Redesigning the lowly IV pole - page 2
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May 21, '09I wish they could design a pole that won't get top-heavy with the 1L fluid bags hanging on top, and also can support multiple pumps possibly hooked together side by side instead of all hooked directly on the pole. I know I have seen newer pumps that do just that, but they still are ready to top over. I personally abhor the five wheel feet that get caught under the bed or nightstand or bedside table. And the patients tend to trip over the long "spokes" the wheels are attached to. They also don't roll in a straight line very well...and my patients tend to not be able to go in a straight line either...
And what if my patient needs IV fluids, a PCA pump, and a TPN pump? There isn't be any room left for me to get thru the "jungle" to reach my patient. It just really seems like these could all be streamlined. Maybe we need the dyson ball vacuum guy to get on this....
May 21, '09Maybe they should just use a focus group of nurses. Or maybe some nurses should get into it and design one they do like.
May 21, '09Our pumps have multiple channels that can be added to both sides of the pump and I can snap on up to 4. The top has a bar with 8 hooks and there have been times when I've filled up all 4 channels with PRBC's, TPN, IFV, & multiple antibiotics, and multiple gtt's. Instead of a cup, I'd like a little basket to put flushes, alcohol pads & sterile end caps in so my pockets are bulging with extras.
May 21, '09Quote from nerdtonurse?*LMAO*Er...I did spend 20 years as an engineer, ya'll. It was computers, but I just did the same thing with the IV pole that I did with a program....
"How will an idiot break this?"
May 21, '09Not at all functional for an ICU setting. Maybe good for the floors on a patient with minimal pump requirements.
May 21, '09Yes- a basket, not a cup to hold things, and make it removeable so we can soak it in the sink if it gets grungy.
A hook at knee level for a Foley bag.
More hooks up top.
I wonder if some weight on the bottom to make it less top heavy would actually make it easier to roll.
High quality rollers on the bottom. What if they actually used wheels? About 5" wide wheels that could take the bumps without lifting the whole pole.
A moveable hook so you could just hook the entire contraption to a stretcher for road trips instead of driving the pole and the stretcher separately.
I think maybe an R2D2 style 3-wheeled pole would be steadier than the ones we have, and with wheels it would take the small bumps with greater ease. Mostly if the pumps could be lower on the pole it would be steadier, but they'd have to redesign the pumps so you could angle the display up slightly, instead of squatting down to look at it.
May 21, '09All these responses are fantastic. One thing about the identifying green wrap on the hooks. I once took 4 rolls of synthetic casting tape and wove it in and out the mesh of a rolling table we used for moving patient things at discharge. I covered every square inch with red and black tape. and then made a flag of yellow tape with our floor name on it.
It stayed "home" for less than a week. A couple of years later we were doing a scavenger hunt for our stuff like total hip chairs, regular wheelchairs engraved with our floor, and other stuff. We found our table in a back room. Someone had covered it with old timey white adhesive tape and magic markered their name. I doubt the little green wrap will keep it on the floor.
My ideal IV pole would be about 4" thick at the pole, look like a telephone pole-cross bar with bag hooks, maybe 36 inches with an x of maybe 18 inches with hooks. Hooks down the thick standard with locking places for "our" pumps. Those over hooks to let it ride on a bed or stretcher. Rollers on a square base with ballbearing wheels. Foot locks to keep it in place. And some type of magnetic function that will not let it pass the exit doors without "permission."
You have to use your imagination cause I haven't the skill to computer draw it.
May 21, '09It would be perfect on my med/surg floor. NS hangs in the middle with room for 2 IV piggybacks.
We don't clean our poles, they are used and when pt is D/C'd volunteers take them down to basement floor somewhere to be sterilized. Using a pole for more than one person does present a health hazard.
Are young children allowed in most hospitals? In my area we are the only hospital that does allow children under 14, that is until Swine Flu then they stopped that practice.
I do think those cup holders would break off if anyone pulled on them.
May 22, '09Speaking from the short end of the spectrum here, the hooks for hanging bags should come at alternative heights! Have two more at a right angle to the ones there, only have them about 6 inches down for pity's sake. Then I won't be using the base as a stool and the whole thing as a ladder and won't scare my charge nurse to death when she catches me doing it. In my world it's not the patient that's gonna pull the pole over to the ground, it's ME, the nurse who isn't even 5 foot tall and who gets one patient a week who has the tallest, least adjustable pole in the facility. Oh, and it's the one where the top hooks thing is broken so that it won't be still. Juuuuuust when I finally get my little fingers up there and touch it, it swings around like a whirlygig. Sigh.
Cups take up too much space. Put a little shelf instead, takes up less room and we can still stick a flush or clipboard maybe, in there.
Alternatives to hooks that are 9 feet in the air would also include snap-on or spring-out hooks that either attach to the pole or you touch a button and they pop out umbrella style. Of course those would be broken by the time I get to use 'em.
Facilities themselves can solve our problems by refusing to ever buy another single-channel pump again, period. Manufacturers can help us by packaging the little hook that comes with secondary tubing by itself and facilities need to stock this little thing. Then I may shut up altogether since those little things are wonderful for short folks.
May 24, '09drip-cum-tricycle 4 sick kids