Recommendations, Resources, and Updates:

Nationwide IV Shortage

AST has compiled a list of resources for CSTs and CSFAs as they assist the surgery team in addressing the IV shortage caused by the temporary closure of Baxter International’s North Carolina facility that was damaged by Hurricane Helene.

Updates From Baxter

• Most recent announcement updating IV fluids production timeline
  https://www.aha.org/news/headline/2024-11-07-baxter-announces-updated-iv-solutions-production-timeline

• Hurricane Helene Updates including list of all previous updates
  https://www.baxter.com/baxter-newsroom/hurricane-helene-updates

Medical Associations

AABB (Association for the Advancement of Blood & Biotherapies):

• Recommendations from AABB’s Clinical Transfusion Medicine Committee on Sterile Saline Shortage (0.9% NaCl Solution)

AHA (American Hospital Association):

• The Critical Need for Resource Conservation Plans in the Face of Disasters | AHA
• AHA Special Bulletin - The AHA Oct. 28 issued a Special Bulletin to members informing them of the Food and Drug Administration's authorization extending the use date for certain Baxter products amid the ongoing IV solutions shortage. The authorization allows providers to use products up to 24 months after the manufacture date.

AHVAP (Association of Healthcare Value Analysis Professionals):

• AHVAP Emergency Supply Chain Disruption Resource Center

ASA (American Society for Anesthesiologists):

• ASA Hurricane Helene Baxter Shortage Information and Conservation Strategies

ASHP (American Society for Health-System Pharmacists):

• ASHP Small- and Large-Volume Fluid Shortages – Suggestions for Management and Conservations
• ASHP Guidelines on Managing Drug Product Shortages
• ASHP Current Drug Shortages

ASPEN (American Society for Parenteral and Enteral Nutrition):

• Resources for IV Fluid Shortages
• 2024 Parenteral Nutrition Product Shortage Recommendations: Intravenous Dextrose
• 2024 Parenteral Nutrition Product Shortage Recommendations: Sterile Water for Injection

ATS (American Thoracic Society):

• ATS’s 10 steps for addressing the IV shortage
  https://site.thoracic.org/clinicians-researchers/intravenous-fluid-shortage-ats-guidance  

ECRI (Emergency Care Research Institute

• ECRI Patient Safety Nonprofit Releases Guidance for Navigating Medical Supply Chain Disruptions Caused by Hurricane Helene

ISMP (Institute for Safe Medication Practices) & ECRI:

• ISMP Guidelines for Adult IV Push Medication
• ISMP Report an Error
• Weathering the storm—Safety considerations during fluid shortages – ISMP & ECRI

Government Resources

CDC (Centers for Disease Control and Prevention):

• Health Alert Network (HAN) – Official Health Advisory: “Disruptions in Availability of Peritoneal Dialysis and Intravenous Solutions from Baxter International Facility in North Carolina” 
  https://emergency.cdc.gov/han/2024/han00518.asp

• Preventing Unsafe Injection Practices | Injection Safety | CDC

Food and Drug Administration & Health and Human Services Resources

• Hurricane Helene: Baxter's Manufacturing Recovery in North Carolina | FDA
• Drug Shortages | FDA
• Temporary Policies for Compounding Certain Parenteral Drug Products | FDA
• Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra | HHS.gov

HHS (Health and Human Services):

• Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra | HHS.gov