ISMP would like to know if and how you are prioritizing high-alert IV infusion medications in the event of smart pump and/or tubing shortages. For example, have you considered which medication infusions can be given via IV push or another route? Or which can be hung by gravity? What medications have you prioritized for smart pump use?

For example on the ASHP, MSOS (https://medsafetyofficer.org), and SCCM listservs we have seen examples such as:

ASHP: Consider switching antibiotics or anticonvulsants to those requiring less frequent dosing if reasonable
MSOS: Moving electrolytes to gravity with flow regulators
SCCM: Utilizing long-acting and sliding scale insulin as alternatives to an insulin infusion

Stay safe.

Sincerely,

Allison Hanson, PharmD, BCPS, ISMP Fellow
Michael Cohen, RPh, MS, FASHP, President of ISMP