Download level 1 rapid infuser (h1200 fast flow fluid warmer) (crc25)

SARASOTA MEMORIAL HOSPITAL
NURSING PROCEDURE
PS1094
TITLE:
LEVEL 1 RAPID INFUSER (H1200 FAST
FLOW FLUID WARMER) (CRC25)
ISSUED
FOR:
DATE: 4/15
REVIEWED: 4/16
PAGES: 1 of 3
RESPONSIBILITY:
Nursing
*Qualified Nurse-ECC, OR,
PACU and Critical Care
PURPOSE:
To establish and define standards of use of Level 1 infuser for
Rapid Fluid Infusion for Sarasota Memorial Hospital patients.
DEFINITION (S):
Qualified Nurses are nurses who have completed training
and a competency evaluation on the Level 1 infuser.
Competency includes alarm recognition and management
and system set up and troubleshooting.
CAUTION:
1. The nurse assigned to the Level 1 Infuser cannot
assume any other responsibilities while in use.
2. Nurses may not administer medications via IVPB drip
mode through this system.
KNOWLEDGE BASE:
1. The Level 1 Fluid Warmer System may be used in the
following nursing units: ECC, OR, PACU and Critical
Care.
2. Blood and IV fluids may be administered per doctors’
orders and in conjunction with the Mass Transfusion
Policy/ order set.
3. The rate at which blood and fluids can infuse is
dependent upon the size/gauge of the patient’s IV
access.
4. The Level 1 Infuser may also be used to “warm” fluids
and not rapidly infuse fluids. Intravenous Fluid bag
should be hung from IV pole above the Level 1 unit, not
in the automated pressure chamber. The roller clamps
can be used to adjust the flow.
PROCEDURE:
1.
Obtain Level 1 Infuser, disposable Level 1 IV set and
intravenous solutions.
2.
Set up disposable set in sequence with the numbers
found on the hardware component: Once assembled
turn power on. It may take up to 3 minutes to reach
operating temperature.
3.
A green “system operation” light should illuminate on
the display panel. If “check disposables” light
TITLE:
LEVEL 1 RAPID INFUSER (H1200 FAST FLOW
FLUID WARMER) (crc25)
PAGE: 2 of 3
illuminates and intermittent alarm sounds, check
disposable IV tubing installation at all sites.
4.
To Prime IV Tubing Set:
a. Close all clamps on disposable set
b. Aseptically spike both infusion bags as ordered
and hang on fluid warmer pole. Air should be
“burped” out of IV solutions when possible to
help prevent tubing errors. This should not be
done with blood products. 2 bags of fluid/blood
MUST be hanging at all times however, only 1
Bag of fluid/blood should be infusing at a time.
c. Prime Disposable Set. Fill the drip chamber
under 1 bag halfway. Open the clamp below the
drip chamber. Open the clamp immediately
below tubing Y and the clamp above the Air
eliminator. When air eliminator/filter is filled with
fluid, remove from holder and tap against pole
until all air bubbles are vented out. Replace air
filter in holder. Open clamps below air
eliminator/ filter to prime remaining tubing.
d. Don gloves and connect to patient catheter.
e. Initiate infusion as per physicians order.
REMEMBER: Only one bag will be infusing at a
time.
5.
To begin infusion, make sure IV solution bags are
placed in each automated pressure chamber (unless
warm fluid only to be given) There are hooks inside
door of each chamber allowing for different sized
bags to be placed. (ex. Blood products in smaller
bags than 1 liter)
6.
Open clamp to bag to be used and flip the level
above the bag to + position moving to the left. This
will inflate the pressure bag inside the chamber.
*Make sure the other bag is clamped and the lever is
to right (NO PRESSURE)
7.
Changing Solution Bag: As first Solution bag
empties, clamp off first bag that is finished and move
lever to the right (negative) position to release
pressure. Then open second bag clamp, and move
lever to the left (positive) on the second bag to
TITLE:
LEVEL 1 RAPID INFUSER (H1200 FAST FLOW
FLUID WARMER) (crc25)
PAGE: 3 of 3
pressurize. Each liter of fluid when under pressure
will take approximately 1 minute to complete so you
must start changing the “empty” bag as soon as the
other is started.
8.
REFERENCES:
Discontinuation of Rapid Fluid Infusion:
a. Occurs when the fluid administration requirement
is below 200 ml/hour as per physician order.
b. Pressure should be removed from both bags, and
bags should be clamped. Disconnect from the
patient.
1. Level 1 Technologies Product Manual
2. Smith Industries Medical Systems Product Literature
(supplier of tubing system)
REVIEWING AUTHOR (S): Lori Danko, BSN, RN, CEN, Clinical Practice Specialist, ECC
Benny Kruger, MSN, RN, CCRN, CNN, APN, Critical Care &
Hemodialysis
Risa Benoit, DNP, CNS-BC, CCRN-CSC, Advanced Practice
Nurse, Perioperative Services