Infusomat Space Quick Reference Guide March 2016

Quick Reference Guidelines for Perfusor® Space PCA

Turning Pump On & Inserting Syringe

1. Press to switch on the pump. > The pump will go through a series of self checks and the drive arm will extend. 2. Open the pump door then open the syringe holder and turn fully to the right. 3. Insert the syringe with wings upright. Ensure the green clasp is situated to the right of the wings.

4. Close the syringe holder and the pump door. If the wings of the syringe are not correctly placed within the green clasp, “Syringe invalid” will be displayed on the screen. Open syringe holder and replace syringe correctly. 5. Confirm the correct syringe brand and size by using , then . The drive unit advances automatically and grips syringe. The syringe brand selected on the pump must correspond with the syringe inserted. DO NOT block the advancing drive.

Quick Reference Guidelines for Perfusor® Space PCA

Setting Up The Therapy

1. The pump will ask you MUST answer YES by using the otherwise the pump will not function as a PCA! 2. Highlight the relevant drug category/drug profile using and then press 3. The pump will confirm ‘Data Lock is Active’.

arrow key: to confirm.

4. If you have not already done so – secure both the front and rear locking mechanisms: The Screen will now display the default settings for your chosen protocol Use to scroll through the Main Menu to check ‘Bolus, Max Limits & Background Rates’ 5. Press to commence PCA: If an initial bolus is possible , input the amount you wish to deliver using and press . Moving arrows on the display plus a Green operating light indicate the pump is infusing: The Green light remains lit, but arrows become stationary when the bolus is complete. Once the PCA has been commenced any changes will require the 4 Digit Code.

SETTING THE THERAPY

Quick Reference Guidelines for Perfusor® Space PCA

Changing Rates & Understanding The Display

The background/basal rate can only be adjusted by inputting the 4 digit Clinician’s Code! You may not be authorised to do this – please contact your pain service: 1. Whilst pump is infusing, press

.

The 4 Digit code will be required at this point: 2. Select new rate by using . 3. Confirm new rate by pressing

.

If user does not press within 20 seconds, an amber ‘value not accepted’ reminder alarm will sound. Pump will continue to run at previous rate. Pressure Monitoring

Pump screen will display:

Current Therapy

Pump Running

Battery Capacity Pump Locked Background Rate

Infusion Information

Quick Reference Guidelines for Perfusor® Space PCA

Patient Bolus History

The pump will give you access to information about the patient’s use of their PCA: Pressing

Pressing

will bring up the patient usage history screen . Rem.lock = remaining Lockout time. A/D = actual number of Administered boluses, compared to boluses demanded by patient. Rem.limit = remaining available drug which can be administered, within the pre-set period of time.

a second time will bring up the SpacePCA-Chart

.

Points above the axis represent the number of boluses administered and those below represent the number that have been refused. The chart has a 15 minute resolution and shows a max of 5 points per 15 minutes. Should more than 5 boluses be given/refused in this time, the last point will turn bold. Changes to the PCA parameters are displayed as arrowheads at the bottom of the chart.

CHANGING RATES/ BOLUS HISTORY

Quick Reference Guidelines for Perfusor® Space PCA

Patient Bolus History

More detailed information is accessible via the Status Menu: 1. While pump is running, press to access Main Menu. 2. Use to scroll down to highlight Status and press to access.

The following describes what this information tells the user: Rem.lock = remaining Lockout time. A/D = percentage of how many successful button presses the patient has had. A/D = actual number of Administered boluses, compared to boluses demanded. Rem.limit = remaining available drug which can be administered, within the pre-set period of time. Volume = cumulative volume administered to clear, press and then answer ‘yes’ with . Amount = cumulative amount of drug administered. Time = cumulative running time (can be cleared, as above). Volume t = cumulative volume, cannot be cleared. Time t = cumulative running time, cannot be cleared.

Patient Administered Bolus & Additional Bolus Requirements

Quick Reference Guidelines for Perfusor® Space PCA

Ensure that the patient has had adequate education on the use of their patient control hand held button. They must understand their PCA pump fully! Use the clasp to fasten the patient handset cord to the patient’s bedding or clothing. Advise the patient of how long the ‘Lockout’ period is, and why this is important. 1. Each time the patient presses the button, outside of the prescribed Lockout period, the patient will receive the prescribed bolus of the medication. 2. At this time, the screen will display the amount of the bolus being delivered, called PCA Bolus The arrows will once again move. Additional Bolus Requirements: 1. Press to access the Bolus Screen The 4 Digit code will be required at this point. 2. Press to access the set Bolus Dose Screen. Use to set the required bolus. 3. Press key to commence bolus delivery.

.

Once the bolus has completed the pump will default back to the Running Display.

PATIENT ADMINISTERED BOLUS

Quick Reference Guidelines for Perfusor® Space PCA

Adjusting the Pressure Settings

1. If the infusion is running press to return to the Main Menu. When the infusion is stopped it will automatically be in the Main Menu. 2. Highlight the Options menu 3. Once Options is highlighted, press 4. Press 5. Use

. .

to access the pressure settings

.

to adjust the pressure alarm setting

.

Adjust in accordance with local policy. The higher the pressure alarm level is set, the higher the resistance must rise before triggering an occlusion alarm. Increasing the pressure alarm setting may lead to a prolonged alarm reaction time. 6. Press

to confirm the new pressure setting.

If the pump is running it will automatically default back to the running display. If the pump is not infusing, press to return to the main menu.

Changing The Syringe – Discontinuing Therapy

Quick Reference Guidelines for Perfusor® Space PCA

Clamp the line to the patient to avoid dosage errors during syringe change. Never leave the pump unattended during syringe change. 1. Stop the infusion by pressing . The 4 Digit code will be required at this point if running in Data Lock 3. 2. Pull back on the Syringe Holder and release back into the closed position. (fig C)

fig C)

fig D)

3. Answer YES with arrow key to “perform syringe change?” Drive unit moves backwards into starting position. 4. Again pull back on the Syringe holder and turn fully to the right, open pump door and remove syringe. (fig D) 5. Replace Syringe and load as per scenario 1, or turn the pump off by pressing for 3 seconds. If syringe is completely empty you will not be able to turn syringe holder until the drive unit has withdrawn.

ADJUSTING PRESSURE/ DISCONTINUING THERAPY

Quick Reference Guidelines for Perfusor® Space PCA

“Syringe nearly empty” Very little fluid left in syringe. Confirm the alarm by pressing alarm by pressing

or mute the

Troubleshooting AMBER Alarms “Time near end” Pre selected time has almost finished. Press to mute alarm, infusion will continue and the time remaining will flash on the display.

“VTBI near end” “Battery nearly empty” The pre selected volume is almost finished. The battery is almost discharged. Press to mute alarm, infusion will continue and the time remaining until end of VTBI will flash on the display.

You have 30 minutes before the pump will automatically turn off. Press to mute alarm, connect to mains or replace battery pack.

Troubleshooting RED Alarms

Quick Reference Guidelines for Perfusor® Space PCA

“Device alarm”

“Syringe holder”

Press to switch the pump off, then immediately switch back on. If self check is then completed, continue to use the device. Should alarm re-occur, note the error code, withdraw pump from use and report fault as per local policy.

The syringe holder was opened during a running infusion. Close syringe holder, press to mute alarm. Change syringe if needed or press to continue the therapy.

“Pressure high” Occlusion in the system, set pressure level was exceeded. Press to mute alarm. Check and act accordingly. Is the tubing kinked or damaged? Is the patient access patent? Increase occlusion pressure if necessary (see Adjusting Pressure Settings). Press to restart the pump.

TROUBLE SHOOTING

“Syringe empty” No fluid left in syringe. Perform syringe change or end therapy.

Quick Reference Guidelines for Perfusor® Space PCA

“VTBI infused” Pre selected volume infused and KVO inactive. To enter new VTBI: 1. Press to mute alarm. 2. Highlight VTBI, press . 3. Use to enter VTBI and press 4. to restart infusion.

Troubleshooting RED Alarms “Battery empty” The battery pack is discharged, user has 3 minutes before the pump will automatically turn off. Connect to mains or replace battery pack.

.

Or to end infusion: Remove syringe and turn the pump off.

Quick Reference Guidelines for Perfusor® Space PCA

Data Lock Quick Reference

Action

Data Lock 1

Data Lock 3

Change PCA therapy data

Requires DL1 code

Requires DL3 code

Changing the syringe

No code required

Requires DL3 code

Turn the pump off

No code required

Requires DL3 code

Restart the pump following RED alarm

No code required

Requires DL3 code

Bolus key function

Additional, clinician defined bolus

Patient demand press (unless pump is unlocked)

View A/D, Vol, Dose & Rem Limit

Main running screen & Status Menu

Status Menu

TROUBLE SHOOTING/ QUICK REFERENCE

This booklet is provided for reference only. Prior to operating this equipment all users should consult the full Instructions For Use.

B. Braun Medical Ltd | Hospital Care Division | Thorncliffe Park | Sheffield S35 2PW Tel: 0114 225 9000 | Fax: 0114 225 9111 | www.bbraun.co.uk

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