/clinical/,/clinical/nursing-hub/,/clinical/nursing-hub/alaris-system/,

/clinical/nursing-hub/alaris-system/

201610301

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UWHC,

Nursing,Patient Care,

Clinical Hub,Nursing Hub

Alaris® System

Alaris® System - Clinical Hub, Nursing Hub

At UWHC, the Alaris® System IV infusion pump is the technology of choice that supports administration of prescribed fluids, blood products and medications via intravenous, subcutaneous and arterial routes. The Alaris® System includes Guardrails® Suite MX safety software, which contains the UWHC specific drug and IV fluid libraries and configurations with multidisciplinary best practice guidelines and dose limits for continuous, intermittent and bolus medications.


Focus

PCA and Health Link Updates

Health Link

November 1, 2016 is the go-live date for the PCA discrete field functionality. This functionality will improve safety when ordering PCA. New orders placed will apply this functionality; current patients receiving previously ordered PCA will be unaffected with no change in workflow.


Alaris Drug Library

FAQ

Does scanning with Auto ID take the place of scanning with Mobile Meds?

No, all medications must be scanned using Mobile Meds barcode scanner as currently practiced.

Will pump infusions be recorded in Health Link?

No, scanning with Auto ID does not populate patient’s medical record in Health Link.

Does scanning with Auto ID ensure that medications are delivered to patients at the right time?

No, Auto ID does not indicate if medication is programmed at the correct time. It does support other rights of medication administration such as: right drug, right dose, right patient, and right route.

What types of barcodes can I scan with Auto ID?

Alaris Auto ID is able to scan both NDC bar codes (linear – e.g. fluid bag) and 2- dimensional barcodes (pharmacy drug labels).

Which barcode should I scan?

When scanning barcodes, always scan the patient-specific barcode if available rather than the NDC (linear factory printed) barcode. Scan NCD barcodes only when patient-specific barcode labels are not attached.
08/03/2013 Dawn Berndt MS, RN, CRNI, Clinical Nurse Specialist ‐ Infusion

Am I required to scan the patient ID band in an emergency? What if I do not have a patient ID band?

When setting up the pump, press “CONFIRM” to bypass this prompt if unable to scan patient ID band during initial startup.

Patient ID can be added later by scanning ID band (or) 

By pressing OPTIONS, selecting PATIENT ID, and using the numeric keypad to enter PATIENT ID (MR) from ID band.

How will I know if the patient’s ID has been scanned into the pump?

When entered, the patient’s MR number is shown on the Alaris Programming Unit just above the prompt bar. Scanning patient’s wristband once associates specific IV pump with the patient.

After entering patient ID, the patient’s wristband does not need to be scanned again.

Can I still attach four modules to the Alaris programming unit with the Auto ID module attached?

Yes, you may still attach four modules to the Alaris® programming unit when the Auto ID module is attached.

Does it matter which handheld scanner I use when I have several Alaris Programming Units for one patient?

When using multiple Programming Units on one patient, the handheld scanners must be used only with the programming unit to which it is connected. Each programming unit has its own Auto ID scanner.

Why do I need my employee ID badge when using Auto ID?

Before programming any medications or fluids the pump will require the clinician to either scan his/her badge or manually enter the employee number to unlock the pump.

How soon will the pump lock after I have finished programming an infusion?

The pump locks five minutes after the last key press requiring the clinician to scan his or her badge or enter employee ID number before operating the pump.

What if I would like to have my pump lock immediately without waiting for five minutes?

If you would like to have the pump lock earlier than 5 minutes, you may press and hold the tamper resist button on the back of the pump for three seconds. This action will lock the pump.

What if I need to unlock the pump in an emergency?

Press and hold the Tamper Resist button on back of pump for 3 seconds. This action will unlock the pump.

What if my patient is in isolation and my badge is under my isolation gown?

Enter Employee ID manually by pressing OPTIONS, selecting Clinician ID, and using numeric keypad to enter employee ID number.

If I program an infusion for my patient, am I the only one who can use the pump or unlock it now?

No, any nurse can scan his/her badge to operate a pump.

Can I do anything on the pump without unlocking it first?

All actions on the pump require the pump to be unlocked. The silence key can be used to silence an alert, but the pump must be unlocked to solve the issue.

Will I use the Alaris Auto ID scanner for programming blood infusions?

No, blood products will not have a scannable barcode and will not be recognized by the pump. When programming blood products, press Channel Select on the module, select Guardrails Fluid Library, and then manually select the blood product from the list for programming.

Will the exact name of my patient’s IV fluid scroll on the module?

Not always. Many fluids when scanned will populate and scroll as Maintenance IV Fluid or Maintenance IV Fluid with 10, 20, 30, 40 KCL. Other fluids with higher concentrations of constituents such as 3% sodium chloride will populate and scroll the specific name of the fluid.

Do I need to order an Auto ID module when obtaining a pump from Central Services:

No, the Auto ID module is permanently attached to the Alaris programming unit and does not need to be ordered separately.

What if the Auto ID barcode scanner is broken or doesn’t work?

Alaris® System can be used manually by pressing Channel Select, then Guardrail Drugs to select from the library if the Auto ID scanner does not function.

Resources

Alaris Auto ID Resouces

Guidelines

Intravenous Administration of Formulary Medications - Pediatric - Inpatient/Ambulatory

Hospital Administrative Policy:

High Alert Medication Administration

Nursing Patient Care Policies:

1.24 Alaris System

1.19 Needle Free IV System

1.17 Patient Controlled Analgesia