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Originator: National Patient Safety Alert - NHS England & NHS Improvement

Issue date: 02-Apr-2020 12:43:39

This alert has been issued to:
  • Care Trusts
  • Mental Health Trusts
  • Specialists Trusts
  • Learning Disabilities Trusts
  • Mental Health & Social Care Trusts
  • Ambulance Trusts
  • Mental Health & Learning Disabilities Trusts
  • Acute Trusts
  • Community Trusts

  • Other contacts
  • Independent Healthcare Providers (registered with CAS)
  • Clinical Commissioning Groups
  • NHS Foundation Trusts (England) - Medical Director
  • NHS Foundation Trusts (England) - Chief Executive
  • NHS Trusts (England) - Medical Director
  • Territorial CMOs in Northern Ireland, Scotland & Wales
  • NHS Trusts (England) - Chief Executive

Action category: Immediate Action

Title: Blood control safety cannula and needle thoracostomy for tension pneumothorax

Broadcast content:

This National Patient Safety Alert should be treated as a high priority as it may relate to care provided for Covid-19 patients. Please note the deadline to complete actions is Thursday 9 April 2020.

The alert relates to the risk of harm from using ‘blood control (closed system) intravenous cannulas’ to decompress a pneumothorax, as they cannot be used for this purpose without additional equipment.

The alerts asks providers to provide and add labels to ‘standard’ cannulas to indicate they should be used for tension pneumothorax; and labels on cupboards, drawers etc. used to store ‘closed system’ cannulas to indicate they must not be used for tension pneumothorax.

Alert reference: NatPSA/2020/003/NHSPS

Action underway deadline: 03-Apr-2020

Action complete deadline: 09-Apr-2020


Contact our helpdesk

Email: safetyalerts@mhra.gov.uk

Medicines and Healthcare products Regulatory Agency