Training for Healthcare Professionals Learning Objectives
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1. 7 11 2013 Alarm Start Check and Alarms When the syringe pump is turned on automatic self test is done to check for proper operation All display elements will appear for around 2 seconds The rate will be displayed as 111 1 222 2 555 5 etc NOTE DO NOT use the pump if the service indicator mp is constantly on During an alarm the 49 sign AAAA and the symbol for the problem will show on the display Do not mute the alarm unless the cause is identified and ideally corrected Perfusor compact BIBRAUN Narayana Hrudayalaya Ww SDN I fospitais Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Common Errors amp Correction Device Failure Cause Correction Unit defective Internal device failure Press and hold ON OFF key for at least 3 seconds until the alarm symbol in the display is gone Then release key and switch on device again If unit is defective alarm will start again take device to service team 7 11 2013 Device failure is the most critical error If this cannot be corrected by restarting the syringe pump call the service team Wa SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Common Errors amp Correction Plunger Battery Blockage Cause Correction Top of plunger is a improperly positioned in syringe pressure plate Ensure top of plunger is securely positioned2. Regular cleaning Pre checking of syringe pump Pay attention to alerts Keep power cord dry and off the ground Carry using the handle Avoid rough handling Don ts Hang IV fluid on the same stand Stack more than 3 4 pumps in a single stand Use water to clean pump Narayana N an rudayalaya g a ins i Hospitais Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Activity 1 Clean the Syringe Pump Activity Time suggested 15 MINUTES Items Needed Syringe pumps and cleaning sets gauze and isopropyl alcohol Group Formation Divide yourselves into groups depending upon number of syringe pumps and cleaning sets gauze and isopropyl alcohol available Nominate a leader who will direct the activity In turn 1 person should be the demonstrator and the others observers The demonstrator should demonstrate how to clean the syringe pump The observers should point out things done correctly incorrectly Another new volunteer should come up and demonstrate it correctly a second time Narayana m M SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI is Ly t Le a LEA ym Pump ga D m Activity 1 Clean the Syringe 8 5 x Activity Time suggested 15 MINUTES Items Needed Syringe pumps and cleaning sets gauze and isopropyl alcohol Group Formation Divide yourselves into groups depending upon numb
3. Whoever has the manual can read from any page and ask the rest of the group a question from the manual The others should answer till they get it right Continue till all students ask a question WZ SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI 7 11 2013 Activity 3 Visit to the ICU onthe coy t i oe Ky ye Da ak e Ss Activity Time suggested 30 MINUTES Items Needed Nil Take a tour of the ICU Observe at least 3 good practices and 1 bad practice regarding Syringe Pumps while on the floor Return and discuss what you saw in the ICU Nar F p I irudayalay a WF SDN J Hiospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Closing Story Yes Sister feel much more confident know naw to L a A Wow Bee complex you seem a E ee to have become an expert at on SN Syringe pumps now Now you have all the knowledge to problems when I seb operate a syringe pump syringe pump a i WZ SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Credits and References We would sincerely like to thank the following entities for the resources and references B Braun Medical Ltd For further reference please check e www bbraun co in Wa SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI 7 11 2013
4. wheel rotates 7 7 when flow on ERTE re D Battery Power if not plugged in Flow Rate Function Key in mi hr entry needed Alarm on Narayana Hrudayalaya M SDN Hospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Famine Display Status Signs The following special status signs tell what is the state of operation F Special function is active gt Values need to be entered t Mains AC power operation gt The pumpis running on electricity not battery Service indicator blinks when the gt The pump should be sent for service interval has elapsed servicing g Infusi trol gt The wheel stops when flow is nTUSION Control oe stopped and rotates when Rotates to show an infusion in flow is on progress Narayana M SDN rudayalaya Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Keypad 1 The display shows important information flow rate syringe status power source infusion status alarms etc 2 Each digit also has a special function key indicated a To use it press the F key and enter values b To end it press F key again Digits Number Keys For entering Values amp pecia ion On Off Button 4 for Starting flow Function 6 oress for entering values Narayana M SDN Irudayalaya lo WADHWANI Copyright 2013 Wadhwani Foundation All rights reserved
5. Check if the stop cock is open Battery flat battery near flat warning before 30 min Connect to main or replace batteries Pressure alarm e g because of occlusion or Ea blocks Fluid unable to be infused Check for twists in tubing IV patency and filter patency Increase occlusion pressure if needed Check if syringe is empty Narayana Hrudayalaya H MWM SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Common Errors amp Correction Empty Syringe Lock not Engaged Syringe Holder Cause Correction Syringe near empty Alarm will sound 3 min before syringe gets empty Prepare to end infusion or begin next infusion Locking lever at the drive head has not clicked into place Ensure plunger head is securely positioned in the syringe pressure plate and 7 11 2013 the locking lever has engaged Syringe holder not closed Close syringe holder Nradiyataye Sw SDN ospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Servicing a Defective Pump Report Complaint to Biomedical Team In case of machine breakdown the nurse should get in touch with the service department Complaint details should be clearly specified to service team Name of the equipment Model number serial number of the pump CEID as shown gt Critical Non critical anys a rool Brief description of the
6. ace without any loose connections Do not leave the plug ends on the floor especially if it is wet Protect the device from moisture to prevent electric shock etc Ensure electric cord is rolled and kept when not in use Narayana lrudayalaya M SDN t ospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI OUS OOVRONA Safety Patient and Clinical Connect to patient only after switching on the device Select syringe catheter suitable for use with intended application Position the infusion line free of twists Change disposables after 24 hours Possible explosion hazard if used in presence of flammable anaesthetics Compare displayed value with entered value Stop if they are different Do not use the device when service indicator is displayed permanently M SD ospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI 7 11 2013 7 11 2013 Maintenance and Care Cleaning of Syringe Pump The pump should be kept clean dry and sterile all the time Clean the pump regularly using isopropyl alcohol before and after use Do not clean the display and keypad area using wet gauze Use only dry gauze for them Do not wet or wash the pump especially the electric plugs sockets Narayana e p Hrudayalaya WH SDN D m ospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Maintenance and Care Dos and Don ts e Dos
7. er of syringe pumps and cleaning sets gauze and isopropyl alcohol available Nominate a leader who will direct the activity In turn 1 person should be the demonstrator and the others observers The demonstrator should demonstrate how to clean the syringe pump The observers should point out things done correctly incorrectly Another new volunteer should come up and demonstrate it correctly a second Nars F irudayainy a WHA SDN Hiospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Activity 2 Questions from the Manual Activity Time suggested 15 MINUTES Items Needed Syringe pump user manuals Group Formation Keep the same groups as in the earlier exercise Give 1 copy of the user manual to each group Pass the user manual around each person in the group Whoever has the manual can read from any page and ask the rest of the group a question from the manual The others should answer till they get it right Continue till all students ask a question Narayan irudayalaya M SDN lif Hospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Pei aiii ee Activity 2 Questions from the Manual Activity Time suggested 15 MINUTES Items Needed Syringe pump user manuals Group Formation Keep the same groups as in the earlier exercise Give 1 copy of the user manual to each group Pass the user manual around each person in the group
8. ij Narayana Hrudayalaya N g lI Hospitals WADHWANI Session 5 Errors Safety and Maintenance l De S Learning Objectives After completing this session you will be able to e Know how to correctly and safely use the syringe pump Understand and interpret the display types of errors alarms and correction Document unresolved errors for Biomedical team Be aware and follow safety protocols and avoid common mistakes Understand the maintenance of the syringe pump for correct operation and durability i arayana rudayalaya M d ospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Essentials for Syringe Pump Usage e Read Instructions for Use or manual before starting Use only under supervision by specially trained staff Before use look at the device for possible damage or problems Ensure the unit is properly positioned and secured Ensure that infusion line is not twisted Before and during use always check for sound and visual alarms SDN Narayana rudayalaya M ospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI SDN 7 11 2013 The display shows all the important information at a glance flow rate syringe status power source infusion status alarms etc 3 Pressure Alarm Syringe Status stoppage etc Electric Power cane aeioes M i m Plugged to mains
9. problem z Video Your name and call back number s Your department Name of the person you logged the CLINICAL ENGINEERING 1 0 complaint with UO A A MALINI Ww SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI p Safety Handling and Transport Always use only the handle to carry the syringe pump Never attach more than 4 pumps together To lock into place place one device on top of the other Push connecting rod of top pump down into the slot of the pump below until it clicks into place To lock turn the key until it is vertical To disconnect turn the key until it is horizontal Push the white key in and slide SW SDN Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Safety Handling and Transport e When attaching to pole use a proper pole clamp Attach the pump from above clicking it into place To release press the black button and lift the pump from the clamp Attach each device separately to pole e Ensure not more than 3 4 syringe pumps are attached to a single pole The setup is unstable and may fall The drugs may leak from the pump above e Do NOT attach to pole with IV drip hanging from it To avoid dripping of fluid onto the pump Narayana Hrudayalaya DM SDN L Hospitals Copyright 2013 Wadhwani Foundation All rights reserved WADHWANI Safety Electric Hazard Ensure the plugs are firmly in pl
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