A maximum of 3 compatible drugs can be mixed in a syringe for administration via this route. Syringe drivers best syringe drivers uk, syringe driver by hce. Development, with knowledge and expertise contributed by the nes mckinley pump training. For instructions on setting up the mckinley syringe pump please see appendix 1 priming of lines. Southern hsc trust procedures for the use of syringe drivers. Mckinley syringe pumps looking after the syringe pump it is best to keep the syringe pump in a dark cover to protect the contents from sunlight. 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. The use of a subcutaneous or intravenous infusion using a syringe driver to deliver medications has certain advantages. All models of t34 ambulatory syringe pumps updated. Safer ambulatory syringe drivers 2010, the west suffolk hospital foundation trust wsft changed to the mckinley t34 syringe pump in 2012. With the introduction of the t34 mckinley syringe drivers use a 20ml syringe as standard and if a larger volume is required use a 30ml syringe. 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.
A syringe driver or syringe pump is a small infusion pump some include infuse and withdraw capability, used to gradually administer small amounts of fluid with or without medication to a patient or for use in chemical and biomedical research. Designed specifically for microinfusion environments, the t341ml ambulatory syringe pump from cme is now the perfect partner for small volume drug infusions. Cme medical is an exciting and prolific healthcare innovator, and a leader within the specialist infusion market. 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. T34 syringe driver instruction video for oxfordshire youtube. Appendix 1 procedure for setting up a subcutaneous infusion of. Following the rapid response report npsa2010rrr019. They must not get wet, so please ask your nurse for. Require control of their symptoms, with an aim to maintaining their quality of life, and. Mckinley t34 syringe p or the use of the yringe y cme. Kain project officer, centre for palliative care research and education professor patsy yates acting director, centre for palliative care research and education. Thanks emily i think am coping ok just now and will spend time with family and friends in. You might have been given a syringe driver, to help control pain, sickness, agitation or fits.
For guidance on converting between opioids see the coloured opioid conversion chart. The driver will automatically calculate the rate of administration according to the volume in the syringe. Guidelines for subcutaneous infusion device management in palliative care. And they are in the spotlight again, as the widelyused mckinley t34 syringe driver has been identified as having problems regarding the brand of battery used in operation. The mckinley t34 provides an event log which shows a record of pump status. Indications for use the t34 syringe driver is designed for infusion of medications or fluids requiring. Syringe driver training for nurses and healthcare professionals. Clinical nurse specialist in palliative care beaumont hospital. Some people just use them for a short time to manage their symptoms. Initially the preferred replacement option was the ad ambulatory syringe driver, however, the company involved was unable to supply and support these drivers and a further decision was made so that by 30 june, 2011, the niki t34 syringe driver was used exclusively.
The syringe driver is a simple and costeffective method of delivering a continuous subcutaneous infusion csci. Syringe driver policy mersey care nhs foundation trust. A range of infusion devices including volumetric pumps and syringe drivers. Policy and protocol for the use of the cme mckinley t34. Mckinley t34 syringe driver guidelines for adult palliative care.
T34 ambulatory syringe pump is a lightweight, compact and fully ambulatory syringe pump with motor driven linear actuator, pulsed motion. The graseby syringe driver has been gradually phased out of use as it was not tamperproof. Laura, palliative care cns at kingston hospital, teaching the correct operation of a t34 mckinley syringe driver. Effortless transition between hospital and home care requirements is the core of the t34 syringe pump. Things you might want to know about your driver or pump.
A syringe driver is a portable battery powered device that administers medication subcutaneously over a chosen period of time. The company developed and introduced the t34 syringe pump, which was subsequently adopted throughout the uk, achieving a market share of 85%. The use of subcutaneous levetiracetam in palliative medicine. Printable subcutaneous infusion education documents. The policy provides the rationale for the use of the mckinley t34 syringe driver and guidelines to support staff training and management of associated equipment. Mckinley t34 syringe pump information leaflet for parents, children and young people. It may be used to administer drugs in other circumstances but these, as well as the use by parenteral routes other than subcutaneous, are outside the scope of this policy. Safe practice in syringe pump management nursing times. Audit of syringe driver use scottish partnership for. Click export csv or ris to download the entire page or use the checkboxes to select.
Guidelines for the use of the cme t34 syringe pump for. Graham f, clark d 2005 the syringe driver and the subcutaneous route in palliative care. The mckinley t34 syringe driver pump is used to deliver drugs at a predetermined rate via the subcutaneous route over a 24 hour period. The provision of a local policy and guidance on the use of the t34 mckinley syringe pump builds on this process to enable dissemination of consistent advice and best practice all syringe pumps must be serviced yearly by the ebma department. Update and refresher training mckinley t34 syringe drivers. Inclusion criteria included articles and studies syringe driver use, syringe driver education and standardsguidelines. Fold the open edge in and sew across the top creating one long. The t34 provides safe and simple administration of medication, in both hospital and homecare environments. The syringe driver pump is a small portable batterydriven infusion pump, used to deliver medication as a continuous subcutaneous infusion csci usually over 24 hours. Mr holdsworths wife and his parents, john and dot holdsworth have been the driving force behind a campaign to raise pounds 1,600 to buy a syringe driver to deliver pain relief drugs in carefully controlled doses, to give cancer victims in the final stages of the disease maximum quality of life. Syringe pumps are sturdy, but they can be damaged if they are dropped or stood on. A syringe containing medication is attached to the driver, which pushes the plunger forward at a controlled rate.
Syringe pumps may be used infrequently and competency can be difficult to maintain. 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. All models of t34 ambulatory syringe pumps updated cleaning advice and maintenance requirements due to the risk of fluid ingress mda2019030. It assumes you have previously attended a beginners session andor have used the t34 syringe driver. If a patient is discharged with a syringe driver the appropriate process must be followed see appendix 6.
The mckinley t34 syringe driver is a lightweight, portable, batterydriven infusion pump, which allows medications to be infused via subcutaneous or central. This policy explains why a mckinley syringe driver is used, the preparation and procedure for setting up the pump initially and for subsequent infusions. Mckinley t34 syringe pump management west suffolk hospital. Mckinley t34 syringe pump children resource pack 168919066.
It allows drugs to be diluted up to approximately 34 mls volume for bd syringes. Adapted, with kind permission from nhs lanarkshire keywords minimum of 5. A csci provides a safe and effective way of drug administration and can be used to maintain symptom control in patients who are no longer able to take oral medication. The guidance, therefore focuses on the use of mckinley t34 devices. Nb the 50ml luer lock syringe is the largest syringe that will fit the mckinley t34 syringe pump. How to set up a mckinley t34 ambulatory syringe driver the mckinley t34 syringe pump is configured to infuse over a 24 hour period. When and how to use a syringe driver in palliative care. The mckinley t34 syringe driver including its clear plastic case is 22cm x 10 1. Physical features chart of the mckinley syringe pump can be found at appendix 7.
Who 2002, syringe driver use in both adults and children are similar. Cme mckinley t34 syringe pump was procured because it met the requirements. The mckinley t34 syringe pump is a more advanced delivery system than a syringe driver and is a typical example of ambulatory syringe pumps. Jan 11, 2018 cpcre centre for palliative care research and education. T341ml is a unique accurate syringe pump that enables small volume syringe capability starting with 1ml syringes. Diy syringe pump saves big bucks for hackers lab hackaday. Safe practice in syringe pump management there are critical differences between the. Policy and procedure for the use of the cme medical mckinley. Evidencebased information on syringe driver protocols from hundreds of trustworthy sources for health and social care.
Staff should only use this equipment if trained to do so. A 50ml syringe is not recommended for routine use it will not fit. Syringe drivers are battery operated pumps for delivering infusions that usually run over 24 hours. A syringe driver is used to give continuous medications subcutaneously when a person is no longer able to swallow. Each individual situation will require its own dynamic andor formal risk assessment. Our lab was interested in purchasing a syringe pump from wpi. Mckinley syringe pump for subcutaneous infusions 2010. 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. 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. They can be used in hospital, in hospices and at home.
For information on the usual doses of drugs used in a syringe driver see inside of back cover. Claire britton, specialist nurse practitioner from sobell houses community team, demonstrates how to set up the t34 syringe driver. Studies from both primary and secondary care were included. If you have previously been trained, not used a syringe driver recently and would like a refresher this interactive workshop will. Applications include electrospinning, electrospraying, microdialysis, microfluidics, dispensing. With a mckinley syringe driver pump it is the volume of. The mckinley t34 pump has been designed to be used with 2ml to 50ml luerlok syringes. This reduces the need for a second syringe pump when giving larger volume drugs, e. Policy and procedure for the use of the cme medical. Guidelines for syringe driver management in palliative care in new zealand 1 the patients experience syringe drivers are recommended for use when it has been determined that the continuous. The use of subcutaneous levetiracetam in palliative medicine indications for use the treatment of epileptic seizures and status epilepticus in palliative care patients who are unable to take their medications orally and when iv access is not possible or not desired. Syringe pump a syringe driver or syringe pump is a small infusion pump some include infuse and withdraw capability, used to gradually administer small amounts of fluid with or without medication to a patient or. Syringe drivers are particularly valuable for patients in the community. The t34 syringe pump is a small, lightweight ambulatory infusion pump which offers flexibility and reliability.
The t34 syringe pump may be used to deliver indicated medications via any common infusion routes including central, peripheral venous, epidural, intraarterial or subcutaneous. Morgan s, evans n 2004 a small observational study of the longevity of syringe driver. Guidelines for syringe driver management in palliative care. To insert a new battery when setting up the mc kinley t34 syringe driver for the first time, ensuring that the.
Mckinley t34 syringe driver for adults in palliative care. Gp supplies is the uks premier online store for medical supplies. World precision instruments laboratory syringe pumps. Guidelines for syringe driver management in palliative care developed by. 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.
For example, syringe drivers can be very useful for taking antisickness medicines alongside chemotherapy. Lightweight holders are available if you wish to be mobile. Syringe pump maintenance 8 movement of a patient using a syringe pump between settings 9 cleaning and decontamination. Founded in 2015, cme biomedical services evolved to meet the continuing demand and challenges of the medical and aged care industry.
Troubleshooting compatibility issues, and discharge or transfer of patients from hospital with a syringe driver in situ, are also explained. They are a safe and effective way to give medicines for symptoms such as pain, nausea and vomiting, seizures, agitation and respiratory secretions. Guidelines for the use of the t34 ambulatory syringe pump by cme. A free powerpoint ppt presentation displayed as a flash slide show on id. For the purpose of this project articles relating to children were included. Hospitalward if applicable please complete or affix. A syringe driver helps reduce symptoms by delivering a steady flow of injected medication continuously.
Mckinley syringe driver update 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. Syringe pumps also known as syringe drivers are commonly used for people living with a terminal illness. Mckinley t34 syringe pump information leaflet for patients and carers. Pdf the benefits and drawbacks of syringe drivers in. Trained expert engineers tiered pricing scheme the more items you need calibrated, the cheaper the cost wide range of equipment that can be calibrated by us book one of our fully trained and experienced engineers operating throughout the uk to visit your place of work and test against known standards for all medical devices using our calibrated equipment we can also create an equipment. Using the t34 syringe driver the t 34 in sheffield is programmed to use a 30ml luerlok bd syringe only check service expiry date the standard delivery of medication in sheffield is programmed for 24hours two registered nurses required to set up the syringe driver. 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. Only use drugs that are known to be effective via the sc route. Syringe driver definition of syringe driver by medical. If the patient is in pain, vomiting or very agitated, give a stat sc injection of appropriate medication while setting up the syringe driver. A syringe driver takes 34 hours to establish a steady state drug level in plasma. Diazepam, chlorpromazine and prochlorperazine are too. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no.
Management of subcutaneous infusions in adults policy and. Below are the steps for making a syringe driver bag. T34 3rd edition models only stop using the pump until updated instructions for use and bodycommtm v3. T34 syringe pump 3rd ed directions for use instructions for use. Syringe driver safe use of mckinley t34 ashfield services 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. 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. The companys support was helpful in identifying the required model and even informed us of modelspecific limitations which were of no concern for our intended use. However, syringe drivers can be used at any stage of your illness.
Equipment required syringe driver t34 mckinley battery 9v and spare. Ppt syringe drivers powerpoint presentation free to. Confirm that the syringe driver is a mc kinley t34 syringe driver and has been serviced in the previous 12 months. Cme biomedical services provide annual calibration service to as3551 and repairs for caesarea medical infusion equipment including syringe drivers and bodyguard pumps.
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