baxter 35700BAX2, Operator'S Manual, Page: 15 / 180

Introduction and Safety 9
SIGMA Spectrum Infusion System Pump Operating Software Version 8.00
Operator’s Manual For Use With MDL Version 8.0

All clamps are open.

There are no kinks or collapses in the tubing outside of the Pump.

Drops are flowing in the drip chamber. Note, at very low rates, it
may take several minutes to see drops.

Vents are open (if applicable).
WARNING
Upstream Occlusion Alarm Suspension.

Do not use the Upstream Occlusion Alarm Suspension when
delivering critical drugs where the risk of flow stoppage due to an
undetected upstream occlusion outweighs that of flow interruption
due to alarms where no upstream occlusion is present.

Do not use Upstream Occlusion Alarm Suspension for drugs
delivered in RIGID containers since the flow restriction caused by
lack of proper container venting may be difficult to recognize when
troubleshooting an alarm condition.

Only use Upstream Occlusion Alarm Suspension after the operator
visually observes positive line flow.
WARNING
Follow Neonatal and Pediatric Procedures.

Use 60 drop/1 mL IV sets.

Configure the Pump with appropriate flow rate, VTBI (Volume To
Be Infused), patient weight and occlusion alarm limits.

Prior to connecting to patient, prime IV set following the standard
gravity priming instructions included with the administration set,
then close roller clamp, load IV set, open slide clamp and roller
clamp to avoid possible bolus (0.2 mL) that would result from a
door opening/set loading event.

If the Pump door is opened while the IV set is connected to a
patient, bolusing at door closing must be avoided. Before closing
the door, clamp the set below the lower Y injection site. Connect a
syringe to the lower Y injection site, close the door, open the slide
clamp, collect a 0.085 mL bolus in the syringe and unclamp the set
below the Y injection site.
WARNING
Follow Epidural Procedures.
Epidural administration of drugs other than those indicated for
epidural use can result in serious patient injury.

When administering epidural analgesics, use only catheters
specifically labeled for epidural analgesia drug delivery.

To help prevent accidental infusion of non-epidural drugs, DO NOT
USE epidural administration sets that contain injection sites.

Label the administration container and IV set “EPIDURAL USE
ONLY”.

Clearly identify infusion Pumps used for epidural administration.