Hurricane Helene Clinical Resources

Baxter’s North Cove manufacturing site was significantly impacted by the rain and storm surge from Hurricane Helene. Supporting our employees in the impacted communities, bringing the North Cove facility back online and helping to ensure ongoing supply to patients are our top priorities.

While healthcare practitioners should continue to use their professional judgement in assessing the needs and resources of their individual organizations and patients, below are resources to help support product management and conservation strategies and efforts. Our Medical Affairs team is also available at [email protected].

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

Pharmacy Resources

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

NHIA (National Home Infusion Association):

• NHIA IV Fluid Shortage Resource Center
• NHIA Guidance to Address Shortages of Sterile Water and Sodium Chloride 0.9% for Injection for Compounding Sterile Preparations

ISMP (Institute for Safe Medication Practices) & ECRI:

• ISMP Guidelines for Adult IV Push Medication
• ISMP Report an Error
• ECRI Patient Safety Nonprofit Releases Guidance for Navigating Medical Supply Chain Disruptions Caused by Hurricane Helene

Vizient:

• Vizient Adult and Pediatric IV Push Medication Reference

Medical and Nutrition Resources

ASA (American Society for Anesthesiologists):

• ASA Hurricane Helene Baxter Shortage Information and Conservation Strategies

ASPEN (American Society for Parenteral and Enteral Nutrition):

• Resources for IV Fluid Shortages

SCCM (Society for Critical Care Medicine):

• Supply Chain Management During Outbreaks and Disasters
• Optimizing Fluid Stewardship in the ICU
• Finding Fluid Stewardship In the ICU
• Mitigation for Medication Shortages
• Importance of Effectively Communicating Drug Shortages
• Navigating Hospital Drug Shortages: Bringing the Team Together
• Multidisciplinary Management of Drug Shortages and Associated Ethical Dilemmas

Nursing Resources

AORN (Association of periOperative Registered Nurses):

• AORN - Periop Nurse Emergency Resource Center

ISMP (Institute for Safe Medication Practices):

• ISMP Guidelines for Adult IV Push Medication

Vizient:

• Vizient Adult and Pediatric IV Push Medication Reference

Other Resources

EDSA (End Drug Shortages Alliance):

• EDSA Resources - End Drug Shortages Alliance

ATS (American Thoracic Society):

• ATS Clinical Recommendations: 10 Steps for Hospitals Facing Intravenous Fluid Shortages (Compiled in response to Hurricane Maria)

Peer-Reviewed Publications:

• Mazer-Amirshahi M, Fox ER. Saline Shortages - Many Causes, No Simple Solution. N Engl J Med. 2018;378(16):1472-1474. doi:10.1056/NEJMp1800347
• Patel V, Cieslak K, Hertig J. Improving Safety by Evaluating the Impact of the Supply Chain and Drug Shortages on Health-Systems. Hosp Pharm. 2023;58(2):120-124. doi:10.1177/00185787221126338

Peritoneal Dialysis Resources

ASN (American Society of Nephrology):

• Interim Strategies for Conservation of Peritoneal Dialysis (PD) Solution (asn-online.org)

Baxter is actively engaged with the following societies:

• American College of Emergency Physicians (ACEP)
• American Hospital Association (AHA)
• American Society of Anesthesiologists (ASA)
• American Society of Health-System Pharmacists (ASHP)
• American Society for Parenteral and Enteral Nutrition (ASPEN)
• Association of periOperative Nurses (AORN)
• Children’s Hospital Association (CHA)
• Infusion Nurses Society (INS)
• Institute for Safe Medication Practices (ISMP)
• National Home Infusion Association (NHIA)
• Oley Foundation (Oley)
• Society of Critical Care Medicine (SCCM)

US Medical Affairs | Medical Information
Phone: 1-800-933-0303
email: [email protected]
Website: https://www.baxter.com/contact-us/medical-affairs-us-medical-information