Powered infusion devices are recommended for the administration of high-risk medicines and the administration of low risk medicines to high-risk patients.

Only staff who have been appropriately trained may set up and administer medicines using powered infusion devices. This includes the use of volumetric infusion pumps, syringe drivers, PCA devices and ambulatory devices.

There are numerous makes and models of devices and each must only be programmed or set by practitioners familiar with and competent in the operation of that particular type.

Powered infusion devices must be set up and checked by staff who have been trained in the use of these devices.

Syringe drivers are intended to provide a means of infusing small volumes of medicament over a long period of time.  Maximum volume is usually limited to 50ml dependent on equipment in use and flow rates are most often in the range 0.1 to 100ml/hr.  They are versatile because of their ease of use, accuracy, small size and ability to give programmable variations in flow rate.  It is essential that the operator becomes conversant with the particular model in use.  The Syringe Driver Record Chart THB (MR) 48 or other approved documentation, is used as an administration record of prescribed medicines and must be completed by the nurse.

When using syringe drivers, particular care must be observed with respect to the position of the driver in relation to the patient. The pump must NOT be placed higher than the patient.

The general requirements relating to the prescribing and administration of medicines given in Section 19, Section 20 and Section 21 must be followed.