What is a T34 Syringe Driver?

What is it?

The T34 syringe driver (also known as a syringe pump) is a portable, battery-operated device for delivering medication by continuous subcutaneous infusion (CSCI). It is a critical piece of medical kit used in healthcare settings – particularly in adult palliative care – to deliver typically one, two or three medicine combinations or fluids to patients in a controlled manner.

The CSCI method of medication delivery is an alternative to intravenous (IV) or intramuscular infusion that is usually offered when the oral route for medication delivery no longer works. It offers precise and continuous administration of medication over a 24-hour period, ensuring optimal patient care and comfort.

In this comprehensive guide, we will explore how a T34 syringe driver works, how to use it, and best practices for line changes and regular checks, helping healthcare professionals deliver the highest standard of care.

How it works A T34 ambulatory syringe driver is a compact, lightweight battery-powered medical infusion device designed to administer medications and fluids subcutaneously over a specified period – only requiring refilling every 24 hours. It allows for continuous and controlled delivery of medication used to manage symptoms or treat pain, ensuring accurate dosing and improving patient comfort, particularly for those with chronic conditions or in palliative care. They are designed to deliver the therapy with minimal disruption to a patient’s daily life and activities. In addition to reducing the need for regular stat injections, its advantages also include maintaining patient mobility.

CSCI delivery is used when administering oral medication is not possible, for example if a patient is experiencing intractable nausea or vomiting, bowel obstruction or malabsorption, dysphagia, has head and neck lesions or undergone surgery, or is severely weak or unconsciousness. It is also useful when IV access is difficult to achieve or a patient is unable to tolerate large amounts of fluid associated with IV infusions.

The T34 syringe driver is designed to deliver infusions from any brand of syringe with a volume of 2 – 30ml. 50ml syringes may be used in some circumstances, however the lockbox currently supplied with the syringe pump cannot hold syringes larger than 30ml. Local guidance on maximum volumes for different brands of syringe should always be followed.

How to Use a T34 Syringe Driver

Firstly, all staff, including medical staff and carers, using the T34 syringe driver must be trained and competent in the use and operation of such devices. Using a T34 syringe driver involves several steps to ensure safe and effective medication delivery. Take a look at our step-by-step guide to setting up and using a syringe driver:

Preparation: Begin by gathering all necessary supplies, including the T34 syringe driver, a compatible syringe, prescribed medication, tubing, and any required personal protective equipment (PPE).

Assembly: Assemble the syringe driver according to the manufacturer's instructions, ensuring that all components are correctly connected and functioning properly.

Loading the syringe: Fill the syringe with the prescribed medication, taking care to remove any air bubbles. Attach the syringe to the driver, securing it in place as instructed.

Programming: Program the T34 syringe driver with the appropriate settings, including the medication's infusion rate, volume, and duration, as prescribed by the healthcare provider.

Insertion: For subcutaneous administration, insert the needle into the patient's fatty tissue, typically in the abdomen, thigh, or upper arm. For intravenous administration, follow established protocols for inserting an IV catheter.

Monitoring: Continuously monitor the patient and the syringe driver throughout the infusion process to ensure proper functioning and patient well-being.

How often should a syringe driver line be changed?

The frequency of syringe driver line changes depends on several factors, such as the type of medication, patient condition, and healthcare provider recommendations. As a general guideline, the infusion line should be changed every 24 to 72 hours for most medications. However, more frequent changes may be necessary for specific medications or if there are concerns about infection or line integrity. Always follow the healthcare provider's instructions and adhere to facility protocols regarding line changes.

How often should a syringe driver be checked?

Regular checks are essential to ensure the safe and effective functioning of the T34 syringe driver. The frequency of checks depends on the patient's condition, medication, and facility guidelines. As a general rule, the syringe driver should be checked:

At the start of each shift: Healthcare professionals should inspect the device for proper functioning, secure connections, and adequate battery life at the beginning of their shift.

During medication administration: Continuous monitoring during infusion is critical to ensure accurate medication delivery and patient well-being. Pay close attention to the infusion rate, volume, and patient response to the medication.

After line changes: Inspect the syringe driver and connections following line changes to confirm proper assembly and functioning.

In addition to these regular checks, it is crucial to monitor the patient for any signs of adverse reactions or complications related to the medication or infusion process.

Finally …

The T34 syringe driver is an invaluable tool in healthcare settings, providing precise and continuous medication administration to patients in need. Thorough training and understanding how to use the device, change infusion lines, perform regular checks and report any incidents is essential for healthcare professionals to ensure the highest standard of care.

For more advice and information about medical devices to suit your needs, contact us by email at info@jpenmedical.co.uk or call 0333 005 0476