1

T34 Syringe Pump user Pocket Reference Guide

U n i v e r s i t y T e a c h i n g T r u s t

Barrel Clamp Arm & Sensor

Refer to Salford Royal T34 syringe pump clinical guidelines for full instructions and information.Users must have undertaken training and deemed competent before operating this device.

10ml Syringe BD Plastipak luer lock 10mls20ml Syringe maximum volume 17mls30ml Syringe maximum volume 22mls

Adapted from the work of CME Medical UK 2015

INFO

Syringe Flange / Collar Sensor

YES / STARTNO / STOP

ScrollUP / DOWN

Actuator movementFORWARD (FF) / BACK

Plunger Sensor

PowerON / OFF

Actuator

Infusion light status indicaror:l Green (running)l Red (stopped)

FEATURE RECOGNITION

© G19080102. Unique Identifier: CS 51 (19). Review Date: November 2021.

2 3

STARTING INFUSION (an example)

MONITORING WHILST INFUSING

Prepare BD Plastipak syringe with prescribed medication and at least 2mls of water unless otherwise prescribed. Complete medication label and place on syringe barrel (NOT GIVING SET LINE). Attach CareFusion & Saf-T-Intima system and manually prime the complete giving set.

Press and hold ON / OFF button to start pump, ensure Barrel Clamp down & no syringe in place(First 3 screens display during actuator movement)

Insert the Duracell brand 9 volt (6LR61) battery (no other type of battery must be used) at the back of the McKinley T34 syringe pump. When inserting, ensure that the battery has adequate connection with the

battery housing.

When actuator has stopped:

T34 Version NCAT xxxxxID: (Hospital name)

Pre-loadingUse NO to interrupt

Purge, press FFPurge 0.2ml

10 ml BD PlastipakSelect , Press YES

Time remaining 23:37Rate 0.39 ml/hr

<<<<< Pump Delivering

Time remaining 23:37Rate 0.39 ml/hr10ml BD Plastipak

Press YES to ResumePress NO for new syringe

Purge Completed

?Start infusion

OcclusionMax RateProgram LockBattery Status

540 mmHg5 ml/hON98%

Pump details display.

The LCD display will show ‘PRE-LOADING’ and the actuator will move (barrel clamp down and no syringe in place) deleting the previous programme.

Check battery press ‘INFO’ key once. Select battery level, press ‘YES’. Battery level appears on the screen.In Hospital discard battery if less than 10%. In Community discard battery at 40% or below.Hold prepared syringe above the device to gauge correct position for syringe loading (ensure barrel clamp is down).

Press and Hold the FF key to eliminate/reduce mechanical slack (visible spaces at the syringe collar & plunger) ensures a faster start up time. (Available once only, in the startup sequence).

IF YOU PRESS ‘YES’ the duration ofdelivery will decrease to account for the purge volume used.

Press and Hold Info key to lock key pad. Repeat to unlock.Place in compulsory lock box, close lid and lock.

Press INFO key once:

Press INFO key twice:

IF YOU PRESS ‘NO’ a new programme will be calculated.

Re-confirm syringe brand / size.

Running screen alternates

during infusion

In Hospital press YESIn Community press NO

Wait a few seconds and this screen will occur automatically.

Insert giving set needle at 45° angle subcutaneously, cover with transparent dressing. Press ‘YES’ to start the infusion when ready to do so.

Pump default settings display.

If incorrect syringe size / brand displays, use keys to scroll for the one required.

ENSURE THE LINE IS DISCONNECTD FROM THE PATIENT. PRESS ‘YES’ TO CONFIRM

Load prepared syringe, (the screen graphic flashes until the syringe is detected in all 3 points). The next screen then displays the syringe brand.

BEFORE pressing YES to confirm.PRESS FF TO ACTIVATE THE PURGE FACILITY.

Press FF or BACK key to move actuator to correct position for loading syringe.

10ml BD PlastipakSelect , Press YES

Purge?Disconnect PtPress YES to confirm

VolumeDurationRateConfirm, Press

9.5 ml24:000.39 ml/hYES

Load Syringe

VolumeDurationRateConfirm, Press

9.3 ml23:370.39 ml/hYES

VolumeDurationRateConfirm, Press

9.3 ml24:000.40 ml/hYES

Infusion Summary

VTBI 9.3 VI 0.2

Battery Level

Empty Full

90%

Unique Identifier: CS 51 (19). Review Date: November 2021.© G19080102. Design Services, Salford Royal NHS Foundation Trust. All Rights Reserved 2019. This document MUST NOT be photocopied.

4

ACCESSING THE INFO MENU

END OF INFUSION

PROGRAMME PROTECTION

ALERTS

ALARMS

PUMP FEATURES & FUNCTIONS

With no infusion running: Press the INFO key.Options for viewing are:Event log / Change set-up / Check Battery status / Exit menu.Scroll menu using arrow key and press “YES” to view the option selected.

The pump calculates the mls/hr rate using the syringe volume and infusion duration. THE RATE IS THEN FIXED OVER 24 HOURS.Automatic movement of the actuator on powering up of the device (with no syringe in situ) will delete any previous programme in the device memory.

When an alert is activated:1. The infusion continues.2. Three beeps are heard approximately every 3-4 minutes3. A screen message alternates with the infusion running screenAlert activates approximately 15 minutes prior to infusion end or 15 minutes prior to end of battery life

When an alarm is activated:1. The infusion stops.2. The LED indicator turns red.3. An audible alarm activates (this will continue until either the YES key is pressed

to mute alarm or the problem is rectified).4. A screen message appears on the display indicating the cause.

Document remaining volume. Press and hold INFO key to unlock key pad.

Press NO / STOP button. Press and hold ON / OFF button and then remove the

Duracell brand 9 volt (6LR61) battery.

© G19080102. Unique Identifier: CS 51 (19). Review Date: November 2021.

5 6

SCREENS DESCRIPTION IMPLICATION / ACTION

Press YES to ResumeNO for New Program /

(Syringe)

Occlusion / Syringe EmptyCheck line & SyringePress YES to Confirm

System Error. Press & Hold INFO

for details

Pump paused too long

Low battery

Near End (Nearly Empty)

End Battery

End ProgramPress YES to Confirm

Syringe Displaced,Check Syringe

Press YES to Confirm

Something has occurred which has interrupted the current programme (e.g. syringe displaced / power failure) so the device is prompting the user to their intention.

Alarm:l Infusion line is blocked.lTubing occluded.lPump has reached the

minimum position.

Alarm:System error.

Pump has been left in STOP mode (on hold) for 2 minutes.

Alert:Battery is almost depleted.

Alert:Infusion will end soon.

Alert:Battery is depleted.

Alarm:Infusion is complete.

Alarm: One or more of the syringe detection sensors is not detecting.

Pressing “YES”: Will continue current, interrupted infusion.Check / confirm infusion summary screens and press YES to resume the current infusion.

Pressing “NO”: Will programme a new infusion. The pump will calculate the volume of the syringe over 24 hours and start a new programme.

l Record remaining medication before destruction.lPress INFO to unlock keypad.lPress STOP.lPress OFF.lReplace with new syringe and medication and new line.Pressing INFO key will display the reason for the alarm and give advice for correction, if applicable.If correction not possible:lRemove pump from use and turn power off, clean as per

policy guidelines replace with new T34 from pharmacy.lRefer to Salford Royal clinical guidelines for full

instructions and information

Either: Start the infusion, continue pause or turn the pump off.

Prepare to change battery.

Prepare to change syringe or turn pump off.

Change battery.

Close down or start new infusion.

Check the syringe and re-position as necessary.Check screen messages for assistance.

Unique Identifier: CS 51 (19). Review Date: November 2021.© G19080102. Design Services, Salford Royal NHS Foundation Trust. All Rights Reserved 2019. This document MUST NOT be photocopied.