so here is your AIS Channel with your primary fluids Channel I already have some primary fluids so I just have LR that is primed through the primary tubing ready to go I have my AIS uh key for the PCA I've got my PCA Channel which I'm going to put my PCA syringe into and then I also have my monoject syringe that comes from Pharmacy I've got it uh it's blue because it's going to allow us to see easier how you're supposed to prime or to where you will Prime the analgesia through and then I also have my monoject syringe which is going to go inside of this Barrel just twist like that I also have my PCA tubing what I'm going to going to do is I'll take my mon syringe and I'm going to attach it to the long end of the PCA tubing just make sure that you've got all your PCA tubings uh or the clamps uh engaged because now once we've got it attached we're going to hook it up into our PCA module to Prime okay so now that we have our um syringe connected to our tubing we'll go ahead and we've turned on our pump and what we need to do is open up our little plastic case that encloses the PCA syringe and so you'll use your key that you get from the pixus and you need to turn it counterclockwise until it's to unlock and then it'll pop this open once that's opened up there a few steps to insert this syringe into here you need to take this little glass piece on the bottom and kind of pull it out toward you and then over you will then put your syringe line it up here underneath this little lip so it should slide in kind of nicely right there like that okay and then you'll take this plastic piece come back toward you and then down so it holds it in place you'll then twist this part up here over to the left so that it opens up these clamps up here and then you'll lower it down onto the top of the barrel of your syringe and then close it up like that now we're going to close the case and turn our key to program we'll go ahead and hit Channel select It'll ask us to confirm the time always we just want to make sure that time is correct we'll select monoject 35 so that's what we have in here and confirm we'll select morine and this is asking for our specific order so I'm just going to say PCA under 65 and it's just confirming our dose so 5 milligrams in 1 mil it's always going to give us a clinical advisory that we need a second RN to sign off on it and it's going to again give us our drug amount in the dent and then before you select your infusion mode we need to Prime the tubing so to do that you have to go to this option button options page down and then Prime set with syringe so select that you'll get to this screen with the drops go ahead and unclamp all of your tubing and to Prime we're just going to click this button and hold click and hold and you'll start to see that it will begin counting the amount of Mills that is going through the tubing and it's going to automatically stop at 2 Ms once at 2 m the analgesia should be if you can see here just past the Y port or just just to the Y Port if it's not you can always hit the prime button again to make it go longer but the long piece of the tubing is should be very close to 2 Ms and so if you just click and hold that prime button and you go to all the way to 2 Ms it should go just to the white port or to the Y and as the last piece we need to make sure that we Prime the rest of our tubing with our primary fluids so we have our primary fluids up here we're going to attach our primary fluids and just Prime the rest of the PCA tubing by gravity that's the easiest way to do that so we'll attach our primary fluids to the other side to that other port here and then we'll go ahead and release our clamps and we'll go ahead and Prime that through okay so that we've got primary fluids going all the way to the end that is going to attach to our patient now that we have our primary fluids in their Channel and we've got our PCA uh analgesia in their Channel let's go ahead and programmer infusions will go to for this patient they're just getting the PCA dose only we're going to do PCA dose of 1 milligram the blackout interval is 10 minutes max limit is 15 concentration is 5 migs per M so we're going to confirm all that we're going to close the door is already closed so we're just going to lock the door and then we're going to go ahead and click Start for our primary fluids we'll just hit Channel select let's just do a basic infusion of 125 of 950 to be infused and that'll go ahead and start infusing all right so we've got our fluids we've got our PCA ready to go and now if our patient hits their green button you hear that sound they're going to get a little teeny bit of morphine which will be carried to them by the primary fluids once it's passed that way be sure to take your key and return to the