposables and medications, and try to leverage solutions from previous experiences;
- Review medication administration protocols and alternate delivery options;
- Reach out to purchasing staff (rather than administrative contacts) at other area hospitals and contact new vendors for availability and possible purchase;
- Review the Colorado statewide hospital memorandum of understanding, if applicable, and make contact with local/regional facilities (non-traditional facilities as well, i.e. dialysis centers, surgery centers, Emergency medical services, etc.) to consider group purchasing or to leverage plans or processes.
- Food and Drug Administration information regarding the saline shortage
- Recent FDA updates received by the Colorado Hospital Association indicate that significant steps have been taken to increase the production and import of small volume parenteral solutions. They anticipate that improvements to the shortage will be improved by the end of 2017. Current information on the IV and drug shortages.
- The Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center and Information Exchange Assistance, has established a webpage to assist health care providers to prepare for and manage drug shortages and the allocation of scarce resources.
- Tri-County County Health Department also recommended a webinar hosted by The Healthcare Association for New York State designed to help equip the healthcare community with practical ways to minimize impacts on patient care and provide updated information on the shortages. The recording and slide presentation is available at the HANYS website.
- Lactated Ringer's IV fluid availability is also being impacted. Please see a recent memo from the American Society of Hospital Pharmacists regarding this issue.