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This document reflects what is currently regarded as safe practice. While every effort has been made to ensure the accuracy of the content at the time of publication, the Cancer Institute NSW does not accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omission in the contents of this work. Any reference throughout the document to specific pharmaceuticals and/or medical products as examples does not imply endorsement of any of these products. While eviQ endeavours to link to reliable sources that provide accurate information, eviQ and the Cancer Institute NSW do not endorse or accept responsibility for the accuracy, currency, reliability or correctness of the content of linked external information source. Use is subject to eviQ’s disclaimer available at www.eviQ.org.au

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The CADD ambulatory infusion pump provides measured drug therapy to patients in hospital and outpatient settings. It is used for therapies that require a continuous rate of infusion. Central venous access and the use of luer lock connectors with a split valve septum are recommended when administering drugs via a CADD pump. Drug doses are concentrated into a small volume. If the infusion time needs to be altered consult a pharmacist for advice on safe delivery times to minimise patient toxicity.

Patients should be supplied with printed information on pump and spill management, and given details of appropriate 24 hour medical and nursing contact information to which patient can direct queries.

Clinical safety note There are physical and operational differences between the different types of CADD® pumps. Incorrect programming can lead to over-infusion of medication and has the potential to cause serious injury and death. See the TGA Alert misidentification of a CADD® Legacy Plus Pump leading to over-infusion and ISMP safety alert regarding the rapid infusion of high dose fluorouracil.

Refer to the operator's manual for a complete list of all warnings, precautions and for information on troubleshooting with the use of these devices

Only health care professionals who have attained competency as per institutional guidelines in ambulatory infusion pump management and related competencies, e.g. safe administration, handling and waste management of cytotoxics, and central venous access device care, should perform these procedures.

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