Use Programmable Pumps and Independent Double-Checks for IV Anticoagulants

​Programmable pumps provide safety features that control the amount of intravenous solution delivered per hour to a patient — safety features that are not available with hanging intravenous solution bags alone. Pumps control the amount of solution delivered and thus help prevent inadvertent under- or overdosing. Two clinical staff members should perform independent double-checks to make sure the pump settings are correct and consistent with current orders.



  • Perform independent double-checks when administration starts, each time the dose is changed, and at the change of each shift.
  • Use pumps that prevent a free-flow administration of solution.
  • Use only one brand of pump throughout your organization to avoid confusion about proper use and programming errors.
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