Infusion Pump and Syringe

Pump
Overview
Ana Liza Camacho SN, Frances Devilles SN

OBJECTIVES
To ensure Mouwasat Hospital employees are
aware of the standards and safe practices
to be followed when using Plum A care
infusion Pump and Terumo Syringe Pump.

Procedure for Plum Care

PPG NUR 95

Infusion Pump
Is a device used for the controlled administration
of intravenous fluids with accuracy and sterility.

Policy

The life care infusion pump must be used for all critical care
drugs which needs accurate delivery of medicine.

All drugs which are incorporated in IVF needs controlled admi

The life care 5000 must be used to transfuse blood or plasma

Procedure
l

Explain the procedure to the patient.

Assemble all equipment.
Plum care pump
I.V Administration set with label (Date, Time, Signature, ID num
I.V Solution and label:
Bed number
Bottle number
File number
Name of IV Solution with incorpora
Rate per hour
Date and time starting
Name and sign of RN who started
Name and sign of RN who witnessed
IV Stand
Alcohol Swab
Ensure that IV solution being prepared matches the physicians
Mount the IV pump on the IV stand after checking the voltage 2
l

Basic Operations of Plum

A

TO SETUP PLUMSET

SIMPLE DELIVERY

TITRATE RATE

BACKPRIME

DELAY START

SET OR CANCEL NURSE CALLBACK

STANDBY

mon Alarms and Basic Troubleshooting

Message

Possible Causes

Corrective Actions

Distal Occlusion

Distal line kinked, IV site

clotted or positional, pressure
limit set too low

- Check distal tubing

- Check IV site
- Reset pressure limit

Prox Occl A (B) at

start up

Proximal line obstructed (line

A or B container or syringe
disconnected or obstructed
during start up)

- Examine line A/B for kinks or

closed clamps
- Open any closed proximal
clamps
- Open and close door
- For syringe, select
BACKPRIME

Prox Air A/B Air

Proximal line obstructed (line - Examine line A/B for kinks or

A or B container disconnected closed clamps or air in
or obstructed)
cassette
- Open any closed proximal
clamps
- Press START

Prox Air A/B

Backprime

Empty container or excess air

in line

- Check for clamps or empty

container

Common Alarms and Basic Troubleshooting

Distal Air

Air detected distally due to

excess air in air trap,
incomplete priming.

-Remove and reprime cassette

using standard technique.
-If alarm recurs, replace the
set.

No Action Alarm

Pump programming
incomplete

- Press START
- Continue programming

Infuser Idle 2
minutes

Pump is ON without operater - Begin programming or turn

input
pump of

Line A/ B VTBI
Complete

VTBI is complete.

Cassette Test
Failure

Faulty cassette, proximal or

- Check clamps, manually
distal occlusion or air in
reprime set, close door.
cassette detected at startup. - Backprime into Line B
container or syringe.
- If alarm recurs on retest,
replace set.
- If alarm repeats, replace
pump.

- Program new VTBI

SYRINGE PUMP

POLICY: PPG NUR 94

This policy and procedure guide and
describes the procedure of intravenous
infusion or antibiotic administration by
using diferent types of infusion pump in
Mouwasat Hospital.
DEFINITION:
Device used to administer medications or
IV fluids slowly and accurately over a
desired length of time by using a syringe.

POLICY
Needs written order to use syringe
pump.
The medications and in fluids which
needs to be given via syringe pump to be
given as per guidelines to the medication.
TYPES OF SYRINGE PUMP:
TERUMO Syringe Pump
ASENA Syringe Pump
VICKERS Syringe Pump
ATOM Syringe Pump

TERUMO SYRINGE PUMP

LOADING A SYRINGE:

Use appropriate syringe.

Aseptic technique is strict while attaching the IV line to the
syringe.
TERUMO recommend LUER-LOCK connector
If the flange of the syringe is not properly engaged in the slit,
flow rate accuracy and alarm functions cannot be
guaranteed.
If the plunger is not firmly held against the slider siphoning or
reverse flow may occur.

PRIMING

Press and hold the purge switch until the solution drips from the
tip of the IV needle.
To clear the volume delivered, press the switch for 1.5 seconds.
Short buzzer sound and the volume delivered are clear to 0.0
Connecting the IV line of the patient, and check the setting of
the flow rate and the start the infusion by pressing the START
button.
If you need to change the flow rate during infusion, press STOP
switch and change the settings.

SETTING THE FLOW RATE

Check the indicator rate is on; if it is of

turn the switch to turn it on.
Enter the desired flow rate by using dial
method.
The flow rate cannot be set while the
pump is infusing.
The maximum flow rate is 999.9 and the
minimum rate is .1 ml.

COMPLETING THE INFUSION

Press the STOP switch to stop the

operation.

Close the IV line.

Remove the syringe.

Turn the power OFF.

CLEANING AND STORAGE

Power of and disconnect power cord.

Clean the machine with appropriate chemical
as per the operation manual.

-chlorhexidine gluconate

The syringe pump cannot be autoclaved and

use any dryer or similar device to dry it.

Avoid water spills.

Never store in hot or humid place.

ALARMS AND CORRECTIVE ACTIONS

CORRECTIVE ACTION

ALARMS/ CAUSES

Syringe disengagement during

infusion syringe size 1

The plunger/ clutch is disengaged

during infusion

Press the STOP switch to the

buzzer.
Close the IV line.
Prime the IV line.
Open the IV line.
Press the START switch to restart
infusion.
Silence the buzzer by pressing
STOP switch
Close the IV line.
Load the TERUMO brand properly.
Reset the syringe and verify the
plunger is held firmly against the
slider.
Prime the IV line.
Open the IV line.
Press the START switch to restart

ALARMS AND CORRECTIVE ACTIONS

The line is occluded

Press the STOP switch to the buzzer.

Check for a kinked or clogged tubing.
Prime the line and make sure the
plunger is held firmly against the
slider.
Eliminate the cause of occlusion.
Then restart the infusion.

Battery is running low

Plug the pump into the AC or DC

main as soon as possible.

Cannot start

Check the flow rate if it is 0.0 ml/u

Reset the flow rate (less than 300
ml/u)
Reset delivery limit.

Nearly empty or the syringe is empty

Make silence the buzzer.

Replace the syringe to continue the
infusion.

Thank You!!!