Policy Manual sample

MDT Home Health Care Agency, Inc. 202 INFUSION PUMP SAFETY POLICY: All IV infusion pumps used by this organization to provide IV hydration, antibiotics, etc., or patient controlled analgesia are equipped with a safety device and/or automatic shut-off valve to prevent free-flow of the infusion. PROCEDURE: • Pumps are evaluated for their ability to protect against free-flow of the infusion prior to being selected for use by the organization. • Pumps placed in the patient’s home are accompanied by the manufacturer’s instructions. • Agency personnel are trained in the use and safety features of the pump prior to providing care, treatment and/or services. • Patients, caregivers and/or significant others are instructed in the use, including troubleshooting, and safety features of the pump in an understandable language. The patient’s, caregiver’s and/or significant other’s level of understanding, as well as proficiency in use of the pump as evidenced by return demonstration, is documented in the patient’s medical record. • Pump maintenance is performed and documented according to the manufacturer’s instructions.