IV Administration & Smart Pump Safety Checklist

Purpose: Reduce IV medication harms by standardizing pre-administration verification, smart pump library selection, justified overrides, monitored post-start observations, troubleshooting steps, and clear escalation paths. Use this checklist as a record for care, training, and audits. Adapt profiles, library names, escalation contacts and timing to local policy.

How to use: Complete the pre-administration items before programming and starting the infusion. If a pump override is required, document an explicit justification and follow your local escalation rules. Complete post-start observation within the selected timeframe and note any troubleshooting or escalation actions.

Quick troubleshooting guide (short):

• Confirm pump library entry and patient-specific parameters. Re-scan medication barcodes if available.
• Check physical connections, line patency, and infusion set correctness.
• If pump alarms persist after basic checks, stop infusion if clinically indicated and follow escalation list.
• Document actions, who you called, and outcome.

Escalation reminder: Use local escalation contacts first (Pharmacy, Charge Nurse, Biomed, Pump vendor). Replace placeholders in the contact list below with your site-specific names/numbers.

Mal Hungers: This checklist is a practical tool, not a substitute for clinical judgment, local policy, or regulatory requirements. Avoid blaming individuals for system failures. Do not rely on a library or automation without local validation and training.