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Reduce Adverse Drug Events (ADEs) Involving Narcotics and Sedatives:
Use Programmable Pumps and Independent Double-Checks with IV and Epidural Narcotics and Sedatives

Programmable pumps provide safety features that control the amount of solution delivered per hour to a patient. These safety features are not available with hanging intravenous solution bags alone. By controlling the amount of solution delivered, programmable pumps thus help prevent inadvertent overdosing or underdosing, which can lead to dangerous adverse drug events. Two clinical staff members should perform independent double-checks to make sure the pump settings are correct and consistent with current orders.


Tips
  • Perform independent double-checks when administration of the drug starts, each time the dose is changed, and at the change of each shift.
  • Include patient-controlled analgesia (PCA) pumps in the double-checks, too.
  • Use pumps that prevent a free-flow administration of solution.
  • Use only one model of pump throughout your organization to avoid confusion and programming errors.