Baxter Conservation 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, this site is intended to help support product management and conservation strategies and efforts. Our Medical Affairs team is also available at [email protected].

• October 1 Medical Information Letter for Home Dialysis Customers
• September 30 Medical Information Letter for Healthcare Facilities

Government Resources

FDA (Food and Drug Administration):

• Hurricane Helene: Baxter's Manufacturing Recovery in North Carolina | FDA
• Drug Shortages | FDA
• Temporary Policies for Compounding Certain Parenteral Drug Products | FDA
  • ASPEN Response to FDA Temporary Guidance October 2024

HHS (Health and Human Services):

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

CDC (Centers for Disease Control and Prevention):

• Health Alert Network (HAN) - 00518 | Disruptions in Availability of Peritoneal Dialysis and Intravenous Solutions from Baxter International Facility in North Carolina (cdc.gov)
• 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

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
• Weathering the storm—Safety considerations during fluid shortages – ISMP & ECRI

AHA (American Hospital Association):

• The Critical Need for Resource Conservation Plans in the Face of Disasters | AHA

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
  • 2024 Parenteral Nutrition Product Shortage Recommendations: Intravenous Dextrose
  • 2024 Parenteral Nutrition Product Shortage Recommendations: Sterile Water for Injection

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

SHEA (The Society for Healthcare Epidemiology of America):

• Baxter IV Supply Chain Disruption Resources – SHEA

Nursing Resources

AORN (Association of periOperative Registered Nurses):

• AORN - Periop Nurse Emergency Resource Center

INS (Infusion Nurses Society):

• INS Guidance to Address IV Solution Shortages as a Result of Hurricane Helene

ISMP (Institute for Safe Medication Practices):

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

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)

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

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

AHVAP (Association of Healthcare Value Analysis Professionals):

• AHVAP Emergency Supply Chain Disruption Resource Center

USP (US Pharmacopeia):

• Operational considerations for sterile compounding by pharmacy compounders not registered as outsourcing facilities during public health emergencies and natural disasters

Peer-Reviewed Publications:

• Joshi GP, Abdelmalak BB, Weigel WA, et al. 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration-A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting. Anesthesiology. 2023;138(2):132-151. doi:10.1097/ALN.0000000000004381
• Miller TE, Myles PS. Perioperative Fluid Therapy for Major Surgery [published correction appears in Anesthesiology. 2020 Feb;132(2):405. doi: 10.1097/ALN.0000000000003066]. Anesthesiology. 2019;130(5):825-832. doi:10.1097/ALN.0000000000002603
• 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 College of Surgeons (ACS)
• 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 Healthcare Value Analysis Professionals (AHVAP)
• 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)
• Society for Healthcare Epidemiology of America (SHEA)

Baxter U.S. Medical Information Online: https://medinfo.baxter.com  

Self-service portal intended for Healthcare Professionals to search and download frequently requested product information.