Quote from hrtprncss
Hi I was wondering if you could explain the setup? I'm quite curious as to what kind of tubing it is, you know the whole component of it. Just in case I run into it. I mean when it's connected to a pump, does that mean it comes with a transducer as well for monitoring? Thanks in advance.
We use the appropriate tubing for whatever pump we're using. In Winnipeg we used IVAC syringe pumps and microbore tubing, here we use Alaris SE Gold volumetric pumps and their dedicated tubing. (IMO these pumps are junk and not worth the powder to blow them to Heck.
) The transducer set is separate. We used to use Cobe sets but had a lot of trouble with several lots of them having the vents on the back of the transducer obstructed and therefore inaccurate measurements. Now we're using Edwards transducers, which are not without problems of their own... air in the system anywhere from start to finish, no proper education on using them (:angryfire not the product's fault)... Anyway, we set up the pump and tubing as if we were running any other infusion, except that we attach the pump tubing to the transducer set at the connection where the tubing from the pressure bag would attach, and prime the whole set before putting the cassette into the pump. It isn't a good idea to get too far ahead in this process, as in priming the tubing, putting it into the pump and setting the rate and volume, because the stupid things develop millions of microbubbles in the cassette while it sits idle waiting; these microbubbles cannot be gotten rid of and the pump will NOT run with them there:smackingf . So it's always easiest to just have it ready to prime when you get your call from the OR that the kid's on their way; gives you something constructive to do while you wait. It's a bit of a hassle to do this; when the infants come back from the OR they all have pressure bags, so we have to change it all out. We couldn't possibly reuse any of the items the OR set up... that would only make too much sense. Does it seem to worry anyone that we're changing out these systems at a time when the patient could logically be expected to be UNSTABLE??? Nah. Does it bother anyone that we're wasting hundreds of dollars in supplies (transducer sets, bags of IV fluid, heparin, tubing) every day? Nah. :trout: Sorry... mini-rant over. Hope this helps...