Infusion Pump and Syringe Pump Overview Ana Liza Camacho SN, s Devilles SN

OBJECTIVES To ensure Mouwasat Hospital employees are aware of the standards and safe practices to be followed when using Plum A care infusion Pump and Terumo Syringe Pump.

Procedure for Plum Care PPG NUR 95

Infusion Pump Is a device used for the controlled istration of intravenous fluids with accuracy and sterility.

Policy

The life care infusion pump must be used for all critical care drugs which needs accurate delivery of medicine.  All drugs which are incorporated in IVF needs controlled i  The life care 5000 must be used to transfuse blood or plasma 

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Explain the procedure to the patient. Assemble all equipment. Plum care pump I.V istration set with label (Date, Time, Signature, ID num I.V Solution and label: Bed number Bottle number File number Name of IV Solution with incorpora Rate per hour Date and time starting Name and sign of RN who started Name and sign of RN who witnessed IV Stand Alcohol Swab Ensure that IV solution being prepared matches the physicians Mount the IV pump on the IV stand after checking the voltage 2 l

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Basic Operations of Plum A 

TO SETUP PLUMSET

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SIMPLE DELIVERY

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TITRATE RATE

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BACKPRIME

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DELAY START

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SET OR CANCEL NURSE CALLBACK

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STANDBY

mon Alarms and Basic Troubleshooting Message

Possible Causes

Corrective Actions

Distal Occlusion

Distal line kinked, IV site clotted or positional, pressure limit set too low

- Check distal tubing - Check IV site - Reset pressure limit

Prox Occl A (B) at start up

Proximal line obstructed (line A or B container or syringe disconnected or obstructed during start up)

- Examine line A/B for kinks or closed clamps - Open any closed proximal clamps - Open and close door - For syringe, select BACKPRIME

Prox Air A/B Air

Proximal line obstructed (line - Examine line A/B for kinks or A or B container disconnected closed clamps or air in or obstructed) cassette - Open any closed proximal clamps - Press START

Prox Air A/B Backprime

Empty container or excess air in line

- Check for clamps or empty container

Common Alarms and Basic Troubleshooting Distal Air

Air detected distally due to excess air in air trap, incomplete priming.

-Remove and reprime cassette using standard technique. -If alarm recurs, replace the set.

No Action Alarm

Pump programming incomplete

- Press START - Continue programming

Inf Idle 2 minutes

Pump is ON without operater - Begin programming or turn input pump of

Line A/ B VTBI Complete

VTBI is complete.

Cassette Test Failure

Faulty cassette, proximal or - Check clamps, manually distal occlusion or air in reprime set, close door. cassette detected at startup. - Backprime into Line B container or syringe. - If alarm recurs on retest, replace set. - If alarm repeats, replace pump.

- Program new VTBI

SYRINGE PUMP

POLICY: PPG NUR 94 This policy and procedure guide and describes the procedure of intravenous infusion or antibiotic istration by using diferent types of infusion pump in Mouwasat Hospital. DEFINITION: Device used to ister medications or IV fluids slowly and accurately over a desired length of time by using a syringe.

POLICY Needs written order to use syringe pump. The medications and in fluids which needs to be given via syringe pump to be given as per guidelines to the medication. TYPES OF SYRINGE PUMP: TERUMO Syringe Pump ASENA Syringe Pump VICKERS Syringe Pump ATOM Syringe Pump

TERUMO SYRINGE PUMP LOADING A SYRINGE:  

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Use appropriate syringe. Aseptic technique is strict while attaching the IV line to the syringe. TERUMO recommend LUER-LOCK connector If the flange of the syringe is not properly engaged in the slit, flow rate accuracy and alarm functions cannot be guaranteed. If the plunger is not firmly held against the slider siphoning or reverse flow may occur.

PRIMING 

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Press and hold the purge switch until the solution drips from the tip of the IV needle. To clear the volume delivered, press the switch for 1.5 seconds. Short buzzer sound and the volume delivered are clear to 0.0 Connecting the IV line of the patient, and check the setting of the flow rate and the start the infusion by pressing the START button. If you need to change the flow rate during infusion, press STOP switch and change the settings.

SETTING THE FLOW RATE 

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Check the indicator rate is on; if it is of turn the switch to turn it on. Enter the desired flow rate by using dial method. The flow rate cannot be set while the pump is infusing. The maximum flow rate is 999.9 and the minimum rate is .1 ml.

COMPLETING THE INFUSION 

Press the STOP switch to stop the operation.

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Close the IV line.

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Remove the syringe.

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Turn the power OFF.

CLEANING AND STORAGE 

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Power of and disconnect power cord. Clean the machine with appropriate chemical as per the operation manual.

-chlorhexidine gluconate 

The syringe pump cannot be autoclaved and use any dryer or similar device to dry it.

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Avoid water spills.

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Never store in hot or humid place.

ALARMS AND CORRECTIVE ACTIONS CORRECTIVE ACTION

ALARMS/ CAUSES 

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Syringe disengagement during infusion syringe size 1

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The plunger/ clutch is disengaged during infusion

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Press the STOP switch to the buzzer. Close the IV line. Prime the IV line. Open the IV line. Press the START switch to restart infusion. Silence the buzzer by pressing STOP switch Close the IV line. Load the TERUMO brand properly. Reset the syringe and the plunger is held firmly against the slider. Prime the IV line. Open the IV line. Press the START switch to restart

ALARMS AND CORRECTIVE ACTIONS The line is occluded

Press the STOP switch to the buzzer. Check for a kinked or clogged tubing. Prime the line and make sure the plunger is held firmly against the slider. Eliminate the cause of occlusion. Then restart the infusion.

Battery is running low

Plug the pump into the AC or DC main as soon as possible.

Cannot start

Check the flow rate if it is 0.0 ml/u Reset the flow rate (less than 300 ml/u) Reset delivery limit.

Nearly empty or the syringe is empty

Make silence the buzzer. Replace the syringe to continue the infusion.

Thank You!!!