The niki t34 syringe driver is a small, portable battery operated, programmable, ambulatory syringe pump that delivers the contents of a 2 to 50ml syringe over a specified duration of time or at a given rate in millilitres per hour mlhr. Niki t34 pump knowing your way around the niki t34 pump. The t34 pump is easy to use for inpatient and outpatient applications. If difficulties are experienced drawing up a syringe, contact your palliative care team. The graseby syringe driver has been gradually phased out of use as it was not tamperproof. Frank is interested in the use of arts and humanities in teaching.
Mckinley t34 syringe p or the use of the yringe y cme. Syringe pump with motor driven linear actuator, pulsed motion 540 pulses per mm. When and how to use a syringe driver in palliative care. Insertion and maintenance of bd saftintima handy clinical resources. Niki t34 subcutaneous infusion device useful links. Cme mckinley t34 syringe driver training north london. He is attached to the university of nsw and is involved in teaching of palliative care to undergraduate medical students.
Jan 02, 2020 the learning package consists of the text and activities here on the website. Lift up the barrel clamp and swivel it out of the way as you load the syringe, then twist the clamp back so that it holds the syringe in place ensure the flange collar of the barrel of the syringe fits its slot and the end of the plunger sits in the groove in the actuator. If in community, wdhb and cmdhb childrens community nursing teams have their own pumps for children in their area. Palliative care community and oral health education. Medsafe has requested that rem systems ensure all graseby syringe drivers are replaced by 30 june 2011. Some district health boards dhbs in new zealand had already moved to using the t34 syringe drivers before the. Niki t34 syringe pump king edward memorial hospital. When a challenge calls for something new, we work with leading manufacturers to design and build innovative products that work. Do not put the label on the syringe or any part of the pump this alters the syringe diameter and the volume will be miscalculated by the pump. Although both the ad and the t34 syringe drivers have the capacity to administer bolus doses, it is. Proficiency use of niki t34t34l syringe driverpump. Niki pump t34 syringe driver infusion observation chart updated 20042018 niki t34 syringe driver infusion observation chart medication 24 hour dose checked stock strength mgml required volume mls date commenced.
Rem systems, distributor of the niki t34 and associated devices, issued a. Medshop australia maintains a stock of two different drivers, at two different prices. One is by bbraun and the other by terumo, two trustworthy brands. Things you might want to know about your driver or pump. Please follow the instructions below when using the niki t34 syringe driver for fixed 24 hour infusions. The t34 ambulatory syringe pump from cme contains many features of larger syringe pumps in one highly compact, lightweight design. Sss australia supplies healthcare professionals only. Rem systems, distributor of the niki t34 and associated devices, issued a statement in early 2016 regarding reported issues with the devices. Safely set up and monitor the cme t34 syringe driver. In addition to supplying current products, were known for developing innovative new products for emerging needs. The goals of care are to provide comprehensive support for the patient, their family and other carers through impeccable assessment and management of physical, psychological and spiritual needs. When and how to use a syringe driver in palliative. The guidelines and accompanying subcutaneous infusion device education. The second edition of the guidelines was released in december 2010.
Founded in 2015, cme biomedical services evolved to meet the continuing demand and challenges of the medical and aged care industry. Guidelines for syringe driver management in palliative. The day includes line management and cannulation, medication management and case studies. Mar 07, 2015 claire britton, specialist nurse practitioner from sobell houses community team, demonstrates how to set up the t34 syringe driver. Apr 02, 2015 allnurses is a career support and news site for nurses and students. Gain knowledge to support the information nurses provide to clients who have medication delivered via the niki t34 syringe pump created by australian nurses, for nurses.
Each attendee will need to bring a syringe driver if available from your work place, so that all attendees can have hands on experience. Together with palliative care australia, cpcre continues to monitor the situation. Guidelines for subcutaneous infusion device management in. The sale of graseby ms series syringe drivers has now ceased in both new zealand and australia. Syringe driver using a niki t34 for continuous subcutaneous infusion csci procedure includes procedure for labelling syringe with subcut medication label. T34 deliver syringe infusion anywhere provide complete smalldose infusion therapy safely and economically wherever your patients receive care. Syringe driver study day this study day will assist in updating skills for nurses who use the niki t34 syringe driver. The order must specify the dose, total volume, diluent see compatibilities and rate in mlhour. This is mckinley t34 syringe drivers by uhb nhsft multimedia team on vimeo, the home for high quality videos and the people who love them. Niki t34 syringe pump, rigid locked box and carry pouch. The niki t34 is used in a community setting the lockable, battery operated, niki t34 syringe driver is the current device available in new zealand for the continuous subcutaneous administration of medicines in a community setting. The nursing cpd institute is an independent network with no political or industrial relations connections. Guidelines for subcutaneous infusion device management in palliative care.
Basic symptom control in paediatric palliative care the rainbow hospice. Cme biomedical services provide annual calibration service to as3551 and repairs for caesarea medical infusion equipment including syringe drivers and bodyguard pumps. The t34l syringe pump from cme contains advanced syringe pump functionality in a lightweight, spacesaving design. T341ml is a unique accurate syringe pump that enables small volume syringe capability starting with 1ml syringes. Syringe driver study day tickets, fri, jul 26, 2019 at 12.
Niki t34 syringe driver for fixed 24 hour infusions. Dexamethasone given at the site prior to administration may reduce redness and. Once you have loaded the syringe into the niki t34 pump, follow the prompts on the display screen and follow instructions below. Syringe driver drug compatibilities guide to palliative care. Cme medicals elearning programme is an interactive session that requires users to. Syringe driver drug compatibilities guide to palliative care practice 2016 sodium chloride 0. Printable subcutaneous infusion education documents. The t34 is the safety standard in ambulatory syringe pumps offering a comprehensive range of features designed to maximise safe and simple administration of medication, in both hospital and homecare environments. Jan 22, 2018 update on graseby syringe driver and alternative devices. Guidelines for syringe driver management in palliative care. Complete the medication additive label and place on the extension line. T34 syringe driver instruction video for oxfordshire youtube. Describe what a syringe driver niki t34 and associated apparatus looks like and how it works explain the pharmacology of the palliative care medications commonly administered via continuous subcutaneous infusion csci describe the best practice guidelines for the manufacture and labelling of csci syringes. Enhance your syringe infusion capabilities in any care setting.
Organisations that have already purchased ad pumps will have these replaced with niki t34 pumps at no charge. Rem systems is a specialised medical equipment distribution company supplying hospitals, health clinics, medical practices and veterinary clinics throughout australia. The supply agreement for replacing graseby syringe drivers has now been reassigned to rem systems, supplying the niki t34 pumps. Boards dhbs in new zealand had already moved to using the t34 syringe drivers before the. Niki t34l infusion syringe pump progress healthcare. Cpcre centre for palliative care research and education. Syringe drivers buy syringe drivers medshop australia. Prepare medication in relevant syringe and attach infusion line and catheter do not attach infusion line to the patient, yet. Its many programming, safety and convenience features make the t34l easy to manage for any infusion protocol wherever the patient receives care.
Third national palliative care education conference. Terumo terumo terufusion advanced infusion system accessories. Our extensive range supports almost every hospital department and some products are used in homecare. A syringe containing medication is attached to the driver, which pushes the plunger forward at a controlled rate. Understand the functionss of various buttons info, up and down keys yesstart, nostop, ffpurgebolus and bf buttons and onoff button. Indications for use the t34 syringe driver is designed for infusion of medications or fluids requiring.
Our members, staff, and writers represent more than 60 professional nursing specialties. Provide complete smalldose infusion therapy safely and economically wherever your patients receive care. Plunger sensor detects correct loading of syringe plunger 4. Please note that participants will need to be assessed for competency in their own work place. Using niki t34 syringe pump checklist for set up niki t34 syringe pump. The niki t34 syringe pump safely provides a complete smalldose infusion therapy safely wherever your residents receive care automatically detects syringe size and brand fully programmable flow rates and infusion times lightweight and portable, the pump can be mounted to an iv pole software allows.
The following instructions are relevant where the niki t34 has been preprogrammed to a fixed duration of 24 hours and has the program lock function on day 1. Niki t34 syringe pump instruction manual ref 90ss edition june 2008 0473. Clinical practice protocol niki t34 grampians regional palliative. T34 syringe pump infusion system service manual manufacturer. The t34 is a small, lightweight, robust, battery powered, ambulatory syringe pump designed to deliver the contents of a 2 to 50ml syringe over a specified duration. We have filters, extensions, burette sets, blood sets, iv ports, iv sets, needless iv ports, syringe and volumetric pumps, securement devices and. They come from all over the world to share, learn, and network. Designed specifically for microinfusion environments, the t341ml ambulatory syringe pump from cme is now the perfect partner for small volume drug infusions.
The niki t34 syringe pump safely provides a complete smalldose infusion therapy safely wherever your residents receive care automatically detects syringe size and brand fully programmable flow rates and infusion times lightweight and portable, the pump can be mounted to an iv pole software allows you to view dosage history and program the unit. Community palliative care service aims to provide palliative care to patients in their homes and residences during a lifelimiting illness. Page 20 for alarm information page 21 for trouble shooting guide if you wish to do some refresher training prior. At the end of this session, participants will be able to. Jan 18, 2017 cumbria syringe driver training equipment set up. Alternatives to the graseby include the niki t34, cadd legacy. It is designed to provide selfdirected learning, and completion does not provide formal accreditation in this skill. Syringe driver drug compatibilities guide to palliative. By palliative care south australia inc updated about 8 years ago. Cme infusion pumps provide a complete range of infusion onboard any air or ground vehicle. This is because the niki t34 syringe driver simplifies administration by detecting the syringe size and volume of medicine, and sets the rate to deliver the infusion over the required time period, e. We supply surgical and medical professionals throughout australia. Niki t34 subcutaneous infusion device useful links queensland health management of subcutaneous infusions in palliative care learning package the aim of this learning package is to assist the clinician to develop knowledge and skills of the basic principles of care for people with subcutaneous infusion devices in palliative care settings.
It can lessen the demand and impact of clinical staff being absent from clinical areas and patient care to attend training. Subcutaneous infusion education home queensland health. The following instructions are relevant where the niki t34 has been preprogrammed to a fixed duration of 24 hours and has the program lock function on. The size of the syringe required will depend upon the medications to be administered 10ml, 20ml, and 30ml syringes can be used in the niki t34 note. Claire britton, specialist nurse practitioner from sobell houses community team, demonstrates how to set up the t34 syringe driver. Update on graseby syringe driver and alternative devices. The t34 is an ambulatory syringe pump designed to deliver the contents of a 2 to 50ml syringe over a specified duration, or at a given rate in milliliters per hour.
Continuous infusions in paediatric palliative care using. Subcutaneous infusion device education printable documents. When autoplay is enabled, a suggested video will automatically. The t34 syringe pump may be used to deliver indicated medications via any common infusion routes including central, peripheral venous, epidural, intraarterial or subcutaneous.
Barrel clamp arm detects syringe sizewidth of barrel 2. Continuous subcutaneous drug infusion with a niki t34 syringe driver oct 20 ketamine can be ordered alone or in combination with an opioid. Adhb community patients contact paediatric palliative care for a pump. As we use locked cases for a julie houghton ll nikki pumps, the label is. The use of the niki t34 syringe pump via the subcutaneous route is used extensively.