A syringe driver is a safe, well established and cost effective way of. Dosage calculation there are several ways to determine how much of a medication you are supposed to administer to a patient. Mckinley t34 syringe driver update do you feel a bit rusty, this session is for you it is a handson session and update re the use of the t34 syringe pump. Mckinley t34 syringe driver guidelines for adult supportive. The niki t34 syringe driver is a small, portable battery operated, programmable, ambulatory syringe pump that delivers the contents of a 2 to 50ml syringe over a specified duration of time or at a given rate in millilitres per hour mlhr.
Drug calculations for nurses made easy nursing times. Several trusts and hospices across the uk are carrying out trials of the recently launched mckinley t34 syringe driver. Participate in a practical workshop which will include. Three of the commonest syringe drivers in the west midlands region are 1,2. Setting up a t34 syringe driver lock on prime and load when setting up a syringe driver or renewing the next 24 hour syringe, two qualified nurses should check the drugs, the rate and the identity of the patient 1 initial set up.
Generally all of the drugs included in the section. Mckinley t34 syringe pump guidelines for use in adult palliative care patients. Introduction medications may be ordered to be given by a parenteral routea route outside of the gastrointestinal tract. This is because the niki t34 syringe driver simplifies administration by detecting the syringe size and volume of medicine, and sets the rate to deliver the infusion over the required time period, e. The use of the niki t34 syringe pump via the subcutaneous route is. The use of a subcutaneous or intravenous infusion using a syringe driver to deliver medications has certain advantages. Its sometimes called a continuous subcutaneous infusion. Registered nurses working in health and social care who have completed the full day mckinley t34 syringe driver training at a cost of. A syringe driver helps reduce symptoms by delivering a steady flow of injected medication continuously under the skin. The t34 is the safety standard in ambulatory syringe pumps offering a comprehensive range of features designed to maximise safe and simple administration of medication, in both hospital and homecare environments. Policy and procedure for the use of the cme medical mckinley. Whilst the preferred route of medication administration in paediatric palliative care is the oral one, there may be occasions when this is impractical or undesirable. Management of syringe drivers mckinley t34 st catherines.
A syringe driver is a small, portable, powerdriven device used to administer a continuous 24hour dose of medication. Use only one type of syringe driver in each setting to prevent confusion which may lead to errors6, 8, 10, 18. Syringe pumps also known as syringe drivers are commonly used for people living with a terminal illness. If the patient is in pain, vomiting or very agitated, give a stat sc injection of appropriate medication while setting up the syringe driver. Policy and procedure for the use of the cme medical. This article will now look at some commonly used drug calculations and the way that mistakes can happen. Mckinley t34 syringe p or the use of the yringe y cme. Demonstrate the skills required to safely start up, monitor and close down the device in order to use the t34 mckinley syringe driver effectively in the clinical area suitable for. The drugs commonly used, compatibilities and drug calculations.
When and how to use a syringe driver in palliative care. They are vitally important to get right, yet so easy to get wrong. The mckinley t34 is calibrated in mlhour a 30ml luer lock syringe is recommended the maximum volume of fluid in a 30ml syringe is 22ml. Diazepam, chlorpromazine and prochlorperazine are too. Gp supplies is the uks premier online store for medical supplies. The indications for syringe drivers in palliative care. The infusions usually last 24 hours using either distancecalibrated syringe drivers eg. Mckinley t34 syringe p or the use of the yringe y cme medical. Careplan comfort measures for palliative care patients. Graseby, micrel mp or volumecalibrated syringe drives alaris ad, mckinley t34. Injectable medication calculations basicmedical key.
It will include an overview of its use, setting up and trouble shooting in the use of. Syringe driver training for nurses and healthcare professionals. Length of total fluid in syringe at time syringe driverpump commenced. The syringe driver advisory group was set up by the new zealand palliative care working party in december 2007 to facilitate a smooth and safe transition to an approved alternative device. District health boards of new zealand dhbnz has recommended the ad ambulatory syringe. In the main those using mckinley t34 have received competency based training from the. Guidelines for syringe driver management in palliative. Cme medical is an exciting and prolific healthcare innovator, and a leader within the specialist infusion market. Policy and protocol for the use of the cme mckinley t34. 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. Starting setting up a syringe driver mckinley t34 if symptomatic give stat dose as syringe driver takes 2 4 hours from setting up to achieve effect. This is mckinley t34 syringe drivers by uhb nhsft multimedia team on vimeo, the home for high quality videos and the people who love them. It has improved safety features, and meets british and.
Our range includes medical disposables, medical equipment, pharmaceuticals, surgical nursing and first aid equipment from leading brands like instrapac, instramed, instraspec, comfispec, keeler, welch allyn, omron, smith and nephew, ecolab, clinell and many more. The company developed and introduced the t34 syringe pump, which was subsequently adopted throughout the uk, achieving a market share of 85%. Calculate and combine doses for two medications to be mixed in one syringe. Only use drugs that are known to be effective via the sc route.
Names of drugs in syringe doses of each drug name of diluent. How many millilitres of each of the drug ampoules would you draw up. These syringe pumps are used by patients for symptom management and are set up to deliver the syringe contents by continuous subcutaneous infusion in millilitres ml per hour over a 24 hour lock on period. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no. Pdf the benefits and drawbacks of syringe drivers in. Jul 06, 2015 how to set up a mckinley syringe pump duration. The syringe driver is a small, portable battery driver infusion pump, used to give medication subcutaneously via a syringe usually over 24 hours.
The procedure is designed to ensure that all registered nurses working for, or on behalf. Analgesic conversion guidelines in palliative care. Mckinley t34 syringe driver cme t34 syringe pump previously known as the mckinley t34 syringe driver staff training recommendations have been revised. Our syringe driver training and awareness course is designed for nurses and healthcare workers, and delivered by qualified professionals with direct experience of using, operating and troubleshooting syringe drivers in reallife situations syringe drivers or pumps offer a reliable way to administer regular medication to. The syringe driver is a small, portable batterydriver infusion pump, used to give medication subcutaneously via a syringe usually over 24 hours. This website uses cookies so that we can provide you with the best user experience. Ensure that drug calculations are checked according to legislative requirements and organisational policy and protocols when the syringe driver is setup17. Mar 15, 2015 1 syringe driver training equipment needed. Drug combinations as subcutaneous infusions in syringe driver for palliative care. No matter what method you choose to use, if performed properly, they should all come up with the same answer. Generally the more dilute the contents are, the lower the risk of compatibility problems and injection site reactions. The graseby syringe driver has been gradually phased out of use as it was not tamperproof. When and how to use a syringe driver in palliative. Your medicines are put in a syringe, and the syringe driver pushes the medicines through a soft plastic tube and into your body.
Indications for use the t34 syringe driver is designed for infusion of medications or fluids requiring. Syringe driver training has evolved rather than been planned dunne et al 2000, odoherty et al 2001 and is lacking in. A syringe driver is a small, batterypowered pump that delivers medication at a constant rate throughout the day and night. These syringe pumps are used by patients for symptom management and are set up to deliver the syringe contents by continuous subcutaneous infusion in millilitres ml per hour over a. They can be used in hospital, in hospices and at home. Ppt syringe drivers powerpoint presentation free to. Registered nurses working in health and social care who have completed the full day mckinley t34. Dosage calculations for nursing students made easy on iv infusion rate calculations.
Our syringe driver training and awareness course is designed for nurses and healthcare workers, and delivered by qualified professionals with direct experience of using, operating and troubleshooting syringe drivers in reallife situations. To improve access to any update the previous medication guidance has been replaced with direct links to nhs scottish palliative care guidelines. The use of a syringe driver for subcutaneous infusion allows several symptoms to be relieved via one route of administration and avoids the. Syringe pump checks should be documented every 4 hours for inpatients and at least daily for patients in the community.
Welcome to the syringe driver survey database sdsd the sdsd is a database of the visual appearance of drug combinations reported in prospective international multicentre surveys and also from individual reporting. They are a safe and effective way to give medicines for symptoms such as pain, nausea and vomiting, seizures, agitation and respiratory secretions. The mckinley t34 pump is a portable battery operated infusion pump. A syringe driver takes 34 hours to establish a steady state drug level in plasma. This interactive day encompasses both mckinley t34 syringe driver device training and education regarding symptom assessment, management and drug calculations. Derbyshire county pcts is newly started on a palliative care syringe, then the mckinley t34 syringe driver will be supplied by the district nurse. Drug calculations for nurses infusion pump calculations.
Commonly used drugs drug usual dose range indication clonazepam 16 mg24 hours agitation, confusion, seizures cyclizine 75150 mg24 hours. Drug calculations appear to be impossibly difficult, unless you break them down into small steps. The t34 syringe pump may be used to deliver indicated medications via any common infusion routes including central, peripheral venous, epidural, intraarterial or subcutaneous. Hospitalward if applicable please complete or affix.
Drug calculations for nurses by kerri wright companion. Therefore, it seems timely to consider their wider use internationally. You might have been given a syringe driver, to help control pain, sickness, agitation or fits. Mckinley t34 syringe driver training suitable for registered nurses working in health and social care. It assumes you have previously attended a beginners session andor have used the t34 syringe driver. January 2009 introducing the mckinley t34 syringe pump into the isle of man mckinley t34 syringe pump. 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. Common medicines are compatible with morphine and diamorphine, however cyclizine compatibility is concentration dependent. Guidelines for syringe driver management in palliative care.