Blood Recirculation Procedure - Fresenius Medical Care 2008T Operator's Manual

Chapter 4—Monitoring the Treatment

Blood Recirculation Procedure

It is the responsibility of the unit's medical director to determine the appropriate anti-
coagulation protocol and the maximum length of time for recirculating blood.
1. Return blood if possible
To recirculate blood within the extracorporeal blood circuit:
2. Select the Tx Clock button and press CONFIRM (to 'paused')
3. Press the blood pump Start/Stop key to stop the blood pump
4. Disconnect the arterial and venous bloodlines from access in an aseptic manner, and
connect them together with a sterile recirculation connector.
Note: Infuse heparin per facility protocol.
5. Unclamp saline bag
6. Press the Start/Stop key to start the blood pump, and set the blood flow rate at 150–200
ml/min. An audible alarm will sound every five minutes to alert the operator that the Tx
Clock is paused with blood sensed.
7. Press the RESET key to clear the alarm.
To reconnect the patient to machine:
1. Press the Start/Stop key to stop the blood pump.
2. Clamp the saline line.
3. Aseptically reconnect the arterial and venous bloodlines to the patient's access sites.
4. Restart the blood pump and adjust blood pump to the prescribed flow rate.
5. Select the Tx Clock button and press CONFIRM to resume the treatment.
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