Small Buttons, Large Consequences: Programming Considerations for Smart Pump Interoperability Implementation Megan Holsopple, PharmD, BCPS Medication Utilization Coordinator Center for Medication Utilization Froedtert & the Medical College of Wisconsin
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Transcript
Small Buttons, Large Consequences:
Programming Considerations for Smart
Pump Interoperability Implementation
Megan Holsopple, PharmD, BCPS
Medication Utilization Coordinator
Center for Medication Utilization
Froedtert & the Medical College of Wisconsin
Presentation Overview
• Review key considerations for smart pump
programming prior to interoperability
implementation
• Discuss considerations for data set
upgrades post-interoperability
2
Froedtert Health
Froedtert Hospital
585 inpatient beds
Infusion Clinic Services
Community Memorial Hospital
198 inpatient beds
Infusion Clinic Services
St. Joseph Hospital
70 inpatient beds
Infusion Clinic Services
Drexel Town Square
Primary Care
Urgent Care
Infusion Clinic Services
Moorland Reserve Health Center
Primary Care
Urgent Care / Emergency Department
Infusion Clinic Services
Town Hall Health Center
Primary Care
3
Froedtert’s Interoperability Journey
Project Timeline F
eb
rua
ry 2
01
6
Pro
ject K
ick-O
ff | T
ea
m M
ee
t n
’ Gre
ets
March 2016 – June 2016
Infusion Standardization
Smart pump profile condensing
Nursing Workflow Meetings
Connectivity Testing/Virtual Server Expansion
August 2016
Full Medication Testing
August – November 2016
Residual Medication Testing
Super-user training
Nursing education
November 2016
Implementation
De
ce
mb
er
20
16
– C
urr
en
t
Sm
art
Pu
mp
Ma
inte
na
nce
Re
po
rt E
va
lua
tio
n
April 2016
Targeted Medication
Testing
(20-30 medications)
Project Milestones
5
Baseline Requirements
• Barcode Medication Administration
• Smart Pumps
– Guardrails Editor® software upgrade
– Updated smart pump devices
• Servers and wireless connectivity
6
The Basics!
• Standardized infusion concentrations and
dosing units1,2
– No more than 2 concentrations if possible
– A single dosing unit for each medication
1. ASHP Standardize for Safety. https://www.ashp.org/-/media/assets/pharmacy-practice/s4s/docs/s4s-iv-adult-continuous-infusion-guiding-
principles.ashx?la=en. Accessed April 2, 2018.
2. ISMP’s Medication Safety Alert! Smart Pump Custom Concentrations Without Hard “Low Concentration” Alerts.
http://www.ismp.org/newsletters/acutecare/showarticle.asp?id=16 Accessed April 2, 2018. 7