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Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,SMART Infusion Pump,Administration of Intravenous Therapy&Medications at North York General Hospital,January 2021,1,Purpose of Using SMART Pumps,SMART pumps are a Patient Safety Initiative.,“SMART medication delivery systems have the potential to dramatically improve patient medication safety.(OHTAC,July 2021),Traditional pumps are volumetric SMART pumps are dose specific.,Types of alerts are directly related to Drug Library and Dose Error Reduction Systems(DERS).,2,SMART Pump Technology,SMART pumps are infusion pumps that allow intravenous(IV)medications to be delivered at precise rates or in specific amounts.SMART pump technology offers:,Separate Clinical Care Areas(CCA),Customized drug libraries,Listing of medications used in particular CCA,TALL-man lettering for lookalike medications,Soft and/or hard drug limits on each medication,Priority listing of medications that are most frequently used,Standardized IV concentrations specific to NYGH,3,Policy,All regulated health care providers(RHCP)may operate infusion pumps(other than syringe pumps)according to their scope of practice once the following competency requirements are met:,Self-Directed Infusion Pump e-Learning Module on My Learning Edge(MLE),Passing score of 80%on the Infusion Pump quiz,Submit the completed/signed Infusion Pump Competency Checklist to the Clinical Nurse Educator and/or the charge nurse from Medical Imaging,Annual recertification on Infusion Pump education on MLE,4,Infusion Standards,An infusion pump and tubing should be used for all patients receiving IV medications,solutions and blood/blood products.In emergency situations,IV infusions may be administered without an infusion pump in order to prevent delay of treatments.,BD Nexiva closed catheter system SINGLE lumen must be used to deliver IV infusions.,Exceptions:IV infusions in Day Surgery,Operating Room,Post Anaesthesia Care Unit,Endoscopy,Child and Teen Unit,and NICU,All RHCPs should select the appropriate CCA on an infusion pump which should correspond to the nursing area that they are working in.,Infusion pumps MUST BE used on:,High alert medications/infusions(Medication Administration Policy II-226).,Medications which specifically state“infusion pumps required in the IV manuals posted on the Intranet.,Paediatric/neonatal patients who require IV infusions and medications.,Exceptions:An infusion pump will not be used in Day Surgery,Operating Room,Post Anaesthesia Care Unit,and Endoscopy.IV infusions will be administered via gravity using a buretrol in these areas.,5,Hospira Symbiq Infusion Device,6,Symbology,On/Off button,Silence button,Emergency stop button,Load/Eject button,7,!,Primary line icon,Bolus icon,Piggyback icon,Lock/Unlock button password activated,Symbology,OVERRIDE SYMBOLS,indicate that the programmed dose or rate is outside the predefined parameters,Upper Soft Limit,Lower Soft Limit,Upper Hard Limit,Lower Hard Limit,No Rule Set icon is displayed when pump is being operated without rule sets.,8,Symbology,Battery,symbol is displayed bottom right.Symbol will begin to turn black as battery is depleted.,Wireless Connection Available,icon is displayed when the device is connected to a wireless network.,Soft dose limits,indicate that dosage is outside the recommended range but can be overridden.,Hard dose limits,indicate that dosage is unsafe and cannot be overridden.,9,Priming an Administration Set,Note:,All administration sets are,LATEX FREE,.,Close all,clamps,and the,Flow Stop,.,Spike the IV bag,squeeze the,drip chamber,to fill to score mark.,Invert the,cassette,with the,purple collar,facing,down.,Open the,Flow Stop,and any other,clamps,and allow fluid to flow freely.,Tap the,cassette,to release any residual air.,Close,Flow Stop,.,Drip Chamber,Cassette,(Flow Stop within cassette,),Roller Clamp,Purple Collar,10,Loading Infuser Cassette,Note:,The IV pump must be powered on to load or unload the cassette.,Press the,On/Off,button for 2-3 seconds to power on the infuser.,Press the,Load/Eject,button.,Grasp,the tubing above the cassette with one hand,and below,the cassette with the other,hand.Insert the cassette in the carriage with the,purple collar,facing upwards and the white,Flow Stop,facing inwards toward the infuser.Ensure the cassette is seated at the bottom of the carriage and the tubing is aligned vertically.,Press the,Load/Eject,button or wait for the carriage to close automatically(approximately 10 seconds).,Secure administration set in upper tubing guide located below the display screen.,11,Purple Collar,Flow Stop,Removing Infuser Cassette,Confirm the infuser is in,STOP,mode,and close the roller clamp prior to removing the cassette from the infuser.,Press,Load/Eject,to open the cassette carriage.Ensure the cassette carriage is ful
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