1 00:00:03,697 --> 99:59:59,999 Real-time documentation of product transfused is a crucial step in the blood administration process. your inufusion pump is the most accurate methods of determining the volume of product transfused that is if the pump is cleared correctly. If you are using one of your modules that is currently in the patient room, you will need to start by clearning out the current voluem that has been stranfused ont he pump and documenting that. So let's start by pausing our pump, going to the volume infused and you will notice that the blue banner reads: "Select Channels to Clear or Press CLEAR ALL" 2 99:59:59,999 --> 99:59:59,999 If you select the A channel, where I have my maintenance IV running currently. I can now clear just that channel. 3 99:59:59,999 --> 99:59:59,999 Now that I have cleared out my maintenance IV channel, I'll document that amount in MeriterCare and proceed to change my IV pump to Maintenance IV plain to blodd product. In this case lets do packed red blood cells. 4 99:59:59,999 --> 99:59:59,999 I will do that by channeling off this module, hitting one of the numbers on the keypad to stop the shut down process. Press CHANNEL SELECT. Choose Guardrail IV fluids. 5 99:59:59,999 --> 99:59:59,999 I can scroll down to blood, and I will select packed red blood cells. 6 99:59:59,999 --> 99:59:59,999 I will select that and confirm that it is the correct option. Press CONFIRM. 7 99:59:59,999 --> 99:59:59,999 And now I am going to start my tranfusion, if I am doing Packed Red Blood cells on an adult patient. I will start at a rate of 50 mL per hour. 8 99:59:59,999 --> 99:59:59,999 Select my Rate. Dial in 50. 9 99:59:59,999 --> 99:59:59,999 I can estimate my volume to be infused to be about 300 mL. 10 99:59:59,999 --> 99:59:59,999 After entering 300 mL, I will start my pump. 11 99:59:59,999 --> 99:59:59,999 Now that about 15 minutes has ellaped and I have complete my second set of vitals at 15 minutes. 12 99:59:59,999 --> 99:59:59,999 I am going to increase my rate given the that patient hasn't had any signs of a transfusion reaction. 13 99:59:59,999 --> 99:59:59,999 The provider had indicated a 2 hour duration fo this, so I need to increase my rate based on that order. 14 99:59:59,999 --> 99:59:59,999 So to do I will press channel select, and I can actually use my Alris pump to calculate my new rate. 15 99:59:59,999 --> 99:59:59,999 Now that about 12 mL have gone in, I can change duration by pressing the Duration button. 16 99:59:59,999 --> 99:59:59,999 And then just changing that to an hour and 45 minutes. 17 99:59:59,999 --> 99:59:59,999 Which will, after hitting start, recalculate my rate for me. 18 99:59:59,999 --> 99:59:59,999 Confirm "Yes". 19 99:59:59,999 --> 99:59:59,999 Now I can see that my rate is 164 and I can let that run for the duration of the transfusion. 20 99:59:59,999 --> 99:59:59,999 Now that my infusion is complete, I wil just want to clear my pump so thatI am ready for the next go around. 21 99:59:59,999 --> 99:59:59,999 So to do that I will press volume infused, there is my volume that has been infused on the patient: 291 mL. 22 99:59:59,999 --> 99:59:59,999 I will select that channel and just clear out that singular channel.