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Updated: Oct 6, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
CE: Using Smart IV Infusion Pumps Outside of Patient Rooms
Emily G Messing1, Renu S Abraham, Nicholas J Quinn
1Emily G. Messing is a clinical pharmacy manager, informatics, Renu S. Abraham is a patient safety manager, Nicholas J. Quinn is a clinical pharmacy manager, critical care, and Elizabeth A. Duthie is director of patient safety, all at Montefiore Medical Center, Bronx, NY. The authors acknowledge Christina Rohan for her photography assistance and Theresa Madaline, Mary Ellen Lindros, Mark Sinnett, Inessa Gendlina, and Maureen Scanlan for their feedback on the manuscript prior to submission. Contact author: Emily G. Messing, emessing@montefiore.org . The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
The COVID-19 pandemic has created unique challenges for health care workers, who have demonstrated dedication, collaboration, and innovation in response. In this article, the authors describe an important nursing innovation they employed at Montefiore Medical Center in the Bronx, New York, during the spring 2020 COVID-19 surge: the relocation of smart IV infusion pumps outside of patient rooms. The goals of this innovation were to improve delivery of care, conserve personal protective equipment, limit the spread of the virus, and protect staff from exposure. The authors discuss the initial concerns that arose regarding the safety and efficacy of this practice; the research they conducted with other colleagues in nursing, pharmacy, infection control, and patient safety in the face of scant clinical literature relevant to the difficult circumstances the pandemic created; and the strategies they ultimately employed to ensure that this practice maintained safety and efficacy.
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