- CareFusion
Contents
1. Use key to unlock door Inside locate lever and depress At the same time holding the module and 3 Remove syringe moving the bottom of the module Note At the start of an infusion sideways and away from Alaris program the system prompts to PC Point of Care Unit PC Unit select and confirm syringe type A and size Ensure displayed syringe wA RNING manufacturer and size correctly To prevent uncontrolled flow close set identifies the installed approved tubing clamp before loading or unloading syringe syringe affiliates All rights reserved n San Diego CA 800 854 7128 Ca re Fu S l O n 2004 2014 CareFusion Corporation or one of its Cl gt a o lt Q A 2 b a lt Drive Head Gripper Control Drive Head Release closed position Plunger Grippers closed position Grippers E Syringe Syringe Barrel Barrel Clamp Flange Programming an Infusion using Guardrails Suite MX Protection Initial Set Up 1 Load syringe with administration set attached 2 Press SYSTEM ON key Select YES or NO to New Patient Select appropriate profile Press CHANNEL SELECT key Set key to Program position Press CONFIRM time setting Choose correct syringe type and size if syringe selection is not displayed press ALL SYRINGES w oN Oa S 9 Choose correct medication and concentration2. 10 Respond to appropriate clinical advisory 11 Review monitoring alarm limits if applicable 12 At Infusion Mode screen To Prime press OPTIONS key 13 Press PRIME SET WITH SYRINGE 14 Press and hold PRIME key to prime tubing A Do not prime while attached to patient 15 Press EXIT when prime is complete 16 Choose desired Infusion Mode and follow on screen prompts 17 Close and lock door 18 Attach administration set tubing set to patient 19 Review settings and press START Change Syringe Press PAUSE Close tubing clamp Use key and unlock door Remove old syringe Press SILENCE Attach new syringe to tubing Load new syringe o NOMAD gt Set key to Program position close door 9 Press CHANNEL SELECT 10 Choose correct syringe type and size if syringe selection is not displayed press ALL SYRINGES 11 Press CONFIRM 12 Press RESTORE if same drug and concentration 13 Verify drug and concentration 14 Verify current settings 15 Lock door and open tubing clamp 16 Review settings and press START Change Program Mode 1 Press CHANNEL SELECT key 2 Press PROGRAM 3 Set key to Program position or enter authorization code if enabled Press CHANGE MODE soft key Choose desired infusion mode and follow onscreen prompts Reviewing or Changing PCA Pause Alarm Limits 1 Press CHANNEL SELECT key 2 Press OPTIONS key 3 Select P
3. CA Pause Limits 4 Review change limits per hospital protocol 5 Press CONFIRM and START Note This function requires use of monitoring module s Disabling PCA Pause Alarm 1 Press CHANNEL SELECT key 2 Press OPTIONS key 3 Select PCA Pause Limits 4 Press Disable SpO2 Disable EtCO2 5 Press CONFIRM and START Beginning of Shift Summary Review 1 Press CHANNEL SELECT key 2 Verify syringe type size drug concentration and settings 3 Press START key Patient History End of Shift 24hr History 1 Press CHANNEL SELECT key Press OPTIONS Press PATIENT HISTORY Review drug totals ak ON Press ZOOM key time interval as appropriate 6 To clear patient history press CLEAR HISTORY 7 Press YES or NO 8 To view 24 hour totals Press 24 h Totals 9 Press EXIT 10 Press START gt Q ay Oo u O gt O Q D lt 00 PCA Monitoring Trend Data 4 Choose desired Dose Cord Profile Note This function requires use of 1 light flashes 2 light on 3 light monitoring module s off 1 Press CHANNEL SELECT onthe Press CONFIRM Monitoring Module 6 Press START 2 Press OPTIONS Attach Dose Request Cord 3 Press PCA Monitoring Trend 1 Align red mark on latching data connector with red mark on Dose 4 Toexit Press MAIN Request Cord attachment co 5 Press Main Screen 2 Insert latching connector on the gt Gi Bolus D cord into Dose Request Cord I
4. ILENCE key Syringe module remains functional and continues infusion P00000065 gt D O U O gt O Q D lt
5. Ve a TOUS 203E attachment on PCA Module 1 Press CHANNEL SELECT Detach Dose Request Cord D 2 Press Bolus Dose Hold body of latching connector 3 Set key to Program position on the cord and pull straight or enter authorization code if away from Dose Request Cord enabled attachment on the PCA Module a 4 Enter bolus dose amount QO 5 Lock door Red alignment marks 6 Press CONFIRM n 7 Review settings and press START 5 Stopping Bolus Loading or PCA Dose Pull straight away lt q without turning or 1 Press CHANNEL SELECT key twisting 2 Press Stop Bolus Loading or PCA 3 Press YES or NO Note Programmed settings will resume Latching Connnector Change Dose Request Cord Setting Cord Attachment 1 Press CHANNEL SELECT key 2 Press OPTIONS 3 Press Dose Request Set up Check Syringe Meaning e Plunger grippers opened during infusion and then closed Infusion stops on affected channel e Syringe barrel clamp opened during infusion and then closed Syringe plunger not captured while in idle mode System alarms immediately to indicate potential siphoning condition If security door is closed and syringe plunger is not captured the system will immediately alarm Alarms and Troubleshooting Alarms Response Securely lock plunger grippers press CHANNEL SELECT key and reselect syringe Securely lock syringe barrel clamp and press RESTART key Check for potent
6. aa 222 U Text PMS 294U QUICK REFERENCE GUIDE e To ensure proper operation of the Alaris System you must be familiar with related features disposables administration sets set up and programming This guide is not intended to be comprehensive instructions for the setup and operation of the Alaris System For complete instructions along with Warnings and Cautions refer to Alaris System User Manual v9 Syringe Loading and Set Up Loading Do not prime while attached to patient 1 Open syringe barrel clamp clear Priming piece until it clears syringe 1 Select administration set and chamber attach set to syringe 2 Raise drive head gray to fully 2 If priming manually express air extended position from administration tubing set 3 Insert syringe barrel flange 3 If priming using Alaris PCA between barrel flange grippers Module PCA Module this feature 4 Lock syringe in place by closing is available when viewing Infusion barrel clamp Mode screen during programming 5 Twist gripper control clockwise of PCA Module At this screen lower drive head lock plunger in Press OPTIONS then press place with plunger grippers PRIME SET WITH SYRINGE Removal 4 Once tubing set is primed close slide clamp 1 Close tubing clamp Detaching Module 2 Unlock door with key open plunger grippers and syringe barrel clamp Silence safety alarm gt D o D O gt O Q c D lt on
7. ial siphoning Ensure administration set clamp roller slide is in closed position Securely lock plunger grippers over syringe plunger PCA Pause Alarm PCA infusion has paused due to a decline in respiratory status Assess patient status per hospital policy Press CONFIRM once patient status and monitoring values have been addressed Press RESTART key per hospital policy To view trigger of PCA Pause Alarm Press CHANNEL SELECT Press OPTIONS Press DRUG EVENT HISTORY Press Up Down key to view text for monitoring value causing PCA Module to pause Press EXIT and then START Drive Not Engaged Drive system disengaged during operation Open and close plunger grippers Ensure syringe is properly installed gt D o U O gt o Q D lt gt a lt Q A E 2 i a lt Channel Error Meaning Error detected on infusing channel Infusion stops on affected channel Alarms and Troubleshooting Alarms Response To silence alarm and continue operation of unaffected channels press CONFIRM soft key Replace channel with an operational instrument as required Service by qualified personnel is required Syringe Driver Head Error Noninfusing channel with plunger grippers open senses excessive pressure being applied downward on Drive Head OCCLUSION scrolls in Channel Message Display To silence alarm a
8. nd continue normal operation press CONFIRM soft key Messages Max Limit Reached Messages Meaning Programmed Max Limit has been reached over time period specified Infusion paused until time limit has expired Response To silence alarm press SILENCE key To change Max Limit press CHANNEL SELECT press SETUP soft key and unlock door or enter Authorization Code applicable for current Security Access Level PCA Not In Secure Location PCA Module is not in preferred location to allow locking to the PC Unit Device is not in a tamper evident position Detach PCA Module from current position and reattach to immediate right of the PC Unit Syringe Not Recognized Installed syringe of unknown type and size Select and confirm correct syringe type and size and then press CONFIRM or use a syringe type and size that system can automatically and correctly identify Ensure compatible syringe is loaded For a list of compatible syringes refer to Compatible Sets section of this Directions for Use Near End of Infusion NEOI Syringe almost empty This is a timed event that can be set To set or change this option see the Alaris System User Guide v9 General Information Configurable Settings This is a timed event that can be set To set or change this option see the Alaris System User Guide v9 General Information Configurable Settings To silence alarm press S
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