Patient Safety Alert 4: PCA Pump Alarm Safety Concerns (PDF)

The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with ambulatory pumps.

Strategies and Tactics

When using pumps for both IV administered medications and non-IV administered medications:

  • Reduce the risk of confusing these two by using cassettes for the IV route (PCA) and bags for the non-IV route (epidurals or peripheral nerve blocks).
PSA testing by using test cassette, the result showed positive (double red line)
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Decrease risk associated with ambulatory pumps.


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