Ambulatory syringe driver policy including symptom management guidelines cme mckinley t34 mlhour 2012. The t34 is the safety standard in ambulatory syringe pumps and is designed to maximise safe and simple administration of medication. Syringe driver guidelines page 1 72810page 1 of 29 community nursing guidelines title. The t34 syringe pump may be used to deliver indicated medications via any common infusion routes including central, peripheral venous, epidural, intraarterial or subcutaneous. Csc clinical skills centre dop direct observation of practice. Device user clinical elearning is a high quality, cost effective way to meet the training needs of qualified healthcare professionals. Discuss the legal and professional considerations around syringe driver use. Adapted, with kind permission from nhs lanarkshire keywords minimum of 5. This session can be attended as a stand alone session or alongside the symptom management in the last days of life course, which takes place in the morning. This course is aimed at registered nurses who have experience of using a mckinley t34 syringe driver already, but are requiring a refresher on the knowledge and skills associated with caring for an individual who requires this for symptom management. Subcutaneous infusion education home queensland health. It can lessen the demand and impact of clinical staff being absent from clinical areas and patient care to attend training.
Syringe driver training has evolved rather than been planned and it is lacking in evidence. The site provides essential, comprehensive and independent information for health professionals about the use of drugs in. Mckinley for beginners this is a handson course, its focus an introduction to the use of the t34 syringe driver for the novice. Require control of their symptoms, with an aim to maintaining their quality of life, and. Safe practice in syringe pump management nursing times. It provides a framework for ensuring that registered nursing staff develop competencies ensuring that syringe drivers are used safely and effectively. Registered nurse any practitioner registered with the nursing and midwifery council. Lunch will be provided for those attending both sessions. Update and refresher training mckinley t34 syringe drivers description if you have previously been trained, not used a syringe driver recently and would like a refresher this interactive workshop will give you an opportunity to explore. Syringe driver policy mersey care nhs foundation trust.
Development, with knowledge and expertise contributed by the nes mckinley pump training. Training in the use of the subcutaneous delivery of medication using a syringe pump must be undertaken. The aim of this selfdirected learning package is to assist you to develop knowledge and skills of the basic principles of care for patients with syringe driver devices. Read the information and the section of the guidelines recommended.
Policy and protocol for the use of the cme medical mckinley t34 syringe driver for adults in palliative care policy no. Clinical elearning for infusion drivers cme medical. Be able to discuss the rationale with patients and their families. T34 adult syringe driver guidelines nhs harrogate and rural.
It is a practical handson competence based session. The session will cover all aspects of the t34 syringe drivers use in practice. This reduces the need for a second syringe pump when giving larger volume drugs, e. Subcutaneous infusion device education printable documents. Indications for use the decision to administer medication via a syringe driver. Competencies in the use of syringe drivers are available. Appendix 4 mckinley t34 syringe driver practice competencies. It allows drugs to be diluted up to approximately 34 mls volume for bd syringes.
Mckinley t34 syringe driver guidelines for adult supportive and palliative care version. Policy and protocol for the use of the cme mckinley t34. Mckinley t34 syringe pump children resource pack 168919066. To assist policy search engine mckinley t34, mckinley, t34, syringe driver, syringe, palliative care. Mckinley t34 syringe pump information leaflet for patients and carers. Policy and procedure for the use of the cme medical. It is suggested you work through each section in turn. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no.
Integrated safety iv catheter system 6 reasons why bd saftintima is the first choice for all your subcutaneous infusion therapy needs. Each individual situation will require its own dynamic andor formal risk assessment. When changing the syringe driver using new medication. Inadequatepoor training concerning the use of syringe drivers and that staff competency is under assessed. Equipment required syringe driver t34 mckinley battery 9v and spare. Our comprehensive syringe driver awareness training course is ideal for registered nurses who require a refresher course on syringe drivers. Indications for use the t34 syringe driver is designed for infusion of medications or fluids requiring. 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. Sheffield primary care trusts guidelines for the use of the graseby ms16a syringe driver in palliative care date. Cme t34 syringe pump scottish palliative care guidelines nhs. Syringe driver policy for adult palliative care shft 2015, mckinley t34 syringe pump guidelines for adult palliative care shft 2015, chs49 deliver subcutaneous treatments using syringe drivers or infusion devices, chs50 monitor infusions delivered subcutaneously by a syringe driver or infusion device, chs51 discontinue infusions delivered. Direct observation questioning e discuss battery type and install the battery. Mckinley t34 syringe pump guidelines for use in adult palliative care patients. If subsequent requests for support with graseby units arise, they will be declined as competency in the use of graseby units cannot be assured.
Graham f, clark d 2005 the syringe driver and the subcutaneous route in palliative care. The course will teach theoretical and practical skills related to the safe and effective use of syringe drivers as well as the importance of correct machine setup. Guidelines for the use of the cme t34 syringe pump for. The syringe driver for use for adults at the rcht is the mckinley t34.
Mckinley t34 syringe p or the use of the yringe y cme. Mckinley syringe pump training for beginners this is a handson course, its focus an introduction to the use of the t34 syringe driver for the novice. Troubleshooting compatibility issues, and discharge or transfer of patients from hospital with a syringe driver in situ, are also explained. All t34 ambulatory syringe pumps need a sponge pad fitted. In our locality the cme mckinley t34 syringe pump was procured because it met the requirements listed above and has additional safety. Syringe driver policy for adult palliative care shft 2018, mckinley t34 syringe pump guidelines for adult. Policy and procedure for the use of the cme medical mckinley. This has been developed by a working group from across settings and disciplines and reflects clinical evaluation, current guidelines, safety.
It is a valid mersey care document, however due to organisational change this front cover has been added so the reader is aware of any changes to their role or to terminology which has now been superseded. This guideline focuses on the use and management of a cvad when. Questioning c identify and inspect the equipment as complete, maintained and fit for use direct observation questioning d identify the components on the syringe driver that secure the syringe and explain their function. Understand the rationale for syringe driver use in palliative care.
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 policy provides the rationale for the use of the mckinley t34 syringe driver and. Syringe driver training has evolved rather than been planned dunne et al 2000, odoherty et al 2001 and is lacking in evidence. A 50ml syringe is not recommended for routine use it will not fit. Syringe driver safe use of mckinley t34 whats covered on the day. Procedure for the use of mckinley t34 syringe driver to deliver a continuous subcutaneous infusion in palliative care for adults page 5 of 41 1. Physical features chart of the mckinley syringe pump can be found at appendix 7. It is recognised that there has previously been inadequate training concerning the use of syringe drivers and that staff competency is under assessed flowers and mcloed.
Mckinley syringe driver e learning is a password protected site where palliative care professionals meet online to share elements of practice, expertise and ideas. Mckinley t34 syringe driver for adults in palliative care. Guidelines for subcutaneous infusion device management in palliative care. The mckinley t34 syringe driver can be used for patients who. Management of syringe drivers mckinley t34 st catherines. The cme mckinley t34 syringe pump policy aims to support safe and effective symptom management in hospital, community, and hospice settings. Syringe pump infusion pump lambda vitfit, precise and highpressure syringe pumps, syringe driver duration. Nhs lanarkshire 2007 mckinley t34 syringe pump guideline for use in.
Syringe pumps may be used infrequently and competency can be difficult to maintain as a result. The use of syringe drivers is unregulated in many areas and that there have been serious incidentserrors nationally involving syringe. On successful completion of the competencies, both assessor and assesse will sign the mckinley. For instructions on setting up the mckinley syringe pump please see appendix 1 priming of lines. The course is aimed at all nursing staff caring for patients with a mckinley syringe driver. Management of subcutaneous infusions in adults policy and. Nb the 50ml luer lock syringe is the largest syringe that will fit the mckinley t34 syringe pump. Procedure for the use of mckinley t34 syringe driver to. Morgan s, evans n 2004 a small observational study of the longevity of syringe driver. The syringe driver used across asph is the mckinley t34 ambulatory syringe pump. Cme mckinley t34 syringe driver training north london. Safer ambulatory syringe drivers 2010, the west suffolk hospital foundation trust wsft changed to the mckinley t34 syringe. Procedure for the use of mckinley t34 syringe driver to deliver a continuous subcutaneous infusion in palliative care for adults page 6 of 41 infusion of drug s over a predetermined time at a predetermined rate. Syringe driver policy for adult supportive and palliative care.
Questioning e explain to patientcarer how to care for syringe driver and when direct observation source. Syringe driver training for nurses and healthcare professionals. Personalised management plan for paediatric patient with diabetes. Review the procedure for setting up a mckinley t34 syringe driver. Check sheet for mckinley t34 syringe driver for use in children cha3256. Cpcre centre for palliative care research and education. Learners attending the half day course will leave with a competency document for completion in the workplace. Cme medicals elearning programme is an interactive session that requires users to. Update and refresher training mckinley t34 syringe drivers. Multiple dates available this is a 3 hour course for registered nurses and doctors who are new to using syringe drivers. Pluss has been contracted to provide the hire service for the t34 syringe pumps until the end of january. If staff attends to a patient who is using a different makemodel of syringe driver to the t34, they must change it.
A mckinley t34 syringe driver will be used during this training session and we will provide a certificate of attendance only please note this session will not check or sign off competencies of setting up a syringe driver or administrating drugs. The course can be shortened for all employees with a responsibility for supporting nurses with the care of a patient with a syringe driver. Have awareness of medications commonly used in syringe drivers. Things you might want to know about your driver or pump. It is a practical, handson competencebased session. Mckinley t34 syringe pump information leaflet for parents, children and young people. Competency to set up and administer medicines via syringe pumps should. All forms to print royal cornwall hospitals nhs trust. All t34 ambulatory syringe pumps need a sponge pad fitted to the battery compartment to prevent battery connection issues mda20190.