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Safety Instructions

For the first time in India, AKAS is a pioneer in offering Nurses Training Programmed (safety training) on syringe pumps to the Nursing staff. We have trained around 1050 nurses in 350 hospitals across India on Syringe pump safety & good practices. The Nurses Training Programmed is a US FDA listed 17 points on best practices thereby improving the process of care giving.

  • Do not use on the inlet side of Extracorporeal Membrane Oxygenation ( ECMO ) systems where the negative pressure is greater than negative 100mmHg as the high negative pressures can result in uncontrolled fluid flow
  • Always use the BOLUS key in the pump after loading a new syringe in order to remove any mechanical slack. Failure to do machine priming correctly can delay infusion delivery.
  • Always turn off the fluid flow to patient in tubing via clamp or stopcock before loading or unloading a syringe as it may result in inappropriate flow rate
  • Once the syringe and tubing system is connected to the patient, avoid raising the system as above the patient ( even briefly ) as it can cause significant bolusing due to changes in hydrostatic pressure. Lowering the system could cause interruptions in infusion.
  • Always use the smallest syringe size necessary to deliver the fluid or medication. Using a larger syringe at very low flow rates may cause improper pump operation such as delayed sensing of occlusion alarms.
  • The pump is designed to be used in horizontal position. Incase the pump is tilted at an angle clockwise or anti-clockwise delivery inaccuracies may happen.
  • Always ensure the fluids are compatible with each other when infusing more than one fluid or medication through the same infusion site. If connecting more than one pump to the same infusion site , use a one- way check valve to prevent pumps from interfering with each other. Verify that the pumps will operate together without alarming.
  • Use piggybacking method to refill the syringes when using inotropes to prevent temporary hypotension.
  • Syringe pumps delivering Vasopressors must always be installed below or equal to the patient's heart level
  • Avoid changing the height of the pump during infusion
  • During transportation maintain the height of pump relative to patient as installed before
  • Occlusion levels maybe set lower for vasopressors and neonates
  • Do not use disposable syringes beyond 24 hrs as they may lead to false occlusion alarms
  • Use shorter drug delivery lines for neonates and low flow rates
  • Central Vein is preferred for Vasopressors
  • On the indication of near empty alarm have an alternative pump loaded with the drug and change over smoothly

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