1. Infusion Pump ROP Compliance
Medicine Accreditation 2016

2. A documented and coordinated approach for infusion pump safety that includes training, evaluation of competence, and a process to report problems with infusion pumps is implemented.

3. Infusion Pumps
Used to deliver fluids into a clients body in a controlled manner
Used extensively in healthcare including in the home environment
Associated with significant safety issues and harm to clients

4. ROP Focus
Parenteral Delivery of fluids, medications, blood/blood products, and nutrients.
Includes stationary and mobile pumps, Patient Controlled Analgesia (PCA) epidural pumps, insulin pumps, and large volume pumps.
*excludes gastric feeding pumps

5. Major Tests for Compliance
Instructions and user guides for each type of infusion pump are easily accessible at all times.
Compassionnet
AHS Insite

6. Major Tests for Compliance
Initial and retraining on the safe use of infusion pumps is provided to team members:
New staff & staff returning from extended leave
New or upgraded infusion pumps
Competence evaluation indicates re-training

7. Staff training is required to:
Minimize adverse events
Ensure the appropriate devise is used for each type of therapy
Improve staff competence
Promote reporting of adverse events
Keep current with pump information
• When infusion pumps are infrequently used, just in time training is provided.

8. Medicine @ Covenant Infusion Pump Safety Module on CLIC
Certificate and Exam are tracked using the Medicine Program Tracking Tool Spreadsheet and filed in your Personal file.
Part of New Hire and Return to Work Orientation
Addition to Annual Recertification 2016

9. Major Tests for Compliance
The competence of team members to use infusion pumps safely is evaluated and documented at least every 2 years. *Programs must maintain records of training and competence assessments *Staff must feel confident to use infusion devices or request additional training *online examination can be used to assess competence

10. Major Tests for Compliance
When patients are provided with patient operated infusion pumps, training is provided, and documented, to patients and families on how to use them safely.
Standardized training provided to patients and families on how to operate pumps and provide them with information to take home
Use teach back to ensure patients understand what they have been taught

11. Minor Tests for Compliance
The effectiveness of the approach is evaluated. Evaluation Mechanisms may include:
Investigating patient safety incidents related to infusion pump use
Reviewing data from smart pumps
Monitoring evaluations of competence
Seeking feedback from clients, families and team members

12. Examples from RLS of Pump Incidents:
Programming errors
• Pump malfunction
• Secondary line clamped
• Secondary line not connected
• Outdated or uncapped tubing
• Unlabeled medication solutions
• Infusion by gravity of medications requiring infusion by pumps

13. If a Pump Malfunctions:
• Remove pump from service • Leave administration set in the pump if that does not compromise patient care • Label the pump “DO NOT USE” • Contact Clinical Engineering o Complete Product Feedback form • Inform your manager • If a pump malfunction is a critical incident, secure the pump until it can be transported to Clinical Engineering

14. Remember
Technology is only as good as the person who is using it! Make sure you complete your annual education and seek help when you need to.

15. Questions