Updated 11-27-2024
In response to the recent report on the operational disruption at Baxter’s North Cove, NC facility due to Hurricane Helene, NHIA has developed and collated resources to assist in addressing the shortages and ensure continuity of care through strategic resource management. NHIA is actively collaborating with regulatory agencies, suppliers, healthcare organizations, and clinicians to monitor the situation and provide updates.
NHIA Resources
Guidance Document for Managing Product Shortages during Disruptions in Manufacturing
- This guidance provides healthcare organizations with a structured approach for managing product shortages, particularly of diluents, parenteral nutrition (PN) products, and small and large volume parenteral solutions. The document outlines recommendations and considerations to help clinicians and healthcare professionals maintain patient care during these shortages.
NHIA Letter to HHS on Imminent Intravenous Solution Shortage
NHIA Letter to FDA on Shortage of Dextrose 70% Solution
Additional Resources and Links
UPDATE: Product Allocations for U.S. IV Products – Hurricane Impact on Baxter’s North Cove, NC Facility
Baxter Resources for Products Authorized for Temporary Importation
Baxter Protective Allocation – IV Sets in the United States
Baxter Protective Allocation Notice - Products on 125% Allocation
Hurricane Helene Clinical Resources
FDA Updates on Baxter's Manufacturing Recovery in North Carolina
UPDATE: 10-9-2024 Baxter Product Allocations – Hurricane Impact on Baxter’s North Cove, NC Facility
10-1-2024 Baxter Product Allocations – Hurricane Impact on Baxter’s North Cove, NC Facility
Baxter Hurricane Helene Updates Webpage
Melinta Publishes Product Information for Managing During Fluid Shortage
IMSP Imported Fluid Product Checklist
Small- and Large-Volume Fluid Shortages – Suggestions for Management and Conservation - ASHP
2024 Parenteral Nutrition Product Shortage Recommendations: Intravenous Dextrose
2024 Parenteral Nutrition Product Shortage Recommendations: Sterile Water for Injection
CDC issued a Health Advisory, Disruptions in Availability of Peritoneal Dialysis and Intravenous Solutions from Baxter International Facility in North Carolina
IMSP IV Push Guidelines
INS Response To IV Shortage
Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra
AHA Urges Biden Administration to Take Action to Address IV Solution Shortage (10-7-2024)
USP Resources for Download
-
- Operational considerations for sterile compounding by pharmacy compounders not registered as outsourcing facilities during public health emergencies and natural disasters
- Complimentary USP monographs for use during public health emergency