NY Health: Conserve IV Fluids and Materials Due to Supply Chain Disruptions

The New York State Department of Health, through its Division of Hospitals and Diagnostic & Treatment Centers, has issued Directive Announcement Letter (DAL) 24-07, providing guidance on conserving intravenous (IV) fluids, materials, and end-stage renal disease supplies. This action is a response to significant supply chain disruptions, including the closure of a major manufacturing plant. The guidance mandates immediate inventory tracking, prioritization of IV fluids for critical patient needs, limitation of elective surgeries, and encouragement of alternative medication administration routes. It also advises optimizing IV fluid usage by employing smaller bags and administering only necessary volumes.

Healthcare providers, including hospitals, diagnostic and treatment centers, ambulatory surgery centers, and ESRD facilities, are directed to implement these conservation strategies immediately to manage current supply uncertainties and ensure patient care continuity. While non-binding, adherence is crucial for maintaining adequate stock of essential medical supplies. The guidance emphasizes using clinical judgment and exploring alternatives to IV administration where clinically appropriate. Providers with questions are directed to contact hospinfo@health.ny.gov.