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Originator: National Patient Safety Alert - NHS England & NHS Improvement

Issue date: 05-Nov-2019 14:59:08

This alert has been issued to:
  • Care Trusts
  • Mental Health Trusts
  • Specialists Trusts
  • NHS Regional Offices
  • Learning Disabilities Trusts
  • Mental Health & Social Care Trusts
  • Ambulance Trusts
  • Mental Health & Learning Disabilities
  • Acute Trusts
  • Community Trusts

  • Other contacts
  • Independent Healthcare Providers (registered with CAS)
  • Clinical Commissioning Groups

Action category: Immediate Action

Title: Depleted batteries in intraosseous injectors

Broadcast content:

The intraosseous (IO) route (that is, through the bone marrow) is used to access the venous system when intravenous access is not possible, often in emergency situations, including cardiopulmonary resuscitation. IO access is most commonly achieved using a battery-powered injector.

As the battery is sealed within the device and cannot be recharged or replaced, the first sign a battery may be depleted is in some circumstances when it does not work.

This alert asks providers to replace any battery-powered IO devices that do not have a battery power indicator light with ones with a display that shows how much power is remaining. Where IO devices with a battery power indicator are used, providers are asked to take steps to embed regular checks of these devices to ensure sufficient battery power remains so the devices are always ready and available.



Additional information: NHS regional teams - this alert does not require cascade to primary care.

Alert reference: NatPSA/2019/001/NHSPS

Action underway deadline: 08-Nov-2019

Action complete deadline: 05-May-2020

Attachments:

Contact our helpdesk

Email: safetyalerts@mhra.gov.uk

Medicines and Healthcare products Regulatory Agency