Philips TRANSPAC 4 Instrucciones De Uso página 5

LIST NO. 453564326571
COMMODITY NO. DF-4523
DATE PREPARED 1-26-2012
ARTIST KENT
IV. Zeroing, Leveling and Calibration
A. After the system has been primed and mounted, zero the transducer.
1. Turn the zero reference stopcock "off" to the patient and remove yellow
nonvented cap from the side port which opens the zero reference stopcock to
air.
NOTE: The air-fluid interface of the zero reference stopcock should be at
or near the right atrial (mid-axillary) level.
2. Zero the transducer according to monitor manufacturer's instructions.
3. Turn the zero reference stopcock "off" to the side port and replace yellow
nonvented cap.
—or—
1. Attach desired catheter to distal end of monitoring kit and prime, purging all air
bubbles from catheter.
2. Open stopcock(s) to the catheter. (The catheter tip is now the system air-fluid
interface.)
3. Place transducer in the position (horizontal plane) it will maintain during
pressure measurement.
4. Place the catheter tip at the right atrial (mid-axillary) level.
5. Zero the transducer according to monitor manufacturer's instructions.
NOTE: As long as the relative level between catheter tip and transducer are
maintained, zero leveling will be appropriate. Any significant change in relative
level necessitates re-zeroing.
B. Repeat zero leveling procedure for each additional monitoring line as applicable.
C. Transducers are precalibrated to industry standards. To verify monitor calibration,
follow monitor manufacturer's calibration procedures. Do not apply pressure when
connected to a patient.
V. Connecting Monitoring System to Patient
NOTE: Patient mounting of a squeeze flush device is not recommended with the
flush clip attached to the device as it may result in inadvertent activation of the
fast flush mechanism by patient movement. If patient mounting is desired, the
flush clip must be removed.
A. Remove yellow nonvented cover at patient connector. A continuous flush of
approximately 3 mL per hour should be observed in the drip chamber. Drop rate
should be approximately 1 drop per minute. For each additional monitoring line, the
continuous flush will increase by 3 mL/hr (6 mL/hr for two lines) (9 mL/hr for three
lines).
B. For a systemic arterial blood pressure line, activate the fast flush mechanism of
the continuous flush device while allowing arterial cannula to backflow during
attachment. For pulmonary artery catheters the monitoring system should be
attached to the catheter and the catheter filled with I.V. solution prior to insertion.
Follow catheter manufacturer's instructions.
CAUTION: Be certain not to introduce air into the system during connection
procedure.
VI. Preparation for Use – Blood Sampling
A. Release the locking mechanism of the SAFESET™ in-line reservoir by depressing
the ridged area of the plunger clip. The SAFESET in-line reservoir should fill with
minimal assistance if the patient catheter is not occluded. If the system fills with
difficulty, check the catheter for possible occlusions or restrictions. Fill the reservoir
at a rate no faster than 1 cc per second to avoid occlusion of catheter.
B. Once an appropriate "discard" volume has been obtained in the SAFESET in-line
reservoir, the one-way stopcock integral with the reservoir should be turned "off".
This is done by turning the handle perpendicular to the tubing.
NOTE: Hospital policy should be followed for blood sampling. To achieve
undiluted sampling the practitioner should determine the appropriate
"discard" volume specific to their application, as described in Section VII.
C. Use disinfectant, per hospital policy, to cleanse the SAFESET port from which the
sample will be drawn.
D. Insert the blood collection device, e.g. syringe, into the luer-activated port and
aspirate the necessary amount of blood for sample into the blood collection device.
E. Turn the one-way stopcock between the port and the patient (if accessible) "off" and
aspirate slightly as you remove the blunt cannula and blood collection device from
the sampling port. Return the one-way stopcock to the "on" position.
F. Turn the one-way stopcock integral to the in-line reservoir "on" and return the fluid
contained in the SAFESET™ in-line reservoir to the patient by pressing the plunger
down slowly. Return the reservoir volume to the patient at a rate of 1 cc per second,
until the plunger reaches its locked position.
G. Using disinfectant, per hospital policy, cleanse the SAFESET port following sample
removal.
H. Once the SAFESET in-line reservoir is in the locked position, activate the flush
device until the line is clear.
VII. Discard Volume Determination
A. The following procedure can be used to determine the appropriate discard volume
for any particular configuration. This is not a sterile procedure. The product used
during this procedure should be discarded after the dead space volume (i.e., the
volume of fluid between the catheter tip and the port from which the sample will be
drawn) is determined.
1. Attach the SAFESET tubing with the in-line reservoir and sampling port(s) to all
components used between the port from which the blood sample will be drawn
and the patient. The vascular catheter must be included.
2. Turn the stopcock integral to the SAFESET in-line reservoir "off."
3. Using a graduated syringe, inject fluid through the port selected for blood
sampling until fluid emerges from the catheter tip.
4. Note the volume that was required to fill the space described above. Multiply
that volume by four (4).
5. The volume calculated in step 4 represents the "discard" volume to be obtained
in the SAFESET in-line reservoir. For example, if the measured volume is 0.5
cc, then a "discard" of 2.0 cc will be required in the SAFESET in-line reservoir
to obtain an undiluted sample at the port selected for blood sampling.
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PAPER AND INK SPECS: REFER TO SPECIFICATION IS-012
FINISHED TRIM: 8.5" X 11" (± 1/8")
FINISHED FOLD: 4.25" x 11" (± 1/8")
VENDOR TO CERTIFY PAPER STOCK
VENDOR: SEE SPECIFICATION IS-012
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