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Baxter-Colleague-CX Manual

1. Drop icon during infusion except on Advance Air and Prime pop ups Dark green Drop icon during Advance Air and Prime FLUID icon in Advance Air pop up and Accept Dose soft key on Colleague Guardian limit warning pop ups Light blue Piggyback icon Dark blue Wristwatch icon on Main Display during Delay Start infusions Screen backgrounds fr arrows on Programming Modes select list Yellow Status line during alerts Highlighted programming fields Programmed values Wristwatch icon during Delay Start programming Colleague Guardian feature icon mortar and pestle Highlighting on programmed dose values when values are outside the Colleague Guardian limits Gray Unavailable options on Options Menu Black Shadow outline behind pop ups and select lists COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Delay Start Mode Delay Start Overview Note The Delay Start information supplements the advanced pump operating instructions provided in Chapter 5 of the Colleague Pump Operator s Manual The Delay Start feature is available on Colleague CX and Colleague 3 CX Pumps only Delay Start is a configurable feature available through the Programming Modes menu Delay Start lets you program an infusion to begin at a specified time in 24 hour format The pump starts delivering the programmed infusion at the programmed start time and runs until the infusion
2. Select a Label Page Figure 9 Label List Showing Colleague Guardian Drugs 3 Use the tt keys to select a label from the list then press the Select soft key The programming mode changes to the mode preconfigured for the label you have selected 14 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Primary meg kg min Drug Amount Diluent Volume Concentration Weight Dose Rate Volume to be infused Label Dopamine Enter Patient Weight _ Units P E A Figure 10 Change Med and Change Mode Soft Keys Primary mcg kg min Drug Amount Diluent Volume Concentration Weight Dose Rate Volume to be infused Label Dopamine Enter Patient Weight Units P Figure 11 Typical Dose Mode Programming Screen If you want to select a different Colleague Guardian label for the infusion press the Change Med soft key Figure 10 Use the T4 keys to select a different label then press the Select soft key Note If you do not want to use any of the Colleague Guardian labels for the infusion press the Change Mode soft key and select a differ ent infusion mode from the Programming Modes menu You can then program an infusion as described in the Operator s Man ual and choose a label from the pump s label library if desired Change Mode Soft Key Change Med Soft Key Note When you select a label from the Colleague Guardian label list the programming screen is
3. Ifthe current time and date are correct press the Done soft key Note Changing the current time or date clears the pump s volume history information To record volume history before changing time press the Volume History key Press the Done soft key to return to the Set Time and Date screen Figure2 Delay Start Time 4 If you wish to change the time anes date use the Increase or Confirmation Screen Decrease soft keys or the pump s numeric keypad to enter the correct time and date 5 Press the Done soft key when you finish changing the time or date 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 5 6 Primary Delay Start Rate mL hr 7 Volume mL to be infused Start At hh mm 8 24 hour format 9 Current Time 14 07 Chang Label h Line A A A A Figure 3 Delay Start Programming Screen 10 Primary Delay Start Rate mL hr Volume mL to be infused Start At hh mm 24 hour format Press Start to Confirm Delay Start Current Time 14 12 Change Label Mode Line A A A A Figure 4 Delay Start Infusion Programming The Primary Delay Start programming screen Figure 3 is displayed Using the numeric keypad enter the desired infusion rate for the delayed infusion in the Rate field Press the Vol key or the 9 key to highlight the Volume to be Infused field Use the numeric keypad to enter the desired Volume to be Infused for the delayed infusion Press the amp key
4. displayed showing the dose mode drug amount diluent volume and concentration programmed in the Colleague Guardian feature You cannot change these val ues See Figure 11 for an example The Dose may be pre filled with the Colleague Guardian preset value You can change the dose value if the dose for your therapy differs from the preset dose 4 Enter the patient s weight in pounds or kilograms and either the dose or the flow rate Check the values displayed on the screen then press the Confirm Settings soft key to proceed using the programmed values 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 15 Primary meg kg min Drug Amount Diluent Volume Concentration Weight Dose Rate Volume to be infused Enter Patient Weight Figure 12 Select Weight Unit Pop Up Primary meg kg min Limits Accept 4 Dose Warning Dose 60 000 High mcg kg min Limits 0 500 50 000 Ed v Dopamine Accept Dose to Override y WE EN NU Figure 13 Limits Warning Pop Up For neonates you may want to enter the weight in grams instead of kilograms To change the weight unit press the Units soft key A pop up is displayed Figure 12 allowing you to choose between kilograms and grams as the weight unit Highlight the desired unit then press the Select soft key The pump checks that the values you have entered are within the limits configured for the selected drug in Colleague Guardi
5. is completed or the pump is stopped Delay Start can be enabled or disabled via the Enabled Infusion Modes option on the Infusion Modes and Features Menu by authorized personnel only The default setting for Delay Start is Disabled Delay Start can be used only for Primary Rate Volume infusions The pump must be stopped to enter Delay Start mode A completely programmed Delay Start infusion must have valid Rate Volume to be Infused and Start At information entered and must be initiated with a START key press When the START key is pressed from the Delay Start programming screen the pump enters Delay Start mode and the pump module is powered off A Delay Start infusion cannot be started with active alarms or alerts except for the Channel Stopped alert A completely programmed Delay Start infusion starts automatically when the pump s clock reaches the programmed Start At time If the programming screen is displayed when the Delay Start infusion begins the display will change to the Main Display Note f you press the START key at the same time as the Delay Start program is scheduled to start the infusion will automatically start the following minute Example if the current time is 12 01 the Delay Start infusion is programmed to start at 12 01 and you press the Start key at 12 01 the Delay Start infusion will start when the pump s clock changes to 12 02 When a Delay Start infusion has been programmed a wristwatch icon is displa
6. were overridden for this infusion Press Primary or Piggyback Pigg Figure 15 Infusion that Overrides Colleague Guardian Limits Running 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 17 This manual was printed on paper stock created with 20 de inked post consumer waste fiber and a total of 100 recycled fiber 0719B9778G Baxter Baxter Healthcare Corporation Deerfield IL 60015 USA Copyright 2000 2001 Baxter Healthcare Corporation All Rights Reserved
7. Addendum to Operator s Manual Colleague CX VOLUMETRIC INFUSION PUMP PRODUCT CODE 2M8161 UIM MASTER SOFTWARE VERSION 5 00 00 AND HIGHER Baxter Prior to using this pump read this manual carefully to fully understand the pump s functionality and to ensure safe and proper operation Warning There are risks associated with using anything other than the recommended sets with this device Administration sets designated for use with this device are identified in Chapter 3 of the 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 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 2001 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 th
8. an If the values you entered result in a dose either higher or lower than the programmed limits an alert tone sounds and a pop up similar to the one shown in Figure 13 is displayed to notify you The pop up also shows the dose limits for the selected label and whether the dose you entered was too high or too low If you want to override the Colleague Guardian limits and proceed with the infusion as you programmed it press Accept Dose f key To cancel the dose and reprogram press Cancel Dose key to return to the programming screen You can then either enter a dose within the Colleague Guardian limits or choose a different label by pressing the Change Med soft key 16 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 9 When you have finished programming press START to begin the infusion Colleague Guardian infusions are indicated by the mortar and pestle icon on the Main Display screen Figure 14 Volume T Remaining A Time Remaining hr min Press Primary or Piggyback Pig Figure 14 Colleague Guardian Infusion Running Note If you overrode Colleague Guardian limits when you programmed an infusion the dose data and mode are displayed in red on a yel low highlight Figure 15 to indicate that the programmed dose is outside of the Colleague Guardian limits Rate Volume mL hr Remaining Time Remaining pe Red text on yellow highlight indicates that Colleague Guardian limits
9. dian feature is available on Colleague CX and Colleague 3 CX Pumps only Colleague Guardian Feature Overview The Colleague Guardian feature allows dose limits to be preset for any drug label in the pump s label library including custom labels The Colleague Guardian feature helps prevent inadvertent medication programming errors by warning you if a programmed dose is not within the dose limits preset by your institution The Colleague Guardian feature works like this m Authorized personnel at your institution configure Colleague Guardian limits for a label The limits apply to that label whenever the label is selected for an infusion W Authorized personnel enable or disable the labels independently for each of the pump s Personalities The Colleague Guardian limits for a specific label are the same regardless of the selected Personality m If you select a Colleague Guardian label when programming an infusion and if the dose you program is not within the limits configured for that label the pump displays a warning message to alert you You can then do one of the following e Reprogram the pump if there is an inadvertent programming error or Override the Colleague Guardian limits if appropriate for the patient s therapy Overrides are stored in the pump s history log W Colleague Guardian labels are available for primary infusions only m You can program a piggyback infusion for delivery with a Colleague Guardian primary inf
10. ess you press the START key to initiate the infusion after programming 11 When all fields contain valid values the prompt line displays Press Start to Confirm Delay Start Press the START key to initiate the Delay Start infusion so it will begin at the programmed start time The screen displays the wristwatch icon and the programmed start time for the Delay Start infusion Figure 5 To exit Delay Start mode press the STOP key while viewing the Delay Start programming screen The Start At time is cleared Delay Start is still the active infusion mode but the infusion has not been completely programmed Note You cannot place a completely programmed Delay Start infusion into Standby Note f you place the pump into Standby with an incompletely pro grammed Delay Start infusion the Start At time is cleared Note If a Manual Tube Release alarm occurs with a completely pro grammed Delay Start infusion the Delay Start infusion is can celed and the Start At time is cleared Note If the pump is powered off the Start At time for any Delay Start infusions will be cleared canceling the Delay Start infusion Powering On with Delay Start Infusions If the pump was powered off while in Delay Start Infusion mode and you power on the pump within the 5 hour memory retention period the pending Delay Start mode is canceled and the Start At time is cleared Delay Start is still the active infusion mode but the infusion has not been comple
11. is 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 Colleague Colleague CX Colleague Guardian Personality Personalities Pump Personality Pump Personalities Baxter the Baxter wordmark and the shape of the On Off clamp are trademarks of Baxter International Inc in the U S Other trademark applications pending Other product names appearing in this manual are the property of their respective owners Patent Information The Colleague Pump and its accessories are covered by one or more U S and foreign patents or patent applications pending Please refer to the Opera
12. mustine CARMUSTI Cisatracurium CISATRAC Cisplatin CISPLATI Cyclophosphamide CYCLOPHO Diltiazem DILTIAZE Dobutamine DOBUTAMN Dopamine DOPAMINE Doxorubicin DOXORUBI Eptifibatide EPTIFIBA Esmolol ESMOLOL Etoposide ETOPOSID Fentanyl FENTANYL Fluorouracil FLUOROUR Heparin Sodium HEPARIN Ifosfamide IFOSFAMI Isoproterenol ISPROTER Ketamine KETAMINE Labetalol LABETALO Lidocaine LIDOCAIN Magnesium Sulfate MAGNESIU Methohexital METHOHEX Methotrexate METHOTRE 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM Name Abbreviation Midazolam MIDAZOLA Milrinone MILRINON Mivacurium MIVACURI Morphine Sulfate MORPHINE Naloxone NALOXONE Nicardipine NICARDIP Nitroglycerin NITROGLY Nitroprusside NITROPRU Norepinephrine NOREPINE Octreotide OCTREOTI Oxytocin OXYTOCIN Paclitaxel PACLITAX Phenylephrine PHENYLEP Plicamycin PLICAMYC Procainamide PROCAINA Propofol PROPOFOL Prostaglandin E1 PROSTAGL Rocuronium ROCURONI Sufentanil SUFENTAN Tirofiban TIROFIBA Vecuronium VECURONI 10 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Colleague Guardian Feature Note Information about the Colleague Guardian feature included in this addendum supplements the advanced pump operating instruc tions provided in Chapter 5 of the Colleague Pump Operators Manual The Colleague Guar
13. or some or all drugs in the pump s Label Library including custom labels based on hospital protocol Using the Colleague Guardian feature the following values can be preset for a Label Library item that requires dose programming e dose limits e dose values e concentration values e diluent volumes e drug amounts If an infusion is programmed outside the preset Colleague Guardian dose limits the pump warns the user and does not permit the out of limit dose to be delivered The user can override the dose if appropriate or re enter the correct dose The pump has a 10 color Main Display The colors are summarized in the following table 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 1 Note For optimum color view the display from a position directly in front of the screen Color White Significance Battery Charge Level icon Flow Check icon Lock icon Prompt line with dark blue lettering All soft keys Background of all pop ups Light red Stop icon except on Advance Air and Prime pop ups Status line during alarms or failures Dose information on Main Display if the user has overridden a limit programmed in the Colleague Guardian feature Dark red Stop icon on Advance Air and Prime pop ups AIR icon on Advance Air screens Colleague Guardian limits warning dose data and Cancel Dose soft key on Colleague Guardian limit warning pop ups Light green
14. set must be loaded before the Delay Start infusion automatically initiates or a Tube Not Loaded alarm will occur when the pump tries to initiate the infusion When a Delay Start infusion is not completely programmed and is the active infusion Incomplete Program is displayed on the Main Display and the stop icon is displayed to the left of the infusion information COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Programming a Delay Start Infusion 1 From the Primary Rate Volume screen press the Change Mode soft key The Programming Modes screen is displayed 2 Use the 9 keys to select Primary Delay Start from the Programming Modes select list Figure 1 Primary Rate Volume Programming Modes General Modes Primary Volume Time Piggyback Rate Volume Piggyback Volume Time Dose Modes General Colleague Guardian mg hr Select Programming Mode No Page Change Up A A Figure1 Programming Modes Menu Note The first time you try to program a Delay Start infusion after the pump is powered on a Time Setting window is displayed so you can confirm or change the pump s current time setting The Time Set Time and Date gt Setting window displays the set time month day and year i Figure 2 Time hr min If the current date reflects the year 1990 a device error may have occurred Remove the pump from service and have it checked by authorized service personnel Month 3
15. sonality One or more labels for which Colleague Guardian limits have been configured must be enabled in the pump s Personal ity ies A Personality with configured and enabled Colleague Guardian labels must be selected when the pump is powered on To use the Colleague Guardian feature 1 Power on the pump and select the desired Personality as described in the Operator s Manual 2 When the programming screen is displayed press the Colleague Guardian soft key Figure 7 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 13 Note Primary Rate Volume Programming Modes General Modes Primary Volume Time Piggyback Rate Volume Piggyback Volume Time Dose Modes General Page Up Figure 8 Selecting the Colleague Guardian Feature from the Programming Modes Menu You can also access the list of Colleague Guardian drug labels by pressing the Change Mode soft key then selecting Colleague Guardian from the Programming Modes menu Figure 8 If the currently selected Personality has no Colleague Guardian labels configured then Colleague Guardian is not displayed in the Programming Modes Menu The drugs for which Colleague Guardian limits have been configured are displayed in a pop up window Figure 9 shows an example In Primary this example Colleague Guardian limits have been configured for Rate Volume we four labels enabled in the currently selected Personality mL hr mL
16. tely programmed 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 7 Label Library The Delay Start mode will be canceled by using the Change Personality pop up and pressing the Select soft key or by pressing the New Patient soft key The 64 labels stored in the pump s library have been changed to those shown in the following table Please refer to this list instead of the list provided in the Operator s Manual The 13 application labels appear first in the list followed by the 51 drug labels Note f your institution has programmed custom labels they will be dis played in alphabetical order within the list of drug names Name Abbreviation Application Labels Antibiotic ANTIBIOT Arterial Line ARTERIAL Blood BLOOD Central Line CENTRAL Epidural EPIDURAL Irrigation IRRIGATE Keep Vein Open KVO Lipids LIPIDS Maintenance Line MAINTENA Subcutaneous SUBCUTAN Total Parenteral Nutrition TPN Umbilical Arterial Catheter UAC Umbilical Venous Catheter UVC Drug Labels Abciximab ABCIXIMA Alfentanil ALFENTAN COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Name Abbreviation Alteplase ALTEPLAS Aminophylline AMINOPHY Amiodarone AMIODARO Amrinone AMRINONE Atracurium ATRACURI Carboplatin CARBOPLA Car
17. to highlight the Start At field Enter the desired starting time for the delayed infusion in 24 hour hh mm format You may enter a time of up to 23 hours from the current time A time of 00 00 corresponds to 12 00 midnight and a time of 23 59 corresponds to 11 59 P M Example If you want the infusion to start at 4 30 P M use the numeric keypad to enter 16 30 in the Start At field Figure 4 If you try to enter a Start At time greater than 23 hours and 59 minutes 23 59 the Start At field displays You must enter a valid Start At time Example If you want the infusion to start at 4 30 P M 16 30 but accidentally enter 26 30 is displayed in the Start At field and Enter Start At is displayed on the prompt line Re enter the correct start time COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Rate Volume mL hr Remaining Time Remaining hr min Figure 5 Programmed Delay Start Infusion Exiting Delay Start Mode a Pressing the Change Mode soft key and selecting another programming mode clears the Start At field If no information is entered for the selected infusion mode Delay Start remains the active mode If you enter infusion information for the mode selected from the Programming Modes select list all programmed Delay Start values are cleared and the selected mode becomes the active mode Note The Delay Start infusion will not start at the programmed time unl
18. tor s Manual or the pump patent label for the patent list Overview Note Note Note This addendum is considered an integral part of the Operator s Manual Store this addendum with the Operator s Manual for future reference Use of this device in a homecare setting may result in interference with non medical electrical equipment that is not in compliance with current standards for electromagnetic interference Because the label library is different than in previous versions of Colleague CX Pump software configuration data is not transfer able between pumps with software version 5 00 and pumps with older software versions The Colleague CX Volumetric Infusion Pump has a multicolor Main Display screen and several programming capabilities not available in monochrome Colleague pumps This addendum provides information on the following features unique to Colleague CX Volumetric Infusion Pumps with User Interface Module UIM master software version 5 00 00 or higher W Delay Start mode lets you program an infusion to start at a later time The Delay Start mode is an additional advanced feature added to Chapter 5 of the Operator s Manual The device time and date may be adjusted by selecting the delay start program mode immediately after power up See Delay Start Mode on page 3 of this addendum for more information The Colleague Guardian feature allows authorized hospital personnel to preset drug parameters f
19. usion 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 11 Infusions that utilize the Colleague Guardian feature are identified on the icon d to the right of the infusion information Figure 6 Rate Volume yu mL hr Remaining A Time Remaining hr min Mortar and a a estle Press Primary or Piggyback p Pig A Figure 6 Colleague Guardian Feature Icon pump s information and programming screens by the mortar and pestle 12 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 07 19 B9 778 Using the Colleague Guardian Feature The Colleague Guardian feature is available from the Rate Volume programming screen or from the Programming Modes menu Always confirm that the parameters you program match the concentration on WARNING the label of the fluid container you are hanging before beginning the infusion Primary Rate Volume A Rate mL hr Volume mL to be infused Enter Infusion Rate Label A hs Figure 7 Colleague Guardian Soft Key Note The following must take place before you can use the Colleague Guardian feature Colleague Guardian dose modes and limits must be configured for some or all drugs in the pump s label library including cus tom labels The dose mode s that were selected for the Colleague Guard ian labels must also be enabled in the pump s Personality The Label Library must be enabled in the pump s Per
20. yed on the Main Display screen 07 19 B9 778 COLLEAGUE CX VOLUMETRIC INFUSION PUMP OPERATOR S MANUAL ADDENDUM 3 When a Delay Start infusion starts the pump s infusion mode changes to Primary Rate Volume and shows the programmed infusion information The wristwatch icon changes to the stop icon or the drop icon depending upon whether the infusion is stopped or running The Piggyback soft key will not be available until the Delay Start infusion is automatically initiated if the active infusion is Delay Start Programmed piggyback infusion information is retained when a Delay Start infusion is programmed The piggyback settings can be accessed after the Delay Start infusion automatically initiates If desired you may lock the front panel after programming a Delay Start infusion To view programmed Delay Start settings prior to infusion press the Primary soft key the Rate key or the Vol key QELA will appear on the pump module display If no action is taken the screen returns to the Main Display screen after two minutes If desired a label may be added without canceling the Delay Start If the Rate or Volume to be Infused is changed on the corresponding programming screen the Start At information is cleared To place the pump back into Delay Start mode enter a time in the Start At field and press the START key Although you can program a Delay Start infusion without tubing present in the pump module an administration

Baxter-Colleague-CX Manual

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