When do you personally use an IV pump?

  1. ER nurses are notorious for giving fluids wide open or on mini med tubing. I thought it would be cool to compile a list of the meds we use a pump for our categories.

    No pump:
    Ns on a young generally healthy person
    NS wide open for emergent situations
    Emergency blood admin (life or death)
    Some antibiotics

    Emergency drips
    Any fluids for pt at risk for fluid overload chf, dialysis pts, elderly)
    Strict I/o pt (pre op, etc)
    Generally anyone I anticipate going to ICU
    Narcotic drips (duh)

    What do you consider to be a drug or antibiotic that MUST be on a pump?
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    About 1fastRN

    Joined: Oct '13; Posts: 197; Likes: 312
    ETD RN; from US
    Specialty: Emergency Nursing


  3. by   psu_213
    Basically any bolus of fluid that is flowing well on its own, I go with no pump. I will also "free flow" stuff that does not have a specific rate/infusion time specified. For example, benadryl or decadron (I've learned by bad experience that those shouldn't be pushed...or not pushed to quickly--it's just easier to put them in a minibag and piggyback them).

    Our policy specifies the infusion time for ABX (for instance, 30 min. for 4.5 g of zosyn--although I might free flow this one if we we short on pumps, which occurs from time to time; 2 hours for a 1 g of vanco, etc.) so I put them on a pump. And then of course there is the stuff that has to be, no exceptions, on a pump--KCl, NTG, dilt, heparin, etc.
  4. by   zmansc
    Main Job, we have one or more pumps in every room, I put everything on a pump unless it needs to be put in via pressure bag, i.e. blood/fluids that need a pressure bag to get in now.
    PRN job, only a couple of pumps in the facility, pumps are used sparingly only when counting drips isn't sufficient or when every time I check on the pt the fluids have stopped because they are bending their arm, etc.
    Personally, in ideal situation I'd go with the abundance of pumps, I find it makes the fluid administration more accurate and reliable.