ICU nurses are uncertain whether Epic MAR and Alaris pump integration will restrict their ability to manually override pump settings for critical tasks like pressor titration and sedation boluses, potentially compromising patient safety during rapid clinical changes.
Existing integration may enforce rigid order parameters from Epic into the pump, preventing nurses from making real-time, clinically necessary adjustments such as increasing pressor rates faster than ordered or bolusing sedation more frequently, which are common in ICU care.
Implied Software Gaps
- A configurable safety middleware that permits manual pump overrides while documenting clinical justification and seeking retrospective provider approval
FlexiGuard ICU Infusion Bridge
A middleware platform that sits between Epic MAR and Alaris pumps, enabling real-time override and audit of infusion parameters with contextual clinical documentation. It ensures patient safety by allowing nurse-driven deviations from order parameters when clinically indicated, while capturing rationale and automating provider notification for co-signature.
- Real-time override interface for pump settings outside order parameters with forced reason documentation
- Automated alert to provider for co-signature when nurse overrides order limits
- Two-way sync that updates Epic MAR with actual infused rates and boluses
- Customizable guardrails per medication and unit (e.g., ICU vs. acute care)
Existing Solutions Mentioned
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