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| Title: | JCAHO NATIONAL PATIENT SAFETY GOALS: IMPROVE THE SAFETY OF USING INFUSION PUMPS AND THE MONOPLACE ENVIRONMENT |
| Authors: | Vincent, HG |
| Keywords: | HBO
equipment
model
hyperbaric
monoplace
pump
JCAHO
INFUSION PUMP |
| Issue Date: | 2003 |
| Abstract: | Problem: The first six JCAHO National Patient Safety Goals (NPSGs) became effective January 1, 2003. Goal 5: Improve the safety of using infusion pumps, has caused some concern and actions with the hyperbaric community. Objective: To discuss the effects and interventions of meeting the new JCAHO NPSG standard concerning infusion pumps and how this relates to the monoplace HBO environment. Overview: The new JCAHO NPSG dealing with infusion pumps, requires facilities to ensure free-flow protection on all general-use and PCA intravenous infusion pumps. This goal and its recommendations apply to ambulatory pumps that have patient-controlled analgesia (PCA) capability. This goal and its recommendations do not apply to syringe pumps or enteral pumps. To test whether your infusion pumps have free-flow protection: turn the power off but keep the infusion set primed and loaded in the device. While all the tubing clamps are open and the fluid container is as high above the device as the tubing will allow, verify that no fluid flows out of the set as it hangs straight down from the device. Then, remove the set from the device and again verify that no fluid flows out of the set. According to ECRI, the free-flow protection of PCA pumps is dependent on the use of tubing sets with an integral positive pressure valve. These are usually purchased independent of the pump itself, so the key issue for assessment should be to determine whether the tubing set is appropriate, rather than whether the model of the pump is appropriate. Make sure all applicable personnel and caregivers are properly trained and educated. |
| Description: | Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) |
| URI: | http://archive.rubicon-foundation.org/1400 |
| Appears in Collections: | UHMS Meeting Abstracts
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