I would never regulate a piggy back rate with a primary clamp. Suppose you couldn't get back in time and the primary line infused much faster than it should have? Actually, it has been a very long time since I have used gravity drips anyways. I don't work in intensive care or anything; just med/surg and oncology. We always use pumps on all our IV's and can program a secondary to run alone or concurrently with the primary line.