Last week I had the opportunity of being in an account where every PACU across this health system receives their patients from the OR with the IV line directly connected to the catheter hub. They then have the tedious post-op task of reconfiguring the set up to ensure every patient goes to the floor with an extension set and needleless connector between the hub and the IV line. Like the vast majority of needleless connectors used today, these were fused to the end of their extension tubing. There are a number of clinical situations that require the needleless connector to be removed – e.g., before or after a blood specimen has been collected; blood has been infused through it; a specialty tubing is required (OR or Radiology). When the connector is fused to the tubing, the entire extension set needs to be swapped out.