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
administration.
The life care 5000 must be used to transfuse blood or plasma.
Basic Operations of Plum A
TO SETUP PLUMSET
SIMPLE DELIVERY
TITRATE RATE
BACKPRIME
DELAY START
SET OR CANCEL NURSE CALLBACK
STANDBY
Procedure
Explain the procedure to the patient.
Assemble all equipment.
Plum care pump
I.V Administration set with label (Date, Time, Signature, ID
number)
I.V Solution and label:
Bed number
Bottle number
File number
Name of IV Solution with incorporation
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 written
order.
Mount the IV pump on the IV stand after checking the voltage 220 or
120.
Common Alarms and Basic Troubleshooting
Message
Distal
Occlusion

Possible Causes
Corrective Actions
Distal line kinked, IV - Check distal tubing
site clotted or
- Check IV site
positional, pressure - Reset pressure limit
limit set too low
Prox Occl A Proximal line
- Examine line A/B for kinks or
(B) at start upobstructed (line A or closed clamps
B container or syringe - Open any closed proximal clamps
disconnected or
- Open and close door
obstructed during start- For syringe, select BACKPRIME
up)
Prox Air A/B Proximal line
- Examine line A/B for kinks or
Air
obstructed (line A or closed clamps or air in cassette
B container
- Open any closed proximal clamps
disconnected or
- Press START
obstructed)
Prox Air A/B Empty container or - Check for clamps or empty
Backprime excess air in line
container
- Back prime into line B container
or syringe.
Distal Air

Air detected distally due to

excess air in air trap,
incomplete priming.

No Action
Alarm

Pump programming
incomplete

-Remove and reprime

cassette using standard
technique.
-If alarm recurs, replace
the set.
- Press START
- Continue programming

Infuser Idle 2 Pump is ON without operater - Begin programming or

minutes
input
turn pump off

Line A/ B
VTBI
Complete
Cassette Test
Failure

VTBI is complete.

- Program new VTBI

Faulty cassette, proximal or

distal occlusion or air in
cassette detected at startup.

Lockout
Violation

The use of the stop key

during delivery, or opening
the door while lockout
enabled.

- Check clamps, manually

reprime set, close door.
- Backprime into Line B
container or syringe.
- If alarm recurs on retest,
replace set.
- If alarm repeats, replace
pump.
- Unlock lockout switch
- Unlock using keypad.

Lockout Enabled Pressing of any key except - Unlock lockout switch

stop during delivery while - Unlock using keypad.
any alarm is active and
lockout is enabled.
Malfunction
A failure has occurred in the - Record malfunction error
Message
pump internal systems.
code.
- Pump must be turned
OFF to clear malfunction.
- If alarm repeats, replace
pump.

SYRINGE PUMP
POLICY: PPG NUR 94
This policy and procedure guide and describes the procedure of intravenous
infusion or antibiotic administration by using different 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 off 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 off 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

ALARMS/ CAUSES
Syringe disengagement during
infusion syringe size 1

The plunger/ clutch is

disengaged during infusion

The line is occluded

Battery is running low

Cannot start

Nearly empty or the syringe is

empty

CORRECTIVE ACTION
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 infusion.
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.
Plug the pump into the AC or DC main as
soon as possible.
Check the flow rate if it is 0.0 ml/u
Reset the flow rate (less than 300 ml/u)
Reset delivery limit.
Make silence the buzzer.
Replace the syringe to continue the
infusion.