Protocol for Continuous Infusion Pumps

Last Modified: October 29, 2006

Share article


Question

Dear OncoLink "Ask The Experts,"

Our institution recently began using continuous infusion 5-FU via pump for outpatients. Can you please tell us how your protocol works for these pumps?

Answer

Carolyn Vachani RN, MSN, AOCN, OncoLink's Nurse Educator, responds:

When our patients use these pumps, they are controlled (that includes all programming, refilling, battery changes, and alarm fixes) by the home infusion team. If a patient is admitted to the inpatient units, the inpatient pharmacy makes a replacement drug (if the doctors want to keep the infusion going), and we change the infusion over from the outpatient pump to an in-house pump. If the patient is discharged, home infusion sends someone by to restart the infusion.

At home, patients are given a 24-hour on-call home infusion nurse whom they should contact if they hear the infusion alarm or have any other issue during the night. They are told to NOT try to fix things themselves, but just call.

As for home infusion, the protocol for filling the order is as follows:

When the order for 5-FU is entered by the pharmacist, he/she also enters orders for how the pump is to be programmed (reservoir volume and continuous rate). The order is then double checked by another pharmacist to make sure that the drug and pump orders were entered correctly. Once the drug is prepared, the pump is programmed by one of the clinicians here according to the orders on the label.

The pump is then double checked by another clinician (nurse or pharmacist). It is then taken to the patient, connected, and started by the home infusion nurses.

As a side note, each and every clinician involved in home infusion, including pharmacists and field nurses, undergo a pump competency review annually.


News
Minority patients more willing than whites to expend their financial resources to prolong life

Apr 27, 2011 - Black cancer patients are more willing to expend their personal financial resources in order to extend life compared to white cancer patients, according to a study published online April 26 in Cancer.



I Wish You Knew

How an oncology social worker can improve your cancer experience

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More