Saline Prime
How would you trigger a port error?
By opening the substitution fluid port or rinse port door during test.
What alarm will you see if there is a low venous chamber and how do you correct the alarm?
Air alarm- by raising the level on the Blood System Menu
What does the transducer protector do?
Protects the machine from blood contamination while transmitting pressure.
What does conductivity measure?
The concentration of electrolytes in the dialysate.
Which alarm protects the patient when tubing is not secured into the optical detector?
Air alarm
If a saline setup is used because of an Online port error, what must be completed before the patient's next treatment?
Chemical Heat Disinfection
What are somethings you should do when you have an alarm?
Assess the patient, silence the alarm, and you the assist mode.
NEVER ignore the alarm!!!
What usually causes a transducer alarm?
A wet transducer
Clot formation
Line occlusions
When is it a good time to change the bi-bag in an ongoing treatment?
When there is 30 minutes or more left within the treatment.
Which alarm verifies the dialysate is properly mixed?
Conductivity alarm
If saline is not an option on the Blood System Menu, what do you do?
Trigger an Online port error
What are some possible causes of an air alarm?
Loose connection
Venous line not secured into the optical or air detector
Air introduced during medication administration
When you have a transducer alarm what should you inspect for?
A wet transducer or clots
What are some causes of a conductivity alarm?
Incorrect or empty acid
Incorrect or empty bicarbonate
Occluded or kink connections
Which alarm is associated with a wet pressure monitoring system?
Transducer alarm
What are two things you should inspect for during saline prime?
Air
Leaks
Secure connections
What can happen to the patient if air gets into their blood system.
Air Embolism
What are some things you must do in order to replace the transducer?
Don full PPE
Remove the fluid in the venous pressure chamber
Use hard keys to stop the blood pump, open EBM doors
Clamp off the venous pressure monitor line with blue hemostat clamp.
What patient complication can occur if conductivity is incorrect?
Hemolysis
Electrolyte imbalance
Cardiac arrhythmias
What is one common safety principle for all machine alarms?
Never bypass or ignore an alarm
Tell me how to turn the T1 test on if it does not go into test automatically?
Dialysate Menu
Turn the Flow I/O on
Should the blood pump be restarted before removing the air?
No
What are some steps that must be ensured when changing the transducer?
Keep the old venous pressure line in place but secure clamp out of way to prevent blocking the blood pump
Start blood pump and ensure the level of venous chamber is reset.
How can a conductivity alarm be fix?
Ensure that the bibag is not empty.
Verify that the acid is correct.
Verify no loose connection or kinks.
What should be verified for the patient before starting a treatment?
Verify that the correct acid and bicarb is used for the patient