3153R.TSD How to use a T34 Syringe Pump
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Hello.
A syringe pump is
used to deliver medications
subcutaneously over
a 24 hour period,
when oral administration
is problematic.
All staff who use a syringe pump must attend the compulsory training.
This video will act as a
reminder of the important points
from your training.
Please refer to the
standard operating
procedure for a full explanation.
Within the hospital setting, the syringe pump must be set up
by at least one registered nurse,
with a second registered person
to witness and
sign for the medication.
In the community, a second signatory is not a requirement.
You should employ an
Aseptic Non-Touch Technique
throughout the procedure.
Draw up the medication into the syringe, as per the prescription.
Attach a completed drug additive label but do not obscure the scale
on the syringe or the
sensor on the barrel clamp.
To begin; insert the
battery and switch on the pump
by holding the ON/OFF button.
A preprogrammed start up
sequence will appear on the screen.
Lift the barrel arm clamp, turn it
180 degrees and push down.
Press the “info” and
then the “YES” buttons
to check the remaining battery power: this must be at least 35%.
Once pre-loading
is complete, visually align
the 2 syringe sensors
against the syringe,
using the “fast-forward”
and “back” keys to adjust.
Load the syringe with
the flange facing downwards.
Replace the barrel clamp.
The LCD screen will indicate if
the syringe is loaded properly.
Check that the pump has correctly identified the syringe brand and size,
and confirm this by pressing YES.
If it is incorrect, use the
up and down arrows to select
the appropriate brand and size.
Check the LCD screen for the correct duration which should be 24 hours,
and the volume of infusion.
Press YES to confirm.
The screen will display ‘start infusion’ but do not start the infusion yet.
Instead, lift and turn
the barrel arm to remove
the prepared syringe from the pump.
Gently prime the
infusion line, being careful not
to waste any of the solution.
Reload the syringe into the pump device using the “Forward” button
to move the syringe plunger.
Check the LCD screen to
confirm correct placement.
As before, check that
the device has correctly
identified the syringe brand and size.
Confirm by pressing “Yes”.
The screen will then display
the following message.
“Press YES to resume,
No for New Syringe”.
You should press “YES” to resume
the same programme.
Pressing NO will delete the programme and recalculate
what is left in the syringe.
Check the LCD screen for the correct duration and volume of infusion.
These values will be different
from what was originally
in the syringe because you
have primed the line.
Once you have inserted the subcutaneous cannula in the patient,
the infusion can then be
attached and started by pressing
“YES” to confirm, followed
by “YES” to start the infusion.
“Pump delivering” should
appear on the screen
and the green light
will flash intermittently.
To lock the keypad whilst the pump
is infusing, press and hold the
“info” key until the progress bar has moved completely across the screen.
A beep confirms lock activation.
Repeat this to unlock the keypad.
The whole syringe
pump can be placed
in the lock box and
locked with the key.
To set up a new infusion,
draw up the new medication
into a syringe as before, remembering to attach a
completed drug additive label.
Deactivate the keypad lock.
Once unlocked, press
the “info” button twice
to check the battery power.
Press “stop”, lift the barrel clamp
and remove the existing syringe.
Replace with the new syringe,
checking the LCD screen to
confirm correct placement.
Press “YES” once the correct syringe brand and size have been identified.
The LCD screen will display
two options as before.
“Press YES to resume,
No for New Syringe”.
This time press “NO” and a new 24 hour duration and volume of infusion
will appear on the screen.
Press YES to confirm.
Press YES to start the infusion.
Ensure that “pump delivering” is displayed on the screen and that
the green light is
flashing intermittently.
You should never remove a
partially full syringe from the pump
if it is still connected to the patient because you risk inadvertently
injecting a bolus of medication.
If you want to stop the infusion
before the syringe is empty,
press stop and disconnect the infusion line at the syringe end first.
If you have any questions
about using a syringe pump,
speak to a senior nurse.