Infusion Pump and Syringe PumpOverview

Ana Liza Camacho SN, Frances Devilles SN

OBJECTIVESTo 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 CarePPG NUR 95Infusion PumpIs a device used for the controlled administration of intravenous fluids with accuracy and sterility.

Policy

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

ProcedureExplain the procedure to the patient.Assemble all equipment.Plum care pumpI.V Administration set with label (Date, Time, Signature, ID number)I.V Solution and label:Bed numberBottle numberFile numberName of IV Solution with incorporationRate per hourDate and time startingName and sign of RN who startedName and sign of RN who witnessedIV StandAlcohol SwabEnsure that IV solution being prepared matches the physicians written order.Mount the IV pump on the IV stand after checking the voltage 220 or 120.

TO SETUP PLUMSETSIMPLE DELIVERYTITRATE RATEBACKPRIMEDELAY STARTSET OR CANCEL NURSE CALLBACKSTANDBYBasic Operations of Plum A

Common Alarms and Basic Troubleshooting

MessagePossible CausesCorrective ActionsDistal OcclusionDistal line kinked, IV site clotted or positional, pressure limit set too low- Check distal tubing- Check IV site- Reset pressure limitProx Occl A (B) at start upProximal 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 BACKPRIMEProx Air A/B AirProximal line obstructed (line A or B container disconnected or obstructed)- Examine line A/B for kinks or closed clamps or air in cassette- Open any closed proximal clamps- Press STARTProx Air A/B BackprimeEmpty container or excess air in line- Check for clamps or empty container- Back prime into line B container or syringe.

Common Alarms and Basic Troubleshooting

Distal AirAir 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 AlarmPump programming incomplete- Press START- Continue programmingInfuser Idle 2 minutesPump is ON without operater input- Begin programming or turn pump offLine A/ B VTBI CompleteVTBI is complete.- Program new VTBICassette Test FailureFaulty cassette, proximal or distal occlusion or air in cassette detected at startup.- Check clamps, manually reprime set, close door.- Backprime into Line B container or syringe.- If alarm recurs on retest, replace set.- If alarm repeats, replace pump.

SYRINGE PUMPPOLICY: PPG NUR 94This policy and procedure guide and describes the procedure of intravenous infusion or antibiotic administration by using different types of infusion pump in Mouwasat Hospital.

DEFINITION:Device used to administer medications or IV fluids slowly and accurately over a desired length of time by using a syringe.

POLICYNeeds 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 PumpASENA Syringe PumpVICKERS Syringe PumpATOM Syringe Pump

TERUMO SYRINGE PUMP

LOADING A SYRINGE: Use appropriate syringe.Aseptic technique is strict while attaching the IV line to the syringe.TERUMO recommend LUER-LOCK connectorIf 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

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 0.0Connecting 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 RATECheck the indicator rate is on; if it is off 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 INFUSIONPress the STOP switch to stop the operation.Close the IV line.Remove the syringe. Turn the power OFF.

CLEANING AND STORAGEPower off 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.Avoid water spills.Never store in hot or humid place.

ALARMS AND CORRECTIVE ACTIONS

ALARMS/ CAUSES CORRECTIVE ACTIONSyringe disengagement during infusion syringe size 1Press 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. The plunger/ clutch is disengaged during infusionSilence the buzzer by pressing STOP switchClose the IV line.Load the TERUMO brand properly. Reset the syringe and verify the plunger is held firmly against the slider.Prime the IV line.Open the IV line.Press the START switch to restart infusion.

ALARMS AND CORRECTIVE ACTIONS

The line is occludedPress 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 lowPlug the pump into the AC or DC main as soon as possible.Cannot startCheck the flow rate if it is 0.0 ml/uReset the flow rate (less than 300 ml/u)Reset delivery limit.Nearly empty or the syringe is emptyMake silence the buzzer.Replace the syringe to continue the infusion.

Thank You!!!