Quote from IPMC15
Emtb2rn I'm not saying a turned off pump will simply free flow fluid. That's what I was trying to tell the other guy. I'm speaking about if your normal saline primary bag was set to infuse at 250 and you have potassium in to infuse at 100 and your pump begins the primary infusion before the potassium was finished . Thats all folks. Please stop acting like it's an idiotic thing to think because it could happen.
In PICU, almost all of my KCL is given via syringe pump, BUT if I was going to be hanging a bag, I would hang it as a secondary, and then I would set the primary rate and the secondary rate to both be the same. That way, when the saline "flush" from the primany bag was running behind the KCL after it finished, the KCL in the line would still be running in at the same safe rate. (And, if the pump DOES fail, the rate wont change.)
Quote from Guy in Babyland
Not asking for help or clarification and hoping they are doing it correctly.
Yes, this! Please ask questions, or even ask someone to confirm what you are pretty sure is already correct. ICU nursing is tough, complex work and the patients are safest when the nurses work as a team.
What I "hate" to see in a new ICU nurse is when they are so caught up in the tasks that they dont take the time to think through the "why". Whether that is really understanding the diagnosis, or understanding why it makes no sense to run a 3ml med on a pump and then pushing the NS flush behind it by hand (the tubing is only 1.6ml). Smarter decisions are made with better understanding of what you are doing. But that stuff is a gradual process and takes time. There is a LOT to take in when you are starting out in the ICU. Good luck!