1. Hagle, Mary PhD, RN, NPD-BC, FAAN
  2. Snyder, Kate PharmD, BCPS
  3. Janicek, Karen BSN, RN
  4. Bell, Kimberly PharmD
  5. Dietz, Beth MSN, RN, CCNS, CCRN-K
  6. Gundacker, Nathan MD
  7. Kinter, Angelina MSN, RN, CCRN-K
  8. Severson, Annette EdD, RN


In the United States, during the Coronavirus Disease 2019 (COVID-19) pandemic, patients with COVID-19 overwhelmed available intensive care beds, staffing levels were unpredictable, and personal protective equipment was limited. The safety of situating electronic infusion pumps outside patient rooms was evaluated using an internal risk assessment. Based on a low level of risk, a procedure was developed to direct clinicians as to when this process is appropriate during a national crisis. A standardized analysis, Healthcare Failure Mode and Effects Analysis, was conducted to identify all potential risks and implement actions that would eliminate or control the risk. No adverse events were reported. Safe systems and preparation can protect patients.