Syringe driver policy version number 2 page 8 of 18 policy date 31. A syringe driver helps reduce symptoms by delivering a steady flow of injected medication continuously under the skin. Syringe driver article about syringe driver by the free. A syringe driver are commonly used for symptom management and are used to provide continuous medications subcutaneously when a person is no longer able to swallow. Policy, procedure, patient information on hospital intranet. Policy and procedures governance nursing and midwifery. Drugs for subcutaneous administration in syringe drivers. Pdf the benefits and drawbacks of syringe drivers in. For further information on these procedures please contact the assistant director nursing governance on 02838 38833348 or fiona. This policy explains why a mckinley syringe driver is used, the preparation and procedure for setting up the pump initially and for subsequent infusions. These devices are battery or mains powered devices that deliver medications at a controlled rate via continuous subcutaneous infusion. Lincolnshire policy and procedure for the use of the cme. Policy for the use of the t34 ambulatory syringe driver for children and young people in the community, receiving palliative care in leicester, leicestershire and rutland.
Only use drugs that are known to be effective via the sc route. An all wales syringe driver chart has been developed through the framework set out by the all wales quality and safety sub group, the drug chart reference group. Guidelines for syringe driver management in palliative care. Mum was under hospital admission when she passed, however the day she died, the staff administrated a morphine syringe driver into the thigh.
Use this drug compatibilities resource 704kb pdf to formulate a list of medications that are commonly used for symptoms in the terminal phase and those which are suitable for syringe drivers. Syringe driver policy version number 2 page 5 of 18 policy date 31. Syringe drivers are suitable for delivery of subcutaneous medication, and in adults or children with life limiting illness, are most widely used to provide symptom relief in palliative care. A syringe containing medication is attached to the driver, which pushes the plunger forward at a controlled rate. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no. T34 adult syringe driver guidelines harrogate and rural. A macmillian nurse later visited mum and the driver was changed to also include antisickness drugs as well as the pain releif and then within about 45 hours mum had passed away. They can be used in hospital, in hospices and at home. A single drug, or more often a combination of drugs is given via a slow subcutaneous infusion to help control symptoms when other routes of administration are no. As with all medical devices, the operation of a syringe driver should only be undertaken by, or under the supervision of appropriately trained personnel and in accordance with local policies and procedures. Continuous subcutaneous administration of medicines using a syringe driver often becomes necessary for the control of symptoms during palliative care. Acknowledgement the trust would like to thank those staff from legacy trusts within the shssb who. Syringe driver drug compatibility book and resources initially they wanted standardization pump like pca.
April 2017 introduction palliative care patients often exhibit multiple symptoms that require the use of numerous drugs. Syringe driver drug compatibilities guide to palliative. A syringe driver is useful when the oral route of administration is not possible and repeated subcutaneous doses are inappropriate, ineffective or impractical. Inclusion criteria included articles and studies syringe driver use, syringe driver education and standardsguidelines. Syringe access policies for california syringe exchange. The syringe driver pump is able to deliver a combination of medications and does so. Syringe driver synonyms, syringe driver pronunciation, syringe driver translation, english dictionary definition of syringe driver. For the purpose of this project articles relating to children were included. Syringe driver definition of syringe driver by medical. Syringe drivers can be used to deliver drugs to treat a variety of symptoms. Slide 1 sc administration of medications using a syringe.
Southern hsc trust procedures for the use of syringe drivers. A syringe driver is a portable battery operated device that administers medications subcutaneously over a chosen. This is because the niki t34 syringe driver simplifies administration by detecting the syringe size and volume of medicine, and sets the rate to deliver the infusion over the required time period, e. Ensure that the organisational protocol is followed regarding priming of the line2, 69. Studies from both primary and secondary care were included. Troubleshooting compatibility issues, and discharge or transfer of patients from hospital with a syringe driver in situ, are also explained.
Policy a if a needle or syringe is discovered on site it shall be treated in exactly the same manner as any other site safety problem. 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 applications include electrospinning, electrospraying, microdialysis, microfluidics, dispensingdilution, organtissue perfusion and. Gp letter for patients being discharged with a syringe driver. Special acknowledgement for rem systems ltd for providing reference documents, graphics and technical advice. Rectal, transdermal or oral drugs should be continued for as long as possible. Syringe driver definition of syringe driver by the free. 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.
This policy applies to the use of the cme mckinley t34 syringe driver for subcutaneous infusions in adults in palliative care. All t34 syringe drivers owned by nurse maude are locked on. Each employee shall be provided with written notice of this drugfree workplacedrugfree school policy and shall be required to acknowledge that he or she has received the policy. 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. The california department of public health, office of aids advises syringe exchange programs seps to adopt needsbased distribution policies with the goal of ensuring that program participants have a new, sterile syringe and other injection equipment for each injection. Sss australia supplies healthcare professionals only. Its sometimes called a continuous subcutaneous infusion. There have been several developments in this field since the third edition of this highly successful book. Syringe access policies for california syringe exchange programs. The policy provides the rationale for the use of the mckinley t34 syringe driver and guidelines to support staff training and.
Before setting up or using a syringe driver, staff must familiarise themselves with the manufacturers instruction booklet. The following procedure has been devised for use in both the hospital and community setting. The graseby ms26 syringe driver is the recommended device used to deliver a continuous. A medical instrument used to inject fluids into the body or draw them from it. They are a safe and effective way to give medicines for symptoms such as pain, nausea and vomiting, seizures, agitation and respiratory secretions. Such use of a syringe driver does not always indicate that the end of a patients life is approaching. Guidelines for subcutaneous infusion device management in. Syringe driver drug compatibilities guide to palliative care practice 2016 sodium chloride 0. Syringe driver competency programme arohanui hospice. Syringe pumps also known as syringe drivers are commonly used for people living with a terminal illness. The syringe driver is a simple and costeffective method of delivering a continuous subcutaneous infusion csci. Who 2002, syringe driver use in both adults and children are similar.
Device management in palliative care takes account of the october 2007 withdrawal from sale in australia of the graseby syringe driver, a subcutaneous infusion device that was the major focus of the first edition. Syringe drivers are small portable usually battery operated devices used in palliative care. It is used to deliver medication via the subcutaneous route over a calculated period of time providing a continuous level of medication. Management of subcutaneous infusions in adults policy and.
Results for syringe driver protocol 1 50 of 267 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. 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. Diazepam, chlorpromazine and prochlorperazine are too. Guidelines for syringe driver management in palliative care developed by. Use only one type of syringe driver in each setting to prevent confusion which may lead to errors6, 8, 10, 18.
A syringe driver is a small battery operated pump designed to deliver medication sub cutaneously just under the skin over a 24 hour period. Results for subcutaneous syringe driver 1 10 of 117 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. When the oral route is no longer appropriate, a syringe driver can be used to ensure continued symptom control. You might have been given a syringe driver, to help control pain, sickness, agitation or fits. Policy for the use of the t34 ambulatory syringe driver. Asepto syringe a syringe designed to fit directly into large lumen tubing.
The subcutaneous syringe driver summary is not new is evidence based. Develop a policy and procedures for managing palliative care medication including the use of syringe drivers. Unless stated, all medication should be diluted with water for injections. 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 pump holds a syringe containing medication and this is connected to the patient via a small needle and a line. Promote procedural uniformity and assist practitioners when using the t34 ambulatory syringe driver. Shading indicates areas that must be kept sterile before and during parenteral injections. Prescribing an appropriately qualified prescriber is responsible for prescribing the medication, diluents and additional medication for breakthrough symptoms.
A syringe driver takes 34 hours to establish a steady state drug level in plasma. If the patient is in pain, vomiting or very agitated, give a stat sc injection of appropriate medication while setting up the syringe driver. Employees are subject to the school districts drug and alcohol testing policies and procedures. Syringe driver policy derbyshire alliance for end of. Syringe driver training for nurses and healthcare professionals. The mckinley t34 syringe driver is a portable, battery operated device for delivering medication by continuous subcutaneous infusion. Gp supplies is the uks premier online store for medical supplies. Guidelines for syringe driver management in palliative. A syringe driver is a portable battery powered device that administers medication subcutaneously over a chosen period of time. 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. For many patients the setting up of a syringe driver is a response to unrelieved symptoms. Hospitalward if applicable please complete or affix. Policy statement this procedure outlines the safe administration of subcutaneous medications via intermittent or continuous via syringe driver routes in the palliative care setting.
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