Accidental free flow of IV fluids on Smart Pumps

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Mon, 04/04/2016 - 10:38
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Marilyn Hargett
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Last seen: 2 months 1 week ago
Joined: 12/10/2015 - 13:29
Accidental free flow of IV fluids on Smart Pumps

Hello,
I am at a lost as to what to do next. I desperately need your expertise…. We have had probably 5-6 incidents of inadvertent free flow of IV fluids over last year. Staff open the door and forget to clamp tubing first. I have tip sheets posted, I bring it up every other week in nursing orientation and again at 60 day orientation. I give examples of the events in our system of the error. What else can I do? I am at a lost as to why staff open the door before clamping. I cannot comprehend this as a seasoned nurse……

We have many inexperienced nurses in our hospital at the present time.
Can you share any addtional tools that have been significantly helpful in your organization?
I look forward to hearing from you.
Thank you
Marilyn Hargett MSN, RN

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