All t34 ambulatory syringe pumps need a sponge pad fitted. Mckinley t34 syringe driver guidelines for adult palliative care. Place the syringe above the pump and align syringe with the collar sensor c align the syringe with the plunger sensor by moving. Troubleshooting compatibility issues, and discharge or transfer of patients from hospital with a syringe driver in situ, are also explained. Syringe pumps are sturdy, but they can be damaged if they are dropped or stood on. Some acute areas will use nonambulatory pumps, for example alaris pump. Identify the key component parts of the mckinley t34 syringe pump. The 50ml luer lock syringe is the largest syringe that will fit the mckinley t34 syringe driver. Graham f, clark d 2005 the syringe driver and the subcutaneous route in palliative care. 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.
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. Current policies and procedures in the region and evidencebased practice were used in preparation of. An online etraining programme is available to support the training. This is a video tutorial on how to prepare an iv medication for syringe pump administration. 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. Effortless transition between hospital and home care requirements is the core of the t34 syringe pump. 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. Mixing of medications in this manner is unlicensed but is supported by practice. Built for automation if your product, production, or research requires precise control of fluid dispensing, the new era pump systems, inc. The mckinley t34 model is calibrated in ml per hour.
Policy and protocol for the use of the cme mckinley t34. Mckinley t34 syringe pump user pocket reference guide. A syringe pump is a pump used to deliver precise and accurate amounts of fluid in highimpact research environments ranging in fields from chemistry to neuroscience. Management of subcutaneous infusions in adults policy and. The battery that was originally validated for use in the t34 pump was the duracell mn1604 6lr61 9v battery. Mckinley t34 syringe pump information leaflet for parents, children and young people. Practical session setting up a mckinley t34 syringe pump you will need to.
Policy and procedure for the use of the cme medical. Physical features chart of the mckinley syringe pump can be found at appendix 7. The mckinley t34 syringe pump is a small battery operated continuous infusion pump. 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. This reduces the need for a further device when giving larger volume medications, e. Syringe drivers are often used at the end of life because they are the easiest way to give someone the medicines they need to feel comfortable at that time. This optimizes system accuracy, performance and to ensure that the line, when connected to the syringe, will fit the lockbox. They must not get wet, so please ask your nurse for. A mckinley t34 syringe pump is a portable batteryoperated infusion pump weighing approximately 210g excluding the battery and measuring 169mm by 53mm by 23mm. 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.
The t34 syringe pump can be easily concealed beneath clothing in a shoulder holster and combination belt. Syringe pump with motor driven linear actuator, pulsed motion. Guidelines for the use of the cme t34 syringe pump for. The mckinley t34 syringe driver pump is used to deliver drugs at a predetermined rate via the subcutaneous route over a 24 hour period a maximum of 3 compatible drugs can be mixed in a syringe for administration via this route staff should only use this equipment if trained to do so. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no. It meets the requirements of the mhra medicines and healthcare products regulatory agency and the international electro technical standard iec 60601224. Its common to feel nervous about having a syringe driver but most people find that they are very helpful for managing symptoms and give a. T34 offers 3 point syringe detection enabling the pump to identify all commonly used or programmed syringe brands. Adapted, with kind permission from nhs lanarkshire keywords minimum of 5.
The mckinley t34 pump is a portable battery operated infusion pump. A syringe driver is a portable battery powered device that administers medication subcutaneously over a chosen period of time. 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. Ambulatory syringe driver care bundle to be implemented in conjunction with ambulatory syringe driver policy. T34 syringe pump 3rd ed directions for use instructions for use. Mckinley t34 syringe driver for adults in palliative care policy no. Pump discussion prior to commencing a syringe pump. 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. Mckinley t34 syringe pump guidelines for use in adult palliative care patients.
If the phone is left switched on it should be kept 1 metre away from the syringe pump. Pdf the benefits and drawbacks of syringe drivers in. To assist policy search engine mckinley t34, mckinley, t34, syringe driver, syringe, palliative care. 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. Require control of their symptoms, with an aim to maintaining their quality of life, and. When and how to use a syringe driver in palliative. The use of subcutaneous levetiracetam in palliative medicine. This policy explains why a mckinley syringe driver is used, the preparation and procedure for setting up the pump initially and for subsequent infusions. The company developed and introduced the t34 syringe pump, which was subsequently adopted throughout the uk, achieving a market share of 85%. Safe practice in syringe pump management nursing times.
Page 5 converting oral morphine to subcutaneous morphine, oxycodone or diamorphine. Setting up the mckinley t34 syringe pump equipment required. It allows medications to be diluted up to approximately 38mls volume for terumo syringes. A syringe containing medication is attached to the driver, which pushes the plunger forward at a controlled rate. The t34 provides safe and simple administration of medication, in both hospital and homecare environments. Portable infusion pumps are used in palliative care to deliver a continuous subcutaneous infusion of medication over 24 hours. In our locality the cme mckinley t34 syringe pump was procured because it met the requirements listed above and has additional safety features. The cost of replacing pumps lost to the community may be recovered from the ward from which patient was discharged from. These syringe pumps are standalone, fully automated, dispensing systems. For instructions on setting up the mckinley syringe pump please see appendix 1 priming of lines. 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. Comprehend indications for the use of a syringe pump 2. Syringe pumps peristaltic pumps advanced precise and. Lightweight holders are available if you wish to be mobile.
T34 syringe driver instruction video for oxfordshire youtube. Pluss has been contracted to provide the hire service for the t34 syringe pumps until the end of january. It has improved safety features, and meets british and european guidelines. Incident reporting systems are in place in each nhs board to monitor and report incidents involving syringe pumps.
They can be used in hospital, in hospices and at home. Morgan s, evans n 2004 a small observational study of the longevity of syringe driver sites in palliative care. The t34 is the safety standard in ambulatory syringe pumps and is designed to maximise safe and simple administration of medication. Mckinley t34 syringe driver guidelines for adult supportive and palliative care version. Claire britton, specialist nurse practitioner from sobell houses community team, demonstrates how to set up the t34 syringe driver. T34 ambulatory syringe pump is a lightweight, compact and fully ambulatory syringe pump with motor driven linear actuator, pulsed motion. T34 3rd edition models only stop using the pump until updated instructions for use and bodycommtm v3. 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. It is a practical handson competence based session. The mckinley t34 syringe pump system can be operated with any extension set with a luer connection however, it is recommended that the proprietary mckinley medical sets are used. A maximum of 3 compatible drugs can be mixed in a syringe for administration via this route. Hospitalward if applicable please complete or affix. 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. Gp supplies is the uks premier online store for medical supplies.
Guideline for the use of the mckinley t34 syringe pump. The syringe driverpump is a small portable batterydriven infusion pump, used to deliver medication as a continuous subcutaneous infusion csci usually over 24 hours. They are a safe and effective way to give medicines for symptoms such as pain, nausea and vomiting, seizures, agitation and respiratory secretions. Syringe pumps also known as syringe drivers are commonly used for people living with a terminal illness. Select appropriate sites that may be used for infusion by the syringe pump and subcutaneous bolus dosing. Staff should only use this equipment if trained to do so. A syringe driver is a pump which is battery powered. The guidance, therefore focuses on the use of mckinley t34 devices. Cme mckinley t34 syringe pump medical physics service request form. Mckinley t34 syringe p or the use of the yringe y cme. A compact lockbox is provided to protect the pump from damage andor tampering with either the pump or the syringe.
If subsequent requests for support with graseby units arise, they will be declined as competency in the use of graseby units cannot be assured. The t34 syringe pump is a small, lightweight ambulatory infusion pump which offers flexibility and reliability. The mckinley t34 model is calibrated in millilitres per hour and all t34 pumps for palliative care are set up to deliver the syringe content by continuous subcutaneous. The session will cover all aspects of the t34 syringe drivers use in practice.
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