Hello all.

Per our High Alert policy, a dedicated IV pump is required when a high alert medication & concurrent continuous therapy (e.g. cardiac infusion) is needed.

A safety concern related to the administration of an intermittent infusion being piggybacked to a high alert medication and single pump has been raised by our staff.
When an IVPB rate is higher than that of the high alert medication, the patient will initially receive a bolus of the high alert medication as the med is cleared from the line before the intermittent infusion is administered which is concerning.

Hoping to get ideas from this community on safety strategies that have been considered and/or implemented to mitigate this risk.

Do your pumps have settings that can limit the administration of specific drugs with other drugs?
Do you require dedicated lines or portless tubing for high alert medication administrations?
Any challenges with implementing strategies? If so, what helped overcome them?

Thank you!

Vee