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Accessing Information, Alert and Alarm Activation Troubleshooting

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1. Accessing Information Alert and Alarm Activation For current infusion data While the infusion is running repeatedly press INFO to display Press 1 Infused and volume to be infused Press 2 Battery level Press 3 Protocol review screens Press 5 Boluses attempted and given Press 6 Clinician boluses Press 7 Date and time occlusion pressure From the main menu If infusion running press STOP NO Press and hold STOP NO Scroll up down through the menus using To view the option selected press START YES When an ALERT is activated 1 The infusion continues 2 Three beeps are heard approximately every 3 4 minutes 3 A screen message alternates with the Infusion Running screen When an ALARM is activated 1 The infusion stops 2 The LED indicator turns red 3 An audible alarm activates this continues until the alarm is silenced or the problem is rectified 4 A screen message displays indicating the cause Troubleshooting Screen Low Battery Syringe Nearly Empty Syringe Displaced Result Cause Approx 30 minutes of battery life remaining Current infusion is almost complete Alerts occur for time volume or number of boluses whichever occurs first One or more of the syringe detection sensors Action Connect to power lead Prepare to change syringe or turn pump off Check the syringe and re seat Screen End Battery Syringe Empty Remove Syringe Press YES Occl
2. Record error code 4 March 2011 e 11 STOP NO a takes user back a step b stops pump LCD screen displays infusion status programming CME McKinley Device Training Is RCN Accredited Summary guide only based on pump default settings Refer to Operation Manual for full instructions and information Users must have undertaken training before operating this device has occurred INFO to obtain error message Record has occurred error code summarise fault and return to designated service centre Turning pump OFF and Screen information is representative only ON may resolve NOTE Some wording or screen information on early pump versions may differ slightly from those shown here If problem persists send pump for service summarise fault and return to designated service centre Doc Ref CME TPCA QUG Rev Starting an Infusion for a New Patient SCENARIO Use a 50ml BD Plastipak syringe with 50ml volume Manually prime the line Select Protocol B Purge the line during set up Use key to open locking cover and press ON OFF key to power up Syringe Pump SV XXXXXXX ID XXXXXXXX Enter Level 1 Code 0 Set amp Press YES Press YES to Resume NO for New Therapy Protocol Lock ON Select Press YES SELECT PROTOCOL A Morphine 1mg B Morphine 2mg Select Press YES B Morphine 2 mg Rate 2 mil hr Min 0 ml hr Max 20 ml hr Press YES to Confirm Bolus rate 300 ml
3. amp Press YES Patient Bolus Dose 2 mli 0 5 mis Set and Press YES Use keys to select bolus dose required Press START YES to confirm B Morphine Rate Oml hr Bolus 1 ml Lock out X mins Last bolus X mins lt lt lt lt lt Pump Operating Rate Titration Rate titration is activated in the same way as bolus titration if configured so follow the sequences described above Press the key once to activate the Rate Titration screen NOTE Any change of rate or bolus volume becomes the default for that programme These are retained in the current programme unless manually changed or if NEW THERAPY is selected Observe bolus dose displayed on Infusion Running screen Syringe Change At the end of an infusion Syringe Empty alarm To confirm end of infusion alarm press START YES Press STOP NO then turn power off by pressing ON OFF Clamp line Unlock and open locking cover Remove empty syringe Power pump on by pressing ON OFF Follow screen sequences When Press Yes to Resume No for New Therapy screen displays press START YES to retain protocol and infusion history When Load Syringe screen displays load the new pre prepared syringe Follow screen prompts to start the infusion NOTE Purge is not available when resuming an infusion Clinician Activated Bolus Authorised Personnel Only 1 2 3 4 Press STOP NO to pause current infusion Press the FF key Enter relevant access cod
4. e press START YES to confirm Enter bolus volume required using the or keys press START YES to confirm If the requested dose is outside the pre set limits the pump will return to step 3 Re enter the access code and repeat step 4 On completion of bolus delivery the infusion will resume fh iii hil H i li i TN LMA ALEHA PRD Martial
5. hr Lock out 5 min Bolus dose 2ml 0 20 ml Press YES to Confirm Syringe Sizes Enabled 50 60 ml Press YES to Confirm Pre Loading PRESS NO TO STOP 26 11 2008 16 45 Occlusion 540mmHg Titration Enabled Battery Status 79 Pump name software version and pump ID displays Use the keys to enter access code Press START YES to confirm To allow protocol selection press STOP NO for New Therapy Use keys to select Protocol Lock OFF Press START YES to confirm Use keys to select the Protocol required Press START YES to confirm Read Protocol summary screens ALWAYS ENSURE THE PROTOCOL DISPLAYED MATCHES THE PRESCRIPTION Press START YES to confirm Syringe sizes that can be used for this protocol Press START YES to confirm Actuator is moving to the last syringe start position During actuator movement pump settings are displayed Check pump settings and load syringe Load Syringe qm 6 50ml BD Plastipak Press YES to Confirm or for options Purge System Slack WARNING Disconnect patient from the pump Press YES to Confirm Hold FF key to purge Purge 0 00ml Press NO when done Purge completed Press NO when done 50mI BD Plastipak Volume 49 8 Press YES to Confirm B Morphine 2 mg Rate 2 mil hr Min 0 mli hr Max 20 mi hr Press YES to Confirm Bolus rate 300 ml hr Lock out 5 min Bolus dose 2ml 0 5 ml Press YES to Confirm Start Protocol Load Syringe graphic fla
6. shes until the syringe is detected by the three sensors Displays syringe brand and size detected Press START YES to confirm Close and lock locking cover If purge not required press NO screen will forward to Syringe Deliverable Volume If purge required press START YES to confirm ENSURE LINE IS DISCONNECTED FROM THE PATIENT BEFORE PURGING Press START YES to confirm Press and hold FF Back key until system slack is removed If full purge volume is delivered purge completion is shown and screen moves forward automatically Alternatively press STOP NO to confirm completion Screen confirms syringe deliverable volume Press START YES to confirm Read Protocol summary screens ALWAYS ENSURE THE PROTOCOL SELECTED MATCHES THE PRESCRIPTION Press START YES to confirm Press START YES to start the infusion Infusion Running Screens B Morphine B Morphine Rate 0 ml hr Rate 0 ml hr Bolus 1 ml Bolus 1 ml Lock out 5 mins Lock out 5 mins Last bolus mins Last bolus mins lt lt lt lt lt Pump Operating 50 ml BD Plastipak Bottom line of screen information will alternate during infusion Bolus Dose Titration SCENARIO Change bolus volume from 2ml to 1ml While infusion is running press key if rate titration is also enabled press twice Bolus Dose Titration Press YES to Continue Press START YES to confirm Bolus Dose Titration Enter Level 1 Code Enter access code 0 press START YES to confirm Set
7. usion Syringe Empty Result Cause Action Pump stops Connect to power lead Current infusion programme has completed Turn the pump off or change the syringe to start a new infusion Clamp on the infusion line or tubing is occluded kinked Release the clamp Flush or replace access device as per local policy TPCA Pain Management Pump Quick user guide Feature recognition O ont novi BR WN 1 2 Bl 7 Ly Infrared light to connect to BodyComm Power ON OFF Operation LED infusion running alarm paused state FF forward moves actuator forward Check Syringe Check Line and Syringe h h i les is not detecting anecon oa yring Pump has reached t Ig Glaar the occliicion Back moves actuator backwards minimum travel position Plus scrolls between options Minus scrolls between options START YES confirms choices INFO displays technical data and battery status Incorrect Incorrect code has Use to enter correct The pump has been paused on Restart infusion continue A A Access Code System Error Press and hold INFO for details been entered An internal system error numerals If pressing INFO does not provide adequate information to resolve error take pump out of use Press Pump Paused Too Long Error Startup MotStop Fail stand by for more than 2 minutes pause or turn power off If error recurs take pump out of use Press INFO to obtain error An internal system error message

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