Understanding Jevity 1.5 Hang Times
For individuals or caregivers managing enteral nutrition, understanding the precise hang time for Jevity 1.5 is critical for safety and efficacy. The term "hang time" refers to the maximum period a feeding bag with formula can be safely suspended and administered at room temperature before the risk of microbial growth becomes significant. This duration is not a fixed number but varies based on several factors, most importantly the type of administration system—either a pre-packaged, sterile closed system or an open system that requires decanting from cans.
Closed System (Ready-to-Hang) Hang Time
Jevity 1.5 is available in a Ready-to-Hang (RTH) container, a sterile, non-air-dependent collapsible bag that minimizes manipulation and contamination risk. For continuous feeding using this closed system, manufacturer guidelines state that the product can be hung for up to 48 hours from the initial connection, provided proper aseptic technique is followed and only one new feeding set is used. However, many healthcare facilities and home-care protocols opt for a more conservative 24-hour limit, as feeding sets are typically changed daily. This reduces the window for potential contamination that might occur during daily care.
Open System (Decanted Cans) Hang Time
When Jevity 1.5 is administered from individual cans and decanted into a feeding bag, it becomes an open system, introducing a higher risk of bacterial contamination. For this method, the maximum recommended hang time is significantly shorter—no more than 24 hours. In many clinical and home settings, and especially when additives like water or medication are mixed in, the limit is often restricted further to just 4 to 8 hours to ensure maximum safety. The key reason for this reduced time is the increased exposure to air and potential touch contamination during preparation and administration.
Factors Affecting Hang Time Safety
Several factors can influence the risk of bacterial growth and, therefore, the safe hang time for tube feeding formulas. Adherence to proper hygiene is paramount for any method of feeding. Always wash hands thoroughly with soap and water before handling any equipment or formula container. Additionally, administering the formula at room temperature is standard practice; however, warmer ambient temperatures can accelerate bacterial growth, so caution is advised in hot environments.
The Dangers of Exceeding Hang Time
Ignoring hang time guidelines can lead to serious health consequences, with bacterial contamination being the primary concern. Formulas that sit out too long at room temperature can become a breeding ground for harmful bacteria, such as Salmonella and E. coli. Ingesting spoiled or contaminated formula can lead to gastrointestinal issues like diarrhea, or more severe systemic infections, particularly in immunocompromised individuals. Beyond bacteria, prolonged hang time, especially with older, re-used equipment, can lead to the formation of a biofilm—a sticky layer on the inside of the tubing that can harbor bacteria and cause recurring infections.
Recommended Best Practices
To ensure the highest level of safety and minimize risk, healthcare providers and caregivers should establish a strict routine based on established guidelines. For both closed and open systems, marking the container with the date and time it was hung can help track the duration. If a continuous feed is not possible, administering bolus feedings with a fresh, clean syringe for each session and refrigerating any remaining formula from an opened can can drastically improve safety. For caregivers administering feeding at home, using a new feeding bag and set every 24 hours is a standard precaution, regardless of the formula type, to prevent bacterial accumulation in the equipment itself.
Comparison of Hang Time Guidelines
| System Type | Jevity 1.5 Packaging | Hang Time (Manufacturer) | Common Practice/Guidelines | Primary Risk Factor |
|---|---|---|---|---|
| Closed System | Ready-to-Hang (RTH) bag | Up to 48 hours with a single new feeding set | Typically limited to 24 hours to align with feeding set changes | Contamination of equipment if reused improperly |
| Open System | Decanted from an 8 oz. can into a feeding bag | Up to 24 hours | Often restricted to 4–8 hours, especially with additives | Bacterial contamination during preparation and administration |
Conclusion
The correct hang time for Jevity 1.5 is a crucial component of safe enteral nutrition, directly dependent on whether a closed or open administration system is utilized. Following manufacturer and professional healthcare guidelines—48 hours for a strictly managed closed system or 24 hours (and often less) for an open system—is essential to prevent the significant health risks associated with bacterial contamination. By adhering to these protocols and practicing consistent hygiene, caregivers can ensure the safe and effective delivery of this vital nutritional support. Always consult a healthcare professional for specific instructions tailored to the patient's condition. Refer to Abbott Nutrition's product information page for detailed handling instructions related to their products.
