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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.

When using citrate we must not change the blood flow unless stated on the 
protocol or informed so by a Consultant. If we change our blood flow, we are 
altering the amount of citrate we are giving. Consult medical/senior nursing 
staff regarding queries over the citrate protocol.

ENTERING PARAMETERS

When entering parameters it is advisable to leave the ‘therapy time limit’ 
section as a dash, not entering anything into this box to allow the machine 
to run for the lifetime of the set. Therapy time limit does not appear on the 
Confirm Therapy Parameters page.

Enter the net fluid removal as zero or desired flow prior to start of therapy. 
Please be careful to enter net fluid removal (fluid to be removed in mls/hr) and 
the dialysate flow in the correct boxes. Ensure to follow the protocol carefully 
and check parameters that have been input to avoid any potential errors. 

THERAPY TIME LIMIT

NET FLUID REMOVAL

Summary of Contents for Omni

Page 1: ...1 B BRAUN OMNI Troubleshooting guide Citrate Heparin and no anticoagulant use ...

Page 2: ...2 PROTECT and around the world We the of people HEALTH IMPROVE OUR VISION ...

Page 3: ...staff ALWAYS ensure the OMNI is plugged in even when not in use CONTENT Power on and off Set up Priming Entering parameters Prior to start of therapy Starting therapy Common troubleshooting during therapy 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 recommendatio...

Page 4: ...t time Do not press and hold as this will power the machine on and then off To switch off the OMNI press and hold the green button 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 30 FULL CHARGE minutes Short press Press and hold To turn ON ALWAYS PLUGGED IN KEEP To turn OFF ...

Page 5: ...nes manually and never try to unload the set manually Pulling the lines out of the pump manually can result in breakages in the pumps Ensure to click both top and bottom at both fluid and blood sides when inserting set LOADING SYRINGE LINES PRESSURE LINES SET UP If using CVVHD then always put one bag of saline either 500 ml or 1000 ml onto the purple line substitution side this is for priming of t...

Page 6: ... the start to reduce workload 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 SET UP ...

Page 7: ...ous return line This line does not get primed in heparin therefore it is imperative that it is closed Press automatic prime and leave to prime Arterial Line Blocked may appear and if so push the spike into the priming bag further attached to the red access line and press reset alarm This should resolve this alarm if the alarm appears again press reset again and it should continue to prime If there...

Page 8: ...e giving Consult medical senior nursing staff regarding queries over the citrate protocol ENTERING PARAMETERS When entering parameters it is advisable to leave the therapy time limit section as a dash not entering anything into this box to allow the machine to run for the lifetime of the set Therapy time limit does not appear on the Confirm Therapy Parameters page Enter the net fluid removal as ze...

Page 9: ...unt needed to rinse We can recirculate prior to commencing therapy To do this attach the access red line to the three way tap on the waste bag next to the return blue line CLOSE THE WHITE CLAMP to avoid sterilisation chemicals that will be present in the waste bag from priming being recirculated and then press recirculate Always leave the machine on during recirculation RINSING RECIRCULATION PRIOR...

Page 10: ...ge weight reset button the therapy will then restart itself STARTING THERAPY If you experience this alarm please double check your connections as it can happen when the lines become disconnected However if the blood lines have not been filled during the patient connection page it may occur whilst the blood is making its way around the set from the patient This can be due to the saline being return...

Page 11: ...start Always press the Bags button to ensure this does not occur This alarm happens when the anticoagulation has been stopped for approximately 5 minutes The anticoagulation stops when doing a bag or syringe change always ensure to preempt bag or syringe changes to ensure the set does not clot Ensure to use a small syringe and slowly pull the air out it should only be a small volume required to be...

Page 12: ...box to show in the left hand bottom corner of the screen Finally if the effluent chamber is empty this can trigger the alarm Go to the levels button on the screen and VERY SLOWLY fill the effluent chamber using the up arrow until the fluid is half way only Do not do this too fast or fill the chamber too full as this can cause a change of pressure within the set and possible subsequent alarms Once ...

Page 13: ... long as the blood pump is running this will cause the blood to move out of the line and return to the chamber If there is an arterial pressure alarm during this procedure as a result of the access arterial line being clamped the blood pump will stop ensure to reset the alarm to allow the blood pump to run for enough time for the blood to be removed from the line and continue as the steps detailed...

Page 14: ...es please speak to medical staff regarding any access problems 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 The machine carries out tests every 24 hours during therapy it will alarm and flash leave it to go...

Page 15: ...by disconnecting from the green pressure port at the side of the machine and connecting it securely back on to the green solution pressure port and then resetting the alarm SOLUTION CHAMBER REGULATION FAILURE COMMON TROUBLESHOOTING DURING THERAPY Additionally if not a pin or clamp it could be due to condensation within the solution chamber If condensation is noted go to the levels page where you s...

Page 16: ... all steps in turn Put into recirculation once blood returned connecting the blue and red lines to the 3 way tap Once ready to reconnect to the patient ensure there are no clots within the set if so a new set may be required as we cannot risk returning blood clots to the patient Follow the steps on screen and reconnect the patient If recirculation following temporary disconnection has been done fo...

Page 17: ...d a new one is required 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 CHANGE OF KIT ...

Page 18: ...ent and make sure that the patient is fully disconnected before pressing unload disposables Once unloaded click NEW THERAPY and this will take you back to the home page where you can switch the machine off or visit the HISTORY page ENDING THERAPY Follow these steps on screen Pressure lines do not get a tick until unloaded Blood or fluid side door alarm on unload is when the doors open due to the f...

Page 19: ...19 EFFECTIVE SOLUTIONS and customers and partners We develop for the healthcare system in a with our CONSTRUCTIVE DIALOGUE GUIDING STANDARDS OUR MISSION ...

Page 20: ...20 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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