Related Manuals for Arcos Burn Navigator
Summary of Contents for Arcos Burn Navigator
- Page 1 ® Burn Navigator Super User Training Guide For Burn Navigator RX June 2019 Slides © 2019 Arcos, Inc. Version V.6.1e-V.6.1h...
- Page 2 Super Users Thank you for being a Super User! Be sure to also review the basic Burn Navigator Training Guide...
- Page 3 Tablet Characteristics • Rugged – High heat & humidity capable – Water & fluid resistant – Can be used during debridement! • Battery Life – 6 hours – you can swap the battery without shutting down the system...
- Page 4 The pre-hospital fluids are not used in the algorithms A patient may have urine in the bladder from before the burn However, these fluids are used in the graphs and the I/O Table...
- Page 5 Choose “Monitor only” mode for patients: • <10 kg • <24 months old • Other conditions affecting urine output We can use Monitor Only mode data to build future protocols...
- Page 6 Primary Fluid types: The “Primary Fluid” is titrated up and down. “Additional Fluids” are not titrated The Primary Fluid could be an “albumin protocol”...
- Page 7 Initial Formula: Administrators can set the default starting formula ABLS guidelines recommend 2 mL/kg/TBSA for most adult burns Consider higher starting rates for: - Electrical injuries (4 mL/kg/TBSA) - Inhalation injuries If a formula goes above 2,000 mL/hr, This is just for the starting or below the minimum rate, Burn rate! Later recommendations Navigator will recommend one of...
- Page 8 Fluid updates are due at the top of each clock hour (__:00), unless the last “To” time was 15 or less minutes ago E.g., device started at 12:46, next update will be at 14:00...
- Page 9 Additional Fluids You’ll see this warning message anytime additional fluids are given, because the algorithm doesn’t take those fluids into account. However, Burn Navigator will adjust down on LR if there is higher UO due to additional fluids!
- Page 10 Patient on Pressors? If your patient is on pressors, ask the attending doctor whether you can wean the patient off pressors before reducing fluids...
- Page 11 Volume Graph Guidelines can be turned on or off here The graph increments every minute based on the current rate All fluids (with the exception of “Other Fluids” from the Additional Fluids section) are averaged over the time period of each update.
- Page 12 I/O Graph Scroll buttons to see data beyond 24 hours...
- Page 13 Recommendation Window First 8 Hours Post Burn Max = 28.6 2000 2000 2000 2000 2000 2000 2000 up to 2,000 mL/hr 1850 1710 1570 1430 1280 1250 1190 Rates (mL/hr) 1140 1130 1070 1000 Minimum Min if 100% TBSA recommendation Min if 20% TBSA depends on %TBSA Applies to both...
- Page 14 New Projection Safety The software won’t recommend increasing the IV fluid rate if the 24 hour fluid projection is too high. (The “too high” level is set on the Clinical Admin screen.)
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Page 15: System Functions
System Functions Transfer your active patient to a USB data drive (for another Burn Navigator). Move to USB or delete inactive patient files. Screen saver timer Properly turn off the device. Screen Note: Turning brightness off the system during training mode will reset the clock. -
Page 16: Maintenance
Maintenance • Clean the device after each patient! – Use a disinfectant wipe, per your hospital’s policy, to clean the screen and whole device. • Keep batteries fully charged when not in use. • Quarterly, delete patient files • Change System Time for Daylight Savings! (2x each year) - Page 17 Burn Navigator® Data Tool • The Data Tool is a separate program that converts encrypted patient files into PDF and Excel CSV files. • See the Data Tool’s instructions for use (IFU- 1130) for a step-by-step walkthrough.
- Page 18 Early O.R. What happens when the patient goes to the O.R. during resuscitation (“early” O.R.)? E.g., patient goes at 1348 and returns at 1748. The patient received 4 units of whole blood, 2 units FFP, 5,000mL of LR, and had a UO of 200mL. If the physician wants you to continue the Burn Navigator after “early”...
- Page 19 “Early” O.R. Example...
- Page 20 ® Burn Navigator Questions? Arcos customer support: 877.542.8025 support@arcosmedical.com...
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