Presentation on theme: "McKinley T34 Syringe Pump Training Aid. DISADVANTAGES OF T34 [ When compared with Graseby ] Weight Size Battery life."— Presentation transcript:
McKinley T34 Syringe Pump Training Aid
DISADVANTAGES OF T34 [ When compared with Graseby ] Weight Size Battery life
ADVANTAGES OF T34 SINGLE MODEL, THEREFORE NO CONFUSION 3 POINT CONTACT DETECTION SYRINGE RECOGNITION AUTOMATIC CALCULATION LCD AND INSTRUCTIONS PUMP CAN BE CONFIGURED LOG EVENT MEMORY SUPERIOR RANGE OF ALARMS
Dock / Connection Port
Check Service Date
Open Battery Compartment
T34-Battery fitting and Testing 9 volt alkaline or lithium battery only. Variation in size between different brands (do not force into compartment) Battery Test –Switch the pump on –Press INFO key –Select battery life using ↓↑ keys, press YES –Verify sufficient battery power for programme. –Replace when battery level 35% or below
T 34 Keypad 1.INFO; access event log, Set Up (code protected), battery status, keypad lock. 2.UP/DOWN arrow keys- scroll through options 3.YES/START key- confirms selection/starts infusion. 4.NO/STOP- step back a screen/stops infusion. 5.FF (forward)-moves actuator forward 6.BACK-moves actuator back 7.ON/OFF
T34 LCD Screen 4 Line Liquid Crystal Display (LCD) Backlit – activated on any key press (time adjust/ disable) Displays infusion parameters and user instructions
T34- 3 Point Contact Recognition and Syringe Loading 1.Barrel clamp arm- (detects syringe size/width of barrel, secures) 2.Syringe ear/collar sensor (detects secure loading of syringe collar) 3.Plunger sensor (detects secure loading of syringe plunger) 1 2 3
Access Codes and Keypad Lock Secure user access codes (2) - prevent misuse Access codes not provided to local users as it is envisaged that all subcutaneous infusions in palliative care will run over a 24 hour period Keypad lock –Press and hold INFO key to lock, repeat to unlock
Infusion set up and Programming Draw up prescribed medication and diluent to a minimum volume of 12 millilitres in the syringe. The volume may need to be greater than this in some circumstances. Manually prime the extension set and Saf-t-intima set. DO NOT load syringe, ensure barrel clamp bar is down. Switch the pump on. Screen displays the following …..Pre-Loading…. message when pre-load has finished use the FF or BACK keys to adjust the actuator position if required (forward movement limited + no clutch)
Syringe Placement Lift the barrel clamp Seat syringe collar/ear and plunger so the back of the collar/ear sits against the back of the central slot (ensure correct placement) Lower barrel clamp arm Screen syringe graphic ceases to flash at each point as syringe is correctly seated. If any point continues to flash, check the placement at that point.
Syringe Detection and Confirmation confirm syringe size and brand match screen message. Press YES key to confirm or scroll to view closest matches
Summary Screen and Starting the Pump The summary screen confirms: –Volume to be infused –Duration of infusion –Rate (ml/h) Press YES to confirm Pump prompts START INFUSION? Check line is connected to access device or insert cannulae, ensure clamp is off and press YES to start infusion What are the indicators that the pump is infusing?
Running Screen Top line - Infusion Duration remaining is displayed Main line - Infusion rate is displayed in ml/hr Bottom line alternates between syringe size/brand and the message <<<< pump delivering (in case keypad LED disabled) Green LED indicator (above ON/OFF key) flashes. (frequency fixed in Change Set up mode/ can be disabled to extend battery life)
Program Lock If the Program Lock is ON –Pre-set duration is locked ( at 24 hours ) –User cannot change VTBI, volume to be infused. (entire syringe contents will be delivered) –User cannot change infusion rate calculated by the pump Infusion Summary Screen is displayed immediately after syringe confirmation Check & Confirm Infusion Parameters and Start Infusion
Recommended Checks During Infusion Check the display- pump is delivering & infusion rate is as programmed Press the INFO key to check - –Single press – VTBI & VI (volume infused) –Double press- battery life remaining
Alarm Conditions AlarmPossible CauseAction Occlusion or Syringe emptyPt access device blocked, kinked, clamped. Occlusion. Actuator has reached minimum travel position Remove occlusion and restart. Flush or replace access device Release clamp End of program, turn pump OFF Syringe DisplacedSyringe has been removed or displaced Check & Confirm syringe seated correctly and Resume Pump UnattendedPump left or no key presses detected for 2 minutes Start infusion, continue programming or switch off Near End15 minutes from end of infusion Prepare to change syringe or switch off End ProgramInfusion CompletePump will either default to KVO, await nurse, or alarm, switch pump off Low batteryBattery is almost depleted (30 minutes left) Prepare to change battery End BatteryBattery is depletedChange battery
Troubleshooting FaultPossible CauseAction The pump will not startNo battery present Battery inserted incorrectly Battery is depleted/very low Pump is faulty Fit a battery Re-align battery terminals Fit a new battery Service required Infusion ended early/going too quickly Incorrect rate set Wrong syringe brand confirmed during set up Pump faulty or incorrectly calibrated Check displayed rate against prescription change if necessary Ensure correct understanding of user/educate Service/calibration required The pump has stopped before emptying syringe Exhausted battery Faulty pump Fit new battery, turn pump on, confirm syringe size and brand select to resume infusion Return for service
Patient Safety Optional accessories available: –Rigid lockbox (with key) for all syringes up to 30ml –Carry pouch to protect pump and/or lockbox Use of these accessories protects the syringe pump, syringe and contents from damage and/or tampering
Inspection and Maintenance Inspect Box contents –Damage –Missing items Cleaning - damp cloth, weak 10% bleach solution to decontaminate, do not immerse in any fluid In case of malfunction make a written note of: - –Pump serial number (see back of unit) –Circumstances (as detailed as possible) –screen messages/error codes (press info key to obtain) and note –withdraw pump from use and return to authorised service engineers for inspection
WARNING ! When changing infusion switch the pump OFF. This screen will appear if the battery goes flat and is replaced without the syringe being removed or if the syringe contents are changed and the pump is not switched off [but just stopped]. ‘NO for new program’ always defaults to 24hrs. ‘Yes to resume’ protects the prescription i.e. it continues at the same rate [volume and time may change].