Temporary disconnection and recirculation Change of kit Ending therapy This guide is linked to the OMNI 1.75 software and IFU. This guide does not replace the OMNI IFU SW 1.75 and is recommendation only. It should be used in conjunction with appropriate training as an additional help guide.
ALWAYS PLUGGED KEEP ALWAYS keep the OMNI plugged in, even when not in use. If the OMNI does not switch on, it is likely to have run out of charge. Plug in and allow to charge before retrying. To turn...
Different fluid bags are used for either CVVHD or CVVHDF with citrate anticoagulation. Ensure to always follow the protocol and prescription carefully when setting up and changing fluid bags on the OMNI.
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SET UP Frangible pins: ensure to make sure all pins on fluid bags are broken correctly. If there is a flow problem/pump failure/solution pressure/empty priming bag related alarm, this COULD be caused by unbroken or partially broken pins, please always double check that they are fully broken. All scales are separate and do not need to be balanced.
PRIMING Prior to priming: ensure all unused clamps are closed and all used are open before pressing Automatic Priming. When using heparin or no anticoagulant and using the OMNISET L or PRO, ensure to close the clamps on syringe lines not being used AND the white clamp on the calcium line at the top of the blue venous/return line.
This can be done during priming, or prior to the patient being put onto the OMNI. Be careful not to move the machine during priming to avoid any errors. It is important to ensure the Calcium Chloride and Citrate used adhere to the concentrations set on the OMNI to ensure the volumes being delivered by the machine are correct.
PRIOR TO START OF THERAPY RINSING If we need to re-prime the red/access and blue/return lines with saline following initial priming then we do this by rinsing. Attach a new bag of saline to the red access line where the priming bag is and enter the amount needed to rinse. RECIRCULATION We can recirculate prior to commencing therapy.
STARTING THERAPY When enter therapy is pressed please start the blood pump, increase the blood flow to protocol target blood flow at a rate based on the patient’s stability. LOW VENOUS ALARM If you experience this alarm, please double check your connections as it can happen when the lines become disconnected.
(turning it off and then on), this should resolve the alarm. The OMNI will take approximately 3 minutes to switch back on and will return to the last state after restart. Always press the ‘Bags’ button to ensure this does not occur.
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COMMON TROUBLESHOOTING DURING THERAPY BLOOD LEAK DETECTOR ALARM There is visible blood in the effluent caused by a crack or problem with the filter itself – a new kit is required as it is faulty. Do not return the blood in this case. It can additionally trigger when there is a discolouration of the effluent (for example from high bilirubin levels), if you are satisfied that this is the reason you can press ‘temporary override’, causing...
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COMMON TROUBLESHOOTING DURING THERAPY BLOOD IN THE ARTERIAL (RED) PRESSURE LINE This is due to stops in the blood pump/low blood flow causing a back flow of blood from the arterial/access line. When blood is seen in the arterial pressure line try and resolve this by: Pressing ‘patient care button’...
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The OMNI cannot run successfully if the access is poor. Several blood pump or therapy stops will cause the OMNI to clot. Ensure not to press the ‘BLOOD PUMP’ and ‘THERAPY’ buttons on and off when in therapy. Ensure anticoagulation is appropriate.
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COMMON TROUBLESHOOTING DURING THERAPY SOLUTION CHAMBER REGULATION FAILURE The most common reason for this alarm is due to a pin not broken properly on the dialysate bag or there is a clamp left on, causing a level regulation problem in the solution chamber. Check the pin and clamps and reset the alarm, it can take 2 or 3 alarm resets for the dialysate fluid level to resolve, giving it time to flow through the warmer bag to the solution chamber.
TEMPORARY DISCONNECTION AND RECIRCULATION This is for when the patient will be off the OMNI for a short period. Only press temporarily disconnect patient when ready to return the blood, with equipment and sterile field prepared. Once this is pressed, the blood pump stops and the blood will begin to clot.
Follow the steps for returning the blood (ensuring to only press the Change Kit button when prepared to return the blood). Once completed, the OMNI will then take you to setting up a new kit. Ensure to follow all steps in turn.
ENDING THERAPY For ending the therapy return blood as stated following all steps in turn, reading the screen carefully and ensuring again to only press the end therapy button when ready to do so to avoid the blood clotting prior to blood return. If ending therapy due to being unable to continue therapy (for example access issues), the machine will only return blood if it is able to do so, it does not return clotted blood.
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OUR MISSION We develop EFFECTIVE SOLUTIONS GUIDING STANDARDS for the healthcare system in a CONSTRUCTIVE DIALOGUE with our customers and partners.
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B. Braun Avitum (UK) Ltd | Thorncliffe Park | Sheffield | S35 2PW Tel 0114 225 9000 | Fax 0114 225 9111 | www.bbraun.co.uk XX-TAG-09-20...
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