Alaris System PC Unit Delay Options Pharmacy Quick Reference Guide Dec 2019

Pharmacy quick reference guide: Delay Options

Clinical scenario: Patient’s blood sugar is 65 mg/dL and the physician orders to hold insulin drip for 45 minutes, then recheck and resume if above 80 mg/dL. Clinician sets a delay for 45 minutes with a callback BEFORE. The clinician resumes the infusion. When the infusion completes-the infusion will STOP. There is NO KVO rate and an alarm will not occur for device firmware versions 9.19 and earlier. Best practice recommendation: • Disable Delay Start Options for care area profiles that utilize continuous critical medications whose stoppage without an alarm or KVO rate have the potential to impact therapeutic dosing. • If Delay Start is enabled-set default Delay Start Callback of “After” or “Before and After” to receive an end of infusion alarm when the infusion stops. If a callback of “None” or “Before” is selected, the end of infusion status may result in the infusion ending with NO alarm and NO KVO rate. WARNING: Delay Options should not be used for critical medications whose stoppage without an alarm or KVO rate have the potential to impact therapeutic dosing. Guardrails™ Editor Software: Delay Start Options configuration Delay Start Options is a shared infusion setting with the Pump & Syringe module for each profile. Disable Delay Start Options-uncheck Delay Start Options checkbox (Recommend for profiles with continuous medications whose stoppage without an alarm or KVO rate has the potential to impact therapeutic dosing.) Adjust Delay Start default callback options-select “After” or “Before and After” from the drop-down box if Delay Start Options is enabled. (Selection of “After” or “Before and After” will provide an end of infusion alarm when infusion is complete.)

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