A few thoughts on the use of MS Drivers.
Ambulatory Syringe Drivers: Graseby MS16A and MS26, Enhanced Operational Safety
Patient mishaps due to infusions delivered via syringe drivers has been highlighted by the MDA as a major cause for concern. This particularly applies to the continued use of Graseby MS16A and MS26.
Operational concerns:-
1. Confusion between the MS16A and MS24 has led to large drug overdose.
2. Complex rate setting, vulnerable to delivery error.
3. Inadequate syringe barrel and plunger securing, vulnerable to free-flow / siphoning/ downloading overdose.
4. Uncontrolled access to the syringe, bolus and rate controls, vulnerable to tampering.
5. Exposure to physical damage, fluid ingress and electromagnetic interference.
6. Minimal alarms, 15 seconds audible for occlusion and syringe empty, indicator lamp stops flashing when battery needs replacing.
7. High operating / occlusion pressure (up to 1000mmHg)
Most NHS Trusts and associated community services currently have many hundreds of these light, compact, versatile, inexpensive drug delivery pumps in routine service.
The recent introduction of the Graseby MS-Driver Locking box (£75), prohibition of pump operation without a Lure Locking Anti-Siphon extension line ( £1.50) and the introduction of a laminated ready-reckon table would reduce risks identified in 2, 3, 4 and 5 above. The reduced risks could extend the operational life of our current units until safer pumps can be phased into use.
Would welcome any comments on above.
Bill
