ICU Medical Plum 360 IV Pump Training

Summary

Susan Mingle, a clinical nurse educator from Med One Group, demonstrates the ICU medical Plum 360 smart pump. The device supports customized formulary uploads, error prevention, and unique features like concurrent delivery and syringe back priming. The tutorial covers device operation, including programming infusions, handling alarms, and changing settings. The video concludes with an invitation to explore renting the device on the company's website.

Takeaways

• 😀 The ICU medical Plum 360 is a smart pump that can have a hospital's customized formulary uploaded via Mednet safety software, which helps prevent IV programming errors.
• 🏥 The device features up to 40 clinical care areas (CCAs), each with customizable limits for up to 400 drugs, and the ability to set hard or soft limits for drug administration.
• 💊 Unique to the Plum 360 is its concurrent delivery feature, allowing two medications to run simultaneously using a single tubing.
• 💉 The pump supports syringe delivery with syringe sizes ranging from 3 to 60, and can be used to back prime air out of the infusion line.
• 🔢 The flow rate of the Plum 360 ranges from 0.1 to 999, and the device weighs 10 pounds.
• 🔌 The device has a physical interface with soft keys for operation, including start (green), stop (red), on/off (blue), clear (yellow), and a lockout feature for safety.
• 🔋 A fully charged battery lasts between four to seven hours, depending on the flow rate, but it is recommended to keep the device plugged in at all times for optimal performance.
• 🌐 The device includes a lockout feature with a code, allowing nurses to secure the panel and restrict access to the stop button only.
• 📊 Programming the infusion involves selecting the CCA, drug, rate, volume, and duration, with the device providing prompts and confirmations through its interface.
• 🚨 The Plum 360 has a priority-based alarm system, with low, medium, and high alarms indicated by different numbers of beeps, and features like back priming to clear air in the line.
• 🛠 Troubleshooting and settings adjustments, such as volume infused tracking and display contrast, are accessible through the device's menu, allowing for easy management and transition between shifts.

Q & A

What is the purpose of the ICU medical Plum 360 device?

The ICU medical Plum 360 device is a smart pump designed to administer intravenous (IV) medications and fluids. It can have a hospital's customized formulary uploaded into it via Mednet safety software, which helps prevent IV programming errors at the bedside.

How does the Mednet safety software benefit the Plum 360 device?

The Mednet safety software helps in preventing IV programming errors by allowing the customization of the hospital's formulary, ensuring that the device operates within safe parameters for drug administration.

What is a clinical care area (CCA) in the context of the Plum 360 device?

A clinical care area (CCA) is a customizable setting on the Plum 360 device that can be tailored to specific areas of care such as critical care, Med Surg, labor and delivery, etc. Each CCA can have up to 400 drugs with customized limits.

What is concurrent delivery and how does the Plum 360 device support it?

Concurrent delivery is a feature that allows two medications to be administered at the same time using only one tubing. The Plum 360 is unique in that it is the only device that can provide this capability.

What are the syringe sizes supported by the Plum 360 device for syringe delivery?

The Plum 360 device supports syringe sizes ranging from 3 up to 60, and these syringes can also be used to back prime any air that may have come during the infusion.

What is the significance of the flow rate range of 0.1 to 999 in the Plum 360 device?

The flow rate range of 0.1 to 999 indicates the versatility of the device in administering medications and fluids at varying rates, which is crucial for different patient needs and types of infusions.

How does the Plum 360 device ensure safety during infusion?

The device has multiple safety features such as hard and soft limits for drug dosages, a back prime function to remove air from the line, and alarms that are prioritized into low, medium, and high categories to alert the user of potential issues.

What is the purpose of the lockout feature on the Plum 360 device?

The lockout feature allows the user to lock the device's panel using a code, preventing unauthorized access or changes to the infusion settings. Only the stop button works when the panel is locked.

How does the Plum 360 device handle alarms and what are the different levels of alarm priority?

The device prioritizes alarms into low, medium, and high categories. Low alarms are indicated by two beeps, medium alarms by three beeps, and high alarms by ten beeps. Examples of high alarms include distal occlusion or air in line, which require immediate attention.

What steps are involved in priming and loading the tubing for the Plum 360 device?

Priming involves filling the tubing with fluid, inverting the clave during priming, and ensuring the flow regulator is pulled out to start the process. Loading the cassette into the device involves opening the lever, sliding the cassette in, and closing the lever. The device then needs to be turned on and the infusion programmed.

How does the Plum 360 device handle programming an IV piggyback infusion?

The user selects the secondary line (B), searches for the drug (e.g., potassium), and sets the volume and duration for the infusion. The device then calculates the rate, and the user starts the infusion. The device can also handle piggyback mode where the primary line (A) is in standby until the secondary infusion is completed.