Set loading Frequently asked questions Channel Error
Contents
1. 0 A Delay Options 08 00 Pause Pause Pause Delay for DAEVA AI 9 00 None Delay for Delay for DAEA 9 00 After Delay until 9 00 and After CALL BACK aaa gt Select Callback or Press CONFIRM CONFIRM Figure 1 Figure 2 Figure 3 gt Select Callback or Press gt Select a Callback Option Note With the Delay Option KVO reversion is not possible at the end of an infusion When the delayed infusion completes the system will not display an audio or visual alert unless a Callback option has been programmed For product support please contact Customer Advocacy at 888 812 3266 or email customerfeedback carefusion com For technical support please contact Instrument Technical Support at 888 812 3229 For product orders please contact Customer Order Management at 800 482 4822 2013 CareFusion Corporation or one of its subsidiaries All rights reserved Alaris and SmartSite are trademarks or registered trademarks of CareFusion Corporation or one of its subsidiaries IF2138 0613 2000 CareFusion San Diego CA carefusion com Secondary setup Note Primary tubing must contain a check valve 1 Prepare secondary container close roller clamp on secondary tubing and spike secondary container 2 Swab top of Y site port on primary tubing with appropriate antiseptic and attach secondary line to the port 3 Hang primed secondary container from IV pole 4 Hang primary container LOWER using hanger s provided in2. Alaris System with the Alaris Pump module Priming S Prepare the set vent lt Drip chamber 1 Close roller clamp 3 full 2 Spike and hang fluid container Note Position primary container above top of Alaris Pump module If possible adjust IV pole so top of fluid in primary container is approximately 20 above top of Alaris Pump module If it is lower flow will slow slightly a Fill drip chamber 7 full M gt Ww Open roller clamp and slowly prime tubing Priming slowly helps minimize turbulence that can s cause air bubbles to form off 5 Close roller clamp when priming is complete Notes 0 2 micron filter ae s al Do not invert e Ensure vent is closed whenever spiking a new bottle If vent is open fluid could wet the vent es and in effect flow will slow or block and air bubbles may form in tubing il e After priming drip chamber open vent cap i e Use a syringe to aspirate air from SmartSite needle free valves if desired e When priming a set with a filter do not invert filter y e Maintain filter at or below level of vascular access site device while connected to patient y Set loading Hold upper fitment above fitment recess and lower into recess Warning Do not push or snap upper fitment snugly into upper recess Grooves in fitment should fit Ens
3. a fluid container Clean AIL detector as needed using a cotton If device continues to alarm for AIL label module Do not stretch tubing especially pump segment in blue sheath when removing IV tubing from package and inserting into Alaris Pump module and hang vertically a fingertip to firmly push tubing toward back of AIL detector Figure 4 If possible allow solutions to warm to room temperature Infusing a chilled solution may cause air bubbles to form as cold solutions begin to warm than patient to maintain positive pressure to prevent air from entering IV tubing swab moistened with water and send it to biomedical engineering Figure 4 Frequently asked questions Can infuse blood products through the Alaris Pump module Yes the Alaris System causes no clinically significant hemolysis while infusing red cells or platelets Can use a POWER INJECTOR with the Alaris System tubing Our dedicated sets are not designed to withstand pressures above 30 psi Power injectors may deliver a bolus above 100 300 psi Always use sets labeled for this use CareFusion offers selected SmartSite needle free valves and SmartSite extension sets for use with low pressure power injectors up to 325 psi and maximum flow rate of 10 mL second Why did I notice a bulge in the pumping segment of the administration set IV pushes can cause excessive pressures and balloon the silicone tubing Clamp off the tubing above the push s
4. atient and any Alaris Pump module is not disassociated from the originally programmed Alaris PC unit all previously entered programming values appear when Channel Select and Restore are pressed on the main display Delay Start Options with Delay Start Callback What is the Delay Start Option feature The Delay Start Option allows the user to schedule program an infusion to be delayed for up to 120 minutes or until a specific time up to 23 hours 59 minutes A Delay Start Callback also allows the user to select an audiovisual callback alert There are three types of callbacks Before Callback can be scheduled to occur when the delay is completed and infusion needs to be initiated After Callback can be scheduled to occur when the delayed infusion is complete Before and after Callback can be scheduled to occur when delay is completed and infusion needs to be initiated and when delayed infusion is complete Note With a delayed start another infusion is assumed to be running to keep the IV line patent until the delayed infusion begins How to program a Delay Start with a Callback 1 Select Delay Options soft key on Alaris PC unit 2 Select option for type of delay and enter in desired value Figure 1 3 Prior to pressing Confirm to initiate delay option press Callback soft key Figure 2 4 Select type of callback desired 5 To initiate delay and callback press Confirm Figure 3 A Delay Options 08 00 Al Delay Options 08 0
5. ays a SYSTEM ERROR message on the main display and instruction C Green infusing indicators continue to illuminate Infusions continue as programmed Drug name and dose scroll on the module display s B Audible alarm tones indicate the system is in an alarm state D The SYSTEM OFF soft key appears at the bottom right of the display Channel Error What does Channel Error mean The Alaris Pump modules run self checking programs prior to and during operation A CHANNEL ERROR message means the device has discovered an error either in the hardware or software of the affected channel OPERATION ON THE AFFECTED CHANNEL WILL STOP BUT NOT ON THE OTHER INFUSING CHANNELS What should I do To silence the alarm and continue operating the unaffected channels press the CONFIRM soft key Obtain a new pump module OPERATION ON THE AFFECTED CHANNEL WILL STOP It may be necessary to utilize the Restore function on the unaffected channels that may have been attached and reattached to the Alaris PC unit during the alarm state Return the affected pump module to biomed A The system displays CHANNEL ERROR on the main display C CHANNEL ERROR scrolls on the affected module s display and instructions D The CONFIRM soft key appears at the bottom left of the B The flashing red light on the module and audible alarm main display tones indicate that the unit is in an alarm state Operation on the affected channel will stop Pump
6. chamber blocked What is a blocked pump chamber A pump chamber blocked alarm indicates the tubing inside the pump is blocked Why does it occur If the tubing inside the pump is held under fixed compression for a prolonged period of time on occasion it will fuse closed The effect is related to the amount of time the tubing spends in a compressed state Pump chamber blocked alarms are most likely to occur e When primed tubing is loaded into the pump hours before the start of the infusion with the door left closed e When Multi Dose or Delay Option modes with significant delay periods are used What should do 1 Close roller clamp and open door Press CONFIRM Remove tubing Open roller clamp and press RESTART Massage tubing from top to bottom to restore flow Verify flow in drip chamber after restarting infusion oN O 2 3 4 Reload set and close door Change set if not able to establish flow 5 Press NEXT Suggestions for prevention e Load tubing into pump shortly before start of infusion e f tubing has been closed in pump for many hours tubing should be checked for possible occlusion prior to starting infusion satt ean Reduce air in line alarms 1 5 Gently squeeze drip chamber to 7 full Slowly prime to avoid turbulence When inserting the tubing into AIL detector use Keep Alaris System level with or slightly lower Pause channel before replacing
7. etween the current pressure reading filled bar and the occlusion alarm limit marker If this space is getting smaller the pressure is increasing and vice versa When the pressure bar reaches the occlusion alarm limit marker an occlusion alarm will be triggered CareFusion
8. in mmHg Press Up or Down Note With each key press the pressure limit will increase or decrease in 25 mmHg increments 4 Once reaching the desired new pressure limit press Confirm Notice the change in tick mark on the pressure bar graph on the main display for the channel How does the Dynamic Pressure display work and what exactly is being displayed for the Alaris Pump module The Dynamic Pressure Display provides a real time graphical display of the current patient side downstream pressure reading and the occlusion alarm threshold This is useful to see graphically how close the pump is to reaching the occlusion alarm threshold and or whether the pressure is increasing or decreasing The Pressure display uses a rectangle bar that extends from the left to the right side of the screen and in the case of the Alaris Pump module represents a range of 0 525 mmHg 0 10 2 psi The bar is filled in up to a point representing the baseline downstream pressure reading at the beginning of an infusion or the current downstream pressure reading during an infusion A line marker is also shown representing the current occlusion alarm limit The pressure display information is updated every 10 seconds but is not updated when the instrument is Paused or in Alarm On the pressure display what should I look at to monitor pressure changes in the line for the Alaris Pump module To monitor changes in the patient side pressure observe the range or space b
9. ite below the pump to prevent excessive pressure from reaching the pumping chamber Can use the Alaris PC unit and Pump modules in hyperbaric chambers or near magnetic resonance imaging MRI or a linear accelerator No the Alaris System is not certified for use in oxygen enriched environments The Alaris System is not MRI compatible and cannot be used near MRI including Stereotaxis technology CareFusion does however offer extra long extension sets that can be utilized to keep the pump outside the MRI area Does the Alaris Pump module have a battery No the Alaris Pump module requires an Alaris PC unit for power and operation What kind of battery does the Alaris PC unit have and what is the battery run time The battery type is nickel metal hydride NiMH Battery run time is a function of the number of modules attached and module activity If your facility has enabled the Battery Meter Display feature the Alaris PC unit will display the remaining battery run time calculated based on the Alaris System s current operating conditions With a new fully charged battery the system will operate as follows before a Battery Discharged message occurs eight hours with one pump module infusing at 25 mL hr and four hours with four modules infusing at 25 mL hr Battery recharge time three hours to 90 six hours to 100 while running The battery will have the longest life if the instrument is plugged in and battery use is infrequent Frequent
10. re seen lower primary fluid on another hanger Set removal 1 Close roller clamp 2 Open pump module door Note When door is opened administration set safety clamp fitment will automatically close to help prevent accidental free flow 3 Gently pull tubing below air in line AIL detector forward and out 4 Lift upper fitment from upper fitment recess Note Safety clamp fitment is closed white clamp is extended when removed from pump When reloading administration set into pump leave white clamp on safety clamp fitment closed extended then follow set loading steps System Error troubleshooting What does System Error mean The Alaris PC unit software runs self checking programs prior to and during operation A SYSTEM ERROR message means the device has discovered an error either in the hardware or the software of the Alaris PC unit All channels will continue to operate and the device will continue to deliver infusions but the pump will not accept any changes to the rate dose or VTBI What should do Press Silence key and obtain a new Alaris PC unit Do not select System Off until the new unit is available Operation will continue on all channels Programmed settings on the pump will not be restorable so current rate dose and VTBI settings should be noted and recorded prior to powering down the unit Tag unit describing the error and return it to clinical engineering or biomed A The system displ
11. secondary set Note Accurate secondary infusion delivery depends hanging secondary container sufficiently higher than primary container Primary bag 5 Open vent on the drip chamber if secondary container is glass Gadi or semi rigid valve Y site 6 Open roller clamp on secondary set nar 7 Program secondary infusion After infusion starts ensure that drops fall are ump leve in secondary drip chamber and not in primary drip chamber with the patient Note If drops are seen in primary drip chamber lower primary fluid on another hanger Accurate Secondary mode infusion depends on hanging secondary container sufficiently higher than primary container Helpful hints Secondary bottles may need to be higher than secondary bags e Factors such as size of secondary container restrictions in flow path and rate of delivery of secondary fluid can influence infusion duration e Secondary fluid containers such as 50 mL or 100 mL mini bags that are usually delivered at lower flow rates typically require only one hanger e If secondary container is large or secondary flow rate is high perform a simple test to ensure that no unwanted primary flow will occur during the secondary infusion Start secondary infusion Note level of bottom of secondary container By hand lower secondary container so top of it is where it will be when the bag empties Watch for drops in primary drip chamber If drops a
12. ure tubing is not twisted square in upper fitment tubing press safety clamp fitment into retainer recess Prime set close roller clamp Firmly push tubing toward back of air in line detector Do not touch stretch or flick pumping segment Gently close module door with one hand grasp top of module while lowering hatch with other hand Open roller clamp and verify that no fluid is flowing through drip chamber Examples of improper loading Note Unregulated flow or over infusion may result if door is not fully closed Restore feature The Restore feature can be utilized in several different ways e When programming VTBI reaches O and Alaris Pump module scrolls INFUSION COMPETE KVO the same VTBI re establishes when Channel Select is pressed The previously entered VTBI for the subsequent infusion reappears when Restore is pressed on the main display screen e When any Alaris Pump module is powered off and relocated but not disassociated from the originally programmed Alaris PC unit all previously entered programming values appear when Channel Select and then Restore are pressed on the main display e When any Alaris Pump module is powered off and not relocated on the originally programmed Alaris PC unit all previously entered programming values appear when Channel Select and then Restore are pressed on the main display e When the entire Alaris System is powered off and powered on within eight hours select NO to New P
13. use of battery power and insufficient battery charge cycles will significantly decrease the life of the battery Does the Alaris System alarm for an infiltration No the Alaris Pump module is not designed or intended to detect infiltration What are the pressure mode selections with the Alaris Pump module There are two pressure modes available to determine the patient side occlusion limit with the Alaris Pump module 1 Pump mode where the downstream occlusion alarm threshold is 525 mmHg at flow rates of 30 mL hr or greater For rates less than 30 mL hr the occlusion pressure is rate dependent to ensure rapid response to occlusions 2 Selectable Pressure mode where the downstream occlusion alarm threshold can be adjusted in 25 mmHg increments from 50 mmHg up to the value set as the profile s maximum occlusion pressure up to a maximum of 525 mmHg Pressure must reach the hospital established pressure limit before the occlusion warning will alarm How do change the pressure mode on the Alaris Pump module 1 Press Channel Select on the channel to be adjusted for pressure limit or pressure mode 2 Press Options How do adjust the pressure limit on the Alaris Pump module 1 Press Channel Select on the channel to be adjusted for pressure limit 2 Press Options The Pressure Limit Selection screen will display the pressure limit options Pump and Selectable 3 Choose the Selectable option Note The current pressure limit is listed
Download Pdf Manuals
Related Search