Our system is approaching a project to integrate smart pumps (ICU Medical) with our EMR (EPIC). It would help to understand how others answered the question about nominal vs actual volume for large volume parenterals (LVP) and small volume parenterals (SVP). Our concern is greatest in the outpatient infusion center population where standard overfill in bags and medication additives, if left unadjusted, results in longer infusion times and shrinks capacity for treating patients.

1.) In the integrated environment, did you use a nominal volume description or an adjusted actual volume?

2.) What were your lessons learned, or hazards avoided, with respect to nominal vs actual volume when integrating?

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