Clinical Guidelines for the Safe Use of McKinley T34 Syringe Pump

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EQUIPMENT McKinley T34 syringe pump Battery: 6LR61 Duracell MN1604 alkaline or lithium. Plus spare new battery 20 ml, 30 ml or 50 ml luer lock syringe, e.g. Becton Dickinson (BD) McKinley infusion set Alcohol wipe Transparent adhesive dressing, e.g. TEGADERM Prescribed medicines I diluents Syringe pump prescription I recording sheet I drug labelAUDITAudit requirements and competencies in relation to nursing staff using the pumps is theresponsibility of each individual Team Leader. The Team Leaders will evidence that they areauditing these requirements on an annual basis.PROCEDUREMaintenance schedule All syringe pumps must be serviced annually, whether they have beenused or not. The responsibility for the annual service / maintenance contract lies with theClinical Services Manager; however it is the responsibility of individual Team Leaders(community) to ensure compliance with the contract.Additionally, syringe pumps should be sent for maintenance checks if they have been droppedor submerged in fluid or if there is any doubt as to their handling operation whilst out on loan.REGISTER OF MEDICAL DEVICESA register of all such devices within Halton & St Helens Primary Care Trust area is maintained.When new syringe pumps are introduced into the system or syringe pumps are removed fromservice, the Medical Devices Coordinator must be notified according to procedures outlined inHalton & St Helens Primary Care Trust Medical Devices Policy.DECONTAMINATION OF THE MCKINLEY T34 SYRINGE PUMPDecontamination should be carried out with a damp disposable cloth (use warm water andgeneral-purpose detergent). Dry thoroughly. If any additional cleaning is needed, e.g. thethreads of the screws the actuator moves along, contact the Infection Prevention and ControlTeam for advice. The pump must not be submerged in water: if it is accidentally dropped inwater, it must be withdrawn from use immediately and sent for repair (Decontamination Policy;Infection Prevention and Control Policy).Page 10 of 33
INCIDENT REPORTINGSystems are in place within Halton & St Helens Primary Care Trust to report and monitorincidents involving medical devices. Staff using the McKinley T34 Syringe Pump should befamiliar with the Primary Care Trust’s Incident Reporting System.The following incidents should be reported and investigated:Administration of incorrect medication, dose and/or diluent selectionIncorrect rate setting on syringe pumps resulting in infusions completing ahead ofintended time or carrying on beyond intended time of completionDevice not alarmingAny other incident or near miss which may compromise patient safety or comfort NB Anydevice involved in an adverse incident should be taken out of service and sent to theClinical Services manager.OBTAINING INFORMED CONSENTNo Action Rationale1 Ensure that informed patient consent has already beenobtained by the prescribing professional.To enable procedure tocommence2 Explain procedure to the patient To ensure that the patientunderstands the process andhas the opportunity to raiseany concerns.3 Provide the patient with relevant information leaflet(Appendix C ) with completed contact telephonenumbersTo reiterate the informationgiven and to provide thepatient / carer with furtherinformation and advice.(The Mental Capacity Act has been introduced to help people who are unable to makedecisions for them selves).PREPARING THE SYRINGENo Action Rationale1 Draw up the medication and diluents into a luer locksyringe of at least 20ml (BD).It may not be possible to fill all sizes of syringe to fullcapacity, between 34-44 ml can be delivered from a50ml syringe and approximately 24ml from a 30mlsyringe.2 Complete the details on the drug additive label as perlabelling sectionTo Ensure the correctmedication is given within theappropriate volume of diluent.To ensure accurate recordkeeping.Page 11 of 33
Page 3: Table of ContentsIntroduction and P
Page 6 and 7: As such, the main aim of these guid
Page 8 and 9: ) Responding to the Policy Cascade
Page 12 and 13: LABELLINGNo Action Rationale1 All s
Page 14 and 15: NOTE: The syringe graphic on the sc
Page 16 and 17: STOPPING THE INFUSION AND REMOVING
Page 18 and 19: Lateral aspects of upper arms and t
Page 20 and 21: TROUBLESHOOTINGNo Action RationaleI
Page 22 and 23: Near End15 minutes from end ofinfus
Page 24 and 25: ACKNOWLEDGEMENTSWe extend our thank
Page 26 and 27: APPENDIX 1Glossary of TermsThe foll
Page 28 and 29: Who will look after my syringe pump
Page 30 and 31: APPENDIX 3ChecklistThe McKinley T34
Page 32 and 33: APPENDIX 4EQUALITY IMPACT ASSESSMEN

Clinical Guidelines for the Safe Use of McKinley T34 Syringe Pump

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