IV Infusion Pumps
- Various types of electronic I.V. infusion pumps are available to help regulate the flow of I.V. solutions or drugs, improving the safety and accuracy of the drug and fluid administration.
- Pumps have various detectors and alarms that automatically signal completion of infusion, the presence of air in the line, low battery power, and occlusion or the inability to deliver the infusion at set rate.
- These devices may sound or flash an alarm, shut off, or switch to a keep open rate.
- I.V. pole
- I.V. solution
- Sterile pump administration set
- Adhesive tape
Preparation of Equipment
- Attach the pump to the I.V. pole
- Insert the administration set spike into the I.V. container, and fill the drip chamber to prevent air bubbles from entering the tubing.
- Follow manufacturer’s instructions for priming and placing the I.V. tubing
- Flush all the air out of the tubing before connecting it to the patient to lower the risk of an air embolism.
- To avoid fluid overload, clamp the tubing whenever the pump door is open.
- Confirm the physician’s order and verify the patient’s identity using two patient identifiers, such as the patient’s name and identification number.
- Position the pump on the same side of the bed as the I.V. or an anticipated venipuncture site, to avoid crossing I.V. lines over the patient.
- If necessary, perform the venipuncture.
- Plug in the machine and attach its tubing to the catheter hub.
- Depending on the machine, turn it on and press the start button.
- Set appropriate dials on the front panel to desired infusion rate and volume to be infused.
- Flush the I.V. with normal saline, if necessary, monitor for infiltration, and monitor the accuracy of the infusion rate.
- Tape all connections
- Turn on alarm switches
- Reinforce the explanation of the alarm system to the patient to prevent anxiety when the alarm is activated.
- Monitor the pump and patient frequently to ensure correct operation, proper infusion rate, to detect infiltration, and to observe for such complication as infection and air embolism.
- Keep the pump plugged in when possible to ensure that the battery is fully charged at all times.
- If electrical power falls, the pump will automatically switches to battery power.
- Change the tubing and cassette every 72 hours, or according to facility policy.
- Reinforce the explanation of the use and purpose of the pump or controller to the patient and his family. If necessary repeat the demonstration of how the device works.