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Simulated IV Pumps in Pathopharmacology: A Safety-Focused Approach for Mastering Medication Safety
Dawn M Terzulli1, Cathryn F Bachir1, Amy M Smith1
1College of Nursing, Medical University of South Carolina, Charleston, South Carolina.
The Journal of Nursing Education
|March 27, 2026
Summary
New nursing graduates often make medication errors. Integrating simulated IV pumps into pharmacology courses improved dosage calculation exam pass rates and boosted student confidence in medication administration, enhancing practice readiness.
Area of Science:
- Nursing Education
- Pharmacology
- Patient Safety
Background:
- Medication errors are common among new graduate nurses, often due to a lack of clinical context in traditional dosage calculation training.
- Prelicensure nursing education struggles to bridge the gap between theoretical knowledge and practical application of dosage calculations.
- This study addresses the need for enhanced experiential learning in nursing pharmacology courses.
Purpose of the Study:
- To explore the integration of tablet-based simulated IV pumps into a prelicensure nursing pharmacology course.
- To strengthen students' experiential learning and confidence in medication administration.
- To improve medication safety and practice readiness among future nurses.
Main Methods:
- Eighty-eight accelerated baccalaureate nursing students participated in the study.
- Students utilized simulated IV pump tablets alongside existing dosage calculation curriculum.
- Infusion calculations were performed manually, and then programmed into the simulated pumps.
Main Results:
- Students using the simulated IV pumps achieved higher first-time pass rates on dosage exams (87.5% compared to 76%).
- A significant increase in students' self-reported confidence in programming continuous infusions was observed.
- The intervention demonstrated a positive impact on both knowledge recall and practical skill confidence.
Conclusions:
- Tablet-based simulated IV pumps represent a feasible and scalable educational strategy for nursing programs.
- This innovative approach enhances medication safety and improves practice readiness for prelicensure nurses.
- Integrating simulation technology can effectively prepare nurses for real-world medication administration challenges.
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