Documenting I&O's on pumps

[bella14k]

I feel a little behind ...and the scary part is i'm in my last semester. I was supposed to record my patient's IV intake (for I&O's). The pump said VLTI, and I thought that was volume left to be in infused. This was a 1,000 ml bag of 0.9% NS. It looked like it had about 300 ml left. On the pump, it also said "VLTI: 300 ml" (300 something, whatever). All I know is I told her there was 300 ml left, so the intake must have been 700 ml intake since the infusion started. She said that the number I saw was the amount that has been infused. It was a 1000 ml bag..this doesn't make sense. I asked if the nurses reset the pump everytime they check I&O, to keep a more accurate hourly intake? I believe my professor responded "no".. unless I misheard her. She seems like she wants to fail me, so i didn't question her again or the floor nurses, or even the other students in my group. I should just ask another student in my nursing class, but any clarification would be great!

Thank you

[PRNketamine]

There are pumps that auto-populate into the eMAR??

[Esme12, ASN, BSN, RN]

There are pumps that auto-populate into the eMAR??

Yup....

While BWH first is focusing on rolling out current safety features hospital-wide, such as eMAR, the guide on how to connect the pumps is now in place. “This is good for patient safety, and it’s the last piece of the medication safety loop to close to make everything connected,” said Anne Bane, MSN, RN, program director of Clinical Systems Innovations for Nursing.

With wirelessly connected pumps, the doses of IV medications ordered in CPOE would be verified by Pharmacy and then automatically updated in eMAR. A nurse would program the IV pump by scanning the drug and the patient’s wristband, and that individual patient’s medication order data would be sent to the IV pump across the wireless network in real time. The nurse would verify the data and start the pump, with patient-specific data feeding back to eMAR, Acute Care Documentation and Pharmacy.

Wireless networking also enables the drug library in each pump to be upgraded in near real-time so that staff can keep current with new practice changes; it also allows for real-time downloading of pump quality intervention data so that BWH can continually improve the safety of this critical process.

Closing the Loop: A Roadmap to Connecting Smart Pumps- BWH Bulletin - For and about the People of Brigham and Women's Hospital