Configuration Manual
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SYRINGE INFUSION PUMP
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Configuration Manual
3010/3010a SERIES
Medex .................................................................................................................................................. 3010/3010a
Table of Contents INTRODUCTION ...................................................................................................................................................... 1 Finding Relevant Information------------------------------------------------------------------------------------------------------------- 1 CUSTOM CONFIGURING FEATURES & OPTIONS ................................................................................................................ 2 Custom Configuration Overview --------------------------------------------------------------------------------------------------------- 2 Factory Default Configuration ------------------------------------------------------------------------------------------------------------ 3 Three Major Sets of Defaults............................................................................................................................................... 3 Enabling, Disabling, and Moving -------------------------------------------------------------------------------------------------------- 4 Table Of Custom Configuration Options ------------------------------------------------------------------------------------------------ 4 Table of Library Features------------------------------------------------------------------------------------------------------------------ 7 Table of Configuration Cloning Features------------------------------------------------------------------------------------------------ 9 PASSWORD PROTECTION ........................................................................................................................................ 10 Using the Custom Configuration Security Code -------------------------------------------------------------------------------------- 10 RESTORE & USE DEFAULT CONFIGURATION SETTINGS .................................................................................................... 11 Why Use Default Configuration Settings? --------------------------------------------------------------------------------------------- 11 Restoring Default Settings---------------------------------------------------------------------------------------------------------------- 11 Tables of Default Settings for Anesthesia, General, and NICU --------------------------------------------------------------------- 12 By Syringe Manufacturer................................................................................................................................................... 12 By Delivery Modes............................................................................................................................................................. 13 By Program Options.......................................................................................................................................................... 14 By Auto Prompt Options.................................................................................................................................................... 14 By Other Default Options .................................................................................................................................................. 14 CONTROLLING ONSCREEN APPEARANCE ...................................................................................................................... 16 Reordering Features Onscreen ----------------------------------------------------------------------------------------------------------- 16 Enabling / Disabling / Moving the Page Break ---------------------------------------------------------------------------------------- 18 Rules for Using Page Breaks............................................................................................................................................. 18 Steps for Placing the Page Break ...................................................................................................................................... 18 ENABLING / DISABLING / MOVING SYRINGES ............................................................................................................... 19
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3010/3010a .................................................................................................................................................. Medex Enable or Disable Syringes by Manufacturer------------------------------------------------------------------------------------------ 19 Reordering Syringe Manufacturer Order ..........................................................................................................................21 ENABLING / DISABLING / MOVING DELIVERY MODES ...................................................................................................... 22 Table of Delivery Modes----------------------------------------------------------------------------------------------------------------- 22 Enable / Disable / Move Delivery Modes ---------------------------------------------------------------------------------------------- 25 Custom Program--------------------------------------------------------------------------------------------------------------------------- 26 Moving “Custom Program” Onscreen ..............................................................................................................................26 Biomed ------------------------------------------------------------------------------------------------------------------------------------- 28 What Does Biomed Do?.....................................................................................................................................................28 Moving “Biomed” Onscreen .............................................................................................................................................28 ENABLING / DISABLING / MOVING PROGRAM OPTIONS ................................................................................................... 30 Table of Program Options---------------------------------------------------------------------------------------------------------------- 30 Enable / Disable / Move Program Options--------------------------------------------------------------------------------------------- 32 Reordering Program Options ............................................................................................................................................33 AUTO PROMPTS ................................................................................................................................................... 34 Enable / Disable Auto Prompts---------------------------------------------------------------------------------------------------------- 34 Reordering Auto Prompts ---------------------------------------------------------------------------------------------------------------- 35 MISCELLANEOUS SETTINGS ..................................................................................................................................... 36 Pump ID Label ---------------------------------------------------------------------------------------------------------------------------- 36 Naming the Pump...............................................................................................................................................................36 Pump Naming Convention .................................................................................................................................................37 Setting Occlusion Limits ----------------------------------------------------------------------------------------------------------------- 37 Set Maximum Flow Rate----------------------------------------------------------------------------------------------------------------- 38 Set Default Bolus Rates ------------------------------------------------------------------------------------------------------------------ 39 Enable / Disable Program Dose Display ----------------------------------------------------------------------------------------------- 40 Setup & Test Pump Alarms -------------------------------------------------------------------------------------------------------------- 42 Setting Alarm Style.............................................................................................................................................................42 Set Alarm Silence time .......................................................................................................................................................43 Set Near Empty Alarm Time ..............................................................................................................................................44 Set Alarm Loudness ...........................................................................................................................................................45 Test Alarm Loudness..........................................................................................................................................................47 Set & Test Keyclick (Beep) Loudness-------------------------------------------------------------------------------------------------- 48
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Medex .................................................................................................................................................. 3010/3010a Testing Keyclick (Beep) Loudness ..................................................................................................................................... 49 WORKING WITH LIBRARIES & TEMPLATES................................................................................................................... 50 Default & Other Library Settings-------------------------------------------------------------------------------------------------------- 50 What Are Standard Libraries Templates? ---------------------------------------------------------------------------------------------- 51 Enable / Disable Standard Library Usage ---------------------------------------------------------------------------------------------- 51 Reordering Library Display Position ................................................................................................................................ 53 What Are E-Plates Library Templates?------------------------------------------------------------------------------------------------- 53 Enabling / Disabling E-Plates------------------------------------------------------------------------------------------------------------ 54 Displaying E-Plates Options ............................................................................................................................................. 55 Create & Save A Library Entry (Template) -------------------------------------------------------------------------------------------- 56 Disable “Save to Library” Before Sending Pump to Workplace....................................................................................... 56 Saving a New Template (Entry)......................................................................................................................................... 57 Template Naming Conventions.......................................................................................................................................... 59 Reusing Templates............................................................................................................................................................. 59 Libraries Must Be Enabled Before You Can Use Them..................................................................................................... 59 Libraries Must Follow Standards & Practices.................................................................................................................. 60 Enabling the Libraries....................................................................................................................................................... 60 Clear Library Entry (or Template) ------------------------------------------------------------------------------------------------------ 61 Clear All Libraries------------------------------------------------------------------------------------------------------------------------- 63 CONFIGURATION CLONING ...................................................................................................................................... 64 What is Configuration Cloning? --------------------------------------------------------------------------------------------------------- 64 Teaching and Learning ------------------------------------------------------------------------------------------------------------------- 64 Preparing for Configuration Cloning---------------------------------------------------------------------------------------------------- 64 Using The Teach Mode ------------------------------------------------------------------------------------------------------------------- 64 Using The Learn Mode ------------------------------------------------------------------------------------------------------------------- 66 Troubleshooting the “Learn Error – Remote Not in Teach Mode” Error Message ----------------------------------------------- 67
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Medex .................................................................................................................................................. 3010/3010a
INTRODUCTION This manual is designed to teach you the customizing process for the 3010 and 3010a infusion pumps. Through customization, you make the pump meet the specific needs and purposes of your unit, organization, department, or hospital. You must be thoroughly familiar with the contents of the Operation Manual as well as this manual, before customizing the features and options of the pump. This manual presumes you have studied the Operation Manual, and you must be fully competent with using the pump.
Usability
This manual and its contents are valid for use with all software versions starting with 2.0.x; for example, 2.0.0, 2.0.1, etc.
FINDING RELEVANT INFORMATION Refer to the 3010 and 3010a Infusion Pump Operation Manual for the following important information: • • • • • • • •
Important Operation Notices Correct Use of This Pump Intended Use Features & Controls Technical Specifications & Definitions Syringe Manufacturers & Standard Operation Warnings & Cautions Guidelines For Enhanced Pump Performance
1998-1999 by MedexMedical . All Rights Reserved.
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3010/3010a .................................................................................................................................................. Medex
CUSTOM CONFIGURING FEATURES & OPTIONS This chapter contains definitions and a requirements overview for customizing the operations of the 3010 or 3010a infusion pump. This includes custom selection, enabling or disabling, and setting pump features. The actual configuration any 3010 or 3010a infusion pump has depends entirely on whatever its current settings may be. If you don’t know what the current setting are, you should review them before changing them. You should also learn who last setup the pump, and whether you are authorized to change their settings for a particular pump. The only people who should be authorized to setup & monitor any infusion are nurses, physicians, or other health-care professionals with training to practice infusion therapy and operate the 3010 or 3010a syringe pumps.
CUSTOM CONFIGURATION OVERVIEW What follows is a basic overview of the configuration utility, what it is intended for, and how to use it.
Multiple Changes Are Possible
While the following steps describe making a single configuration change, it is not necessary to exit customization before making additional changes. Once you have started using the configuration utility you can make as many changes as you wish before you exit.
1.
The pump must be ON and ready for use.
2.
At the SELECT THE MODE screen, find and select the CUSTOM PROGRAM feature. (Depending on the current setup for your pump, you usually have to press the More button and search for it on alternative screens.
3.
Type the configuration password: 3000. Then press the Enter button.
4.
Find the option or feature you wish to customize, enable, or disable. Make your changes. Usually, you must press the Stop button to save changes and exit. In other cases, your changes are saved when you exit a feature or option.
5.
You can always revise any changes you have made before exiting the configuration utility.
6.
Once you exit custom configuration, whatever changes you just made to pump configuration are now “permanent” until the next time they are changed. (Here, “permanent” means at least 10 years.)
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Medex .................................................................................................................................................. 3010/3010a FACTORY DEFAULT CONFIGURATION The 3010 or 3010a infusion pumps come with the Anesthesia Defaults as its active settings. These defaults create a basic group of features, including syringes, delivery modes, program options, libraries and their templates, occlusion settings, flow rates, and alarms. Such standard features provide a foundation for customizing the pump to meet your needs.
THREE MAJOR SETS OF DEFAULTS The 3010 and 3010a infusion pump software has three sets of factory default configurations stored in files the pump can read from but not write to. They are: • • •
Anesthesia General NICU
These can be used to restore configuration to factory settings after a pump has been customized. Their settings can also be used as “foundation” for customizing a pump to meet the specific needs of a unit, department, organization, or hospital. There are three groups of default settings built into the pump. These major groups of presets can be used to undo all customizations which have been made to a pump, and restore it to a more standard usage. For information on restoring and/or using Default Configurations, see the chapter titled “Restore & Use Default Configuration”.
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3010/3010a .................................................................................................................................................. Medex ENABLING, DISABLING, AND MOVING The most common capability of custom configuration is allowing you to simply enable or disable individual features and options. You can also move an enabled feature to reorder its appearance onscreen. When a feature or option is enabled, you can use it. All its settings or options are available to select from on applicable screen. When a feature or option is disabled, you cannot use it. None of its settings or options are available to select from on any screen. The same holds true for enabling and disabling syringes for use with the pump. The parameters for correctly using the syringes become available or unavailable. In other words, you are simply toggling a feature ON or OFF. The feature you toggle becomes available or unavailable until the next time you decide to change its status.
More Information on Enabling / Disabling
For more information on this feature, see the chapters titled: “Enabling / Disabling / Moving Syringes” “Enabling / Disabling / Moving Delivery Modes” “Enabling / Disabling / Moving Program Options”
TABLE OF CUSTOM CONFIGURATION OPTIONS The following is a table of features and options available for customization to meet the specific needs of your unit, department, organization, or hospital: Feature or Option
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What It Controls
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Medex .................................................................................................................................................. 3010/3010a The alarms are the warnings or cautions the pump sounds to let you know something is happening or about to happen. There are four major options for alarm setup: Alarm Setup
• • • •
Auto Prompts
Alarm Style – Choose International or Medex defined alarms. Alarm Silence Time – Set the interval pump remains silent after you press the button. Near Empty Alarm Time – Set the time “before the syringe is empty” when pump sounds an alarm. (This alarm may be disabled.) Alarm Loudness – Choose alarm volumes levels from very soft to very loud.
The auto prompts are “stopping points” in the setup levels. Each forces you to confirm an action, verify setting correctness, or proceed in a defined way. They are especially effective when using templates settings from the libraries – where you are using preprogrammed values as a shortcut. This pump comes with three major sets of configuration defaults intended to provide a baseline for meeting the needs of your unit, department, organization or hospital. They are: 1. Anesthesia Defaults. 2. General Defaults. 3. NICU Defaults.
Default Configurations Restore & Use
The term “default” is here defined as values or groups of values which are arbitrarily used as standard settings. But with this pump, “standard settings” are whatever values are defined as standard by your unit, department, organization, or hospital. You may opt to restore these defaults at any time through custom configuration. Tables of settings for all three groups are in the chapter titled “Restore / Use Default Configuration”.
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3010/3010a .................................................................................................................................................. Medex Feature or Option
What It Controls
Default Bolus Rate
Allows setting the default bolus delivery rate used as a standard for pump operations. This default may then be accepted or manually overridden during the actual setup of a bolus dose while programming an infusion delivery.
Keyclick (beep) Loudness
The keyclick is the beeping sound the buttons make when you press them. You can set this range from soft to very loud.
Maximum Flow Rate
Allows limiting maximum flow rate settings for normal delivery of medication or fluids.
Occlusion Limit
Allows selecting and setting from 4 different levels of occlusion limits programmed into the infusion pumps. They are: Very Low; Low; Normal; High.
Pump ID Label
Allows giving each infusion pump its own identification name and/or number. This can be useful for identifying not only the pump, but the type of configuration setup used by the pump.
Select Program Options
This pump can also use various options you can use to modify any delivery or infusion settings. They are: • • • •
Standby Loading Dose Bolus Dose Volume Limit
• • • •
KVO Save to Library Toggle PVD / PDD Override Occl Limit
Select Delivery Modes
This pump comes with numerous standard delivery modes enabled. Plus, there are also several custom delivery modes you can setup. All these delivery modes can be either enabled or disabled for use with your infusion pump.
Select Syringes
The 3010 or 3010a infusion pumps are engineered to work precisely within the physical parameters of specific syringes from specific manufacturers. Thus it comes with a database of syringes by manufacturer which are available for use with the pump.
Program Dose or Program Volume Display
You have the option of displaying onscreen during any infusion the program volume delivered or program dosage delivered. If there is no concentration set, then the display is the program volume delivered.
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Medex .................................................................................................................................................. 3010/3010a TABLE OF LIBRARY FEATURES The following is a table of features for E-Plates and Standard libraries. These can be enabled, disabled, and customized to meet the needs of your unit, department, organization, or hospital.
Feature or Option
What It Controls
The E-Plates Library contains 16 blank or used “templates” of for storing settings. Such presets include syringe size, rate of dosage, size of dosage, patient’s weight, and so on. E-Plates Library Templates
Each template can be given an easily recognized name. After you select a template for use, its name appears on the delivery screen. So you can verify correct settings by verifying the name. “E-Plates” is an abbreviation for “Electronic Templates”. When you use an E-Plate, all its presets load en masse, without step-by-step verification, and the pump pauses at the BEGIN INFUSION screen. All you have to do is check setting correctness on the screen, then press the Start button to begin infusion. The pump has 3 “standard” libraries containing 16 blank or used “templates” per library. These are user-programmable “sets” of standard values used for administering standard fluids or medications without having to setup individual dosage each time.
Standard Libraries Templates
Each template can be given an easily recognized name, with as many as 15 characters. After you select a template for use, its name appears on the delivery screen. So you can verify correct settings by verifying the name. Such standard dosages shall always be setup according to the standards & practices of your hospital, unit, or organization.
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3010/3010a .................................................................................................................................................. Medex Feature or Option
What It Controls
It is very easy to save a new template to any of the 4 libraries. This should be a carefully controlled aspect of configuration, as it take place outside the CUSTOM PROGRAM utility. 1. You must enable the SAVE TO LIBRARY feature before you can create a template.
Create & Save a Library Entry (Template)
2.
Then you have to exit custom programming and use the SELECT THE Mode feature to setup the infusion you wish to save as a template.
3.
Then use the SAVE libraries.
4.
Repeat steps 2 & 3 for each template you create.
5.
When finished creating templates, use the CUSTOM PROGRAM utility to disable the SAVE TO LIBRARY feature. Otherwise, any user can make changes to the templates.
TO
LIBRARY option to store it as a template in your choice of the 4
Once stored in a library, these templates can be reused any time you need to start a standard infusion delivery. Clear Library Entry (Template)
This is a housekeeping utility which allows erasing or deleting the contents of a single template in an E-Plates or Standard library.
Clear All Libraries
This is a housekeeping utility which allows erasing or deleting the contents of ALL templates in ALL E-Plate and Standard libraries.
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Medex .................................................................................................................................................. 3010/3010a TABLE OF CONFIGURATION CLONING FEATURES Configuration cloning is the ability to create custom configuration settings in one pump, then transfer them en masse to another pump. Below is a table of Configuration Cloning features and their definitions.
Feature or Option
What It Controls
Configuration Cloning
This is a time saving feature, rather than a specific configuration option. Cloning allows setting one pump to the precise requirements of any unit, department, organization, or hospital – then transmitting those setting to any other pump or group of pumps. This cloning process copies configuration and/or libraries from pump to pump.
Teach Mode
The teach mode is the option which allows one pump to transmit its custom configuration to another pump. The teacher transmits all settings at once.
Learn Mode
The learn mode is the option which allows one pump to receive custom configuration transmitted from another pump. The pump may learn: configuration only; libraries only; or all.
Learn Everything
With this cloning feature, the pump receives ALL custom configuration settings, including Standard and E-Plates Libraries. This takes approximately 1 minute, depending on the size of the libraries.
Learn Config Only
With this cloning feature, the pump receives ONLY the custom configuration settings. This takes approximately 10 seconds.
Learn Libraries Only
With this cloning feature, the pump receives only the library settings. This takes approximately 1 minute, depending on the size of the libraries.
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3010/3010a .................................................................................................................................................. Medex
PASSWORD PROTECTION Access to custom configuration is controlled by a security code. It is recommended you do not give this password to all users. Only persons authorized to reconfigure the pump’s operations should hold this password. The custom configuration security code is:
3000
Never tell this security setup control code to unauthorized personnel in your unit, department, organization or hospital. It is recommended your unit, department, organization or hospital establish a regulated protocol for determining who is responsible for configuring and reconfiguring the 3010 or 3010a infusion pumps. Only properly trained personnel should ever be authorized to setup this pump for use with patients.
Warning! Unauthorized Configuration
Unauthorized changes to pump configuration may cause confusion among users, which can create a hazard for use.
USING THE CUSTOM CONFIGURATION SECURITY CODE Below are the steps for accessing the custom programming or configuration mode of the 3010 or 3010a infusion pumps: 1.
The pump must be turned ON and read for use.
2.
At the SELECT THE MODE screen, press the More button until you find the CUSTOM PROGRAM option onscreen.
3.
Select CUSTOM PROGRAM by pressing its number button on the keypad.
4.
Now type the security code 3000. Then press the Enter button.
5.
The MODIFY SETTINGS screen should now appear. Make your custom configurations. Follow any onscreen prompts and directions. Your changes are either saved by pressing the Stop button, or when you exit CUSTOM PROGRAM.
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Medex .................................................................................................................................................. 3010/3010a
RESTORE & USE DEFAULT CONFIGURATION SETTINGS This pump has 3 sets of default factory configuration files intended to meet the standard needs of most organizations or hospitals. You may select, restore, and use any of these default settings at any time through customer configuration. They are: 1.
Anesthesia Defaults.
2.
General Defaults.
3.
NICU Defaults.
These default settings are stored in files which are a permanent part of the software used to run the 3010 and 3010a infusion pumps. They are read only files, which the pump can read − but you cannot change through customization. Your customizations are saved to the configuration file which tells the pump how to use the features and options you have configured. The default setting files are simply a resource you can use to restore factory settings.
Anesthesia Defaults
The 3010 or 3010a infusion pumps are shipped with the ANESTHESIA DEFAULTS configuration settings selected.
WHY USE DEFAULT CONFIGURATION SETTINGS? If you are reconfiguring a 3010 or 3010a infusion pump which has been customized repeatedly, you may find the default configurations provide a common starting point for new customization. So you may find it convenient to simply restore one of the above three default configuration settings. Then just begin making your customization from there. You will have removed all customizations made by other units or departments.
RESTORING DEFAULT SETTINGS Below are the steps for restoring the default settings for the 3010 or 3010a infusion pump: 1.
With the pump turned ON, select CUSTOM PROGRAM from the list of features.
2.
Type the password and press the Enter button.
3.
The MODIFY SETTINGS screen should now appear.
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3010/3010a .................................................................................................................................................. Medex 4.
Find and select the RESTORE DEFAULT CONFIGURATION feature. Press the More button until you locate it.
5.
The SELECT DEFAULT CONFIGURATION screen appears. The previously selected set of defaults has the highlight covering it. Select the default configuration you wish to reinstate. Your choices are: • • •
Anesthesia Defaults General Defaults NICU Defaults
6.
Pressing the number button for the selection puts the highlight on the set of defaults you intend to use.
7.
When ready, press the Enter button.
8.
The selected default settings have replaced all changes made to the pump configuration. See the following tables to review those default sets.
TABLES OF DEFAULT SETTINGS FOR ANESTHESIA, GENERAL, AND NICU This section contains a series of tables containing default setting information for Anesthesia, General, and NICU. BY SYRINGE MANUFACTURER SYRINGE MANUFACTURER
ANESTHESIA
GENERAL
NICU
B. Braun Omnifix
Disabled
Disabled
Disabled
B. Braun Perfusor
Disabled
Disabled
Disabled
B-D Glass
Disabled
Disabled
Disabled
B-D
Enabled
Enabled
Enabled
Monoject
Enabled
Enabled
Enabled
Terumo
Enabled
Enabled
Enabled
AstraZeneca
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Disabled
Disabled
Disabled
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Medex .................................................................................................................................................. 3010/3010a BY DELIVERY MODES DEFAULT DELIVERY MODES
Micrograms \ kg \ Minute Micrograms \ kg \ Hour Milligrams \ kg \ Minute
ANESTHESIA (w/Order)
Enabled, 1st
GENERAL (w/Order)
NICU (w/Order)
Enabled, 3rd
Disabled
nd
Disabled
Disabled
rd
Disabled
Disabled
Enabled, 2 Enabled, 3
th
Milligrams \ kg \ Hour
Enabled, 4
Milliliter \ Hour
Enabled, 5th
Enabled, 1st
Enabled, 1st
Recall Last Settings
Enabled, 6th
Enabled, 4th
Enabled, 3rd
th
th
Enabled, 5
Enabled, 4th
Enabled, 2nd
Enabled, 2nd
Page Break
Disabled
Enabled, 7
Disabled
Volume / Time
Disabled
Micrograms \ Hour
Disabled
Disabled
Disabled
Micrograms \ Minute
Disabled
Disabled
Disabled
Milligrams \ Hour
Disabled
Disabled
Disabled
Milligrams \ Hour
Disabled
Disabled
Disabled
Millunits \ Hour
Disabled
Disabled
Disabled
Millunits \ Minute
Disabled
Disabled
Disabled
Units \ Hour
Disabled
Disabled
Disabled
Units \ Minute
Disabled
Disabled
Disabled
Library A
Disabled
Disabled
Disabled
Library B
Disabled
Disabled
Disabled
Library C
Disabled
Disabled
Disabled
Custom Dilution
Disabled
Disabled
Disabled
Disabled
Intermittent Volume / Time
Disabled
Disabled
Custom Program
Enabled, 8th
Enabled, 6th
Enabled, 6th
Biomed
Enabled, 9th
Enabled, 7th
Enabled, 7th
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3010/3010a .................................................................................................................................................. Medex BY PROGRAM OPTIONS PROGRAM OPTIONS
ANESTHESIA
GENERAL
NICU
Standby
Enabled
Enabled
Loading Dose
Enabled
Disabled
Disabled
Bolus Dose
Enabled
Disabled
Disabled
Volume Limit
Disabled
KVO
Disabled
Enabled
Enabled Disabled
Disabled
Toggle PVD / PDD Save to Library
Enabled
Enabled
Disabled
Disabled Enabled
Disabled Enabled
BY AUTO PROMPT OPTIONS AUTO PROMPT OPTIONS
ANESTHESIA
GENERAL
NICU
Standby
Disabled
Disabled
Disabled
Loading Dose
Disabled
Disabled
Disabled
Bolus Dose
Disabled
Disabled
Disabled
Volume Limit
Disabled
Disabled
Disabled
KVO
Disabled
Disabled
Disabled
BY OTHER DEFAULT OPTIONS
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Medex .................................................................................................................................................. 3010/3010a OTHER DEFAULT OPTIONS E-Plates Feature
ANESTHESIA
GENERAL
Enabled
NICU
Disabled
Disabled
Pump ID Label
Blank
Blank
Blank
Occlusion Limit
Normal
Normal
Normal
Maximum Delivery Rate
1130 ml / hr
Program Dose Display
300 ml / hr
Maximum
Default Bolus Rate
300 ml / hr 10X
Enabled
OTHER DEFAULT OPTIONS
5X Disabled
Disabled
ANESTHESIA
GENERAL
NICU
Medex
Medex
Medex
Alarm Silence Interval
2 minutes
2 minutes
2 minutes
Near Empty Alarm Interval
5 minutes
5 minutes
5 minutes
Alarm Volume (Loudness)
2
4
3
Key Click Volume
2
2
2
BD, Monoject, Terumo
BD, Monoject, Terumo
BD, Monoject, Terumo
Alarm Type
Syringe Manufacturer & Type
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3010/3010a .................................................................................................................................................. Medex
CONTROLLING ONSCREEN APPEARANCE There are two features of custom programming which allow controlling how your menu screens look. These are: • •
Moving or Reordering Entries Enabling / Disabling / Moving a Page Break
REORDERING FEATURES ONSCREEN The 3010 or 3010a infusion pumps are shipped with the Anesthesia defaults delivery modes enabled. They appear onscreen with no particular order. You can rearrange the order of precedence of items onscreen through custom configuration. Their order on the SELECT DELIVERY MODES configuration screens determines where they appear on the SELECT THE MODE or PROGRAM OPTIONS screens when enabled. It has no effect on how they work. All you are doing is moving lines around onscreen. 1.
Begin custom configuration and choose SELECT DELIVERY MODES by pressing its number.
2.
At the ENABLE / DISABLE / MOVE screen, use the “ ” or “ ” buttons to move the “
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” to the line you wish to move.
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Medex .................................................................................................................................................. 3010/3010a 3.
Press the Select button to choose the line and put the highlight on it.
4.
Use the “ ” or “ ” buttons to reposition the selected line where you want it to appear onscreen.
5.
Press Deselect button. This fixes the selection where you placed it.
6.
You may now press Preview to check the appearance of the actual screen. Then press Continue to return.
7.
Repeat steps 2-7 as necessary if you have other selections to move.
8.
These changes do not take effect until you save them.
9.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit to the SAVE CHANGES YES / NO screen. Answer NO to exit without saving changes.
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3010/3010a .................................................................................................................................................. Medex ENABLING / DISABLING / MOVING THE PAGE BREAK The 3010 or 3010a have one page break you can use to control how your SELECT THE MODE screen appears. This page break is found in the SELECT DELIVERY MODE reconfiguration screens. The page break feature works hand in hand with the move entries to give control of how and where information displays onscreen. RULES FOR USING PAGE BREAKS Below are the rules of thumb for working with page breaks: • • • • •
You may have as many as 8 items on any menu screen. You may reorder them in any preference you wish them. You have 1 page break you can place wherever you wish in the order of these items. Reordering items and the page break are purely cosmetic customizations. If you disable page break, the system automatically inserts a page break after the 8th entry on every screen.
STEPS FOR PLACING THE PAGE BREAK 1.
First rearrange the lines as you wish them to appear on the menu screen.
2.
Now use the “ ” or “ ” buttons to move the marker “
3.
Press the Select button to choose the line and put the highlight on it.
4.
Use the “ ” or “ ” buttons to move the “PAGE BREAK” to the place you want it to appear in the onscreen list.
5.
Press the Deselect button. The page break becomes fixed in this position when you save your changes and exit custom configuration. Reordering is Merely Cosmetic
” to “PAGE BREAK”.
Reordering the appearance of items onscreen is a purely “cosmetic” customization, and does not effect function of an option or feature.
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Medex .................................................................................................................................................. 3010/3010a
ENABLING / DISABLING / MOVING SYRINGES The first choice on the MODIFY SETTINGS screen is usually SELECT SYRINGES. This selection is made by manufacturer. This is where you tell the pump which syringes it can use.
Only the Enabled
When you enable a manufacturer’s syringes, you are telling the pump it can use those syringes. Parameters and characteristics of those syringes are made available for use. During setup of any infusion of medications or fluids, only enabled syringes appear for selection and use.
ENABLE OR DISABLE SYRINGES BY MANUFACTURER The 3010 or 3010a infusion pumps are engineered to work precisely within the physical parameters of specific syringes from specific manufacturers. Thus it comes with a database of syringes by manufacturer which are available for use with the pump. 1.
At the MODIFY SETTINGS screen, press the number for SELECT SYRINGES.
2.
You now see onscreen a list of syringes by manufacturer. To the right of list is either “Enabled” or “Disabled”.
3.
Use the “ ” or “ ” buttons to move the marker “
” to the syringe and manufacture you wish to enable or disable.
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3010/3010a .................................................................................................................................................. Medex 4.
Press Select button to choose the manufacturer and put the highlight on it.
5.
Press either “Enable” or “Disable” (depending on what you are doing). Notice how the screen changes.
6.
If you wish, you may now move the selection onscreen with the “ ” or “ ” buttons.
7.
Press Deselect button to “let go” of the selection.
8.
If you wish to enable / disable another syringe by manufacturer, repeat steps 3-7.
9.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
Warning! Disabling Syringes
Once you disable a syringe selection, its settings are no longer available during infusion setup. Inform personnel using this pump they should never use a syringe whose settings are not available during setup. The result could be over-infusion or under-infusion, with injury or death to patient.
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Medex .................................................................................................................................................. 3010/3010a REORDERING SYRINGE MANUFACTURER ORDER Moving each of these items to rearrange their order of appearance onscreen is really part of the steps for enabling or disabling the features. But it is less confusing to describe it separately. 1.
At the MODIFY SETTINGS screen, press the number for SELECT SYRINGES.
2.
You now see onscreen a list of syringes by manufacturer. To the right of list is either “Enabled” or “Disabled”.
3.
Use the “ ” or “ ” buttons to move the marker “
4.
Press Select button to choose the option and put the highlight on it.
5.
Now use the “ ” or “ ” buttons to move the option to the new location in the list.
6.
Press Deselect button to “let go” of the selection.
7.
If you want to move another option, repeat steps 3-6.
8.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
” to the option you wish to move.
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ENABLING / DISABLING / MOVING DELIVERY MODES The 3010 and 3010a infusion pumps come with 17 different delivery modes, plus 7 options for further customizing or expediting infusion setup.
TABLE OF DELIVERY MODES Below is an alphabetized table of the 16 delivery modes, and their features & options, of the 3010 and 3010a pumps:
Delivery Mode or Option
What it Does
Custom Dilution
The custom dilution mode is a form of body weight delivery where you program a target delivery rate and the pump calculates the drug dilution to meet your target. The settings required are: Initial (undiluted) drug concentration; patient’s weight; target dose rate; target total volume (drug plus diluting fluid).
Custom Program
The custom program utility is what you use to customize the settings of the infusion pump. It is always available and may never be disabled. Your only option for changing Custom Program is to rearrange its position onscreen.
Volume / Time
During volume / time delivery, the pump delivers a specific volume per specified time. The screen indicates the effective delivery rate and time remaining to complete the infusion.
Intermittent Volume / Time
A combination of intermittent dosing, and volume / time dosing, where the pump delivers a specific volume per specified time, then pauses a set time, then delivers another dosage, etcetera.
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What it Does
PAGE BREAK
The page break feature is found in the SELECT DELIVERY MODE feature as a part of the CUSTOM PROGRAM configuration utility. It works hand-in-hand with the move entries option to help you control how and where feature titles display onscreen.
Recall Last Settings
The recall last settings feature tells the pump to “remember & insert” the last group of infusion settings used. You may then reuse those settings “as is” to begin another infusion, or modify as necessary the settings on different screens.
Using Templates to Setup Delivery
What it Does
E-Plates
Library of fully automatic templates. Shipped from factory with 16 empty templates. May contain templates of presets you can reuse without having to type them each time. When selected, all preset values are inserted, and pump progresses directly to the BEGIN INFUSION screen. There, you only have to press the Start button to begin the dosage.
Library A
Standard template library A. Shipped from factory with 16 empty templates. May contain templates of presets you can reuse without having to type them each time. You must verify presets at each level by pressing the Enter button.
Library B
Standard template library B. Shipped from factory with 16 empty templates. May contain templates of presets you can reuse without having to type them each time. You must verify presets at each level by pressing the Enter button.
Library C
Standard template library C. Shipped from factory with 16 empty templates. May contain templates of presets you can reuse without having to type them each time. You must verify presets at each level by pressing the Enter button.
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3010/3010a .................................................................................................................................................. Medex Delivery by Patient Weight (Mass)
What it Does
Micrograms / Kg / Hour
This delivers a dosage based on micrograms of medication or fluid per kilogram of body weight per hour.
Micrograms / Kg / Minute
This delivers a dosage based on micrograms of medication or fluid per kilogram of body weight per minute.
Milligrams / Kg / Hour
This delivers a dosage based on milligrams of medication or fluid per kilogram of body weight per hour.
Milligrams / Kg / Minute
This delivers a dosage based on milligrams of medication or fluid per kilogram of body weight per minute.
Delivery by Units
What it Does
Micrograms / Hour Micrograms / Minute Milligrams / Hour Milligrams / Minute
This delivers a dosage based on micrograms of medication or fluid per hour. This delivers a dosage based on micrograms of medication or fluid per minute. This delivers a dosage based on milligrams of medication or fluid per hour. This delivers a dosage based on milligrams of medication or fluid per minute.
Milliliter / Hour
This delivers a dosage based on milliliters of medication or fluid per hour.
Milliunits / Hour
This delivers a dosage based on milliunits of medication or fluid per hour.
Milliunits / Minute Units / Hour Units / Minute
This delivers a dosage based on milliunits of medication or fluid per minute. This delivers a dosage based on units of medication or fluid per hour. This delivers a dosage based on units of medication or fluid per minute.
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Medex .................................................................................................................................................. 3010/3010a ENABLE / DISABLE / MOVE DELIVERY MODES The 3010 or 3010a infusion pumps have 16 different delivery modes you can enable, disable, or customize for infusion deliveries. The pump is shipped with the Anesthesia Defaults settings for all these modes. This means not all features are enabled. And some may be enabled you do not wish to use. The process for enabling or disabling or moving these modes is identical. 1.
Open custom configuration, and go to the MODIFY SETTINGS screen.
2.
Press the More button until you locate SELECT DELIVERY MODES. Press its number button to call the ENABLE / DISABLE / MOVE screen.
3.
At the ENABLE / DISABLE / MOVE screen, use the “ ” or “ ” buttons to move the marker “
4.
Press Select button to put the highlight on ML / HR. Then press Enable. Note how the screen changes.
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”to ML / HR.
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You may move ML / HR onscreen with the “ ” or “ ” buttons. Notice how it shifts relative to other items on the list. Place it where you want it to appear on the SELECT THE MODE screen.
6.
Press Deselect button to remove the highlight from ML / HR .
7.
If you want to move another delivery mode, repeat steps 3-6.
8.
If you wish, you may press the Preview button to see how this change will look. Then press the Continue button to return to Moving.
9.
When ready, press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
CUSTOM PROGRAM The CUSTOM PROGRAM feature is what you use to configure and reconfigure the 3010 or 3010a infusion pump. You cannot disable Custom Program. You can only reorder its position on the menu screens.
MOVING “CUSTOM PROGRAM” ONSCREEN Moving an item to rearrange its order of appearance onscreen is really part of the enabling or disabling steps. But it is less confusing to describe it separately. 1.
Open custom configuration, and go to the MODIFY SETTINGS screen.
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Press the number button to choose SELECT THE DELIVERY MODE.
3.
Use the “ ” or “ ” buttons to move the marker “
4.
Press Select button to put the highlight on CUSTOM PROGRAM.
5.
Now use the “ ” or “ ” buttons to move the selection to its new location onscreen.
6.
Press Deselect button to “let go” of the selection.
7.
If you wish, you may press the Preview button to see how this change will look. Then press the Continue button to return to Moving. If necessary, you may move the feature again until it is where you want it.
8.
If you want to move another option, repeat steps 3-6.
9.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
”to CUSTOM PROGRAM.
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3010/3010a .................................................................................................................................................. Medex BIOMED Even though Biomed is listed along with delivery modes, it is not part of the pump operation, nor part of standard configuration. You cannot disable Biomed. You can only reorder its position on the menu screens.
WHAT DOES BIOMED DO? The Biomed feature is the special maintenance utility intended for use only by trained service technicians. It is a part of the Maintenance and Calibration service on the 3010 or 3010a infusion pumps. •
Biomed is used to perform diagnosis and troubleshooting on the infusion pumps.
•
Biomed is used to calibrate the pump’s functions.
•
Biomed configuration has its own security access code.
•
Only authorized personnel should use the Biomed maintenance utility.
MOVING “BIOMED” ONSCREEN Moving an item to rearrange its order of appearance onscreen is really part of the enabling or disabling steps. But it is less confusing to describe it separately. 1. 2. 3.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen. Press the number button to choose SELECT THE DELIVERY MODE. Use the “ ” or “ ” buttons to move the marker “ ”to BIOMED.
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Press Select button to put the highlight on BIOMED.
5.
Now use the “ ” or “ ” buttons to move the option to the new location onscreen.
6.
Press Deselect button to “let go” of the selection.
7.
If you wish, you may press the Preview button to see how this change will look. Then press the Continue button to return to Moving. If necessary, you may move the feature again until it is where you want it.
8.
If you want to move another feature, repeat steps 3-6.
9.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
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ENABLING / DISABLING / MOVING PROGRAM OPTIONS The 3010 or 3010a infusion pumps have several specific options you can enable or disable, which can be used to modify infusion deliveries.
TABLE OF PROGRAM OPTIONS Below is a table of these program options, and a definition of what each controls: Option
What it Controls
Standby is an option which allows setting the pump for an infusion, then delaying advisory alarms for a programmed interval of time. Standby
• •
The pump does not automatically start an infusion at the end of the standby. Instead, the pump triggers an alarm at the end of the standby period to tell you to either Start or Cancel the infusion. Enabling standby adds the option to every infusion setup.
Loading Dose
Enabling the loading dose is a specified volume (or dose) of drug infused as a one-time-only bolus prior to the start of normal delivery. You may also configure loading dose to be automatically “prompted” or “asked for” the programming steps. Enabling loading dose adds the option to every infusion setup.
Bolus Dose
A bolus dose is an optional parameter of some delivery modes wherein you specify a bolus volume to be delivered in a specified time. You may also configure bolus dose to be automatically “prompted” or “asked for” the programming steps. Enabling bolus dose adds the option to every infusion setup.
Volume Limit
A volume limit is an option available for most delivery modes (except volume/time and intermittent). On reaching the preset volume limit, the pump stops – or changes to KVO if a keep vein open rate has been programmed. Volume limit is based on the quantity of program volume delivered. Before you can start a new volume limit, the old PVD (program volume delivered) or PDD (program dose delivered) is automatically cleared. Enabling volume limit adds the option to every infusion setup where it applies.
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What it Controls
The keep vein open (KVO) rate is an option available for most delivery modes (except volume/time and intermittent volume/time). • KVO
You must have a volume limit programmed for KVO to work. After a volume limit is reached, a low rate (KVO) is set to maintain patency of the infusion site. • The range of rates available appears on the ENTER KVO RATE screen. KVO rates are calculated by syringe size and its minimum flow rate. • The programmed KVO rate must be less than the normal delivery rate and greater than or equal to minimum flow rate for the syringe. Enabling this adds the option to every infusion setup.
Save to Library
With the save to library feature enabled, you may save any group of infusion delivery settings to any template in any of the four libraries. It is recommended using this feature only as a configuration tool, then disabling it before allowing user access to the pump. If you allow unlimited access to this “Save to Library” feature, then there is no security for the contents of any library or its templates.
Toggle PVD / PDD
With this feature enabled, you have the option of toggling between displaying either the program volume delivered or the program dosage delivered. The pump maintains the information for both, based on the set infusion delivery, so you can toggle between them without losing data. Enabling this adds the option to every infusion setup.
OVERRIDE OCCL LIMIT
With this feature enabled you have the option of overriding the default occlusion limit and setting a desired occlusion limit. (The default occlusion limit for a 1cc syringe is VERY HIGH (VH) and cannot be overridden)
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3010/3010a .................................................................................................................................................. Medex ENABLE / DISABLE / MOVE PROGRAM OPTIONS Besides Syringes and Delivery Modes, the 3010 or 3010a has program options you can enable, disable, and/or move onscreen. The process for doing this is identical for each. 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Press the More button until you locate SELECT PROGRAM OPTIONS. Press its number button to call the ENABLE / DISABLE / MOVE screen.
3.
Use the “ ” or “ ” buttons to move the marker “
4.
Press Select to put the highlight on PROGRAM OPTION you wish to enable, disable, or move. Then press Enable or Disable (depending on the current status of the option). Note how the screen changes.
5.
If you wish, you may now use the “ ” or “ ” buttons to move the option to a new location onscreen. Notice how it shifts relative to other items on the list. Place it where you want it to appear on the SELECT THE MODE screen.
6.
Press Deselect to remove the highlight from your selection.
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” to the PROGRAM OPTION you wish to enable, disable, or move.
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You can see how the option will appear by pressing the Preview button. And then press Continue to return to the ENABLE / DISABLE / MOVE screen. If it isn’t exactly where you want it, use the “ ” or “ ” buttons to move it again.
8.
If you want to move another option, repeat steps 3-6.
9.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
REORDERING PROGRAM OPTIONS Moving each of these items to rearrange their order of appearance onscreen is really part of the steps for enabling or disabling the features. But it is less confusing to describe it separately. 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Use the “ ” or “ ” buttons to move the marker “
3.
Press Select to choose the option and put the highlight on it.
4.
Now use the “ ” or “ ” buttons to move the option to its new list location.
5.
Press Deselect to remove the highlight from your selection.
6.
If you want to move another option, repeat steps 2-5.
7.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
” to the option you wish to move.
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AUTO PROMPTS You have the options of enabling or disabling these auto prompts options, and of moving each of these items to rearrange their order of appearance onscreen. Enabling an auto prompt causes that feature to be automatically inserted into the user settings during each infusion setup.
Feature
Explanation
Standby
Standby lets you set the pump for an infusion, then delay starting delivery for as much as 24 hours. This also delays triggering audible advisory alarms. The pump does not automatically start an infusion at the end of the standby period. At the end of the delay, the pump triggers an alarm with prompts to tell you to either START or CANCEL the infusion.
Bolus Dose
A bolus dose is an optional parameter of some delivery modes wherein you specify a bolus volume to be delivered in a specified time.
Volume Limit
A volume limit is option available for most delivery modes (except volume/time and intermittent). On reaching the preset volume limit, the pump stops – or changes to KVO if a keep vein open rate has been programmed. Volume limit is based on the quantity of program volume delivered.
KVO
The keep vein open option is used as a maintenance setting when delivering infusions to patients to keep an infusion site patent between infusions.
ENABLE / DISABLE AUTO PROMPTS Enabling auto prompts tells the pump to ask the user to review settings for each option enabled. This adds additional steps to the normal delivery programming sequence. 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the AUTO PROMPT feature, and press its number to call its ENABLE / DISABLE / MOVE screen.
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3.
You now see onscreen a list of options. To the right of this list is either the word “Enabled” or “Disabled”.
4.
Use the “ ” or “ ” buttons to move the marker “
5.
Press Select button to choose the manufacturer and put the highlight on it.
6.
Press either “Enable” or “Disable” (depending on what you are doing).
7.
Press Deselect to remove the highlight from your selection.
8.
If you wish to enable / disable another selection, repeat steps 3-6.
9.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press Back to exit without saving changes.
” to the selection you wish to enable or disable.
REORDERING AUTO PROMPTS Moving each items onscreen to rearrange their order of appearance is part of enabling or disabling the features. But it is less confusing to describe it separately. 1.
Find the AUTO PROMPT feature, and press its number to call its ENABLE / DISABLE / MOVE screen.
2.
Use the “ ” or “ ” buttons to move the marker “
3.
Press Select to choose the option and put the highlight on it.
4.
Now use the “ ” or “ ” buttons to move the option to the new location onscreen.
5.
Press Deselect to remove the highlight from your selection.
6.
If you want to move another option, repeat steps 2-5.
7.
Press Stop to save your changes and exit to the MODIFY SETTINGS screen.
” to the selection you wish to move.
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MISCELLANEOUS SETTINGS This chapter discusses various miscellaneous setting which you can modify. These include: pump ID, occlusion limits, default bolus rate, maximum flow rate, etc.
PUMP ID LABEL This feature allows giving each infusion pump its own identification name and/or number. This can be useful for identifying not only the pump, but the pump’s type of configuration setup. •
To identify the pump, give it a unique name containing letters and/or numbers.
•
To identify the configuration setting, create a name for each type of configuration setup you are using in various departments, units, or organizations.
•
You should not use the ID as “physical security” for the pump. Use an engraving tool or security tag for physically identifying the pump. Anyone with the configuration password can change the software ID.
•
It is a waste of pump ID to simply name the pump after your unit, department, organization, or hospital. Anyone with the configuration password can change the software ID.
NAMING THE PUMP When you configure the pump ID, you are simply “Naming the Pump”. 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the SET PUMP ID feature, and press its number to call it.
3.
You now see the CHOOSE A CHARACTER screen. This is an alphanumeric keypad where you name the pump.
4.
Use the “
5.
When ready press either the Enter button to select this letter, numeral or character .
6.
Repeat steps 4 & 5 until you have typed all the letters and/or numerals you need to name the pump.
” or “ ” buttons to move the marker highlight to the letter, numeral or character you wish to type.
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Press Stop to save your changes and exit to the MODIFY SETTINGS screen. Or press the Back button to exit without changing the pump ID.
PUMP NAMING CONVENTION Basically, you can give any pump any name you wish. The name simply identifies the pump for your use. Use the naming convention established by your unit, department, organization or hospital. The best approach is naming pumps so you can readily recognize contents and function, (e.g., by specific unit, department, organization, or hospital). Below are naming guidelines: • • • • •
There is a 15 character limit on naming pumps. Use any combination of letters, spaces, symbols, and numbers available on the CHOOSE A CHARACTER screen. You can give the same name to any pump or group of pumps. You can give the same name to a template within a library. Avoid this to avoid confusion. Pump ID is copied when cloning configuration from pump to pump.
SETTING OCCLUSION LIMITS There are 4 different levels of occlusion limits programmed into the 3010 or 3010a infusion pump. They are: • • •
Very Low Low Normal
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High
Below are the steps for setting the Occlusion Limits: 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the SET OCCLUSION LIMIT feature, and press its number to call it.
3.
You now see the SELECT OCCLUSION LIMIT screen. The choices are: Very Low, Low, Normal, and High.
4.
Press the number button for the occlusion limit you wish this pump to use. This puts the highlight on your choice.
5.
When ready press the Enter button to select this occlusion limit. Or press the Back button to exit without changing the Occlusion Limit.
SET MAXIMUM FLOW RATE The maximum flow rate is the fastest infusion flow medication or fluid you wish the pump to be able to deliver. Below are the steps for setting the Maximum Flow Rate: 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the SET MAX FLOW RATE feature, and press its number to call it.
3.
You now see the ENTER MAX FLOW RATE screen. The infusion pump has a flow rate range from 100 – 1130 ml/hr.
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4.
Use the number buttons to type the maximum flow rate you wish the pump to use.
5.
When ready press the Enter button to set the new maximum flow rate limit. Or press the Back button to exit without changing the maximum flow rate.
SET DEFAULT BOLUS RATES A bolus dose is an optional parameter of some delivery modes wherein you specify a bolus volume to be delivered in a specified time. The pump presets a “default” Bolus Delivery Time from this parameter. This default time may be overridden by the user. Below are the steps for setting the default Bolus rates: 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the SET DEFAULT BOLUS RATE feature, and press its number to call it.
3.
You now see the SELECT BOLUS RATE screen. The options are: • • •
4.
Syringe Size x 5 ml/hr. Syringe Size x 10 ml/hr. Syringe Size Max ml/hr.
Use the number buttons to select the highlight default Bolus rate you wish the pump to use.
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When ready press the Enter button to set the new Bolus rate limit. Or press the Back button to exit without changing the Bolus rate.
ENABLE / DISABLE PROGRAM DOSE DISPLAY The pump has the option of displaying during infusion the program volume delivered or program dosage delivered. While running an infusion delivery, the pump stores and displays the program volume delivered. When this option is enabled the pump displays the program dose delivered instead. Below are the steps for enabling / disabling the program dose or volume display: 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the PROGRAM DOSE DISPLAY feature, and press its number to call it.
3.
You now see the ENABLE / DISABLE PDD screen.
4.
Use the number buttons to put the highlight on either Enable or Disable.
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5.
When ready press the Enter button to set the new Program Dose Display status. Or press the Back button to exit without changing the Program Dose Display status.
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3010/3010a .................................................................................................................................................. Medex SETUP & TEST PUMP ALARMS The alarms are the warnings or cautions the pump sounds to let you know something is happening or about to happening. Alarm setup has four major options: • • • •
Alarm Style Alarm Silence Time Near Empty Alarm Time Alarm Loudness
SETTING ALARM STYLE The 3010 or 3010a infusion pumps have two different alarm styles. They are: • •
International Standard Alarms Medex Defined Alarms
The pump is shipped with the Medex Defined Alarms enabled. Below are the steps for selecting between these two alarm style settings: 1.
Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen.
2.
Find the ALARM SETUP feature, and press its number to call it.
3.
You now see the alarm MODIFY SETTINGS screen. FIND SET ALARM STYLE and press its number.
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Use the number buttons to put the highlight on either INTERNATIONAL STANDARD or MEDEX DEFINED.
5.
When ready press the Enter button to set the new ALARM STYLE status. Or press the Back button to exit without changing the ALARM STYLE status.
SET ALARM SILENCE TIME The alarm silence time is the interval for which the alarm waits before resounding after someone presses “” the Alarm Silence button. • •
The alarm silence time has a range from 2 – 60 minutes. The factory default setting is 2 minutes.
Below are the steps for setting between the ALARM SILENCE TIME: 1. Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen. 2. Find the ALARM SETUP feature, and press its number to call it.
3.
You now see the alarm MODIFY SETTINGS screen. FIND SET ALARM SILENCE TIME and press its number
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3010/3010a .................................................................................................................................................. Medex 4.
You now see the ENTER ALARM SILENCE PERIOD screen. There is a 2 – 60 minute range.
5.
Use the number buttons to type the time in minutes you want to alarm to wait before resounding after someone presses the Alarm Silence button.
6.
When ready press the Enter button to set the new ALARM STYLE status. Or press the Back button to exit without changing the ALARM SILENCE PERIOD status.
SET NEAR EMPTY ALARM TIME The near empty alarm time is the interval before which the syringe is empty and the pump sounds a warning alarm. The pump calculates “near emptiness” based on the size of the syringe divided by the amount of dosage or fluid inside the syringe times the rate of delivery. Below are the steps for setting between the NEAR EMPTY ALARM TIME: 1. Open CUSTOM PROGRAM, and go to the MODIFY SETTINGS screen. 2. Find the ALARM SETUP feature, and press its number to call it.
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Find SET NEAR EMPTY TIME and press its number button.
4.
You now see the ENTER NEAR EMPTY TIME screen. There is a 0 – 60 minute range.
5.
Use the number buttons to type the time in minutes you want to alarm to sound before the syringe is empty. Setting near empty time to zero disables this alarm. In this case, only the empty alarm is enabled. When ready press the Enter button to set the new NEAR EMPTY TIME status. Or press the Back button to exit without changing the NEAR EMPTY TIME alarm status.
6.
SET ALARM LOUDNESS The 3010 or 3010a infusion pumps have five levels of alarm loudness you can choose from. These range from very soft to very loud. Set alarm loudness to whatever level seems appropriate for the patient care environment where the pump is used. Test the alarm loudness and select a volume appropriate for your needs. Level
Loudness
1
Very Soft
ICU, CCU, NICU
2
Soft
Geriatric, Chronically Ill
3
Normal
Normal
4
Loud
Pediatric
5
Very Loud
Emergency Room
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