NR 327 Smart Infusion Pumps RUA_SIP_2020 | Smart Infusion Pumps RUA_SIP_Graded A

Smart Infusion Pumps CHAMBERLAIN COLLEGE OF NURSING NR 360: INFORMATION SYSTEMS IN HEALTHCARE NOVEMBER 2020What is a Smart Infusion Pump? •There are different types of smart infusion pumps in Healthcare. Smart infusion pumps serve the same purpose no matter what type of pump it is. • According to Scanlon “Smart infusion pumps are medication delivery devices that use a combination of computer technology and drug libraries to limit the potential for dosing errors.”(Scanlon M. 2012) Smart infusion pumps are very beneficial and serve a major purpose in Healthcare with the way iv medication is delivered. •With the use of the smart infusion pumps the healthcare industry can provide a safe deliverance of medications which is used for different purposes when using smart infusion pumps. •As Nurses, it is important that we understand and learn the appropriate use as well as the purpose of the pumps to achieve the overall goal of delivering extraordinary care while making patient safety our number one priority. In the following presentation we will be explaining the uses of the smart infusion pumps in healthcare, safety, risk factors, how to monitor the patients, the accessibility system to the patient's electronic record, both the advantages, disadvantages, how they are used and the overall achievement goal with the use of the devicesHistory of IV Infusion Pumps  Sir Christopher Wren created the first successful infusion device in 1658 using a bladder and writing quill (Lee, 2015) .  In 1665 the first successful blood transfusion was completed after the development of a better needle. Due to the complications and deaths of this procedure it was banned (Lee, 2015).  The key elements of IV infusion were developed in the 19th century after bans were lifted (Lee, 2015).  During WWI and II needles were refined, rubber tubing was replaced by plastic, and vacuum bottles that reduced the risk of air embolism were designed that were later replaced by plastic bags (Lee, 2015).  The first infusion pump was introduced in the early 1970s and reserved for IV nutrition in general care and medication infusions in intensive care units (Lee, 2015). Figure 1: Sir Christopher Wren (Lee, 2015)Development of the Smart Infusion  The first infusion pumps were able to accurately deliver medication Pump over different rates manually. They did not have programmed settings. Early infusion pumps did not have alert mechanisms in place to let the medical staff know of any occlusions in the tubing or if there were any issues with medication programming (Giuliano, 2015). ● Medication errors often occurred with early infusion pumps. Medications were given at high or lower dosages than required and infused at too slow or to high of a rate. These medication errors led to poor outcomes including the death of patients (Giuliano, 2015). ● To improve IV safety, in 2001 computerized infusion pumps known as "smart pumps" with dose error reduction systems also, known as DERS, were developed to provide immediate feedback if a programmed infusion dosage exceeds the hospital's best practice guidelines (Giuliano, 2015).Development of the Smart Infusion Pump cont.  Along with DERS, smart pumps also have alarms that alert the medical team of any occlusions in the lining, when the infusion has completed, if the battery is low, and when the programmed dose exceeds a predefined safety limit (Giuliano, 2015).  To further eliminate medication errors, smart pumps have drug libraries pre-programmed on the device. This “allows the user to choose the desired medication from an approved list and input the required patient information, after which the IV smart pump calculates the infusion rate (Giuliano K. K. (2015).” Figure 2: Smart Infusion Pump (Giuliano, 2015)Goals of Technology Implementation  Reduce medication errors  Improve workflow  Improve patient outcomes  Reduce hospital cost  Improve patient safetyCurrent Use of Smart Infusion Pump  Feedings adults, children, and infants  Fluid administration  Medication administration  Dialysis  Chemotherapy  Development of smart pumps for in home use for patients Figure 3: Feeding Smart Pump (Giuliano, 2015) Figure 4: Syringe Smart Pump (Giuliano, 2015) Figure 5: Medication Smart Pump (Giuliano, 2015)Impact on Healthcare and Nursing Safety  Pump failures can lead to significant risk for patient safety.  Some safety features that pumps are equipped with includes:  Alarms  Operation alerts An example of safety alerts is the pump notifying the nurse of an air blockage in the tubing that delivers fluids to the patient. The FDA received over 50,000 reports of adverse effects from 2005 to 2009, that compromises the safety of infusion pumps (FDA, 2018).Impact on Healthcare and Nursing Monitoring  The trained nurse that operates the pump is responsible for close monitoring of the device after setting the pump and programming it.  The nurse also monitors the rate and the delivery to ensure efficient use of the pump.  For example, after setting the pump, the nurse frequently monitors the device to make sure the device is operating the way it was programmed to. Risk Management - - - - - - Continued