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Small Volume Parenterals and Medfusion® Pumps
For medications with critical delivery parameters
NATIONAL SHORTAGE OF 50 ML AND 100 ML MINI-BAGS OF SALINE
CURRENT PROCESS OF INTERMITTENT MEDICATION ADMINISTRATION
Many hospitals and health-system pharmacies routinely use small volume parenterals (SVPs) to compound mostly intermittent medications but also continuous infusions in preparation for administration. Intermittent medications are common in all types of hospitalized patients, and range in drug class as well as in their administration requirements. For centers focused on adult care, SVPs may be used extensively and could already be in short supply.
SMITHS MEDICAL CAN HELP FACILITIES DURING THE NATIONAL SHORTAGE OF 50 ML AND 100 ML MINI-BAGS OF SALINE
Can drug be concentrated
to <20 mL?No
Yes
No
Is proper dilution (volume and/or compatibility) of the
medication critical?
Yes
Medfusion® Syringe Infusion Pump
Is consistent drug delivery rate critical? (e.g. electrolytes,
chemotherapy)
Is drug delivery time > 5 minutes critical? (e.g.
electrolytes, chemotherapy, aminoglycosides)
Yes
Note: syringe delivery may also be used for continuous medications compounded as small volume parenterals.
BENEFITS TO USING THE MEDFUSION® SYRINGE PUMP
• +/- 2% accuracy
• Out-of-the-box use option: Volume or Dose over time programming
• Medication Safety Software available
• Dose Error Reduction System (DERS) limits available for dose and time to help prevent programming errors
• Rapid Occlusion Detection
• Flow rates: 0.01 mL/hr – 1130 mL/hr
• Syringe compatibility: BD®, Covidien®/Monoject®, and Terumo® in 1 mL – 60 mL sizes
• Trusted technology in use for years on the smallest patients
THE MEDFUSION® PUMP SOLUTION
• Pumps readily available from Smiths Medical or our licensed rental distributors
• Direct conversion for 50 mL parenterals to syringe pump use in 60 mL syringes
• Simple delivery programming using dose or volume over time
• Online product training accessible 24/7 at no cost with additional professional services available for purchase
• Medication Safety Software with DERS functionality to reduce programming errors
• Reduced dependence on SVPs
• Decreased costs: non-proprietary tubing and syringes, less drug waste due to decreased priming volume, and less medical waste compared to bulky large volume parenterals
• Potential decreased risk of fluid overload to patients1
Source: IN193703GL-032015 - Medfusion 4000 Pump and PharmGuard Software Brochure
Practical considerations for implementing a syringe delivery system
SOURCING / SUPPLY
• Review pricing and par volumes needed for syringe infusion tubing, connectors, syringes.
• Will new flush syringes be needed for this workflow change?
• Can syringe pumps be rented or purchased?
NURSING / DELIVERING
• Are appropriate Policies and Procedures in place for syringe medication administration?
• Are internal super-users available from pediatric, neonatal, or surgical areas available to assist with internal training? Have nurses used syringe pumps in previous practice?
• What non-proprietary tubing syringes and connectors would be required based on the impact to IV line configuration - y-site into mainline vs. direct connection to the patient?
• Will there be changes to flushing practices before and after medication delivery?
• Will there be an impact to charting/EMR documentation?
IT / INFORMATICS
• What is the impact to EMR and department applications – CPOE, pharmacy systems, medication cabinets?
• Can devices be added to the existing PharmGuard® Server software if using the Medfusion® 4000 pump?
BIOMED / SERVICING
• Is staff trained on the new equipment?
• Is the process for pump check-in and calibration understood?
• Is any medication safety software needed within Biomed?
• Are there any new cleaning supplies or training needs?
PHYSICIAN ORDERING
• Are changes to order sets needed?
• Will there be an impact to CPOE?
• Will physicians need training on the changes in medication administration to ensure proper patient care? E.g. maintenance IVF needs may change as a result?
PHARMACY / COMPOUNDING
• Are appropriate Policies and Procedures in place for syringe compounding?
• Medication compounding needs - is staff trained on syringe prep? Are clean room space and equipment adequate? Is drug stability and compatibility information available?
• Are necessary supplies available, including syringes, transport caps, drugs, and diluents?
• Is outsourcing from a registered 503B compounder available?
• Are pharmacy labels and barcodes compatible with syringe administration?
• Is the pharmacy medication distribution and storage process appropriate for syringe administration?
• Is a drug library desired or will nursing use generic delivery modes?
Syringe Delivery Model
MMSPCA-0038PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES
Smiths Medical ASD, Inc. 6000 Nathan Lane North Minneapolis, MN 55442, USA Tel: 1-614-210-7300Toll-Free USA: 1-800-258-5361
Find your local contact information at: www.smiths-medical.com/customer-support Smiths Medical is part of the global technology business Smiths Group plc. Please see the Instructions for Use/Operator’s Manual for a complete listing of the indications, contraindications, warnings and precautions. Medfusion and the Smiths Medical design mark are trademarks of Smiths Medical. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. All other names and marks mentioned are the trademarks or service marks of their respective owners. ©2017 Smiths Medical. All rights reserved. IN193746EN-112017
1. Child, D.L., Cao, Z., Seiberlich, L.E., Brown, H., Greenberg, J., Swanson, A., Sewall, M.R., Robinson, S.B., The costs of fluid overload in the adult intensive care unit: is a small volume infusion model a proactive solution? ClinicoEconomics and Outcomes Research. 2015;7:1-8.
OPTIONS FOR ACQUIRING MEDFUSION® PUMPS
Direct Purchase of Medfusion® 3500 & 4000 Syringe Infusion Pumps
Contact Smiths Medical
• Please contact your local Infusion Account Manager
• Call: 1-800-258-5361
• https://smiths-medical.custhelp.com/app/whos_my_sales_rep
Capital or Operating Lease of Medfusion® 3500 & 4000 Syringe Infusion Pumps
Work directly with your local Smiths Medical Infusion Account Manager. They will coordinate with one of our authorized Leasing Partners:
US Bank Chris JepsonAccount Executive (612) 492 [email protected]
MedOne www.medonecapital.com Tim LoftisDirector of Strategic Development(800) 248-5882(801) 619 [email protected]
Rental or Asset Management of Medfusion® 3500 & 4000 Syringe Infusion Pumps
Work directly with your local Smiths Medical Infusion Account Manager. They will coordinate with one of our authorized Renting Partners or with their respective office
• UHS - https://www.uhs.com Toll Free: 1-800-847-7368
• Freedom Medical - http://www.freedommedical.com Toll Free: 1-800-784-8849
