Quick Reference Guide
2 Pages
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Page 1
Changing the battery
Alarms and troubleshooting continued
Alarms and troubleshooting continued
Stop the pump
Troubleshooting
Downstream occlusion. Clear occlusion between pump and patient.
1. 2. 3. 4. 5. 6.
Press Stop/Start. “Stop Pump?” displays. Press Yes. Remove the used batteries. Insert the new batteries. Press the power switch to turn the pump on. The screen displays “Do you want to start a new patient?” Press No. 7. Press Stop/Start to start the pump. 8. “Start Pump?” displays. Press Yes.
Screensaver The screensaver allows the pump to conserve battery power when not in an edit mode and if no keypad buttons have been pressed for 30 seconds. The pump displays a blank screen. Press any button on the keypad to turn the display on.
Alarms and troubleshooting Alarm Conditions High Priority Alarm If the pump is running, it always stops when a high priority alarm is activated. Accompanied by a red screen, it continues until acknowledged or until the condition that triggered the alarm goes away.
Medium Priority Alarm This alarm does not stop the pump. Accompanied by an amber screen, it continues until acknowledged or until the condition that triggered the alarm goes away.
Low Priority Alarm A low priority alarm does not stop the pump. Accompanied by a blue screen, the alarm automatically clears after 5 seconds or until the condition that triggered the alarm goes away.
Informational Message This alarm does not stop the pump. This message appears in the status bar. It is displayed for 5 seconds and is generally silent, requiring no acknowledgement.
Screen is blank and alarm is sounding Alarm Priority High. The pump has lost power and is no longer delivering. The pump was delivering and the batteries were removed or the battery door was opened. Clear this alarm by replacing the batteries or closing the battery door. Then turn the pump back on or the alarm stops after the power has been off for a minimum of 2 minutes.
Air-in-line detected. Press “acknowledge” then prime tubing. Alarm Priority High. The pump is stopped and can not run. The air detector has detected air in the fluid path; the fluid path may contain air bubbles. Acknowledge the alarm. Then, if the fluid path contains air bubbles, close the clamps, disconnect the fluid path from the patient, and follow the instructions for priming to remove the air.
Battery depleted. Pump stopped. Alarm Priority High. Install 4 new AA batteries or a fully charged rechargeable battery pack. In order to start delivery, good batteries must always be installed, even when an external source of power is connected. If appropriate, restart the pump.
Battery low, replace battery. Alarm Priority Low. Change the rechargeable battery pack or the 4 AA batteries soon.
Delivery limit reached. Or, delivery limit reached and partial dose delivered. Pump’s status bar reads “KVO = 0” Alarm Priority Low. The programmed delivery limit has been reached, and the pump is not delivering fluid. This alarm occurs when the continuous rate or a PCA dose has caused the delivery limit to be exceeded. Acknowledge the alarm (the alarm automatically clears after 5 seconds).
Pump’s status bar reads “Del Limit” Alarm Priority Low. The programmed delivery limit has been reached, and the pump is delivering fluid at the KVO rate of 0.1mL/hr. This alarm occurs when the continuous rate or a PCA dose has caused the delivery limit to be exceeded. Acknowledge the alarm (the alarm automatically clears after 5 seconds).
Alarm Priority High. The pump has detected high pressure, which may be resulting from a downstream blockage, kink in the fluid path, or a closed tubing clamp. Delivery pauses and resumes if the occlusion is removed. Remove the obstruction or stop the pump to silence the alarm for 2 minutes, then remove the obstruction and restart the pump.
CADD -Solis ®
Ambulatory Infusion System Protocol Programming using Code or Key
Reservoir volume low.
Alarm Priority Medium or Low (depending on how the alarm is programmed in Admin Settings). Level of fluid in the reservoir is low. Prepare to install a new reservoir, if appropriate.
Reservoir volume is zero. Pump stopped.
B
A
C
Alarm Priority High. The reservoir volume has reached 0.0 ml. The pump stops and can not run. Acknowledge the alarm. Install a new fluid container. Reset or edit the value of the reservoir volume.
Upstream occlusion. Clear occlusion between pump and reservoir.
Alarm Priority High. Fluid is not flowing from the fluid container to the pump, which may be resulting from a kink, a closed clamp, or air bubble in the tubing between the fluid container and pump. Delivery is paused and will resume if the occlusion is removed. Remove the obstruction to resume operation. The alarm clears when the occlusion is removed. You will be required to acknowledge this alarm after it clears if it has occurred and cleared more than 3 times within 15 minutes.
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Customer and Clinical Services 1-800-258-5361 www.smiths-medical.com
Smiths Medical ASD, Inc. St. Paul, MN 55112, USA Phone: 1-214-618-0218 Toll-Free USA: 1-800-258-5361
EC Authorized Representative Smiths Medical International Ltd. WD24 4LG, UK Phone: +44 (0) 1923 246434
Smiths Medical Canada Ltd. Markham, Ontario, Canada, L3R 4Y8 Phone: 905-477-2000 Toll-Free: 1-800-387-4346
www.smiths-medical.com Smiths Medical is part of the global technology business Smiths Group plc. Product(s) described may not be licensed or available for sale in Canada or other countries outside of the United States. CADD, CADD-Solis and the Smiths Medical design mark are trademarks of the Smiths Medical family of companies. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. ©2010 Smiths Medical family of companies. All rights reserved. 7/10 IN193506
A B C D E F G H I J K
Battery Compartment Display Indicator Lights USB Port Blue AC Power Light AC Power Jack Remote Dose Cord Jack Cassette Cassette Latch Keypad Power Button
Setting up the pump for a new patient Prepare the pump for a new patient 1. Begin without the cassette attached to the pump. 2. Insert four new 1.5 volt AA alkaline batteries or a rechargeable battery pack. 3. Press the power switch to turn the pump on. Start new patient 4. Screen displays “Do you want to start a new patient?” Press Yes. 5. Unlock the keypad using the security code or the pump key. 6. The “Select Therapy” menu is displayed. 7. Scroll or to highlight the desired therapy. Press Select. 8. Scroll or to highlight the desired qualifier. Press Select. 9. Scroll or to highlight the desired drug and concentration (or unit). Press Select. 10. Confirm that you have selected the correct therapy, qualifier, drug and concentration [or unit]. Verify and press Yes. 11. “Review pump settings” displays. Press Review. 12. To edit for a patient specific parameter press Select. Scroll or to the new value then press Save. NOTE: If the desired value is outside the soft limit, press Confirm. Verify the soft limit override by pressing Yes. 13. Continue until all patient specific parameters have been reviewed and/or edited. Press Accept Value for each setting. A checkmark appears next to each patient specific parameter you have accepted. When completed press Next. 14. To change a patient specific parameter after you have accepted it, repeat step 12. 15. “Cassette not attached. Attach cassette before starting pump.” is displayed. When programming for the new patient is complete 16. Attach, latch, and lock the cassette to the pump. 17. “Prime Tubing?” displays. Press Yes if priming is needed. 18. “Disconnect tubing…” displays. Press Prime. Press Stop Priming when complete. 19. “Continue Priming?” displays. Press Yes or No. 20. “Start pump?” displays. Press Yes when you are ready to begin the infusion. The pump begins running.
Changing a patient’s current program while the pump is running With the pump running, all parameters can be changed except reservoir volume Program the pump 1. Scroll or to highlight the patient specific parameter you want to change. Press Select. 2. Unlock the keypad using the security code or the pump key. 3. The patient specific parameter is displayed. Scroll or to the new value then press Save. NOTE: If the desired value is outside the soft limit, press Confirm. Verify the soft limit override by pressing Yes. Repeat steps 1 and 3 for each patient specific parameter that you want to change. NOTE: If a security code was used to unlock the keypad, always relock the keypad after making a change by pressing the right soft key twice (Tasks, then Lock Keypad). If a key was used, turn the key clockwise to relock the cassette and keypad. 4. Verify that the keypad and cassette are locked.
Changing a patient’s current program with the pump stopped Stop the pump 1. Press Stop/Start. 2. “Stop Pump?” displays. Press Yes.
Program the pump 3. Scroll or to highlight the patient specific parameter you want to change. Press Select. 4. Unlock the keypad using the security code or the pump key. 5. The patient specific parameter is displayed. Scroll or to the new value then press Save. NOTE: If the desired value is outside the soft limit, press Confirm. Verify the soft limit override by pressing Yes. Repeat steps 3 and 5 for each patient specific parameter that you want to change.
When programming is complete 6. Press Stop/Start. 7. “Review pump settings” displays. Press Review. 8. Choose Accept Value to confirm the value is correct for the highlighted patient specific parameter or press Select to edit the highlighted parameter. 9. Continue until all patient specific parameters have been reviewed, accepted and display checkmarks. Press Next.
Changing a patient’s current program with the pump stopped continued 10. “Start Pump?” displays. Press Yes. NOTE: If a security code was used to unlock the keypad, the keypad automatically relocks when the pump is started. If a key was used to unlock the cassette/keypad, use the key to relock the cassette/ keypad lock.
Resetting the reservoir volume without changing the cassette Changing the IV bag or syringe without changing the tubing Stop the pump 1. Press Stop/Start. 2. “Stop Pump?” displays. Press Yes. Aseptically remove the empty IV bag or syringe from the tubing and attach the new IV bag or syringe.
Reset reservoir volume 3. Scroll until Reservoir Vol is highlighted. Press Select. 4. Unlock the keypad using the security code or the pump key. 5. The screen displays the current reservoir volume and a scroll range. 6. Press Select to reset the reservoir volume or scroll or to adjust the value. Press Save.
When programming is complete 7. Press Stop/Start. 8. “Review pump settings” displays. Press Review. 9. Choose Accept Value to confirm the value is correct for the highlighted patient specific parameter or press Select to edit the highlighted parameter. 10. Continue until all patient specific parameters have been reviewed, accepted and display checkmarks. Press Next. 11. “Start Pump?” displays. NOTE: If a security code was used to unlock the keypad, the pump will automatically relock when the pump is started. If a key was used to unlock the cassette/keypad, use the key to relock it. Press Yes. 12. If you’re not starting the pump immediately, press No when “Start Pump?” appears. Lock the keypad by pressing the right soft key (Tasks then Lock Keypad). Ensure that the cassette is also locked by turning the cassette/keypad lock clockwise to the locked position.
Clinician bolus Pump must be running 1. 2. 3. 4.
From the home screen press Tasks. “Give Clinician Bolus” displays. Press Select. Enter the clinician security code. The screen displays the clinician bolus scroll range available. Scroll or until the desired value appears. Press Deliver. NOTE: If the desired value is outside the soft limit, press Confirm. Verify the soft limit override by pressing Yes. 5. Choose Stop Bolus anytime during delivery to cancel the bolus. NOTE: Never leave the pump unattended while on the Clinician Bolus Edit screen. You must press Deliver to deliver the programmed value or Cancel to leave the screen.
Viewing reports Pump reports should be cleared in accordance with institution policy. Pump may be running or stopped to view reports. Option 1: 1. From the home screen press Reports. Scroll or to the desired report and press Select. 2. Press Back to return to the Reports menu, and then press Back again to return to the home screen.
Option 2: 1. From the home screen press Tasks. Scroll to View Reports and press Select. Scroll or to the desired report and press Select. 2. Press Back to return to the Reports menu. Press Back again to return to the home screen.
To clear Given and PCA dose counters 1. From the home screen press Reports. Scroll or to the “Given and PCA Dose Counters” report. Press Select. 2. Choose Clear Given to clear Total Given and set a new time. 3. Scroll down to “PCA doses Given/Attempted”. Press Clear Doses to clear and set a new time. 4. Press Back to return to the reports menu, and then press Back again to return to the home screen.