Lecture on Alaris Pumps and IV Piggyback Infusion

Overview

• Discussion on Alaris pumps
• Priming tubing
• Preparing for IV piggyback infusion

Steps for Setting Up Alaris Pump

Selecting and Preparing Tubing

1. Select Alaris Primary Tubing:

   • Open the package.
   • Ensure the clamp is open, then close it.

2. Spiking the Bag:

   • Hold the bag, pull the tab off while maintaining sterility.
   • Insert the spike into the bag with a twisting motion.
   • Hang the bag on the hook.
   • Squeeze the drip chamber until it is halfway full.

3. Priming the Tubing:

   • Loosen the cap at the end of the tubing slightly.
   • Open the clamp slowly to let the fluid run through, removing all air bubbles.

Using the Alaris Pump

1. Turning on the Pump:

   • Locate "system on" at the corner and press the button.
   • Respond to prompts:
     • New patient? → Yes
     • Med surg patient? → Yes
   • Enter patient ID and confirm.

2. Loading the Tubing:

   • Open the pump door.
   • Insert the tubing into the pump (blue filter should be below, click into place).
   • Gently close the door.

3. Selecting the Channel and Infusion Type:

   • Choose channel (e.g., channel A) using "channel select."
   • Choose infusion type:
     • Options: Guardrail drugs, Guardrails IV fluids, or Basic infusion.
     • For this session, select Basic infusion.

4. Setting Infusion Parameters:

   • Physician's order for normal saline: 100 mL/hr.
   • VTBI (Volume To Be Infused): Set at 900 mL.
   • Ensure all clamps are open.
   • Press "Start" on the main screen.

5. Labeling the Tubing:

   • Label for future reference on when to change tubing (typically 72 to 96 hours).

Back Priming and Secondary Infusion

Preparing Secondary Tubing

1. Open and Prepare Secondary Tubing:

   • Open package, close clamp.
   • Hang cefazolin 2 grams and prime the tubing while maintaining sterility.

2. Connecting Secondary Tubing:

   • Select a port above the pump.
   • Cleanse with alcohol prep pad for 15 seconds.
   • Connect tubing to the port and secure it.

3. Filling and Setting Up the Pump:

   • Pause the pump and fill secondary tubing.
   • Select "Channel Select" and press "Secondary."

4. Administering Medication:

   • Choose cefazolin 2000 mg.
   • Confirm the dosage and amount in mL.
   • Set the duration for infusion (e.g., 30 minutes).
   • Rate will be automatically calculated (e.g., 100 mL/hr).

5. Starting the Infusion:

   • Ensure clamps are open.
   • Press "Start" and verify medication is dripping.

Conclusion

• Successfully completed back priming and hanging of the primary line.