Cadd solis frequently asked questions - Enexia Specialty solis...Cadd solis frequently asked...

CADD SOLIS FREQUENTLY ASKED QUESTIONSENEXIA SPECIALTY PHARMACY 10/2019

TABLE OF CONTENTS

CODES – SLIDE 3

PRIMING TUBING – SLIDE 4

CHANGING CASSETTES – SLIDE 11

CHANGING DOSE – SLIDE 18

REPROGRAMMING PUMP – SLIDE 25

CODES

MOST PUMPS CAN BE UNLOCKED WITH THE

FOLLOWING CODES: 513 OR 921.

IF THE ABOVE TWO CODES DO NOT WORK,

THEN CALL ENEXIA SPECIALTY PHARMACY

TO ENTER A CODE, EACH OF THE 3 DIGITS

MUST BE CHOSEN INDIVIDUALLY USING THE

UP AND DOWN ARROWSTHEN PRESSING

THE SELECT BUTTON WHICH MOVES THE

PUMP TO THE NEXT DIGIT.

PRIMING TUBING

IF PUMP IS NOT ALREADY STOPPED, HIT THE

RED/GREEN “STOP/START” BUTTON

“YES” TO STOP PUMP

PRIMING TUBING

PRESS THE WHITE BUTTON BELOW “TASKS” ON

THE BOTTOM RIGHT OF THE SCREEN

PRIMING TUBING

USING THE UP AND DOWN ARROWS, SCROLL

DOWN TO “PRIME TUBING” THEN PRESS THE

“SELECT” BUTTON

PRIMING TUBING

DISCONNECT TUBING FROM PATIENT. PRESS

“PRIME”

ASPTICALLY HOLD TUBING OVER SECURE

IMPERMEABLE CONTAINER TO CATCH PRIMED

LIQUID

PRIMING TUBING

THE PUMP WILL SHOW VOLUME PRIMED IN

REAL TIME

ONCE ALL VISIBLE BUBBLES HAVE EXITED THE

TUBING PRESS “STOP PRIMING”

PRIMING TUBING

PRESS “NO” TO STOP PRIMING

PRIMING TUBING

RECONNECT PUMP TUBING TO PATIENT’S LINE

HIT THE RED/GREEN “STOP/START” BUTTON

RESTART THE PUMP BY PRESSING “YES”

CHANGING A CASSETTE

STOP THE PUMP BY PRESSING THE RED/GREEN

STOP/START BUTTON ON THE FRONT OF THE

PUMP. SEE “HOW TO” ON SLIDE 4, IF

NECESSARY.

DISCONNECT THE OLD CASSETTE TUBING

FROM THE PATIENT AND HOOK UP TUBING

FROM NEW CASSETTE

UNLOCK THE CASSETTE BY TURNING THE

ATTACHED KEY COUNTERCLOCKWISE AS

INDICATED ON THE RIGHT SIDE OF THE PUMP

CHANGING A CASSETTE

PULL THE METAL LATCH DOWN TO RELEASE

THE CASSETE

CHANGING A CASSETTE

ATTACH NEW CASSETTE TO PUMP BY

ALIGNING THE HOOKS ON THE TOP LEFT OF

CASSETTE TO LATCHES ON THE PUMP’S

BOTTOM LEFT.

CHANGING A CASSETTE

PUSH THE RIGHT SIDE OF CASSETTE UP AND

SECURELY CLOSE THE LATCH

LOCK THE CASSETTE WITH THE KEY BY

TURNING IT CLOCKWISE. REMOVE THE KEY

FROM SLOT

CHANGING A CASSETTE

THE PUMP WILL AUTOMATICALLY ASK TO RESET

RESERVOIR VOLUME TO 250ML, WHICH IS THE

AMOUNT IN EACH “NEW” BLUE CASSETTE

PRESS “YES” (RESEVOIR VOLUME ON TOP LEFT

CORNER WILL RESET ACCORDINGLY)

CHANGING A CASSETTE

ALL NEW CASSETTES ARE PRIMED DURING

COMPOUNDING, SO YOU DO NOT HAVE TO

PRIME NEW CASSETTES

PRESS “NO” TO NOT PRIME

CHANGING A CASSETTE

START THE PUMP AND YOU ARE DONE.

CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME



PUMP. SEE “HOW TO” ON SLIDE 4, IF NECESSARY.

PRESS THE WHITE BUTTON BELOW “TASKS” ON

THE BOTTOM RIGHT OF THE SCREEN. SEE “HOW

TO” ON SLIDE 5, IF NECESSARY.


DOWN TO “VIEW DELIVERY SETTINGS” THEN

PRESS THE “SELECT” BUTTON


THE FOLLOWING SCREEN HAS CURRENT PUMP

SETTINGS:

BASAL = CONTINUOUS RATE

BOLUS = DEMAND/PCA (Patient Controlled

Administration) DOSE

LOCKOUT TIME = FREQUENCY OF BOLUS

TO CHANGE ANY OF THE SETTINGS, SCROLL

USING ARROW KEY TO THE DESIRED VALUE

THAT YOU WANT TO CHANGE AND PRESS

SELECT


ENTER THE CODE OF 513 OR 921 (SEE SLIDE 3)

CHANGE THE DOSE TO THE DESIRED VALUE

USING THE UP AND DOWN ARROWSTHEN

PRESSING THE CONFIRM BUTTON


PRESS “YES” TO BYPASS THE SOFT LIMIT SCREEN.


REPEAT STEPS IN SLIDES 20 AND 21 FOR EACH

DESIRED SETTING THAT YOU WANT TO

CHANGE.

DO NOT CHANGE THE KVO RATE = “KEEP

VEIN OPEN”, WHICH IS AUTOMATICALLY

CALCULATED BY THE PUMP.

ONCE COMPLETED, HIT THE RED/GREEN

STOP/START BUTTON.

THE PUMP WILL ASK YOU TO DOUBLE CHECK THE

SETTINGS, EVEN THE ONES NOT MODIFIED

PRESS “REVIEW”


PRESS “ACCEPT VALUE” ON ALL SETTINGS

INCLUDING KVO RATE TO PROCEED.

ONCE ALL SETTINGS ARE ACCEPTED, PRESS

“NEXT”





NECESSARY.

PRESS “YES” TO START PUMP. TASK COMPLETED.

REPROGRAM PUMP INCLUDING MED CONCENTRATION CHANGE


STOP/START BUTTON ON THE FRONT OF

THE PUMP. SEE “HOW TO” ON SLIDE 4, IF

NECESSARY.

PRESS THE WHITE BUTTON BELOW “TASKS”

ON THE BOTTOM RIGHT OF THE SCREEN. SEE

“HOW TO” ON SLIDE 5, IF NECESSARY.


DOWN TO “VIEW ADVANCED TASKS” THEN

PRESS THE “SELECT” BUTTON

REPROGRAM PUMP

SCROLL DOWN TO “START NEW PATIENT” AND

PLESS THE “SELECT” BUTTON

REPROGRAM PUMP

PRESS “CONTINUE”

THE PUMP REMINDS THE USER THAT ALL

PREVIOUS SETTINGS WILL BE ERASED

REPROGRAM PUMP

ENTER THE CODE (SEE SLIDE 3)

SELECT “PCA” THEN PRESS THE “SELECT”

BUTTON

REPROGRAM PUMP

THE ONLY OPTION HERE IS TO “PROGRAM

MANUALLY”. PRESS “SELECT BUTTON”

REPROGRAM PUMP

MORPHINE, HYDROMORPHONE AND

METHADONE MEDICATIONS ARE ALWAYS

DISPENSED IN MILLIGRAMS. SELECT “MG” AND

PRESS “SELECT BUTTON”

FENTANYL MEDICATIONS ARE ALWAYS

DISPENSED IN MICROGRAMS. SELECT “MCG”

AND PRESS “SELECT BUTTON”

REPROGRAM PUMP

SET CONCENTRATION AS THE PATIENT’S PRESCRIPTION

STATES USING THE “UP” AND “DOWN” ARROWS THEN

PRESS “CONFIRM”

CONCENTRATIONS THAT WE DISPENSE - PLEASE CHECK THE

COLORED LABEL ON THE CASSETTE FOR THE CORRECT

CONCENTRATION:

MORPHINE 1MG/ML MORPHINE 10MG/ML

HYDROMORPHONE 1MG/ML HYDROMORPHONE 10MG/ML

METHADONE 10MG/ML

FENTANYL 50MCG/ML FENTANYL 200MCG/ML

REPROGRAM PUMP

VERIFY THE CONCENTRATION THEN PRESS

“YES”

REPROGRAM PUMP

PRESS “REVIEW” TO CONTINUE PROGRAMMING

EACH PUMP SETTING INDIVIDUALLY.

REPROGRAM PUMP

THE FOLLOWING SCREEN HAS CURRENT PUMP

SETTINGS:

BASAL = CONTINUOUS RATE

BOLUS = DEMAND/PCA (Patient Controlled

Administration) DOSE

LOCKOUT TIME = FREQUENCY OF BOLUS

TO CHANGE ANY OF THE SETTINGS, SCROLL

USING ARROW KEY TO THE DESIRED VALUE

THAT YOU WANT TO CHANGE AND PRESS

SELECT

REPROGRAM PUMP

CHANGE THE DOSE TO THE DESIRED VALUE

USING THE UP AND DOWN ARROWSTHEN

PRESS THE CONFIRM BUTTON

REPROGRAM PUMP

PRESS “YES” TO BYPASS THE SOFT LIMIT SCREEN.

REPROGRAM PUMP

THE CASSETTE RESERVOIR VOLUME SHOULD BE

RESET TO 250ML

REPROGRAM PUMP

REPEAT STEPS IN SLIDES 35 AND 36 FOR EACH

DESIRED SETTING.

AFTER ALL VALUES ARE PROGRAMMED, YOU ARE

PROMPTED TO PRESS “ACCEPT VALUE” ON ALL

SETTINGS IN ORDER TO PROCEED.

DO NOT CHANGE THE KVO RATE = “KEEP VEIN

OPEN”, WHICH IS AUTOMATICALLY CALCULATED

BY THE PUMP.

ONCE ALL SETTINGS ARE ACCEPTED, PRESS

“NEXT”

REPROGRAM PUMP

ALL NEW CASSETTES ARE PRIMED DURING

COMPOUNDING SO YOU DO NOT HAVE TO

PRIME NEW CASSETTES

PRESS “NO” TO NOT PRIME

REPROGRAM PUMP




NECESSARY.

START THE PUMP AND YOU ARE DONE.

Cadd solis frequently asked questions - Enexia Specialty solis...Cadd solis frequently asked...

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