Version number 2 page 3 of 18 policy date june 2012. Four or more drugs in any one syringe driver w hen the drugs prescribed for the syringe driver are outside the merseyside and cheshire guidelines. When setting up and using syringe drivers, follow organisational policy and procedures. Follow local policyprocedure for the option to press when this. This is particularly important for patients receiving palliative care, for. However, nurses must have training before using them to ensure patient safety. The graseby ms16a syringe driver is a portable, batteryoperated device, for mechanically delivering drugs at a predetermined rate. Pdf developing guidelines for syringe driver management. Syringe driver drug compatibilities guide to palliative care. Lothian nhs board waverleygate 24 waterloo place edinburgh eh1 3eg main switchboard. I would like to access your syringe driver policy to ensure that our policy here at hospice in the weald correlates to yours regarding the set up plan. Syringe driver drug compatibility palliative care adult network guidelines, uk. A single drug, or more often a combination of drugs is given via a slow subcutaneous infusion to help control symptoms when other routes of administration are no longer viable, feasible or preferred. Version number 2 page 17 of 17 policy date june 2012.
The california department of public health, office of aids advises syringe exchange programs seps to adopt needsbased distribution policies with the goal of ensuring that program participants have a new, sterile syringe and other injection equipment for each injection. The t34 syringe pump is a small, lightweight ambulatory infusion pump which offers flexibility and reliability. Syringe driver guidance and standard operating procedures for adults in the usage of mckinley t34. Management of subcutaneous infusions in adults policy and. This policy does not apply to any subcutaneous infusion of drugs being given via a syringe driver see local syringe driver policy 2. Policy and protocol for the use of the cme mckinley t34. Policy for the use of the ambulatory t34 syringe driver in adults receiving palliative andor end of life care in the university hospitals of leicester nhs trust page 6 of 31 committee. Policy and protocol for the use of the cme medical mckinley t34 syringe driver for adults in palliative care policy no. Safe practice in syringe pump management nursing times. Its sometimes called a continuous subcutaneous infusion. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no. It is important to discuss the procedure with the patient and follow.
Important considerations it is recommended that the number of drugs in one syringe be limited to three. It is important to document thoroughly after setting up a syringe driver. Syringe drivers are used for the continuous delivery of drugs into the subcutaneous tissue of. The syringe is usually calibrated in cubic centimeters cc. Syringe access policies for california syringe exchange programs. Sep 12, 2018 this is a video tutorial on how to prepare an iv medication for syringe pump administration. Policy for the use of the ambulatory t34 syringe driver in. Evidencebased information on subcutaneous syringe driver from hundreds of trustworthy sources for health and social care. Syringe driver policy derbyshire alliance for end of life care. This revised edition of the the guidelines for subcutaneous infusion device management in palliative care takes account of the october 2007 withdrawal from sale in australia of the graseby syringe driver, a subcutaneous infusion device that was the major focus of the first edition. Guidelines for syringe driver management in palliative care.
This clinical policy and procedure aims to provide for the patient, a standard level of care and competence from registered nursing staff, when they require the administration of drugs subcutaneously using a syringe driver. The rn must have attended training, completed a t34 attended syringe driver training and. Lower east side harm reduction center syringe exchange program policies and procedures syringe exchange program introduction section 80. The syringe driver awareness training course begins by introducing syringe drivers and their use in palliative care. Policy statement this procedure outlines the safe administration of subcutaneous medications via intermittent or continuous via syringe driver routes in the palliative care setting. The graseby syringe driver has been gradually phased out of use as it was not tamperproof. Syringe driver awareness course acute clinical training.
Syringe pumps offer an alternative route for delivering medicine when the oral route cannot be used. These are guidelines to inform practice, development of policy and procedures, and associated training and education programs for clinicians and palliative care services in relation to portable subcutaneous infusion device management. The use of a syringe driver for subcutaneous infusion allows several. Sop syringe driver administration of drugs via the cme. When and how to use a syringe driver in palliative care. T34 syringe driver policy for use in the palliative care. Mckinley t34 syringe driver guidance resources derbyshire.
Guidelines for syringe driver management in palliative care in new zealand 1 the patients experience syringe drivers are recommended for use when it has been determined that the continuous. It is used to deliver medication via the subcutaneous route over a calculated period of time providing a continuous level of medication. Syringe driver policy for adult and palliative care 12. There are four main models of syringe driver in use and it is important to familiarise yourself with your local model, policy and prescribing guidelines. Effortless transition between hospital and home care requirements is the core of the t34 syringe pump. Caution should be used when combining drugs in syringe drivers. References to military settings or military medical procedures may not be applicable to civilian situations.
Follow the links from home page policy and procedures governance nursing and midwifery. Syringe driver policy version number 2 page 5 of 18 policy date 31. Sh cp 18 syringe driver policy for adult supportive and palliative care version 7 november 2018 syringe driver policy for adult supportive and palliative care 1. Syringe driver drug compatibilities guide to palliative. The link can be found on the front page of the dchs policies and procedures sharepoint site. Authors andrew dickman and jennifer schneider produced a wellwritten, wellreferenced, and efficient treatment of the modern syringe driver for subcutaneous infusions as used in palliative care. Cc51 syringe driver guidance and standard operating procedures for adults in the usage of mckinley t34. Syringe driver policy mersey care nhs foundation trust. The procedure is designed to ensure that all registered nurses working for, or on behalf of the trust, provide the optimal level of care to this patient group. Advice can be sought from the specialist palliative care page 5 of 24 84 administration of drugs via a syringe driver. Guidelines for syringe driver management in palliative. Their use as a method of drug delivery to control symptoms in palliative care is a common and accepted practice. Finally, a number of troubleshooting ideas and the practical application of syringe driver are presented.
The following procedure has been devised for use in both the hospital and community setting. This standard operating procedure sop represents current recommended good practice and will ensure the proper action to take regarding the setting up and management of the cme medical t34 syringe driver by clinical staff in the community setting. Syringe drivers did it speed up my mum passing away 17 apr 2016 21. Policy and procedures children and young peoples services neonatalprocedures.
They can be used in hospital, in hospices and at home. Policy and procedure for the use of the cme medical. Use this drug compatibilities resource 704kb pdf to formulate a list of medications that are commonly used for symptoms in the terminal phase and those which are suitable for syringe drivers. Syringe driver policy derbyshire alliance for end of. In a care home environment it is good practice to check the device regularly and many use a chart to record their findings. Syringe driver policy for adult supportive and palliative care. This policy explains why a mckinley syringe driver is used, the preparation and procedure for setting up the pump initially and for subsequent infusions. Clinical policy and procedure for the subcutaneous. Rotherham doncaster and south humber nhs foundation trust. Syringe driver policy version number 2 page 8 of 18 policy date 31.
T34 syringe pump 3rd ed directions for use instructions for use. Syringedriverdrugcompatibilitiesguidetopractice20 v2, nov 2014 download main menu. Promoting health and quality of life for the people and communities we serve. Southern hsc trust procedures for the use of syringe drivers. Policy and procedures children and young peoples services. Syringe driver drug compatibilities guide to palliative care practice 2016 sodium chloride 0. Syringe driver guidelines page 4 72810page 4 of 29 indications for use the graseby ms16a syringe driver is a portable, batteryoperated device, for mechanically delivering drugs at a predetermined rate. You might have been given a syringe driver, to help control pain, sickness, agitation or fits. Cc51 syringe driver guidance and standard operating. Syringe driver awareness training acute training solutions. Subsequently, the procedures for preparing the patient and driver, and for commencing the infusion, are outlined. This is a video tutorial on how to prepare an iv medication for syringe pump administration. This clinical policy and procedure applies to all mersey care nhs foundation.
Care and communication record 2015 individual plan of care for the person who is in the last. They are a safe and effective way to give medicines for symptoms such as pain, nausea and vomiting, seizures, agitation and respiratory secretions. Determine type of medication, time of administration, and route of injection. Syringe driver guidance and standard operating procedures. A syringe driver helps reduce symptoms by delivering a steady flow of injected medication continuously under the skin. Upon commencement the nurse should check the driver regularly to ensure that it is running effectively. Request for information under the freedom of information. Troubleshooting compatibility issues, and discharge or transfer of patients from hospital with a syringe driver in situ, are also explained. A syringe driver helps reduce symptoms by delivering a steady flow of injected medication continuously. The procedure is designed to ensure that all registered nurses working for, or on behalf. The choice of syringe depends on the amount of solution and the type of solution administered see figure 14. Syringe driver drug compatibilities practice guidelines 2016 eastern metropolitan region palliative care consortium victoriaclinical working party 3.
Be sure the syringe is large enough to contain enough medication to give. Definitions that apply to the policy 6 summary, introduction, purpose and justification 1,2,3,4 78 duties within the organisation 5 911 training and competence 6 1112 monitoring compliance and effectiveness 7 12 links to relevant standards 8 references 9 14 appendices clinical guidelines for the use of the t34 syringe driver. Reasons for using a syringe pump advantages and disadvantages of syringe pumps principles of patient care syringe pumps are a vital tool for administering medicine, especially in palliative care. Syringe driver guidance and standard operating procedures for.
For many patients the setting up of a syringe driver is a response to unrelieved symptoms. However, nurses must have training before using them to ensure patient safety safe. Please find detailed below a summary of your request, together with our response. Patient safety and effectiveness sub committee download cc51 issue 1. Current policies and procedures in the region and evidencebased practice were used in preparation of. Principle used needles and syringes disposed of on building sites are an occupational health and safety hazard that must be removed immediately and in a safe manner. When and how to use a syringe driver in palliative. These procedures will differ according to the type of medicine and from the type of vial. Check the infusion is running to time and record 4 hourly on the syringe driver subcutaneous medication administration record check rate. Following assessment of the patient the rn must be satisfied that it is in the patients best interest to use a syringe driver. Guidelines for subcutaneous infusion device management in palliative care second edition revised by. If the syringe volume is increased and the infusion is resumed, the duration of delivery will increase if the syringe volume is decreased and the infusion is resumed, the duration of delivery will decrease note.
Syringe drivers are small portable usually battery operated devices used in palliative care. Training requirements for this policy are in accordance with. Syringe pumps also known as syringe drivers are commonly used for people living with a terminal illness. Policy and procedure for the use of the cme medical mckinley. Sop syringe driver administration of drugs via the cme medical t34 syringe driver. Develop a policy and procedures for managing palliative care medication including the use of syringe drivers. Mar 30, 2015 safe practice in syringe pump management.
Syringe drivers are defined as power driven devices that drive the plunger of a syringe at an accurately controlled rate to deliver medications10. For guidance in relation to the use and management of the t34 mckinley syringe driver please refer to the royal marsden manual. The lockable, battery operated, niki t34 syringe driver is the current device available in new zealand for the continuous subcutaneous administration of medicines in a community setting. During office hours contact pharmacy or the palliative care team for advice. This policy and procedure for the use of the cme mckinley t34 syringe driver for adults in palliative care has been written and adapted, with the kind permission, from guidance produced by the following organisations. Syringe pumps are a vital tool for administering medicine, especially in palliative care.
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