Kangaroo Joey Inservice Introduction

Enteral is a term used to describe the intestines or other portions of the digestive tract. • Total Parental Nutrition (IV) vs EN-gut still has function • Liquid Diet-when the gut works use it • Naso vs PEG

Indications for Enteral feeding Why Use Enteral Feeding Pumps? • Stroke (CVA’s) • Trauma • Dysphagia • Crohn’s Disease • Hypermetabolism • Burns

• Short Bowel Disease • Inflammatory Bowel Disease • Malabsorption • Fistula • Cancers-Mouth, Throat

Nasogastric Tubes

Entriflex Naso Gastric Feeding Tube

GiEntri Salem Sump

Skin Level Device F&B’s

*Data on file

Regimens for enteral feeding • Pumps can administer enteral feeds by continuous, intermittent or bolus methods – CONTINUOUS: feeding for 24hrs continuously by either gravity drip or most commonly feeding pump – INTERMITTENT: feeding is stopped for 4-16hour period either during day or night; delivery by feeding pump or gravity-active people – BOLUS: rapid delivery of a prescribed volume over a time period of 15-60mins by syringe or feeding pump

Goals of Enteral feeding • Prolong life • Improve patient comfort-discharge from hospital • Prevent nutritional decline and consequences • Benefit must outweigh burden • Cost is approx $20 a day-hardware is less than $5

A long history in Enteral Feeding.. Kangaroo ePump Kangaroo 524 “EntriFlush” Kangaroo PET 2100 Kangaroo 224

Programmable flushing & hydration

Kangaroo Joey Programmable flushing & hydration

First flushing pump

First ambulatory pump

Kangaroo 220 Kangaroo 924

Kangaroo 624 “Control” Kangaroo 324

1981

1988

1991

1995

2000

2005

2007

2007

E-Technology Feeding Pumps

Kangaroo™ Joey Features of the Pump: • Paediatric & adult use • Altitude independent • “ATM-style” ease of operation • “Smart” pump set technology • Anti-free-flow pump sets • Programmable flushing capabilities • Feeding history up to 72 hours • DEHP-free pump sets

Kangaroo™ Joey Specifications

Kangaroo™ Joey Menu Selections Menu Selection Buttons Graphic Display

Status Line

Status LEDs Input Settings Output Totals Power Button Battery Status

The Anatomy of a KANGAROO Joey Set (Feed Only) Peristaltic Tubing

Wraps around the rotor of the feeding pump

Anti-Free-Free Flow Valve

Black Ring Retainer (MISTIC)

Automatic identification of the type of set loaded to the pump. Single Ring – Feed Only Set Double Ring – Feed and Flush Set

“Running” Screen • KTO ( Keep Tube Open) function: 240mins on hold before alarming. KTO is designed to minimise feed blockages by allowing minute amount of feed to flow at intervals. • HOLD Function: Maximum period of ‘Hold’ 10mins before alarming. • Flush Now A flush can be immediately delivered at the touch of a button

“Holding” Screen • Clear Volume Fed : Clears the volume that is displayed on the screen • Adjust Settings: Access Prime Pump / Adjust Feed Screen • Resume in (30 minutes no alarm) • Run • History: Holds up to 72 hours of feed history (cannot be cleared)

Additional Information • General Cleaning Directions A mild detergent should be used for general cleaning. For disinfection a 10% hypochlorite solution, isopropyl alcohol or Ammonium Chloride based solutions may be used. Allow excess moisture to evaporate from the cord prior to use of A/C Power Adapter.

Additional Information • Lock Screen: To lock the screen, use the following procedure while the pump is in RUNNING mode: Press and hold the third button from the top (with padlock next to it) for at least 4 seconds, and then release it. To unlock the screen, use the same procedure above.

Important Information • 25ml rinsing flush will automatically be delivered at end of the last feeding session. • This flush will be delivered as long as one programmed flush has occurred, whether by interval or by use of ‘Flush Now’ feature. • 25ml rinsing flush will not be delivered if no flushing is programmed.

Training Resources • Quick reference user guide • Joey resource booklets • Interactive training site www.kangaroopumptraining.com