Using an infusion pump safely and effectively involves understanding the device's components, setting it up correctly, and monitoring it during use.
Here's a general guide on how to use a typical infusion pump
Prepare the Equipment
● Gather Supplies: You'll need the infusion pump, IV tubing, medication or fluid bag, IV catheter, and any necessary syringes.
● Check the Medication: Ensure that the correct medication, dosage, and infusion rate are prescribed. Verify the expiration date and integrity of the medication bag.
Set Up the Infusion Pump
● Power On: Turn on the infusion pump by pressing the power button.
● Load the Tubing: Insert the IV tubing into the pump according to the manufacturer's instructions. Make sure the tubing is properly seated in the pump to avoid alarms.
● Prime the Tubing: Before connecting to the patient, prime the IV tubing by running the medication or fluid through it to remove air bubbles. Some pumps have an automatic priming feature, while others may require manual priming.
Program the Infusion Pump
● Set the Infusion Rate: Enter the prescribed infusion rate (e.g., mL per hour) into the pump.
● Set the Volume to Be Infused (VTBI): Input the total volume of medication or fluid to be delivered.
● Double-Check Settings: Review all the entered information to ensure accuracy. This step is crucial to prevent medication errors.
Start the Infusion
● Connect to the Patient: Attach the IV tubing to the patient’s IV catheter.
● Start the Infusion: Press the start button on the infusion pump. The pump will begin delivering the medication or fluid at the set rate.
● Monitor the Pump: Regularly check the infusion pump to ensure it’s running smoothly. Look for any alarms or error messages and address them immediately.
Monitor the Patient
● Observe the Patient: Monitor the patient’s vital signs and the infusion site for any signs of discomfort, swelling, or redness.
● Adjust as Necessary: If the infusion needs to be adjusted or stopped, do so according to the pump’s instructions and the healthcare provider’s orders.
End the Infusion
● Stop the Pump: When the infusion is complete, press the stop button on the pump.
● Disconnect the Tubing: Carefully disconnect the IV tubing from the patient.
● Dispose of Equipment: Dispose of the used IV tubing and medication bag according to proper protocols. Clean the pump if necessary.
Document the Infusion
● Record the Details: Document the infusion start and end times, the total volume infused, and any observations about the patient’s response.
Safety Tips
● Always Double-Check Settings: Medication errors can occur if settings are not correctly entered.
● Respond to Alarms Promptly: Infusion pumps have alarms for various issues (e.g., air in line, occlusion, low battery). Responding quickly can prevent complications.
● Regular Maintenance: Ensure the infusion pump is regularly maintained and calibrated to work accurately.
Note
Different infusion pumps might have slightly different operating procedures, so always refer to the specific pump's manual for detailed instructions. If you're unsure or unfamiliar with the equipment, seek guidance from a healthcare professional.