Be Prepared

The NJHCC Support team is actively responding to an ongoing IV solution shortage. This supply chain emergency was triggered by the shutdown of a Baxter plant – the world’s largest source of IV solutions – when Hurricane Helene devastated parts of western North Carolina the week of Sept. 26, 2024. The NJHCC Support team will continue to assist healthcare partners from across New Jersey to manage and mitigate the effects of this shortage.

Key Updates

• Alert Hub: 2024 IV Solution Shortage https://healthcareready.org/alert/2024-iv-solution-shortage/
• Alert Hub: 2024 Hurricane Milton https://healthcareready.org/alert/2024-hurricane-milton/
• Baxter Hurricane Helene Updates https://www.baxter.com/baxter-newsroom/hurricane-helene-update
• FDA Hurricane Helene: Baxter's manufacturing recovery in North Carolina https://www.fda.gov/drugs/updates-2024-hurricane-season/hurricane-helene-baxters-manufacturing-recovery-north-carolina

Additional Briefs and Status Reports

• American Hospital Association (AHA) Special Bulletin - 10/28/24
• American Hospital Association (AHA) Special Bulletin - 10/24/24
• American Hospital Association (AHA) Special Bulletin - 10/18/24
• Conservation Strategies for Potential IV Fluid Supply Disruption from Vizient
• Conservation Strategies for Home Dialysis Customers from Baxter North Cove
• B. Braun to Ramp Up Production of IV Fluid by 20% in Coming Weeks from Reuters https://www.reuters.com/business/healthcare-pharmaceuticals/b-braun-ramp-up-production-iv-fluids-by-20-coming-weeks-2024-10-18/
• Fact Sheet: HHS Continues Taking Action to Increase Access and Supply of IV Fluids Following Hurricane Helenehttps://www.hhs.gov/about/news/2024/10/18/fact-sheet-hhs-continues-action-increase-access-supply-iv-fluids-hurricane-helene.html
• FEMA, Federal Response Positioned to Fully Support Florida Ahead of Milton Landfall https://files.constantcontact.com/4a22cd98901/2067e904-5c1f-4bf2-a68f-0d3811130a2a.pdf
• Vizient Natural Disaster Disruption Brief – Hurricane Milton https://files.constantcontact.com/4a22cd98901/87b2eb14-574e-4966-9870-a56e35721173.pdf
• Letter to President Biden from N.J. Congressman Van Drew https://files.constantcontact.com/4a22cd98901/ec38a99a-942b-4de9-9ca8-3793e1ba4b6a.pdf
• AHA to President Urging the Administration to Take Action to Address IV Solution Supply Shortage https://files.constantcontact.com/4a22cd98901/cbe96924-0c1e-4122-8b1b-878d328d8bef.pdf
• HHS Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene https://www.hhs.gov/about/news/2024/10/09/letter-health-care-leaders-stakeholders-impacts-hurricane-helene-secretary-becerra.html

Tools and Resources

• ASHP – Current Drug Shortages: https://www.ashp.org/drug-shortages/current-shortages?loginreturnUrl=SSOCheckOnly
• FDA – Drug Shortages: https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages
• CDC – Current Vaccine Shortages and Delays: https://www.cdc.gov/vaccines/hcp/vaccines-us/shortages-delays.html
• Stanford Baxter IV fluid disruption 10.27.2024
• Centers for Disease Control (CDC) Health Alert Network (HAN) Health Advisory
• ASPR TRACIE Intravenous Fluid Shortage Strategies: https://files.asprtracie.hhs.gov/documents/iv-fluid-shortage-strategies.pdf
• ASHP Small- and Large-Volume Fluid Shortages – Suggestions for Management and Conservation: https://www.ashp.org/drug-shortages/shortage-resources/publications/fluid-shortages-suggestions-for-management-and-conservation
• Brigham and Women’s Hospital – Strategies for Implementing Oral Hydration: https://www.rdhrs.org/wp-content/uploads/2024/10/Oral-Rehydration-Protocol-RDHRS-2024_FINAL.pdf
• ECRI Supply Guide and Functional Equivalents Report: https://bit.ly/4gURYEe