Lesson 1Verification processes: two-person checks, MAR comparison, patient ID confirmationExplains verification steps before starting or adjusting an infusion. Stresses two-person checks, matching orders to the MAR, confirming patient identity, and aligning pump settings to guarantee the correct drug, dose, route, and timing in clinical practice.
Standard two-person check methodMatching pump orders with MARPatient ID check and barcode scanningAligning pump settings with ordersDealing with mismatches and close callsLesson 2Programming medications and fluids: dose, rate, concentration, infusion limits, lockoutsCovers safe programming of medicines and fluids into infusion pumps. Includes inputting dose, rate, and concentration, setting infusion limits and lockouts, applying weight-based dosing, and confirming calculations before beginning treatment.
Inputting dose, rate, concentrationWeight and age-based dosingSetting limits and lockout timesUsing drug library profilesFinal check before infusion startLesson 3Human factors and medication safety: look-alike/sound-alike meds, labelling, double-check workflowsExamines how human factors lead to infusion pump medicine errors. Discusses look-alike and sound-alike drugs, proper labelling, independent double-checks, and workflow designs to cut down slips, lapses, and bias at the bedside.
Risks of similar-looking or sounding medsSafe labelling and storage near pumpsDouble-check and cross-check stepsWorkflows to reduce biasTypes of human errors: slips, lapses, rule errorsLesson 4Principles of infusion pump function and common types (smart pumps, syringe, volumetric)Introduces basic principles of infusion pump operation and main types. Compares smart pumps, syringe pumps, and volumetric pumps, noting uses, benefits, drawbacks, and common clinic applications in nursing.
Basic operation mechanicsSmart pump features and linksSyringe pump uses and limitsVolumetric pump applications and accuracyChoosing the right pump for treatmentLesson 5Common alarms and troubleshooting: occlusion, air-in-line, low battery, infusion complete — causes and immediate actionsDescribes typical infusion pump alarms, their causes, and quick nursing responses. Covers occlusion, air-in-line, low battery, and infusion complete alarms, with safe troubleshooting and decisions to pause or stop treatment.
Identifying and ranking alarm typesOcclusion causes and fast checksSafe handling of air-in-line alarmsDealing with low battery and power issuesSteps after infusion complete alarmsLesson 6Documentation and handoff: entries for MAR, pump settings, incident reporting, communication prompts for next nurseDetails accurate recording of infusions in the MAR and electronic records, covering pump settings, rate changes, and patient responses. Includes structured handoff talks, incident reports, and prompts for the next nurse's continuity.
Logging pump settings and changes in MARRecording patient response and site conditionUsing handoff tools for infusionsFiling safety incident reportsSharing pending adjustments and testsLesson 7When to escalate: signs requiring physician notification vs. biomedical engineeringClarifies when to raise infusion concerns. Distinguishes doctor notifications from biomedical engineering needs, and lists info to share during escalation for quick responses in clinic settings.
Clinical signs needing doctor contactDevice faults for biomedical helpGathering info before escalationUsing command chain for urgent mattersLogging escalation and follow-upsLesson 8Monitoring during infusion: site checks, vital sign correlations, fluid balance documentationOutlines ongoing monitoring duties during infusions. Focuses on site checks, vital sign patterns, fluid balance records, and spotting infiltration, extravasation, and instability early.
Regular IV site and line checksLinking vitals to infusion impactsTracking intake, output, fluid balanceSpotting infiltration and extravasationAdjusting checks for risky drugsLesson 9Safety features and error prevention: dose-error reduction software, guardrails, infusion protocolsReviews infusion pump safety tools and effective use. Explains dose-error reduction software, guardrail limits, drug libraries, and standard protocols to prevent programming mistakes and overdoses.
Dose-error software basicsUpdating drug librariesGuardrail limit settingsStandard infusion protocolsSafe response to guardrail alertsLesson 10Pre-use checks: device integrity, battery, IV sets, tubing connections, alarm settings, calibrationLists key pre-use checks before patient connection. Includes device inspection, battery check, right IV sets, tubing links, alarm settings, and calibration understanding for safe operation.
Inspecting pump body and screenBattery and power cord checkSelecting IV sets and cassettesSecuring tubing connectionsConfirming alarm volume and limits
