EvoIQ LVP Pocket Guide

NOTES

•

The Evo IQ Large Volume Pump includes many features and functions which may or may not be in your facility’s standard for clinical practice. Some of the features discussed in this pocket guide may not apply to your facility’s protocols.

•

Always follow prescriber orders. Confirm all programming entries with orders from the physician or pharmacist.

•

Each Drug Library is specific to the facility, and drugs are configured for each Care Area.

LEGEND

BACK

START

CLEAR

ON/OFF AC POWER INDICATOR BATTERY POWER INDICATOR

NAVIGATION ARROWS

OK

STOP

AUDIO PAUSE

MENU

SETUP 1.

Properly spike bag, fill drip chamber to fill line, and gravity prime IV tubing to remove all air from Y sites and backcheck valves.

2.

After IV tubing is fully primed, position and completely close both the roller clamp and blue slide clamp. For proper positioning, see image and detailed instructions on following page.

3.

Adjust pole height to ensure that the fluid level of the hanging solution is 51 cm +/- 5 cm above the center of the Pump (approximately the length of two 1 L IV bags.).

Tips to find proper positioning of roller clamp and blue slide clamp: • Position and completely close roller clamp low enough on set to allow blue slide clamp to be loaded properly. • See image below to view proper placement of blue slide clamp on IV set. There must be enough room above the blue slide clamp to allow any Y-sites to be free from the Pump door. In addition, the blue slide clamp should be closed in alignment with the Baxter logo on the front of the Pump door.

Power On 4.

Press

to power on the Pump.

5.

Pump will run System Self-Test then display Loading Guide.

IV Set Loading 6.

Pull grey door latch up and open door.

7.

Review direction of flow label above tubing channel and align IV tubing from right to left across tubing channel as shown.

8.

Again, ensure blue slide clamp is closed. Review loading points 1-4 on inside of door and insert tubing as instructed below, being careful not to stretch the tubing while also avoiding slack in tubing channel. 1

While holding the tubing left of the blue slide clamp taut, insert the ‘clamped end’ of the blue slide clamp into 1 as shown in diagram. Firmly push blue slide clamp in until a ‘click’ is audible and the grey clip drops down. IMPORTANT: Ensure that the tubing is BEHIND the grey clip. If the tubing is not secured behind the grey clip, reload the blue slide clamp. When properly inserted, the blue slide clamp occludes the set until the Pump is loaded correctly and the door is closed.

9.

2

Gently grasp the set outside the tubing channel and secure into notches at loading points 2 on sides of Pump. Listen for faint “click” sound.

3

Press the tubing into the grey groove at 3 . This is the air in line sensor.

4

Press IV tubing into ALL four notches at 4 .

Ensure tubing is securely placed into all loading points along tubing channel.

10. Grasp gray latch and push door up. Push latch down to secure door. NOTE: Once the Pump door is closed, there should not be any flow visible in the drip chamber.

11. If IV set is loaded correctly, either the New Patient or Select Care Area screens will display. • If IV set is loaded incorrectly, Loading Error screen displays, indicating loading points that need attention with . Open door and properly reload IV set to continue. 12. Open the roller clamp and before connecting to the patient, confirm that no drops are flowing within the drip chamber. • If drops are visible, remove the Pump from service immediately. 13. Attach IV tubing to patient access site.

PROGRAMMING THE PUMP NOTE: If the Pump was previously powered off at the Pause screen, the Pump retains previously programmed infusion values up to 24 hours.

Select Patient 1.

If programmed within past 24 hours, Is this a New Patient? prompt appears. • Press

for Yes to clear previously programmed infusion values.

• Press

for No to retain previously programmed infusion values.

Select Care Area 2.

If not programmed within past 24 hours, Select Care Area screen appears. • Press arrows to highlight correct Care Area and press

.

Programming a Drug 3. Drug Search screen displays. Use arrows to highlight range containing first letter of drug name and press . 4. Drug Selection screen displays. Use arrows to highlight correct drug name and press . NOTE: If prescribed drug is not listed on Drug Selection screen, request drug to be added to Drug Library per facility’s procedures and continue in BASIC mode.

5.

If applicable, use arrows to select concentration.

6.

Using arrows, enter values for each paramater (e.g., Rate, VTBI) and press each entry.

7.

Press

8.

Review entered parameters on Summary screen. Press

to confirm all parameters. to begin infusion.

to confirm

Check Flow 9.

Check that drops are falling in drip chamber and all clamps are open. If both are true, press to confirm. NOTE: Make sure to see one drop fall in the drip chamber before selecting Yes. At very low flow rates, it may take several minutes to see a drop fall in the drip chamber.

SECONDARY INFUSIONS Secondary Setup 1.

2.

After spiking and priming secondary bag and set, close roller clamp and hang secondary bag so there is 51 +/-5 cm between top of fluid container and center of Pump (approximately the length of two 1 L IV bags). Use secondary hanger to lower primary bag. Scrub upper injection Y site of primary set and connect secondary IV set to primary set.

Secondary Programming NOTE: The primary infusion must have the secondary capability configured within the Drug Library in order to program a Secondary. Programming a secondary may take place while programming the primary or by stopping the primary that is already infusing.

Secondary Bag Primary Bag

3.

After programming the primary, press the right arrow to select secondary and skip to step 6. If a primary is already infusing, continue on to step 4.

4.

Press

5.

Press Menu. Using arrows, scroll to Secondary Infusion and press .

to stop primary infusion.

6. Drug Search screen displays. Use arrows to highlight range containing first letter of drug name and press . 7.

Drug Selection screen displays. Use arrows to highlight correct drug name and press

8. If applicable, use arrows to select concentration.

.

9.

Using arrows, enter values for each parameter and press Press to confirm all parameters.

to confirm each entry.

10. On Summary screen, review both the Primary and Secondary parameters. If there are two pages of information you will see a 1/2 on the bottom of the page. To view the second page, press the DOWN arrow. 11. Open secondary roller clamp and press

to run secondary infusion.

Secondary Check Flow 12. Check that secondary clamp is open, and drops are falling in secondary drip chamber (and not in primary drip chamber). Press to confirm.

BASIC INFUSIONS CAUTION: BASIC Programming Use. BASIC programming should only be used when the desired drug or concentration is not available in the facility’s Drug Library. IMPORTANT: If a drug is not available in the Drug Library, follow your facility’s procedure to request that the drug be added. NOTE: BASIC mode is outside the safety features of the Drug Library and doesn’t provide drug-specific safety limits.

To Program Volume Over Time or mL/h 1.

Select Care Area.

2. Drug Search screen displays. Select A-D letter range and press

.

3. Drug Selection screen displays. Use arrows to highlight BASIC and press 4.

Press

.

to acknowledge “BASIC mode will not use your facility’s Drug Library.”

Volume Over Time Programming 5a. BASIC programming modes appear. Select Volume/Time. Press 6a. Enter required values for VTBI and Time and press

to confirm.

after each entry.

NOTE: Rate (mL/h) is automatically calculated.

mL/h Programming 5b. BASIC programming modes appear. Select mL/h. Press 6b. Enter required values for Rate and VTBI and press

to confirm.

after each entry.

NOTE: Time parameter is automatically calculated.

7.

Select

to confirm all parameters.

8.

On Summary screen, review entered parameters, confirm roller clamp is open, and press to begin infusion.

Check Flow 9.

Check that drops are falling in drip chamber, and all clamps are open. Press

to confirm.

NOTE: BASIC mode is displayed in red on the Run screen.

To Program in a Dose Mode: 1.

Follow steps 1-4 above to select BASIC mode.

2.

BASIC programming modes appear. Select Dose Mode. Press

3.

Using arrows, enter values for each entry (drug amount, diluent volume) and press confirm each entry.

to confirm. to

NOTE: Concentration is displayed and calculated based on the drug amount and diluent volume entered. Ensure this matches the concentration on your bag.

4.

Enter Dose Mode by selecting units (may be weight-based) and time. Press

to confirm.

5.

Select

to confirm all parameters.

6.

Using arrows, enter applicable values for weight, dose rate, and VTBI and press confirm each entry.

7.

Press

8.

On Summary screen, review pages 1 and 2, as applicable. If there are two pages of information you will see a 1/2 on the bottom of the page. To view the second page, press the DOWN arrow. Open roller clamp and press to begin infusion.

to

to confirm all parameters.

Check Flow 9.

Check that drops are falling in drip chamber, and all clamps are open. Press NOTE: BASIC mode is displayed in red on the Run screen.

to confirm.

IV SET UNLOADING 1.

Press

to stop infusion.

2.

Close roller clamp and disconnect from patient.

3.

Lift gray latch to open Pump door.

4.

Firmly press grey clip in to release blue slide clamp out of loading point 1 .

5.

On outside of Pump, grasp tubing on each side of Pump with both hands and pull tubing straight out of pumping channel.

6.

Lift door to close and push grey door latch down to secure door.

7.

Press and hold

for 3 seconds to turn Pump off.