Hospira GemStar Series, System Operating Manual

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Hospira GemStar System Operating Manual 13
Chapter 1. Introduction
6
To prevent contamination, use aseptic technique with all fluid-path connections.
Remove the protective coverings as assembly progresses.
6
ALWAYS place the flow stop in the closed position when the set is not in the pump.
6
Before installing the cassette in the pump, ensure all slide or lower CAIR (roller)
clamps are open. Failure to open the slide or lower CAIR (roller) clamps
BEFORE installing the cassette may result in restricted flow.
6
DO NOT back-prime the pump set using a syringe. Back priming may result in
restricted flow.
6
Ensure the cassette is properly installed. When properly installed, all four cassette
latches are visibly holding the cassette securely in the cassette pocket.
6
Ensure the tubing is behind the tubing guide (at the distal end).
6
Arrange tubing, cords, and cables to minimize the risk of patient strangulation or
entanglement.
6
NEVER use vented fluid containers (e.g., glass or rigid plastic) unless suspended
from a pole. When using a vented drip set, ALWAYS use an air-eliminating filter
OR set the air sensitivity to either ON or 2 mL.
6
Stop infusion if signs or symptoms of infiltration occur.
6
GemStar Pump Sets contain a pressure-activated anti-siphon valve to reduce the
potential for gravity flow at a typical 36-inch head height.
6
Failure to use the pressure-activated anti-siphon valve may result in unrestricted
flow if the cassette is not properly installed in the pump.
6
Always close the slide clamps before removing the cassette from the pump.
6
When using the pump for secondary delivery (piggybacking), ensure the fluids
being infused are chemically and physically compatible.
6
When infusing short-half-life drugs (i.e. those dosed with units of mcg/kg/min) at
very low rates (0.8 mL/hr or less) the rate may be too slow for that drug. Consider
using a lower drug concentration with these drugs so a pump rate above 0.8 mL/hr
can be used.
Regarding Air-In-Line and Infusion
6
To reduce the risk of infusing air, use an air-eliminating filter when the air
sensitivity is set to OFF.
6
ALWAYS prime the pump set to remove all air from the cassette, tubing, and
injection site prior to connecting to the patient.
6
ALWAYS disconnect the pump set from the patient prior to priming or purging.