Plum 360
™
with
Hospira MedNet
™
System
Quick Reference Card Software 15.02
Please refer to the System Operating Manual for complete operating instructions.
™
2
CONTENTS
Definition of Terms
Definition of Operating Keys –
Indicators – Display Symbols
3
3
Set Up Plumset
™
6
Clinical Care Area (CCA) Selection 6
Programming Line A/B with a Custom Drug Library
Programming Line A/B without a Drug List
6
Nurse Callback
Titrate Rate On Line A/B 8
Address VTBI Complete Alarm 8
Backprime 9
7
8
Stop and Start with 1 Line Pumping
Stop and Start when Line A and B Pumping
9
9
Standby – A/B Delivery Screen 10
Delayed Start 10
Loading Dose 10
Multi-Step 11
Change CCA During Infusion 11
Lock Keypad (Method #1)
Lock Keypad (Method #2)
Unlock the Keypad
Set the Post Infusion Rate
View/Clear Volumes Infused
Adjust Display Lighting and Contrast
13
14
View CCA and Infuser Settings 14
Set Distal Pressure Alarm Limit 15
Discontinue Electronic Flow
Control and Setting Gravity Flow 15
Discontinue Fluid Administration 16
Alarms and Troubleshooting 16
High Priority Alarms
Medium Priority Alarms
Low Priority Alarms
Line A – High
Priority Alarms 21
Line A – Medium
Priority Alarms 23
Line B – High Priority Alarms 24
17
20
20
Line B – Medium
Priority Alarms
Line A and B –
High Priority Alarms
26
27
12
12
13
13
DEFINITION OF TERMS
Hospira MedNet
™
Software – Enhances safety at the point of care with highly customizable drug libraries that guide users and helps to protect patients by alerting to hard and soft limits, upper and lower dosing limits intended to help prevent infusion errors. These limits are based on a hospital’s specific IV administration practices.
Lower Hard Limit (LHL): The lower limit that cannot be overridden.
Lower Soft Limit (LSL): The lower limit that can be overridden.
Upper Soft Limit (USL): The upper limit that can be overridden.
Upper Hard Limit (UHL): The upper limit that cannot be overridden.
Auto-Program: Auto-programming refers to the ability to receive a remotely configured therapy from Hospira MedNet™ Software.
DEFINITION OF OPERATING KEYS –
INDICATORS – DISPLAY SYMBOLS
[ON/OFF] – Infuser power on and off.
[START] – Is the first key to press to start a delivery. For safety reasons, every delivery must be confirmed by checking the programming and then pressing an additional softkey, in response to a prompt.
[STOP] – Stops delivery. If 2 lines are pumping when you press [STOP], you must press one of the following softkeys: s
[Stop A], s [Stop B], or s [Stop All] in response to the prompt to specify which line(s) to stop.
3
4
[SELECT] – Moves the cursor between fields on the display.
The top pair of arrows moves the cursor up or to the left.
The bottom pair of arrows moves the cursor down or to the right.
[LOCK KEYPAD] – Pressing this key, followed by entering a lock passcode disables all keys on the keypad except
[STOP] until a valid passcode is reentered.
[AUDIO PAUSED] – Has two functions, temporarily silencing all audio output for any active alarms for two minutes or temporarily silencing keypad input sound feedback for two minutes if there is no active alarm.
[C] – Clears all values in the currently highlighted field. [C] also clears the dashes (- - -) that are displayed when an entry is invalid or a drug delivery parameter is beyond the pre-programmed hard limits.
NOTE: [C] will NOT clear an entire program.
Caution – Appears on the display to tell the clinician to use CAUTION because the specified drug has NOT been programmed with specified safety limits.
Upper Soft Limit Override – Appears next to the drug name when the dosage of the drug being infused is higher than the upper soft limit set for the drug in the Custom Drug Library.
Lower Soft Limit Override – Appears next to the drug name when the dosage of the drug being infused is less than the lower soft limit set for the drug in the Custom Drug Library.
Wireless Connection – Appears when the infuser is communicating with the network using a wireless connection.
Hospira MedNet Connection – Appears when the infuser is communicating with Hospira MedNet
™
software over either a wireless or Ethernet connection.
Battery Capacity – Shows the battery charge level when a battery is installed in the infuser, or indicates that a battery is not installed.
To maintain maximum battery charge and to prolong battery life, connect the infuser to AC (mains) power whenever possible.
5
6
SET UP PLUMSET
™
1
Prime the set according to package instructions.
2
Push in flow regulator to close.
3
Insert primed cassette into the infuser, close door.
4
Press [ON/OFF] to turn on the infuser.
CLINICAL CARE AREA (CCA) SELECTION
1
Use to highlight the desired CCA.
2
After you select the desired CCA, press s [Choose].
3
The on-screen message “New Patient” may appear – press s [Yes] to clear all settings or s [No] to continue.
NOTE: If no settings currently exist or all settings are 0, this screen will be bypassed.
PROGRAMMING LINE A/B WITH A CUSTOM DRUG LIBRARY
1
On the Delivery (A/B) screen, select a line to program. If you are programming a primary delivery, select Line A. If you are programming a secondary delivery, select Line B.
2
In the drug list, select the drug – You may use alphanumeric keypad to search.
3
Select a clinical use (if applicable).
4
Enter weight (if applicable), rate and/or dose, VTBI, and duration as appropriate for the displayed program parameters. These values can be entered in any order.
CAUTION: BEFORE STARTING DELIVERY, VERIFY THE VALUES.
5
Press [START].
6
Confirm the program.
7
Press [Yes] to start the infusion.
• If a maximum hard limit is exceeded, an alert appears. You cannot proceed until the entry is cleared. Press the [C] key to clear the entry and enter a new value.
• If a soft limit is exceeded, an alert appears when [START] is pressed to confirm the program.
• When the alert displays:
— Select s [Yes] to override and continue to the confirmation screen. or
— Select s [No] to return to the program screen and edit the value.
When programming Line B with a non-Piggybackable drug (as defined in the custom drug library), the delivery mode for Line B defaults to Concurrent and cannot be changed.
If there is a confirmed program on Line A with a drug that is non-interruptible when programming Line B, the delivery mode for Line B will default to Concurrent and cannot be changed.
If Line A is not programmed, or is programmed with a drug that is interruptible, and the drug selected on Line B is Piggybackable, select Piggyback or
Concurrent as the delivery mode (the default is Piggyback).
PROGRAMMING LINE A/B WITHOUT A DRUG LIST
1
On the Delivery (A/B) Screen, select a line to program. If you are programming a primary delivery, select Line A. IF you are programming a secondary delivery, select Line B.
2
On the Program screen, enter the rate, VTBI and duration. Values can be entered in any order.
• A Caution Symbol will appear on the Confirm Program screen that alerts you that the infuser is being operated without rule sets.
3
Press [START].
• Before starting delivery, verify the values.
4
Press [Yes] to start delivery.
7
8
NURSE CALLBACK
1
On the programming screen, press s [Add Callback].
2
Press [START] and confirm your order for accuracy.
3
Press [Yes] to start delivery.
Callback is available for Piggyback, Loading Dose and Multi-step deliveries.
TITRATE RATE ON LINE A/B
1
On the Delivery (A/B) screen, select s [A] or [B] – Line does not have to be stopped to titrate rate.
2
Ensure rate/dose field is highlighted and enter a new rate/dose.
3
Press [START] and confirm your order for accuracy.
4
Press [Yes] to start the titration.
ADDRESS VTBI COMPLETE ALARM
Upon completion of delivery, the screen shows a flashing “VTBI completed
Line A! – Add more VTBI or Clear Line A” message and the audible alarm sounds.
You can change to default setting to one of the following:
1
— KVO: The infuser continues to deliver fluid at a Keep Vein Open (KVO) rate of 1 mL/hr. If the delivery rate of the infusion that just completed was less than 1 mL/hr , the KVO rate will continue at the same delivery rate.
— RATE: The infuser continues to deliver fluid at the programmed rate, maintaining the therapeutic rate until the VTBI Complete alarm can be resolved.
Press [AUDIO PAUSED] to stop the alarm sound.
2
Press [A].
3
Ensure the VTBI field is highlighted – using the numeric keypad, enter a new VTBI.
3
Press [START] and confirm your order for accuracy.
4
Press [Yes] to start the titration.
BACKPRIME
Before you begin a backprime, ensure that there is a line or a syringe on the secondary port to accept the backprimed fluid or expelled air. When you release s [Backprime] the infuser performs a cassette test.
1
Press and hold s [Backprime] until fluid pumped from Line A to Line B has expelled the air from the cassette air trap.
NOTE: If you press and hold the [Backprime] key for two minutes, a stuck key alarm sounds and the display screen shows Power Off then ON. Replace pump if alarm continues.
2
If the cassette test detects that there is still air in the line, repeat Step 1 until the cassette test is successful.
3
Press [START] to restart the delivery. If two lines were pumping when delivery stopped, press the appropriate softkey in response to the prompt.
STOP AND START WITH 1 LINE PUMPING
1
On the Delivery (A/B) screen, press [STOP].
2
Press [START] to resume the infusion.
STOP AND START WHEN LINE A AND B PUMPING
1
On the Delivery (A/B) screen, press [STOP].
2
Press [Stop All] or s [Stop A] or s [Stop B].
To Resume the infusion:
1
Press [START].
2
Press [Start All] or s [Start A] or s [Stop B].
9
STANDBY – A/B DELIVERY SCREEN
Standby - Enables the clinician to postpone starting the delivery for a period of 24-72 hours. Default is 72 hours.
A line must be infusing to be put in Standby.
If a line is in standby and the configured maximum standby time expires, the program is cleared and the infuser alarms 2 minutes later if there has been no interaction with the pump on either line.
1
From the Main Delivery screen, press s [Standby] and select the line to put in standby mode.
2
From the Confirm Standby screen – press s [Standby].
3
On the Confirm Standby screen, press s [Yes] to put the delivery in standby.
4
To remove Standby press [START].
5
Select the appropriate line to cancel Standby and Resume delivery?
Press [Yes].
DELAYED START
1
On the Program screen, press s [Delay].
2
Enter time in hours and minutes up to 23:59 hh:mm and press s [Done].
Delivery screen shows DELAYED and time delayed.
3
To clear a delay, choose the line, press s [Delay], then change or clear the delay settings, then press s [Done].
LOADING DOSE
1
After your medication is selected, press s [Choose].
2
Press [Loading Dose] before entering any values on the programming screen. The Program Loading Dose screen appears.
3
Enter Rate and/or Dose, VTBI, and Duration as appropriate for the parameters displayed for 1 (Loading Dose).
10
Loading Dose and 2 represents the Maintenance Dose.
4
After completely programming 1 (Loading Dose) navigate to 2
(Maintenance Dose) and program the maintenance dose parameters.
5
When both Loading Dose and Maintenance Dose are programmed, press [START].
6
Confirm that all programming is correct, and then press s [Yes].
MULTISTEP
1
After your medication is selected, press s [Choose].
2
Press [Multistep] before entering any values on the programming screen.
3
Enter Rate and/or Dose, VTBI, and Duration as appropriate for the parameters displayed for Step 1.
4
After programming all values in 1 (Step 1), navigate to the 2 (Step 2), and program that step.
5
After programming all values in 2 (Step 2), navigate to the 3 (Step 3), if desired.
6
Press [To Steps 4-10] to program additional steps if needed.
7
When all steps are programmed, press [START].
8
Confirm that all programming is correct, and then press s [Yes] to start the delivery for 1 (Step 1).
CHANGE CCA DURING INFUSION
1
On the Delivery (A/B) screen, press s [Settings/Vol/CCA].
2
Press [Change CCA].
• The current CCA is indicated by arrows before and after the CCA.
3
Use the [SELECT] s or t to highlight the new CCA.
4
Press [Choose].
11
5
Press [Previous Screen].
NOTE: New CCA is highlighted at the bottom of the screen.
NOTE: When the Delivery screen displays, the infuser will inform the user that line is delivering under a prior CCA. Until a VTBI Complete alarm occurs for the line, you can still titrate the infusion on that line under the old CCA.
LOCK KEYPAD (METHOD #1)
Using the Lock Keypad hard key.
1
Press the [LOCK KEYPAD] hard key.
2
The Passcode data entry screen appears on the display.
3
Enter the passcode using the numeric keypad.
4
Press the s [Enter] softkey.
When the keypad is locked, the lock symbol appears in the bottom right corner of the delivery screen.
LOCK KEYPAD (METHOD #2)
Via Settings/Vols/CCA
1
At the main delivery screen, press [Settings/Vol/CCA] soft key.
2
Press [Lock Keypad] – the Passcode data entry screen appears on the display.
3
Enter Passcode to Lock using the numeric keypad.
4
Press [Enter] soft key.
When the keypad is locked, the lock symbol appears in the bottom right corner of the delivery screen.
12
UNLOCK THE KEYPAD
1
Press any key on the keypad to display the Passcode data entry screen.
2
Enter the passcode using the numeric keypad.
3
Press the s [Enter] soft key.
NOTE: During an infusion, pressing [STOP] or opening the cassette door, activates an alarm that cannot be silenced until the keypad is unlocked.
SET THE POST INFUSION RATE
1
On the Main Delivery screen, press s [Settings/Vols/CCA]. The
Settings/Vols/CCA screen appears, with the Post Infusion rate highlighted.
2
Press [Choose]. The Post Infusion Rate screen appears, with the current setting highlighted.
3
To change to current setting, press s [KVO/Rate]. To return to the previous setting, press s [KVO/Rate] again.
4
Press [Done] to save your changes and return to the Settings/Vols/
CCA screen and then press s [Previous Screen] to return to the delivery screen.
VIEW/CLEAR VOLUMES INFUSED
1
On the Main Delivery screen, press s [Settings/Vols/CCA].
2
Use [Select] to highlight Volumes Infused and then press s [Choose].
• The Volumes Infused Screen displays the volumes infused on Line A,
Line B and the total infused.
3
Document totals.
4
Press [Clear A] to clear the Line A total only (and subtract the total from the Total Volume).
5
Press [Clear B] to clear the Line B total only (and subtract the total from the Total Volume).
13
6
Press [Clear Total] to clear all values, including the Total Volume.
7
To return to the Settings/Vols/CCA screen, press s [Return to A/B].
If you do not press a key in 30 seconds, the Delivery screen automatically returns.
ADJUST DISPLAY LIGHTING AND CONTRAST
1
On the Main Delivery screen, press s [Settings/Vols/CCA].
2
Use [SELECT] to highlight Lighting/Contrast and press s [Choose].
The Lighting/Contrast screen appears, with the Backlight Intensity highlighted.
3
Use [Increase Setting] and s [Decrease Setting] to adjust the backlight intensity.
4
Press [SELECT] to highlight Display Contrast.
5
Use [Increase Setting] and s [Decrease Setting] to adjust the display contrast.
6
Press [Done] to save the current settings and return to the Settings/
Vol/CCA screen or press s [Previous Screen] to leave this screen without saving changes.
7
Press [Previous Screen] to return to the Settings/Vol/CCA screen.
VIEW CCA AND INFUSER SETTINGS
1
On the Main Delivery screen, press s [Settings/Vols/CCA].
2
Select [CCA Settings] and press s [Choose]. The CCA Settings screen displays.
3
Press [Page Up] and s [Page Down] to view all the CCA and infuser settings.
4
When finished, press s [Previous Screen] to return to the Settings/
Vols/CCA screen. Press s [Previous Screen] again to return to the delivery screen.
14
SET DISTAL PRESSURE ALARM LIMIT
NOTE: Prior to changing the Distal Pressure Alarm Limit, the infuser must be stopped.
1
On the Main Delivery screen, press s [Settings/Vols/CCA].
2
Change the Distal Pressure Alarm Limit.
CAUTION
–––––––––––––––––––––––––––––––
DO NOT SET THE DISTAL PRESSURE ALARM LEVEL LOWER THAN 3
PSI OR HIGHER THEN 12 PSI. SETTING THE ALARM OUTSIDE OF THAT
RANGE MAY RESULT IN UNRELIABLE ALARM FUNCTIONING.
–––––––––––––––––––––––––––––––––––––––
3
Use the keypad to press s [Done] to save your changes and return to the Settings/Vols/CCA screen or press s [Previous Screen] to view the settings without making changes.
4
Press [Previous Screen] to return to the Main Delivery screen.
DISCONTINUE ELECTRONIC FLOW CONTROL AND SETTING
GRAVITY FLOW
WARNING
–––––––––––––––––––––––––––––––
CLOSE ALL CLAMPS BEFORE OPENING THE CASSETTE DOOR.
–––––––––––––––––––––––––––––––––––––––
1
Press [STOP]. If two lines were pumping, press s [Stop All].
2
Press [ON/OFF] to turn off the infuser.
3
Close all clamps – Remove Secondary if applicable.
4
Open the cassette door and remove the cassette.
5
Holding the cassette upright, set gravity flow by turning the flow regulator counter-clockwise.
6
Check the drip chamber to measure the flow rate. Refer to the administration set pack for number of drops/mL.
15
DISCONTINUE FLUID ADMINISTRATION
1
Press [STOP]. If two lines are pumping, press [Stop All].
2
3
Close all clamps.
4
Detach the distal line from the patient access device.
5
Open the cassette door and remove the cassette.
6
Close the cassette door.
7
Discard the set and fluid container per hospital policy/procedure.
ALARMS AND TROUBLESHOOTING
The Plum 360 infuser has an intelligent alarm system that handles more than one alarm at a time. Alarms are prioritized as high, medium, or low. You can distinguish the priority by the number of beeps:
Priority
High
Medium
Low
3
2
Number of Beeps
10
16
HIGH PRIORITY ALARMS
Alarm Message and Priority
Power Off then On.
Replace pump if alarm continues.
High
Replace pump.
Audio alarm failure.
High
Replace pump.
Backlight failure.
High
Line B VTBI complete in prior CCA!
Press STOP key.
High
Distal OCCLUSION!
Resolve then
Backprime.
High
Possible Cause
Malfunction.
Audio alarm is OFF but sensed ON, or ON but sensed OFF.
Backlight voltage out of range during operation.
Power off the infuser.
Line B delivery
VTBI=0; the line was programmed under a different CCA than the CCA currently used; and Line B has a Concurrent delivery programmed.
Distal occlusion detected while attempting to backprime or during cassette check.
Corrective Action
Power the infuser off, and then on. Replace infuser if this does not clear the alarm.
Power off the infuser.
Stop the delivery on
Line B or open the cassette door.
Examine the distal line for kinks.
Resolve the distal occlusion and then either backprime or open and close the cassette door.
Continued on page 18
17
18
Distal OCCLUSION!
Check IV line and site.
High
A distal occlusion is detected and either the maximum auto-restarts have occurred for the infusion or auto-restart was set to zero.
Examine the distal line for kinks and correct any found.
Restart the delivery.
NOTE: The alarm can also be cleared by clearing the confirmed programs on any programmed line or opening the cassette door.
See section in SOM on
Avoiding a Bolus
While Resolving a Distal
Occlusion.
High
WARNING –––––––––––––––––––––––––––––
THE PLUM 360 INFUSER DOES NOT HAVE CAPABILITY
TO DETECT INFILTRATION TO THE PATIENT
–––––––––––––––––––––––––––––––––––––––
Pump too high above patient.
Lower pump or replace set.
Distal occlusion detected during delivery due to too much backpressure.
Resolve the occlusion by lowering the infuser on the pole to place it closer to the level of the patient’s heart (see section on
Delivery
Accuracy
in SOM) and then press [START].
NOTE: The alarm can also be cleared by clearing the confirmed programs on any programmed line or opening the cassette door.
Data was cleared.
Re-enter all programming.
High
Distal AIR! Disconnect / reprime.
Press START.
High
Door opened! Infusion stopped! Close Door.
High
Cassette test failure!
Check set.
High
Depleted Battery!
Plug into AC now!
High
Keypad locked.
Enter code to disable.
High
Corruption of retained delivery parameters is detected. Autoclear of
SEEP requires fresh delivery setup.
The cumulative air detected at the distal sensor exceeds the air detection threshold.
The cassette door was opened during a delivery.
Acknowledge the alarm.
Open the cassette door. Clear programs.
See section in SOM on
Resolving a Distal
Air-In-Line Alarm.
Close the cassette door with the cassette inserted.
Faulty cassette, proximal or distal occlusion, or air was detected in the cassette during the cassette test.
Resolve occlusion and then open and close the cassette door. Press s
[Backprime]. Replace administration set.
The infuser is running on battery power and the battery voltage is below the depleted battery threshold.
While the keypad was locked, someone pressed [STOP] or opened the cassette door during delivery.
Plug into an AC (mains) power source.
Enter valid keypad unlock code.
19
MEDIUM PRIORITY ALARMS
Alarm Message and Priority
Door opened!
Delayed Start!
Close Door.
Medium
Distal OCCLUSION -
Paused!
Attempting restart.
Medium
Possible Cause
The cassette door was opened while an infusion was in
Delayed Start.
A distal occlusion was detected and the maximum number of autoresets is configured but has not occurred for the infusion.
Corrective Action
Close the cassette door with cassette inserted.
Examine the distal line for kinks and correct any found. No action is necessary if the patient can resolve the alarm condition within 60 seconds of activation
(for example, moving an arm to eliminate the occlusion) before the maximum retry number is reached. Open the cassette door.
LOW PRIORITY ALARMS
Alarm Message and Priority
Keep Plugged into AC!
Service battery/replace pump.
Low
Possible Cause
The battery or battery charge circuitry needs servicing.
Corrective Action
Power off the infuser.
Replace the infuser as soon as possible, so that it can be sent for repair.
20
Power Off then On.
Replace pump if alarm continues.
Low
Low Battery! Plug into
AC power!
Low
Programming not complete! Action required!
Low
Battery voltage is greater than the expected limit.
The battery charge level is low.
No operator input for two minutes after the infuser is powered on in Clinical mode, except for situations that trigger an alarm.
Power off the infuser.
Plug into AC (mains) power.
Press any hardkey or softkey except the hardkey that silences alarms.
LINE A – HIGH PRIORITY ALARMS
Alarm Message and Priority
No Action Alarm! Start or Clear line A.
High
Line A VTBI complete in prior CCA! Press
STOP key.
High
Possible Cause
No operator action for
2 minutes when Line
A has been stopped by the user and is not cleared or restarted.
NOTE: Will reassert if the condition persists.
Line A was programmed under a different CCA than is currently being used and delivery is complete.
Corrective Action
Press any key on the infuser except
[AUDIO PAUSED].
Select Line A to program or clear it.
Stop the delivery on
Line A. Open cassette door.
Continued on page 22
21
VTBI Completed Line
A! Add more VTBI or
Clear A.
High
Proximal OCCLUSION
A! Check Line A.
High
Line A delivery is complete and line was programmed under the
CCA that is currently being used.
Proximal occlusion or air detected on Line A during delivery.
Add VTBI on Line A.
Stop Line A. Open cassette door.
Examine the proximal line for kinks and correct any found. If the occlusion is caused by a closed clamp, open the clamp. If all clamps are open, the alarm may be caused by excessive air that is creating backpressure in the cassette. To remove air, see section in SOM on
Backpriming
. Check the syringe size. See section in SOM on
Administration Sets and
Accessories Guidelines.
Restart Line A.
NOTE: The alarm can also be cleared by clearing the confirmed programs on any programmed line or opening the cassette door.
22
Proximal AIR Line A!
Backprime.
High
The single air bolus detected at the proximal sensor in
Line A exceeds the air detection threshold.
Clear programming on
Line A. Open cassette door. Press s
[Backprime].
See section in SOM on
Backpriming.
Check the syringe size. See section in SOM on
Administration Sets and
Accessories Guidelines.
LINE A – MEDIUM PRIORITY ALARMS
Alarm Message and Priority
Callback to Line A!
Silence audio to clear.
Medium
Proximal OCCLUSION
A! Resolve then
Backprime.
Medium
Possible Cause Corrective Action
A Callback Alarm was programmed for a Loading Dose or
Multistep delivery on
Line A, and a step other than the final step is complete.
Proximal occlusion was detected on Line A during backprime.
Press
[AUDIO PAUSED].
Examine Line A for kinks. Resolve the occlusion. Either backprime or open and close the cassette door. Check the syringe size. See section in
SOM on
Administration
Sets and Accessories
Guidelines
.
Continued on page 24
23
Proximal OCCLUSION
A Startup! Open/close door or Backprime.
Medium
A proximal occlusion was detected on Line
A during the cassette integrity test.
Examine Line A for kinks. Resolve the occlusion. Either backprime or open and close the cassette door.
See section in SOM on
Opening the Cassette
Door Completely.
Check syringe size.
See section in SOM on
Administration Sets and
Accessories Guidelines.
LINE B – HIGH PRIORITY ALARMS
Alarm Message and Priority
No Action Alarm! Start or Clear line B.
High
Line B VTBI complete in prior CCA! Clear
Line B.
High
Possible Cause Corrective Action
No operator action for
2 minutes when Line
B has been stopped by the user and is not cleared or restarted.
NOTE: Will reassert if the condition persists.
Press any key on the infuser except
[AUDIO PAUSED].
Select Line B to program or clear it.
A Line B Piggyback delivery that was programmed under a different CCA is complete, and no delivery is programmed on Line A.
Clear the delivery on
Line B or open the cassette door.
24
VTBI Completed Line
B! Add more VTBI or
Clear B.
High
VTBI Completed Line
B! Add more VTBI or
Clear B.
High
Proximal OCCLUSION
B! Resolve then backprime.
High
A Piggyback delivery on Line B is complete and the line was programmed under the current CCA and no delivery is programmed to deliver on Line A.
NOTE: Piggyback with a Line A delivery will not alarm; it will just transition to Line A delivery.
A Concurrent delivery on Line B is complete and the line was programmed under the current CCA.
Proximal occlusion detected on Line B during backprime.
Add VTBI on Line B.
Clear program on Line
B. Open the cassette door.
Add VTBI on Line B.
Stop delivery on Line
B. Open the cassette door.
Examine line B for kinks. Make sure a line or syringe is attached to the secondary port and that the line is unclamped or the syringe has enough free space to accept the backprimed fluid.
Either backprime or open and close the cassette door.
See section in SOM on
Backpriming
to remove the air.
Check the syringe size.
See section in SOM on
Administration Sets and
Accessories Guidelines.
Continued on page 26
25
Proximal OCCLUSION
B! Check Line B.
High
Proximal AIR Line B!
Backprime.
High
Proximal occlusion detected on Line B during delivery.
The single air bolus detected at the proximal sensor in
Line B exceeds the air detection threshold.
Examine the proximal line for kinks and correct any found, Restart
Line B.
NOTE: The alarm can also be cleared by clearing the confirmed program or opening the cassette door.
Clear programming on
Line B. Open cassette door. Press s [Back-
prime]. See section in
SOM on
Backpriming
,
Check the syringe size.
See section in SOM on
Administration Sets and
Accessories Guidelines.
LINE B – MEDIUM PRIORITY ALARMS
Alarm Message and Priority
Callback to Line B!
Silence audio to clear.
Medium
Possible Cause Corrective Action
A Callback Alarm was programmed for Line
B and a Piggyback delivery just completed and there is no underlying delivery or the first step of a
Loading Dose or any step other than the final step of a Multistep delivery is complete.
Press
[AUDIO PAUSED].
26
Proximal OCCLUSION
B. Resolve then
Backprime.
Medium
Proximal occlusion detected on Line
B during cassette integrity test.
Examine line B for kinks. Make sure a line or syringe is attached to the secondary port and that the line is unclamped or the syringe has enough free space to accept the backprimed fluid.
Either backprime or open and close the cassette door. Check the syringe size. See section in SOM on
Administration Sets and
Accessories Guidelines.
LINE A AND B – HIGH PRIORITY ALARMS
Alarm Message and Priority
No Action Alarm!
Acknowledge Alert.
High
Possible Cause Corrective Action
Rate was recalculated; operator has not acknowledged the alert within 30 seconds.
Press a labeled softkey.
Continued on page 28
27
Line not in STAND-
BY! Choose line(s) to
Standby:
High
Delivery was not
STOPPED! Choose line(s) to stop.
High
Delivery was not
STARTED! Choose line(s) to start.
High
No operator action for
15 seconds when the user has selected s
[Standby] when both lines are able to be put in standby, but has not selected a line
(A, B or A & B) or selected s [Cancel] to complete the action.
Press s s s
[Standby All],
[Standby A],
[Standby B], or s [Cancel].
No operator action for
15 seconds when the user has attempted to stop a delivery when both lines are delivering by pressing [STOP], but has not selected a line (A, B or A & B) or selected s [Cancel] to complete the action.
Press s
[Stop All], s
[Stop A], s
[Stop B], ors [Cancel].
No operator action for
15 seconds when the user has attempted to start a delivery when both lines are confirmed by pressing
[START], but has not selected a line
(A, B or A & B) or selected s [Cancel] to complete the action.
Press s
[Start All], s
[Start A], s
[Start B], ors [Cancel].
28
Yes: Start titration.
No: Edit
High
No Action Alarm!
Yes: Start
No: Edit
High
NOTE: Standby is intentionally not included in the instruction text.
Yes: Start titration!
No: Edit
High
NOTE: Standby is intentionally not included in the instruction text.
Standby is not possible and no operator action for 30 seconds when a titrated program is waiting to be confirmed.
Press s [Yes] to confirm the program or s
[No] to go back to the Program screen.
Standby is possible and no operator action for 2 minutes when a new program is waiting to be confirmed or placed into Standby.
Press s [Yes] to confirm the program or s
[No] to go back to the Program screen, or press s [Standby].
Standby is possible and no operator action for 30 seconds when a titrated program is waiting to be confirmed or placed into Standby.
Press s [Yes] to confirm the program or s
[No] to go back to the Program screen, or press s [Standby].
Continued on page 30
29
No Action Alarm!
START: Confirm titration.
High
No Action Alarm!
Yes: Override. No: edit
High
No Action Alarm!
Start or clear lines.
High
No operator action for the 30 seconds when a line is titrated during infusion and the
[START] hardkey has not been pressed for a program that can be started.
NOTE: A delivery cannot be started if it is in a concurrency violation.
If it is in a concurrency violation, an alarm will occur.
Press [START].
Press s
[Return to A/B].
Soft limit override and no operator action for
2 minutes when a new program is waiting to be confirmed.
OR
Soft limit override and no operator action for 30 seconds when a titrated program is waiting to be confirmed.
No operator action for 2 minutes when both lines have been stopped by the user and not cleared or restarted.
NOTE: Will reassert if the condition persists.
Press s [Yes] to confirm the program or s
[No] to go back to the Program screen.
Press any hardkey except
[AUDIO PAUSED].
30
No Action Alarm!
Yes: Start
No: Edit
High
Proximal AIR!
Backprime.
High
Standby is not possible and there is no operator action for 2 minutes when a new program is waiting to be confirmed.
The single air bolus detected at the proximal sensors in Line A and
Line B exceeds the air detection threshold.
Press s [Yes] or s
[No].
Clear the confirmed programs on any programmed line. Press s
[Backprime]. Open the cassette door.
See section in SOM on
Backpriming
.
See section in SOM on
Administration Sets and
Accessories Guidelines.
31
Reference Used: 430-97315-002 (D,2015.03) Plum 360
™
System Operating Manual
Hospira, Inc., 275 North Field Drive, Lake Forest, IL 60045 CS04-0015-0815R1
