We use the double-channel Alaris Signature volumetric pumps and I HATE THEM!!!!!!!!!! They were not designed for intensive care purposes, I don't care what anyone says. And inotropes should never be run through them: they have a pulse and pause delivery system which makes for huge swings in BP caused by this tidal effect.
The other night I spent a full 20 minutes trying to get a transfusion going on a kiddie with a Hgb of 55... the pump refused to sense the set. The good old "air in line" alarm is a common occurence, particularly with TPN and blood products. I may just try the K-Y Jelly tip!! And then there's the tubing itself. Takes forever to set up an infusion because of having to fool around with the cassette to make sure no microscopic air is in it, and to manually purge air out of all those ridiculous needle-less ports. Volume of the set... nearly 25 mL. What a waste!! When we change the concentration of KCl in our infusions, we have to disconnect, run at least 25 mL through then reattach. How safe is that? To say nothing of the time expended! And no such thing as a vented blood set for albumin.
Do they not infuse large volume of albumin in their world? We do one of three things... spike the bottle with an unvented blood set then vent the bottle with an 18 gauge needle (surest way to an albumin shower there is, never mind the risk to the patient
), spike the bottle with an unvented set then push the spike over to one side every ten minutes or so to let air into the bottle, or we draw it up into syringes and push it in that way. Money and time down the drain. Please give me back my Baxter triple channels!! :bowingpur