Cause of Device-Related Incident
*Not stated

Clinical Specialty or Hospital Department
CCU / ICU / NICU; Clinical/Biomedical Engineering; Nursing; Pharmacy / IV therapy

Device Factors
*Not stated

Document Type

External Factors
*Not stated

Mechanism of Injury or Death
Failure to deliver therapy; Infiltration; Overdose; Underdose

Support System Failures
*Not stated

Tampering and/or Sabotage
*Not stated

User Errors
*Not stated

Infusion Pumps


Before use:

  • Explain device to patients. Warn against tampering.
  • Keep operator's manual handy.

Setting up:

  • Use infusion sets and accessories with Luer-lock connectors for all central venous and arterial lines.
  • Purge air from lines to prevent embolisms, nuisance alarms, and flow errors.
  • Set volume-to-be-infused (VTBI) indicator so that infusion stops before upstream IV line empties.
  • When using automatic piggyback control, program secondary volume as accurately as possible. Remember to open manual clamp of secondary infusion set.
  • If device has a drop sensor, make sure drop chamber hangs vertically and is filled to the proper level. Drop sensor must be positioned correctly and securely.
  • Ensure that tubing-based free-flow protection is functioning properly.

During infusion:

  • To prevent call-back alarms, verify that device is infusing after starting.
  • Check device operation and IV site as often as with gravity sets. Occlusion alarms cannot reliably detect infiltration.
  • Note changes in flow or pressure indicator if present.
  • Don't repeatedly restart pump after an alarm.
  • Wipe spills off equipment before they dry. Fluids can damage internal components and adversely affect air, occlusion, and drop sensors.
  • Always close manual clamp before removing infusion set.

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