Section 3 • Programming Instructions
26
SECTION 3 - PROGRAMMING INSTRUCTIONS
3.1
General Information
The ambIT
®
PIB
v1.5
pumps must be programmed and have the history cleared before
administering any medication or fluid. The pumps have two buttons: the RUN/PAUSE
button and the BOLUS button. A specific combination of pressing these buttons sets the pump
program.
When the pump is in program mode, the RUN/PAUSE button functions to increase the value
displayed by pressing and immediately releasing the button. The BOLUS button serves to
decrease the value displayed by pressing and immediately releasing the button. No beep will
be heard in either function.
Pressing the RUN/PAUSE button and holding for two seconds until a beep is heard accepts the
parameter entered and continues to the next step in programming.
Pressing the BOLUS button and holding for two seconds until a beep is heard moves the
display backward in order to review or make correction during programming. The pump
display will move to the previous screen without changing parameters. The BOLUS button
can be used in this manner until returning to the initial display screen, at which time it will not
function to move backwards.
CAUTION:
The pump infusion history must be cleared between patients; failure to do so
will lead to under-infusion and potential patient pain.
NOTE:
Holding the RUN/PAUSE button or BOLUS button does not increment or
decrement any numbers. The buttons must be pushed and released to increment
or decrement any numbers.
There are three different modes that may be programmed into the ambIT
®
PIB
v1.5
pumps:
•
PCA
13
mode: This mode allows for boluses only, basal flow rate only
14
, or bolus
and basal flow rate combined. (See Section 3.2.1 for parameters and programming
instructions.)
•
PIb
15
mode: This mode allows the patient to receive regularly occurring doses
of medication. These are delivered automatically at regularly preprogrammed
intervals. These doses replace the continuous basal rate of the PCA mode. There is
not a patient-controlled bolus option in this mode (see Section 3.2.2 for parameters
and programming instructions.)
•
P+P mode: This mode allows for boluses only, doses only, or combined doses and
boluses. (See Section 3.2.3 for parameters and programming instructions.)
13 PCA is an acronym for patient controlled analgesia. If a pump is in PCA mode and the patient has been prescribed a bolus
volume, then PCA allows for a lay user or healthcare provider to periodically give the patient a bolus of medication. If the
infusion is into the epidural space, the PCA is referred to a s patient controlled epidural analgesia (PCEA).
14 Also referred to as a continuous infusion.
15
Also referred to as PIEB. See definitions in Section 1.