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IV Pump Training Cheater

  Submitted by: Ryan Stambro on August 09, 2018
  HomeGrown Solution Number: 300
Identification of the Problem
Patient safety relies on effective training of healthcare providers in the use of intravenous pumps. Utilizing the proposed solution allows organizations to train providers across broad sets of objectives, while being cost effective. An additional concern in the markets is a shortage of IV fluids used in patient care. This solution allows organizations to maintain high fidelity training without distraction or disruption to supply.
Unique Idea
The IV "cheater" is a solution that allows healthcare educators and practitioners to train in IV pump programming utilizing a low cost, highly effective, reusable tool. This solution address waste and delays caused by utilizing actual fluids during training. In addition to static programming, the "cheater" can be used during high fidelity simulation to allow learners to visualize pump settings, without distractions of pump errors caused by fluids.
Objectives
Describe the process used to create an intravenous pump "cheater" for training. Identify problems with current pump training and provide practical solutions.
Supplies/Ingredients
1. IV Pump Tubing
2. Scissors
3. 10mL syringe (luer lock)
4. 14 gauge angiocath (1.75"/45mm)
5. Black Silicone
6. IV Pump for testing completed units
Steps to Creating the Solution
1. Gather supplies required and prepare an area for trainer creation.
2. Cut IV tubing 2" above and below the section used inside the IV pump chamber. With your scissors, create a small hole in the flexible tubing that fits inside the chamber.
3. Remove the plunger from your syringe. Remove the catheter from your angiocath, and safely discard of your needle. Attach the angiocath to your syringe using the luer lock. Fill your syringe with appropriate amount of black silicone for quantity of "cheaters" being created. Each unit will use approximately .5mLs. Reinsert the plunger and apply pressure to begin the flow of silicone from the catheter.
4. Insert the catheter in the bottom portion of the IV tubing as far as it will reach. Begin applying silicone to fill the lumen of the tubing. Pull back the syringe and catheter and continue filling the bottom portion of the tubing. Do not fill the top portion of cut tubing. Be mindful of the area of tubing that inserts into the pump chamber sensor. This section must have silicone!
5. Place the section of pump tubing to the side to dry for 24 hours, and repeat steps for further trainer sets. Once dry, insert the pump trainer into the channel and program a generic fluid bolus setting. Ensure the system does not error for air-in-line or patient side occlusion.
6. Troubleshoot "cheater" sets that cause alarms by ensuring silicone is filling the tubing in the area of the channel sensor. Add an additional hole to the flexible tubing.