Administer a syringe driver

1. Open the driver you are dealing with and click on Setup Driver.
   
   
    
2. Click on Construct Driver.
   
   
    
3. The RN can:
   • Select the Syringe Size
   • Enter a Comment
   • Select the diluent used
   • Enter the number of mLs and mgs/mcgs to be added to the driver
   • Enter an Alternative ampoule size or strength if required
     
     
     
     If an alternative ampoule strength is chosen, then it will still display the prescribed charted line and will also display the alternative the RN has chosen to use. Enter “0”ml and “0”mg or micrograms for the prescribed ampoule strength charted if this is not being used.
      
4. A second person must check the calculations, medication, number of mLs  and tick each ingredient and diluent off as added to the driver and click on Verify.
   
   
    
5. The second person enters their Username and Password and click on Checked.
   
   
    
6. The first time the driver is administered you will need to click on Click here to record Driver Started.
   
   
    
7. If this is a replacement driver, click on Stop Driver for yesterday's driver and then click on Driver Started for today's.
   
    
8. If it is your facility’s policy, that a double sign is required to record a driver started, the Checked by box will appear, the second person completes, and clicks Checked. The driver will now be highlighted green.
    
9. Click on the Finish bar to go back to the administration grid.
   
   
    
10. Click on Observation to record any observations as per your facility policy.
    
    
     
11. Click on Add New Observation.
    
    
     
12. Enter any observations and click on Save. The observations will be visible until the driver charting is changed and can be viewed in reports > Syringe Driver Observations.
    
    

IMPORTANT NOTE

Pre-made drivers constructed by the pharmacy will arrive labelled with the number of mg of each medication and the total volume in mLs. You are required to check that the labelled syringe matches the charted ingredients. 

• Click on the driver you are dealing with,
• Click on Pre-made Driver,

• Enter the:
  • Expiry date,
  • Number of mg or mcg for each medication,
  • Total volume in the syringe,
• The second person will check and tick off each ingredient and click on Verify,
• A double sign is required.
• Follow from step seven to start the driver.