DOCSLIB.ORG

Medfusion® Syringe Infusion Pump Model 4000 Operator's Manual

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Medfusion® Syringe Infusion Pump Model 4000 Operator's Manual f Medfusion® Syringe Infusion Pump Model 4000 Operator’s Manual Software Version V1.1 This manual and its contents are valid for use with software version V1.1 Medfusion® Model 4000 pump Operator’s Manual Technical Assistance The issue date of this manual is included on the back cover. If your manual is a year or more old, contact Smiths Medical to see if a newer manual is available. If you have comments or questions concerning the operation of the Medfusion® Syringe Infusion Pump Model 4000 (Medfusion® Model 4000 pump), please call the appropriate number given below. When call- ing, please specify your pump’s software version. This information is located on the start-up screen. Our staff at Smiths Medical in the USA is available to help clinicians 24 hours a day with the programming and operation of the Medfusion® Model 4000 pump. Smiths Medical ASD, Inc. 1265 Grey Fox Road St. Paul, MN 55112 USA 1 800.258.5361 (USA), +1 214.618.0218 www.smiths-medical.com A printed copy of this manual is available upon request. ii Medfusion® Model 4000 pump Operator’s Manual Table of Contents Select a Category ......................................................... 32 Select a Drug Program ............................................... 32 Important Safety Information 1 Select a Delivery Mode (Medfusion™ Standard Warnings ................................................................................... 1 Configuration) ............................................................. 33 Cautions .................................................................................... 4 Loading a syringe and syringe model setup ....................... 34 Symbols ..................................................................................... 5 Unloading the syringe ................................................ 38 Programming Infusions........................................................ 39 Introduction 6 Continuous mode: mL/hr .............................................. 39 Indications for use ................................................................... 6 Dose / Min and Dose / Hr .............................................. 40 Contraindications .................................................................... 7 Dose / Day ........................................................................ 42 About the pump 8 Dose / Time ...................................................................... 44 Features and Controls ............................................................. 8 Body weight/surface area infusion deliveries .............. 46 Keypad closeup .................................................................. 9 Volume / weight infusions .............................................. 48 Dose/kg/time (dose/m2/time) ........................................ 50 Network Connections 11 Volume / weight / time .................................................... 52 Ethernet State ................................................................... 11 Volume / time ................................................................... 54 Wireless State .................................................................... 11 Intermittent volume / time ............................................ 55 Connected to Toolbox ..................................................... 11 Recall last settings ............................................................ 57 Network Configuration ................................................... 11 Priming the system ................................................................ 59 Attaching the Pump to the Network ................................... 11 Network status ................................................................. 11 Options 61 Bolus dosing ........................................................................... 62 Pump Customization and General Bolus programming......................................................... 62 Programming 12 Bolus delivery ................................................................... 64 Custom Configuration .......................................................... 12 Continuing an interrupted bolus dose ..................... 65 General Programming .......................................................... 14 Bolus dose rate reduction ............................................... 66 Exceeding limits..................................................................... 14 Loading doses ........................................................................ 67 How pump settings and limits are prioritized ................... 14 Set up loading dose .......................................................... 67 User defined pump Configurations .................................... 15 Delivering a loading dose ............................................... 69 What are Configurations? ............................................... 15 Continuing an interrupted loading dose ................. 70 When are Drug Programs used? .................................... 15 Loading dose rate reduction ........................................... 71 Who can use these Drug Programs? ............................. 15 Volume limit .......................................................................... 72 Types of programmable Library Categories ................. 15 Setting volume limit ....................................................... 72 Using a Custom Configuration ............................................ 16 Keep Vein Open (KVO) rate ................................................ 74 Using Quick Libraries ........................................................... 17 Programming KVO rate ................................................. 74 PharmGuard™ Safety Software: Dose Protocol Standby ................................................................................... 76 Protection .................................................................... 19 Programming standby..................................................... 76 Soft limits .......................................................................... 19 Delayed start .......................................................................... 78 Hard limits ........................................................................ 19 Programming delayed start ............................................ 78 Adjusted limits in reverse ........................................... 20 Periodic callback alarm ........................................................ 79 Overridden limits in reverse ...................................... 20 Programming periodic callback alarm ......................... 79 Invalid infusion parameter combination ................. 20 Override and toggle features ................................................ 81 PharmGuard™ Supported Syringes (PSS) Series 2 ............ 21 Change to Dose / Change to Volume ........................... 81 Navigating the pump menus ................................................ 22 Override occlusion limit ................................................ 82 The Workflow Process ..................................................... 22 Override alarm loudness ................................................ 83 Guidelines for enhanced pump performance 24 Disable/enable FlowSentry™ ........................................... 84 Disable/enable near empty alarm tone ......................... 84 Always use the smallest syringe for volume of fluid Disable/enable vol empty alarm tone ............................ 85 being delivered ........................................................... 24 Bolus Volume ......................................................................... 25 Infusion Delivery 86 Use appropriate internal diameter tubing .......................... 25 Starting & stopping infusion delivery ................................. 86 Programming an Infusion 26 Start delivery from pause ................................................ 86 Starting delivery from standby or delayed start ........... 87 Turn the pump on ................................................................. 26 Stopping delivery......................................................... 87 Turning the pump off ...................................................... 27 Continuing interrupted delivery ............................... 87 Selecting a Delivery Mode and Programming an Flush feature ........................................................................... 88 infusion ....................................................................... 28 Volume only ..................................................................... 88 General Infusion Programming Procedure ................. 29 Continuing an interrupted flush infusion................ 89 Selecting an Infusion ............................................................. 30 Volume and time .............................................................. 90 Select a Profile (Custom Configuration) ...................... 31 iii Medfusion® Model 4000 pump Operator’s Manual Time to occlusion .................................................................. 92 Software Safety Features .....................................................128 Occlusion trend graph during delivery .............................. 92 Hardware-related Software Safety Features ...........128 FlowSentry™ (rapid occlusion detection) ..................... 92 Program Memory - Check FLASH memory Post occlusion bolus reduction ..................................... 93 POST or BGND .....................................................128
Load more

Recommended publications
  • Sodium Chloride Injection USP 0.9% Prefilled Syringes, for Intravascular Use Only ------WARNINGS and PRECAUTIONS ------Initial U.S
    HIGHLIGHTS OF PRESCRIBING INFORMATION --------------------- DOSAGE FORMS AND STRENGTHS --------------------- These highlights do not include all the information needed to use • Supplied as a clear, colorless, odorless, sterile solution of Sodium Sodium Chloride Injection USP 0.9% safely and effectively. See Chloride 0.9% for intravenous administration (3) full prescribing information for Sodium Chloride Injection USP • Supplied in 50 mL and 125 mL prefilled syringes (3) 0.9%. ------------------------------- CONTRAINDICATIONS ------------------------------- • None (4) Sodium Chloride Injection USP 0.9% Prefilled Syringes, For Intravascular Use Only ----------------------- WARNINGS AND PRECAUTIONS ----------------------- Initial U.S. Approval: 2006 • Remove all air from the syringe and associated tubing prior to injection. (5.1) ----------------------------INDICATIONS AND USAGE ---------------------------- • For use in flushing compatible contrast agents through Liebel- • May cause fluid overload in patients with congestive heart failure, Flarsheim intravenous administration sets into indwelling severe renal insufficiency, and in clinical states with edema, sodium retention, or hypernatremia. (5.3) intravascular access devices (1) • Establish intravascular catheter patency prior to administration. ----------------------- DOSAGE AND ADMINISTRATION ----------------------- (5.4) • For single patient use only. (2) • Determine the volume of flush based on the imaging procedure, ------------------------------ ADVERSE REACTIONS ------------------------------
    [Show full text]
  • Clinical Policy: Hyperemesis Gravidarum Treatment Reference Number: PA.CP.MP.34 Effective Date: 01/18 Coding Implications Last Review Date: 04/18 Revision Log
    Clinical Policy: Hyperemesis Gravidarum Treatment Reference Number: PA.CP.MP.34 Effective Date: 01/18 Coding Implications Last Review Date: 04/18 Revision Log Description Hyperemesis gravidarum is a term reserved to describe the most severe cases of nausea and vomiting in pregnancy (NVP). It results from severe nausea and vomiting, and the resultant inability to rehydrate and replenish nutritional reserves. A diagnosis of hyperemesis gravidarum is best made when it is based on objective findings such as moderate to large ketonuria and weight loss. Weight loss of 5% or greater is often described as diagnostic of hyperemesis gravidarum but this is not to suggest that measures to improve nausea and vomiting should not be undertaken prior to this. Hyperemesis gravidarum tends to begin earlier in pregnancy and last longer than those patients with less severe NVP. When the step-approach algorithm does not allow for continued adequate hydration of the patient, intravenous (IV) infusion or subcutaneous (SQ) micropump infusion of metoclopramide or ondansetron can allow for treatment until the patient can reliably take oral medications. The ability to perform activities of daily living, tolerate most food intake, and take oral medications are measures that objectively and subjectively instruct the practitioner as to the value of these therapies. When these therapies have allowed the patient to return to the above states of function, they can be discontinued. Oral therapies can be used in conjunction with IV and SQ infusion if tolerated. There is not a place for continuous, long-term IV or SQ infusion of medications to manage hyperemesis if the patient is functioning as described above.
    [Show full text]
  • Errors Associated with Oxytocin
    February 2020 Volume 18 Issue 2 Now Available from ISMP Errors associated with oxytocin use: A multi- Expanded Smart Pump Guidelines organization analysis by ISMP and ISMP Canada We have just released revised and expanded Guidelines for Optimizing Safe ntravenous (IV) oxytocin used antepartum is indicated to induce labor in patients Implementation and Use of Smart Infusion with a medical indication, to stimulate or reinforce labor in selected cases of uterine Pumps to provide strategies for address - Iinertia, and as an adjunct in the management of incomplete or inevitable abortion. ing potential barriers and integrating this Used postpartum, IV oxytocin is indicated to produce uterine contractions during technology with other electronic systems. expulsion of the placenta and to control postpartum bleeding or hemorrhage. However, The expanded guidelines cover a broad improper administration of oxytocin can cause hyperstimulation of the uterus, which in scope of smart infusion pump usage in turn can result in fetal distress, the need for an emergency cesarean section, or uterine both inpatient and ambulatory settings, rupture. Sadly, a few maternal, fetal, and neonatal deaths have been reported. including perioperative, procedural, and radiology locations. The expanded guide - In October 2019, ISMP Canada published a multi-incident analysis 1 to identify oppor - lines also include recommendations to tunities to improve the safe use of this high-alert medication. A total of 144 reports of employ smart infusion pumps with dose incidents associated with oxytocin were analyzed from voluntary reports submitted error-reduction systems for plain IV fluid to ISMP Canada and the Canadian National System for Incident Reporting (NSIR) infusions.
    [Show full text]
  • Aerogen Nebulizer)
    Page 1 of Date of Original: 11/15/18 Date of Review: Date of Revision: 9/4/19 Respiratory Therapy POLICY & PROCEDURE MANUAL RIBAVIRIN ADMINISTRATION (Aerogen nebulizer) PURPOSE: 1. Standardize the administration and delivery of ribavirin by aerosol 2. To protect the patient and caregivers by standardizing precautions for ribavirin delivery POLICY: The patient room must be set up according to St Jude’s Environmental Health and Safety policy prior to the administration of Ribavirin. Room preparation is to be done by the nursing staff. *See procedure section below https://home.stjude.org/ehs/Pages/ribavirin-precautions.aspx • Negative pressure room is mandatory for Ribavirin administration. • Preparation of the room is the responsibility of the nursing staff. • Ribavirin will be delivered from pharmacy in primed Aerogen syringe set appropriate for use on the MedFusion 3500 syringe pump. • The syringe pumps will be used, maintained, and stored by the respiratory therapy department. • The PPE cart is the shared responsibility of the respiratory therapist who administers the first dose of ribavirin and the nursing coordinator for that area. • Proper sign including contact precautions and STOP will be shared responsibility of the nursing and respiratory care. • All instances of spilled or leaked ribavirin must be documented in the event reporting system. • Ribavirin may be delivered to a patient during mechanical ventilation in a very specific set of circumstances. The final decision on the use of ribavirin is at the discretion of the ICU physician on service. EQUIPMENT: • Negative pressure room • DeMistifier 2000 HEPA filtration system. • DeMistifier negative pressure bed enclosure with canopy. • MedFusion 3500 Syringe pump • Flowmeter • Aerogen vibrating mesh nebulizer • Delivery Supplies (O2 tubing, O2 reducer, large bore tubing, T adaptor, and aerosol face mask) • Prescribed medication • STOP sign for the door during drug administration PPE • N95 or Positive Air Pressure mask required • Chemo resistant Gown • Double Gloves • Shoe covers PROCEDURE: 1.
    [Show full text]
  • A Portable Mechanical Pump Providing Over Four Days of Patient-Controlled Analgesia by Perineural Infusion at Home
    A Portable Mechanical Pump Providing Over Four Days of Patient-Controlled Analgesia by Perineural Infusion at Home Brian M. Ilfeld, M.D., and F. Kayser Enneking, M.D. Background and Objectives: Local anesthetics infused via perineural catheters postoperatively decrease opioid use and side effects while improving analgesia. However, the infusion pumps described for outpatients have been limited by several factors, including the following: limited local anesthetic reservoir volume, fixed infusion rate, and inability to provide patient-controlled doses of local anesthetic in combination with a continuous infusion. We describe a patient undergoing open rotator cuff repair who was discharged home with an interscalene perineural catheter and a mechanical infusion pump that allowed a variable rate of continuous infusion, as well as patient-controlled boluses of local anesthetic for over 4 days. Case Report: A 77-year-old woman, who had previously required a 3-day hospital admission for acute postoperative pain following an open repair of her left rotator cuff, presented for an open repair of her contralateral rotator cuff. Preoperatively she received an interscalene block and perineural catheter. After the procedure she was discharged home with a portable pump that infused ropivacaine continuously at a rate of 6 mL/h and allowed a 2-mL patient-controlled bolus every 20 minutes (550-mL reservoir). The basal infusion was decreased, as tolerated, by having the patient reprogram the pump with instructions given over the telephone. Without the use of any oral opioids, the patient scored her surgical pain 0 to 1 (on a scale of 0 to 10) while at rest and 2 to 3 for 2 physical therapy sessions during which she used the bolus function to reinforce her analgesia.
    [Show full text]
  • ACR Manual on Contrast Media
    ACR Manual On Contrast Media 2021 ACR Committee on Drugs and Contrast Media Preface 2 ACR Manual on Contrast Media 2021 ACR Committee on Drugs and Contrast Media © Copyright 2021 American College of Radiology ISBN: 978-1-55903-012-0 TABLE OF CONTENTS Topic Page 1. Preface 1 2. Version History 2 3. Introduction 4 4. Patient Selection and Preparation Strategies Before Contrast 5 Medium Administration 5. Fasting Prior to Intravascular Contrast Media Administration 14 6. Safe Injection of Contrast Media 15 7. Extravasation of Contrast Media 18 8. Allergic-Like And Physiologic Reactions to Intravascular 22 Iodinated Contrast Media 9. Contrast Media Warming 29 10. Contrast-Associated Acute Kidney Injury and Contrast 33 Induced Acute Kidney Injury in Adults 11. Metformin 45 12. Contrast Media in Children 48 13. Gastrointestinal (GI) Contrast Media in Adults: Indications and 57 Guidelines 14. ACR–ASNR Position Statement On the Use of Gadolinium 78 Contrast Agents 15. Adverse Reactions To Gadolinium-Based Contrast Media 79 16. Nephrogenic Systemic Fibrosis (NSF) 83 17. Ultrasound Contrast Media 92 18. Treatment of Contrast Reactions 95 19. Administration of Contrast Media to Pregnant or Potentially 97 Pregnant Patients 20. Administration of Contrast Media to Women Who are Breast- 101 Feeding Table 1 – Categories Of Acute Reactions 103 Table 2 – Treatment Of Acute Reactions To Contrast Media In 105 Children Table 3 – Management Of Acute Reactions To Contrast Media In 114 Adults Table 4 – Equipment For Contrast Reaction Kits In Radiology 122 Appendix A – Contrast Media Specifications 124 PREFACE This edition of the ACR Manual on Contrast Media replaces all earlier editions.
    [Show full text]
  • Performance Drug List - Standard Control
    October 2020 Performance Drug List - Standard Control The CVS Caremark® Performance Drug List - Standard Control is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition. These preferred brand-name medicines are listed to help identify products that are clinically appropriate and cost-effective. Generics listed in therapeutic categories are for representational purposes only. This is not an all-inclusive list. This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. PLAN MEMBER HEALTH CARE PROVIDER Your benefit plan provides you with a prescription benefit program Your patient is covered under a prescription benefit plan administered by CVS Caremark. Ask your doctor to consider administered by CVS Caremark. As a way to help manage health prescribing, when medically appropriate, a preferred medicine from care costs, authorize generic substitution whenever possible. If you this list. Take this list along when you or a covered family member believe a brand-name product is necessary, consider prescribing a sees a doctor. brand name on this list. Please note: Please note: • Your specific prescription benefit plan design may not cover • Generics should be considered the first line of prescribing. certain products or categories, regardless of their appearance in • The member's prescription benefit plan design may alter this document. Products recently approved by the U.S. Food 1 and Drug Administration (FDA) may not be covered upon coverage of certain products or vary copay amounts based on release to the market.
    [Show full text]
  • IFU for Bioglue Surgical Adhesive (Outside USA)
    Instructions for Use Syringe BioGlue® Adhésif BioGlue® Collante Chirurgico Adhesivo Quirúrgico Chirurgical Mode Chirurgischer Klebstoff BioGlue® Istruzioni d’uso BioGlue® Instrucciones d’emploi Seringue Gebrauchsanwei sung Siringa de Uso Jeringuilla Spritze BioGlue® Adesivo BioGlue® Kirurgisk BioGlue® Kirurgisk Lim BioGlue® Vävnadslim Cirúrgico Instruções de Klæbemiddel Bruksanvisning Sprøyte Bruksanvisning Spruta Utilização Seringa Brugsanvisning Sprøjte Χειρουργική συγκολλητική BioGlue® Cerrahi Chirurgické adhezivum BioGlue® ουσία BioGlue® Οδηγίες Yapışkan Kullanım BioGlue® Návod k použití Chirurgische Kleefstof χρήσης Σύριγγα Talimatları Şırınga Stříkačka Gebruiksinstructies Spuit Chirurgické Lepidlo BioGlue® Sebészi Klej Chirurgiczny Хирургический клей BioGlue® Návod na Szövetragasztó BioGlue® Sposób Użycia BioGlue® Инструкция по Použitie Striekačka Használati útmutató Strzykawka применению Шприц Fecskendő CryoLife, Inc. 1655 Roberts Boulevard, NW • Kennesaw, Georgia 30144 • USA • +1 (770) 419-3355 • Fax +1 (770) 590-3753 http://www.cryolife.com 25°C 0°C L6313.009 Rev (07/2010) ENGLISH PRODUCT DESCRIPTION BioGlue® Surgical Adhesive is composed of bovine serum albumin and glutaraldehyde. The product’s two components are mixed within the applicator tip of the syringe during application to tissue. Polymerization of the surgical adhesive begins immediately upon application, reaching bonding strength within 2 minutes. INDICATIONS • Do not peel away BioGlue from an unintended site, as 3. While firmly grasping the syringe, nose upward, BioGlue Surgical Adhesive is indicated for use as an this could result in tissue damage. turn the cap 90° counterclockwise and remove the adjunct to standard methods of surgical repair (such • An animal study12 has shown that the circumferential cap by rocking it from side-to-side. Align the tip with as sutures, staples, electrocautery, and/or patches) to application of BioGlue restricts dilatation on growing the syringe using the corresponding notches on bond, seal, and/or reinforce soft tissue.
    [Show full text]
  • Coram Infusion Patient Resource Guide
    Infusion Patient Resource Guide Coram Patient Resource Guide 1 Welcome to Coram At Coram® CVS Specialty® Infusion Services (Coram), we’re here to help make things a little easier. We know that starting infusion therapy at home will require some changes for you. At first, you may feel stressed—but we’re ready to help. Coram will provide ongoing education, care and support. We want to help you achieve success with your infusion therapy. We’re here for you every step of the way. Each day, skilled Coram nurses and dietitians work together. We provide complex infusion care to thousands of patients. The skilled staff at Coram will work as a team, along with your doctor, to arrange all aspects of your care. Your Coram care team can be reached 24 hours a day, every day, to answer questions about your health, medications, equipment or supplies. At every turn, Coram will help you stay on your path to better health. We work hard to make sure you always get the best care and personalized support to help you meet your health care needs. This guide will introduce you to the Coram team and provide you with facts about your infusion therapy. Please use this guide as a resource during your therapy. 1 Contents Your Home Infusion Therapy Support ................................. 3 Managing Your Medication and Supplies .............................. 3 Waste Disposal ..................................................... 4 Infusion Therapy .................................................... 5 How to Care For and Manage Your IV Catheter ........................ 6 How to Administer Your Infusion Therapy ............................. 7 Steps for Success with Your Home Infusion Therapy ................... 8 How to Contact Coram .............................................
    [Show full text]
  • Veterinary Anesthetic and Analgesic Formulary 3Rd Edition, Version G
    Veterinary Anesthetic and Analgesic Formulary 3rd Edition, Version G I. Introduction and Use of the UC‐Denver Veterinary Formulary II. Anesthetic and Analgesic Considerations III. Species Specific Veterinary Formulary 1. Mouse 2. Rat 3. Neonatal Rodent 4. Guinea Pig 5. Chinchilla 6. Gerbil 7. Rabbit 8. Dog 9. Pig 10. Sheep 11. Non‐Pharmaceutical Grade Anesthetics IV. References I. Introduction and Use of the UC‐Denver Formulary Basic Definitions: Anesthesia: central nervous system depression that provides amnesia, unconsciousness and immobility in response to a painful stimulation. Drugs that produce anesthesia may or may not provide analgesia (1, 2). Analgesia: The absence of pain in response to stimulation that would normally be painful. An analgesic drug can provide analgesia by acting at the level of the central nervous system or at the site of inflammation to diminish or block pain signals (1, 2). Sedation: A state of mental calmness, decreased response to environmental stimuli, and muscle relaxation. This state is characterized by suppression of spontaneous movement with maintenance of spinal reflexes (1). Animal anesthesia and analgesia are crucial components of an animal use protocol. This document is provided to aid in the design of an anesthetic and analgesic plan to prevent animal pain whenever possible. However, this document should not be perceived to replace consultation with the university’s veterinary staff. As required by law, the veterinary staff should be consulted to assist in the planning of procedures where anesthetics and analgesics will be used to avoid or minimize discomfort, distress and pain in animals (3, 4). Prior to administration, all use of anesthetics and analgesic are to be approved by the Institutional Animal Care and Use Committee (IACUC).
    [Show full text]
  • Nurseadviseerr201805.Pdf
    May 2018 Volume 16 Issue 5 Safety with nebulized medications requires an interdisciplinary team approach Consider implementing the following recom - ebulization of inhaled medications provides an excellent delivery route for mendations to reduce the risk of errors with the treatment of both pulmonary and nonpulmonary conditions. The mist is nebulized medications. Neasily inhaled by breathing normally, without requiring coordinated breaths to inhale the medication (as required with metered dose inhalers). This delivery Communicate orders. Establish a reli - method generally provides a rapid onset of drug action, and minimizes systemic ef - able system for communicating new and fects. An additional advantage is that the nebulizer is adaptable and can be used changed orders for nebulized medications with a mouthpiece, adult or pediatric face mask, tracheostomy collar, T piece, or to respiratory therapy staff. Test the system ventilator circuit. before use, monitor its reliability, and inves - tigate all failed communication of orders to Unfortunately, there can also be errors with nebulized medications that are linked to determine opportunities for improvement. a wide variety of common system failures and human factors. However, review of errors reported to the ISMP National Medication Errors Reporting Program (ISMP Collaborate on assessments. Consider MERP) and other sources during 2016 and 2017, revealed patterns among error types collaboration between nursing and respi - and causative factors that were relatively unique to nebulized medications and/or ratory staff to determine if a dose of neb - the conditions under which they are prescribed, dispensed, and administered. ulized medication should be held based on an assessment of the patient. Deter - Omissions due to unavailability of respiratory therapist or failed communication mine conditions that require prescriber By far, the most frequently reported errors related to the use of nebulized medications notification of a held nebulizer treatment.
    [Show full text]
  • Smart Pumps, Smart Management, Safe Patients When Organizations and Clinicians Team Up, Patients Are Protected
    Smart pumps, smart management, safe patients When organizations and clinicians team up, patients are protected. By Dawn Berndt, DNP, RN, CRNI®, and Marlene Steinheiser, PhD, RN, CRNI® MEDICATION administration errors are among the most vexing and costly events in health- care. For the patient, errors related to thera- peutic infusions can present grave conse- quences, including therapy disruption, over- or underdosing that reduces the therapeutic ef- fect, debilitating injury, or death. In 2020, the Institute for Safe Medication Practices (ISMP) published Guidelines for Optimizing Safe Im- plementation and Use of Smart Infusion Pumps. This resource, compiled and reviewed by clinical experts, outlines the components necessary for developing an organizational in- Bi-directional benefits and challenges Bi-directional smart infusion pumps raise frastructure that promotes safe patient care us- the standard of care but also present some challenges. ing smart infusion pump technology. In April 2021, The Joint Commission released a Sen- Benefits tinel Event Alert on smart infusion pumps that Bi-directional smart infusion pumps • also contains useful strategies. remove the human factor from manually Smart infusion pumps are sophisticated programming the infusion pump computer systems that communicate within a • connect the pump channel, medication or- der, and patient network, using software and hardware de- • promote safe medication administration signed to send the exact amount of medica- based on the provider’s order tion at a precise rate to each patient. At the in- • facilitate consistent and timely documenta- terface between the infusion pump and the tion of each infusion in the patient’s elec- nurse, critical decisions are made, presump- tronic health record.
    [Show full text]