Colleague Guardian Feature Rev E March 2007

This is an electronic copy of the original printed document.

Warning There are risks associated with using anything other than the recommended sets with this device. Sets designated for use with this device are identified in the Colleague Pump Operator’s Manual. Baxter’s warranty on this device will be null and void and Baxter will assume no responsibility for incidents which may occur if the product is not used in accordance with product labeling. See Chapter 1 of the Operator’s Manual for a complete list of warnings and cautions. The warnings and notes contained within the Operator’s Manual are incorporated by reference into this Addendum. Please refer to the appropriate section in the Operator’s Manual for the related warning or note.

Computer Software Copyrights ©Copyright 1996–2006, Baxter Healthcare Corporation. All rights reserved. For use only by Baxter Healthcare Corporation. The software contains proprietary information belonging to Baxter Healthcare Corporation. The software must not be reproduced or disclosed to others without prior written approval. Any unauthorized use of this information may subject the user to substantial liability.

Documentation Copyrights Duplication or distribution of this manual and any information contained within is strictly prohibited without the express written permission of Baxter. This manual and any information contained within, may not be reproduced, distributed, or transmitted in any form, or by any means, for any purpose, without the express written permission of Baxter. To order additional copies of this manual, or other related manuals, contact your local Baxter Service Center.

Disclaimer The information in this document has been carefully examined and is believed to be entirely reliable. However, no responsibility is assumed for inaccuracies. Furthermore, Baxter reserves the right to make changes to any products herein to improve readability, function, or design. Baxter does not assume any liability arising out of the application or use of any product or circuit described herein; neither does it cover any license under its patent rights nor the rights of others.

Trademark Information Baxter, Colleague, Colleague Guardian, Personality, Personalities, Pump Personality, Pump Personalities, and the shape of the keyed slide clamp are trademarks of Baxter International Inc. Other product names or trademarks appearing in this manual are the property of their respective owners.

Patent Information The Colleague and Colleague 3 pumps and their accessories are covered by one or more U.S. and foreign patents or patent applications pending. Please refer to the Operator’s Manual or the pump patent label for the patent list.

This is an electronic copy of the original printed document.

Overview Note:

This addendum is considered an integral part of the Colleague Pump Operator’s Manual. Store this addendum with the Operator’s Manual for future reference.

This addendum provides information on the following feature of Colleague Volumetric Infusion Pumps: The Colleague Guardian feature which is a clinical decision support tool that allows the clinician to compare pump programming with hospital defined guidelines at the point of care. If the clinician programs any values outside of the rule sets established by the hospital, an out of limits warning occurs. The Colleague Guardian feature is a configurable option that is available for dose mode programming.

Colleague Guardian Feature Note:

The Colleague Guardian feature information included in this addendum supplements the advanced pump operating instructions provided in the Colleague Pump Operator’s Manual.

How the Colleague Guardian Feature Works The Colleague Guardian feature is a configurable option that helps to reduce the potential for medication programming errors by allowing program limits to be predefined for labels in the pump’s label library, including custom labels, based on hospital or care area protocols.

07-19-E8-973

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

1

This is an electronic copy of the original printed document.

General Information About the Colleague Guardian Feature General information applicable to the use of the Colleague Guardian feature is listed below. ■

Labels configured using the Colleague Guardian feature appear in a separate list.

■

The predefined program limits apply when a label using the Colleague Guardian feature is selected.

■

The Colleague Guardian feature is available for primary infusions only.

■

Infusions that utilize the Colleague Guardian feature are identified on the pump’s information and programming screens by the mortar and pestle icon to the right of the infusion information (Figure 1).

■

The Colleague Guardian feature is available from the Primary Rate-Volume programming screen or from the Programming Modes menu.

■

Pumps equipped with the Colleague Guardian feature are identified by a label located on the front of the pump’s carrying handle.

Colleague Guardian icon (mortar and pestle)

Colleague Pump

Colleague 3 Pump

Figure 1

2

Colleague Guardian Feature Icon

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

07-19-E8-973

This is an electronic copy of the original printed document.

Colleague Guardian Labels When a label is configured for dose mode delivery using the Colleague Guardian feature, the following values can be predefined: ■

dose limits

■

dose values

■

concentration values

■

diluent volumes

■

drug amounts

Labels may be configured for dose mode delivery using the Colleague Guardian feature for standard concentrations (see Figure 2).

Figure 2 Label List Example Showing Colleague Guardian Labels

Using the Colleague Guardian Feature To use the Colleague Guardian feature with labels set up for programming standard concentrations of a dose mode infusion:

07-19-E8-973

1.

Power on the pump and select the desired Personality feature set as described in the Operator’s Manual.

2.

If using a Colleague pump, press the Primary soft key. If using a Colleague 3 pump, press the appropriate Channel Select key.

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

3

This is an electronic copy of the original printed document.

3.

When the programming screen is displayed, press the Colleague Guardian soft key (Figure 3).

Colleague Guardian Soft Key

Colleague Pump

Colleague 3 Pump

Figure 3

Colleague Guardian Soft Key

The labels for which Colleague Guardian feature limits have been configured are displayed in a pop-up window (Figure 4). In this example, Colleague Guardian feature limits have been configured for five labels enabled in the currently selected Personality feature set.

Colleague Pump

Figure 4

Colleague 3 Pump

Label List Example Showing Colleague Guardian Feature Labels 4.

4

Use the ×Ø keys to highlight the desired label, then press the Select soft key. The programming mode changes to the mode preconfigured for the label you have selected.

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

07-19-E8-973

This is an electronic copy of the original printed document.

Note:

5.

The programming screen displays your facility’s predefined values for the medication/solution selected.

Note: 6.

If you enter a dose that results in a flow rate outside the flow rate limits of the current Personality feature set, High or Low is displayed in the Rate field. Reprogram so that the rate is within the limits.

Colleague 3 Pump

Figure 5

7.

07-19-E8-973

If there is no predefined default dose, the Dose field is blank.

Enter the patient’s weight if applicable. Enter the dose (if applicable) or the flow rate.

Note:

Colleague Pump

Always confirm that the parameters you program match the label of the medication/solution container you are hanging before beginning the infusion.

Typical Dose Mode Programming Screen

Check the values displayed on the screen, then press the Confirm Settings soft key. The pump checks that the values you have entered are within the limits configured for the selected medication/solution.

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

5

This is an electronic copy of the original printed document.

If the values you entered result in a dose either higher or lower than the Colleague Guardian limits, an alert tone sounds and a pop-up similar to the one shown in Figure 6 is displayed indicating the programmed dose and the predefined dose limits for the selected label. 8.

Colleague Pump

Colleague 3 Pump

Figure 6

6

If your clinical decision is to proceed with the override of the Colleague Guardian feature limits, press Accept Dose (× key). To cancel the dose and reprogram, press Cancel Dose (Ø key) to return to the programming screen. You can then either enter a dose within the Colleague Guardian feature limits, or choose a different label by pressing the Change Med soft key.

Colleague Guardian Feature Limits Warning Pop-up

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

07-19-E8-973

This is an electronic copy of the original printed document.

9.

When you have finished programming, press the Confirm Settings soft key, then press START to begin the infusion. Colleague Guardian infusions are indicated by the mortar and pestle icon on the Main Display screen (Figure 7).

Mortar and pestle

Colleague 3 Pump

Colleague Pump

Figure 7

Colleague Guardian Infusions Running

Note:

Figure 8

07-19-E8-973

If your clinical decision was to proceed with the override of the Colleague Guardian limits, the dose data and mode are displayed in white text instead of black (Figure 8) to indicate that the programmed dose is outside of the Colleague Guardian limits.

Infusion with Colleague Guardian Dose Limits Override

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

7

This is an electronic copy of the original printed document.

Exiting Colleague Guardian to Program Another Infusion Using the Same Dose Mode Note:

If a dose mode is currently being used for a Colleague Guardian label, it is not available in the Programming Modes menu. You must exit the Colleague Guardian feature to continue programming.

To enter programming information for a label that is not available in the Colleague Guardian feature list but uses the same dose mode, or to select a different infusion mode, follow the steps below.

Colleague Pump

Figure 9

Colleague 3 Pump

Press Select Soft Key to Exit Colleague Guardian 1.

If the pump channel is running, press the STOP key to stop the infusion.

2.

At the bottom of the display, press the Change Med soft key.

3.

Exit Colleague Guardian will be highlighted; press the Select soft key (Figure 9).

4.

Program the pump using the same dose mode. or To select a different dose mode, press the Change Mode soft key and use the ×Ø keys to highlight the desired infusion mode on the Programming Modes menu, then press the Select soft key.

5.

8

Program the new infusion into the pump.

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

07-19-E8-973

This is an electronic copy of the original printed document.

Tips for Using the Colleague Guardian Feature You can also access the list of Colleague Guardian medication/solution labels by pressing the Change Mode soft key, then selecting Colleague Guardian from the Programming Modes menu (Figure 10). If the currently selected Personality feature set has no Colleague Guardian labels configured, then Colleague Guardian is not displayed as an option in the Programming Modes menu. If you decide not to use a Colleague Guardian feature label for the infusion, select Exit Colleague Guardian from the label list (Figure 9).

Figure 10 Selecting Colleague Guardian from the Programming Modes Menu

When the pump exits the Colleague Guardian feature, it displays the Primary programming screen, and the programming mode defaults to the mode of the Colleague Guardian label last selected. To select a different mode for the next infusion, press the Change Mode soft key (Figure 11) and use the ×Ø keys to select the mode. If you want to select a different Colleague Guardian label for the infusion, press the Change Med soft key. Use the ×Ø keys to select a different label. Change Mode Soft Key

Change Med Soft Key Figure 11 Change Med and Change Mode Soft Keys

07-19-E8-973

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

9

This is an electronic copy of the original printed document.

Using the Optional Accessories ! WARNING !

CAUTION

This pump should be used only with Baxter accessories specified below and in “Using the Optional Accessories” in the Colleague Pump Operator’s Manual. Using anything other than the recommended accessories with this pump will result in operation that is not within the constraints and parameters of the device. Use only accessory equipment complying with the device’s safety requirements; failure to do so may lead to reduced safety levels of the resulting system. Consideration relating to accessory choice shall also include:

•

use of the accessory in the patient vicinity

•

evidence the safety certification of the accessory has been performed in accordance with the appropriate UL 60601-1 or IEC/EN 60601-1 harmonized national standard.

Colleague Guardian Configuration Tool This accessory (product code: 2M9539) consists of a PC-based configuration tool that can be used to configure Colleague Personalities, enter custom labels, and define Colleague Guardian feature limits and transfer them to Colleague and Colleague 3 pumps.

10

COLLEAGUE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL ADDENDUM - COLLEAGUE GUARDIAN FEATURE

07-19-E8-973

This is an electronic copy of the original printed document.

This is an electronic copy of the original printed document.

This manual is printed on paper containing a percentage of recycled fiber.

EC

REP

Baxter S.A. B-7860 Lessines

Baxter Healthcare Corporation Deerfield, IL 60015 USA

© Copyright 2003- 2007, Baxter Healthcare Corporation. All Rights Reserved.

Revision E 03/2007