SP4 Implementation of smart-pumps and standard concentration infusions across a paediatric hospital group – a training and evaluation model

Aim To implement and train staff in the use of a smart-pump drug library across all clinical areas four sites large paediatric hospital group. Method A multi-disciplinary steering group was devised with representation from each site to co-ordinate implementation smart-pumps entire organisation. Two stages training were identified: Phase 1: smart-infusion pump new users; 2: education. 2 co-ordinated by dedicated team nurse educator, supported six nursing seconded project on short-term basis. comprehensive package support documentation developed. Drug education sessions involved interactive practical teaching library, followed completion self-assessment competency tool. Staff recorded record database. Implementation into area occurred once 80% had attained both training. Amended offered pharmacy students. 12-month fixed term full-time Smart-Pump Support Clinical Nurse Manager post created filled Q3 2020 conduct post-implementation audit. Efficacy compliance evaluated at 3-month 9-month intervals using satisfaction surveys direct observational study. Results delivered over 800 between June August 2021. The has been implemented sites. Processes for on-going have established. Preliminary study results indicate that increased 41.2% 73.5% 3 months 9 respectively. Where used, no clinically significant programming errors identified. IV fluids most commonly programmed outside library. common deviations incorrect care unit. audit is ongoing. survey completed 140 implementation. surveyed agreed easy programme, 84% agreeing enhances patient safety 89% considering good/excellent. (9 months’ implementation) Conclusion Cross-site collaboration enabled wide scale internationally recognised best practices safe administration medications 1–3 Feedback provided local teams facilitated ongoing development needs content. Training continues be staff, refresher available request. Dedicated resources are an essential component successful organisational level. References Institute Safe Medication Practices, ISMP. Guidelines Optimizing Use Smart Infusion Pumps 2020. Available at: https://www.ismp.org/guidelines/safe-implementation-and-use-smart-pumps Royal College Paediatrics Child Health (RCPCH)/Neonatal Paediatric Pharmacists Group (NPPG). Standardising intravenous infusion concentrations children UK https://www.rcpch.ac.uk/resources/standardising-intravenous-infusion-concentrations-children-uk American Society Health-System Pharmacists, ASHP. Standardize 4 Safety 2018. https://www.ashp.org/pharmacy-practice/standardize-4-safety-initiative