To anyone who is responsible for subcutaneous infusions, especially in an outpatient setting - Do you use ambulatory pumps for these infusions? What are your concerns about these infusions? Which pump do you prefer and what makes it better for your needs? Do nurses change the cassettes or do you teach the patient to do it? What meds do you find are the most frequent for SC infusion through these pumps? All feedback is welcome. Thanks, Lynn

We (home care/home infusion)

We (home care/home infusion) use the Curlin pump for most sub q infusions (pain management - Morphine, Dilaudid) and Desferol.

And we use the Freedom 60 for the Vivaglobin patients

The pain management patients are generally hospice and the home care/hopisce nurse manages the site changes, bag changes, etc

The Desferol patients sometimes are taught to do their own infusions (if a long term patient) or the home care nurse manages.

 The Vivaglobin patients become independant after a few visits and manage their own infusions from start to finish.

The best pump depends on the therapy the patient ordered and for some therapies (like Desferol and Vivaglobin) the patient and caregiver

The big concerns have to do with the pain management patients with manipulation of the pump even when locked

 

Ann Marie Parry RN CRNI

amparry@geisinger.edu

Ann Marie Parry, RN, CRNI, VA-BC

amparry@geisinger.edu

In the home care setting, we

In the home care setting, we use an ambulatory pump (CADD VIP Prizm) for pain managament (mostly morphine and dilaudid) and antiemetic therapy (zofran and reglan).  We also have patients on subcutaneous immune globulin and primarily use the CADD, although infrequently the Freedom 60.  My preference in the CADD-more comfortable for the  patient and staff are most familar with this device.  We teach patients/caregivers to rotate the site and change the medication cassette.  Patients are completely independent with their therapy.  Overall, we have few concerns; these are easy therapies to manage at home.

Carol Sweeney CRNI, BA

VP Nursing Services, Home Solutions Infusion Therapy