Alarms - CareFusion Alaris GP Guardrails Directions For Use Manual

Alarms stop the infusion and are indicated by a combination of an audible sound, flashing red alarm indicator and a message on the display.
1. Check the display for an alarm message and review table below for cause and action. Press
message.
2. When the cause of the alarm has been rectified, press the
Display
AIR IN LINE
AIR IN LINE
DOOR OPEN
DOWNSTREAM OCCLUSION
UPSTREAM OCCLUSION
NO FLOW
FLOW ERROR
FLOW ERROR (In secondary
infusion mode only)
FREE FLOW
BATTERY EMPTY
SAFETY CLAMP
SET MISLOAD
FLOW SENSOR
DISCONNECT

Alarms

b
key to resume the infusion. (Exceptions are DO NOT USE & BATTERY EMPTY)
Infusion Cause
Status
Infusion stopped Single air bubble exceeds
alarm limit.
Set not fitted correctly into
air in line detector.
Accumulated air bubbles
Infusion stopped
exceeds alarm limit.
(Multiple bubbles smaller
than the single bubble
alarm limit, which has been
detected over a 15 min.
window and >1ml.)
Infusion stopped Door was opened during an
infusion.
Infusion stopped A blockage has occurred
downstream.
Infusion stopped A blockage has occurred
upstream. Possible
container empty.
Infusion stopped Flow sensor detects no flow. • Check flow sensor.
Infusion stopped Gross difference between
detected drops and
expected amount of drops.
Infusion stopped Unexpected drops
detected.
Infusion stopped Uncontrolled flow possible.
Infusion stopped The internal battery is
exhausted. The pump will
automatically switch off in
the immediate future.
Pump on hold Safety clamp broken or
missing.
Pump on hold Set loaded incorrectly.
Infusion stopped Flow sensor unplugged
during infusion.
1000DF00498 Issue 3
to silence the sound for 2 minutes, CANCEL to clear the
c
Action
• Assess the amount of air detected by air in line
detector.
• Opening the door may cause an air bubble to rise
in the set. Check set for air.
• Remove air according to hospital policy.
• Ensure set is fitted correctly in the air in line
detector.
• Check level of fluid in container.
• Check enough fluid left in drip chamber.
• Restart infusion.
• Review infusion set for air bubbles and take
appropriate action.
• Check level of fluid in container.
• Check enough fluid left in drip chamber.
• Restart infusion.
• Close door or clamp infusion set using roller clamp.
• Restart infusion.
• Check fluid path between pump and patient for
clamps, connectors, kinks or blockages.
• Examine access site for signs of
complications (redness, swelling, pain, heat).
• Check set above the pump.
• Check all clamps above pump.
• Check fluid level in container.
• Ensure drip chamber is half filled.
• Ensure that the bag spike is inserted correctly.
• Ensure air vent on drip chamber is open on all
glass and semi rigid containers.
• Check fluid level in container.
• Ensure all clamps above pump are open.
• Ensure drip chamber is half filled.
• Ensure that the bag spike is inserted correctly.
• Check flow sensor is clean.
• Clamp infusion set using roller clamp.
• Check flow sensor.
• Check fluid level in drip chamber.
• Hang secondary container above primary.
• Check drops are from secondary container when
infusing.
• Flow sensor disconnection is recommended.
• Clamp infusion set using roller clamp.
• Remove pump from use.
• Connect to power supply
immediately or switch pump off.
• Clamp infusion set using roller clamp.
• Replace infusion set.
• Investigate and correct set loading.
• Clamp infusion set using roller clamp.
• Investigate and correct set loading.
• Check / replace flow sensor or set VTBI.
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