cadd solis frequently asked questions - enexia specialty solis...cadd solis frequently asked...
TRANSCRIPT
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CADD SOLIS FREQUENTLY ASKED QUESTIONSENEXIA SPECIALTY PHARMACY 10/2019
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TABLE OF CONTENTS
CODES – SLIDE 3
PRIMING TUBING – SLIDE 4
CHANGING CASSETTES – SLIDE 11
CHANGING DOSE – SLIDE 18
REPROGRAMMING PUMP – SLIDE 25
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CODES
MOST PUMPS CAN BE UNLOCKED WITH THE
FOLLOWING CODES: 513 OR 921.
IF THE ABOVE TWO CODES DO NOT WORK,
THEN CALL ENEXIA SPECIALTY PHARMACY
TO ENTER A CODE, EACH OF THE 3 DIGITS
MUST BE CHOSEN INDIVIDUALLY USING THE
UP AND DOWN ARROWSTHEN PRESSING
THE SELECT BUTTON WHICH MOVES THE
PUMP TO THE NEXT DIGIT.
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PRIMING TUBING
IF PUMP IS NOT ALREADY STOPPED, HIT THE
RED/GREEN “STOP/START” BUTTON
“YES” TO STOP PUMP
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PRIMING TUBING
PRESS THE WHITE BUTTON BELOW “TASKS” ON
THE BOTTOM RIGHT OF THE SCREEN
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PRIMING TUBING
USING THE UP AND DOWN ARROWS, SCROLL
DOWN TO “PRIME TUBING” THEN PRESS THE
“SELECT” BUTTON
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PRIMING TUBING
DISCONNECT TUBING FROM PATIENT. PRESS
“PRIME”
ASPTICALLY HOLD TUBING OVER SECURE
IMPERMEABLE CONTAINER TO CATCH PRIMED
LIQUID
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PRIMING TUBING
THE PUMP WILL SHOW VOLUME PRIMED IN
REAL TIME
ONCE ALL VISIBLE BUBBLES HAVE EXITED THE
TUBING PRESS “STOP PRIMING”
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PRIMING TUBING
PRESS “NO” TO STOP PRIMING
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PRIMING TUBING
RECONNECT PUMP TUBING TO PATIENT’S LINE
HIT THE RED/GREEN “STOP/START” BUTTON
RESTART THE PUMP BY PRESSING “YES”
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CHANGING A CASSETTE
STOP THE PUMP BY PRESSING THE RED/GREEN
STOP/START BUTTON ON THE FRONT OF THE
PUMP. SEE “HOW TO” ON SLIDE 4, IF
NECESSARY.
DISCONNECT THE OLD CASSETTE TUBING
FROM THE PATIENT AND HOOK UP TUBING
FROM NEW CASSETTE
UNLOCK THE CASSETTE BY TURNING THE
ATTACHED KEY COUNTERCLOCKWISE AS
INDICATED ON THE RIGHT SIDE OF THE PUMP
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CHANGING A CASSETTE
PULL THE METAL LATCH DOWN TO RELEASE
THE CASSETE
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CHANGING A CASSETTE
ATTACH NEW CASSETTE TO PUMP BY
ALIGNING THE HOOKS ON THE TOP LEFT OF
CASSETTE TO LATCHES ON THE PUMP’S
BOTTOM LEFT.
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CHANGING A CASSETTE
PUSH THE RIGHT SIDE OF CASSETTE UP AND
SECURELY CLOSE THE LATCH
LOCK THE CASSETTE WITH THE KEY BY
TURNING IT CLOCKWISE. REMOVE THE KEY
FROM SLOT
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CHANGING A CASSETTE
THE PUMP WILL AUTOMATICALLY ASK TO RESET
RESERVOIR VOLUME TO 250ML, WHICH IS THE
AMOUNT IN EACH “NEW” BLUE CASSETTE
PRESS “YES” (RESEVOIR VOLUME ON TOP LEFT
CORNER WILL RESET ACCORDINGLY)
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CHANGING A CASSETTE
ALL NEW CASSETTES ARE PRIMED DURING
COMPOUNDING, SO YOU DO NOT HAVE TO
PRIME NEW CASSETTES
PRESS “NO” TO NOT PRIME
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CHANGING A CASSETTE
START THE PUMP AND YOU ARE DONE.
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
STOP THE PUMP BY PRESSING THE RED/GREEN
STOP/START BUTTON ON THE FRONT OF THE
PUMP. SEE “HOW TO” ON SLIDE 4, IF NECESSARY.
PRESS THE WHITE BUTTON BELOW “TASKS” ON
THE BOTTOM RIGHT OF THE SCREEN. SEE “HOW
TO” ON SLIDE 5, IF NECESSARY.
USING THE UP AND DOWN ARROWS, SCROLL
DOWN TO “VIEW DELIVERY SETTINGS” THEN
PRESS THE “SELECT” BUTTON
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
THE FOLLOWING SCREEN HAS CURRENT PUMP
SETTINGS:
BASAL = CONTINUOUS RATE
BOLUS = DEMAND/PCA (Patient Controlled
Administration) DOSE
LOCKOUT TIME = FREQUENCY OF BOLUS
TO CHANGE ANY OF THE SETTINGS, SCROLL
USING ARROW KEY TO THE DESIRED VALUE
THAT YOU WANT TO CHANGE AND PRESS
SELECT
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
ENTER THE CODE OF 513 OR 921 (SEE SLIDE 3)
CHANGE THE DOSE TO THE DESIRED VALUE
USING THE UP AND DOWN ARROWSTHEN
PRESSING THE CONFIRM BUTTON
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
PRESS “YES” TO BYPASS THE SOFT LIMIT SCREEN.
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
REPEAT STEPS IN SLIDES 20 AND 21 FOR EACH
DESIRED SETTING THAT YOU WANT TO
CHANGE.
DO NOT CHANGE THE KVO RATE = “KEEP
VEIN OPEN”, WHICH IS AUTOMATICALLY
CALCULATED BY THE PUMP.
ONCE COMPLETED, HIT THE RED/GREEN
STOP/START BUTTON.
THE PUMP WILL ASK YOU TO DOUBLE CHECK THE
SETTINGS, EVEN THE ONES NOT MODIFIED
PRESS “REVIEW”
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
PRESS “ACCEPT VALUE” ON ALL SETTINGS
INCLUDING KVO RATE TO PROCEED.
ONCE ALL SETTINGS ARE ACCEPTED, PRESS
“NEXT”
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CHANGE BASAL RATE, BOLUS DOSE AND/OR LOCKOUT TIME
STOP THE PUMP BY PRESSING THE RED/GREEN
STOP/START BUTTON ON THE FRONT OF THE
PUMP. SEE “HOW TO” ON SLIDE 4, IF
NECESSARY.
PRESS “YES” TO START PUMP. TASK COMPLETED.
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REPROGRAM PUMP INCLUDING MED CONCENTRATION CHANGE
STOP THE PUMP BY PRESSING THE RED/GREEN
STOP/START BUTTON ON THE FRONT OF
THE PUMP. SEE “HOW TO” ON SLIDE 4, IF
NECESSARY.
PRESS THE WHITE BUTTON BELOW “TASKS”
ON THE BOTTOM RIGHT OF THE SCREEN. SEE
“HOW TO” ON SLIDE 5, IF NECESSARY.
USING THE UP AND DOWN ARROWS, SCROLL
DOWN TO “VIEW ADVANCED TASKS” THEN
PRESS THE “SELECT” BUTTON
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REPROGRAM PUMP
SCROLL DOWN TO “START NEW PATIENT” AND
PLESS THE “SELECT” BUTTON
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REPROGRAM PUMP
PRESS “CONTINUE”
THE PUMP REMINDS THE USER THAT ALL
PREVIOUS SETTINGS WILL BE ERASED
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REPROGRAM PUMP
ENTER THE CODE (SEE SLIDE 3)
SELECT “PCA” THEN PRESS THE “SELECT”
BUTTON
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REPROGRAM PUMP
THE ONLY OPTION HERE IS TO “PROGRAM
MANUALLY”. PRESS “SELECT BUTTON”
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REPROGRAM PUMP
MORPHINE, HYDROMORPHONE AND
METHADONE MEDICATIONS ARE ALWAYS
DISPENSED IN MILLIGRAMS. SELECT “MG” AND
PRESS “SELECT BUTTON”
FENTANYL MEDICATIONS ARE ALWAYS
DISPENSED IN MICROGRAMS. SELECT “MCG”
AND PRESS “SELECT BUTTON”
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REPROGRAM PUMP
SET CONCENTRATION AS THE PATIENT’S PRESCRIPTION
STATES USING THE “UP” AND “DOWN” ARROWS THEN
PRESS “CONFIRM”
CONCENTRATIONS THAT WE DISPENSE - PLEASE CHECK THE
COLORED LABEL ON THE CASSETTE FOR THE CORRECT
CONCENTRATION:
MORPHINE 1MG/ML MORPHINE 10MG/ML
HYDROMORPHONE 1MG/ML HYDROMORPHONE 10MG/ML
METHADONE 10MG/ML
FENTANYL 50MCG/ML FENTANYL 200MCG/ML
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REPROGRAM PUMP
VERIFY THE CONCENTRATION THEN PRESS
“YES”
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REPROGRAM PUMP
PRESS “REVIEW” TO CONTINUE PROGRAMMING
EACH PUMP SETTING INDIVIDUALLY.
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REPROGRAM PUMP
THE FOLLOWING SCREEN HAS CURRENT PUMP
SETTINGS:
BASAL = CONTINUOUS RATE
BOLUS = DEMAND/PCA (Patient Controlled
Administration) DOSE
LOCKOUT TIME = FREQUENCY OF BOLUS
TO CHANGE ANY OF THE SETTINGS, SCROLL
USING ARROW KEY TO THE DESIRED VALUE
THAT YOU WANT TO CHANGE AND PRESS
SELECT
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REPROGRAM PUMP
CHANGE THE DOSE TO THE DESIRED VALUE
USING THE UP AND DOWN ARROWSTHEN
PRESS THE CONFIRM BUTTON
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REPROGRAM PUMP
PRESS “YES” TO BYPASS THE SOFT LIMIT SCREEN.
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REPROGRAM PUMP
THE CASSETTE RESERVOIR VOLUME SHOULD BE
RESET TO 250ML
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REPROGRAM PUMP
REPEAT STEPS IN SLIDES 35 AND 36 FOR EACH
DESIRED SETTING.
AFTER ALL VALUES ARE PROGRAMMED, YOU ARE
PROMPTED TO PRESS “ACCEPT VALUE” ON ALL
SETTINGS IN ORDER TO PROCEED.
DO NOT CHANGE THE KVO RATE = “KEEP VEIN
OPEN”, WHICH IS AUTOMATICALLY CALCULATED
BY THE PUMP.
ONCE ALL SETTINGS ARE ACCEPTED, PRESS
“NEXT”
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REPROGRAM PUMP
ALL NEW CASSETTES ARE PRIMED DURING
COMPOUNDING SO YOU DO NOT HAVE TO
PRIME NEW CASSETTES
PRESS “NO” TO NOT PRIME
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REPROGRAM PUMP
STOP THE PUMP BY PRESSING THE RED/GREEN
STOP/START BUTTON ON THE FRONT OF THE
PUMP. SEE “HOW TO” ON SLIDE 4, IF
NECESSARY.
START THE PUMP AND YOU ARE DONE.