CADD Solis

CADD Solis

  1. Status bar – color coded for immediate visual indication of pump operating status
  2. Protocol title bar – displays at all times while running – tall/ short man style
  3. Infusion settings – display at all times while running, values are color-indicated
  4. On-screen graphs and trend reports – promote immediate patient care management
  5. Soft key interface – makes navigation intuitive
  6. CADD® medication cassette reservoirs – keep medications safe and secure
  7. Pump alarms – differentiated by color and sound: red=high priority; amber=medium priority; blue=low priority
  8. Keypad lock status – for added patient safety
  9. Drug concentration and/or units of measure – helps eliminate drug errors
  10. Clinical task menu structure – designed for ease of use
  11. Cassette latch – permits easy attachment of the CADD® cassette
  12. Scroll keys – help prevent double key press errors
  13. PCA dose key – enables convenient PCA while ambulatory
  14. Remote PCA dose cord – ergonomically designed to promote ease of use

Information Source: CADD Solis manual: http://www.smiths-medical.com/landing-pages/promotions/md/caddsolis.html

Links to sections below:

Unlocking the Pump

Start new patient:
1. Screen displays “do you want to start a new patient?” Press Yes.
2. Unlock the keypad using the security code or the pump key.
3. The “Select Therapy” menu is displayed.
4. Scroll ↑ or ↓ to highlight the desired therapy. Press select.
5. Scroll ↑ or ↓ to highlight the desired qualifier. Press select.
6. Scroll ↑ or ↓ to highlight the desired drug and concentration. Press select.
7. Confirm that you have selected the correct therapy, qualifier, drug, and concentration. Verify and select yes.
8. “Review pump settings” displays. Press review.
9. To edit for a patient specific parameter press “Select”. Scroll ↑ or ↓ to the new value then press Save.
10. Continue until all patient specific parameters have been reviewed and/or edited. Press Accept Value for each setting. A checkmark appears next to each patient specific parameter you have accepted. When completed press Next.
11. To change a patient specific parameter after you have accepted it, repeat step 9.
12. “Cassette not attached. Attach cassette before starting pump” is displayed.

Program the Pump

1. Scroll ↑ or ↓ to highlight the patient specific parameter you want to change. Press Select.
2. Unlock the keypad using the security code or the pump key.
3. The patient specific parameter is displayed. Scroll ↑ or ↓ to the new value and press save. Note: if the desired value is outside the soft limit, press confirm. Verify the soft limit override by pressing Yes.
Repeat steps 1 and 3 for each patient specific parameter you want to change. Note: if a security code was used to unlock the keypad, always relock the keypad after making a change by pressing the right soft key twice. If a key was used, turn the key clockwise to relock the cassette and keypad.
4. Verify that the keypad and cassette are locked.

Prime the Pump

When programming for the new patient is complete:
1. Attach, latch, and lock the cassette to the pump.
2. “Prime tubing?” displays. Press Yes if priming is needed.
3. “Disconnect tubing…” displays. Press Prime. Press Stop Priming when complete.
4. “Continue Priming?” displays. Press Yes or No.
5. “Start pump?” displays. Press Yes when you are ready to begin the infusion. The pump begins running.

Setting Up the Program

Start new patient:
1. Screen displays “do you want to start a new patient?” Press Yes.
2. Unlock the keypad using the security code or the pump key.
3. The “Select Therapy” menu is displayed.
4. Scroll ↑ or ↓ to highlight the desired therapy. Press select.
5. Scroll ↑ or ↓ to highlight the desired qualifier. Press select.
6. Scroll ↑ or ↓ to highlight the desired drug and concentration. Press select.
7. Confirm that you have selected the correct therapy, qualifier, drug, and concentration. Verify and select yes.
8. “Review pump settings” displays. Press review.
9. To edit for a patient specific parameter press “Select”. Scroll ↑ or ↓ to the new value then press Save.
10. Continue until all patient specific parameters have been reviewed and/or edited. Press Accept Value for each setting. A checkmark appears next to each patient specific parameter you have accepted. When completed press Next.
11. To change a patient specific parameter after you have accepted it, repeat step 9.
12. “Cassette not attached. Attach cassette before starting pump” is displayed.

Program the pump:
1. Scroll ↑ or ↓ to highlight the patient specific parameter you want to change. Press Select.
2. Unlock the keypad using the security code or the pump key.
3. The patient specific parameter is displayed. Scroll ↑ or ↓ to the new value and press save. Note: if the desired value is outside the soft limit, press confirm. Verify the soft limit override by pressing Yes.
Repeat steps 1 and 3 for each patient specific parameter you want to change. Note: if a security code was used to unlock the keypad, always relock the keypad after making a change by pressing the right soft key twice. If a key was used, turn the key clockwise to relock the cassette and keypad.
4. Verify that the keypad and cassette are locked.

Making Changes to the Program

Changing a patient’s current program with the pump stopped
Stop the pump
1. Press Stop/Start
2. “Stop Pump?” displays. Press Yes.
Program the pump
1. Scroll ↑ or ↓ to highlight the patient specific parameter you want to change. Press Select.
2. Unlock the keypad using the security code or the pump key.
3. The patient specific parameter is displayed. Scroll ↑ or ↓ to the new value and press save. Note: if the desired value is outside the soft limit, press confirm. Verify the soft limit override by pressing Yes.
4. Repeat steps 1 and 3 for each patient specific parameter you want to change.
When programming is complete
1. Press Stop/Start
2. “Review pump settings” displays. Press review.
3. Choose accept value to confirm the value is correct for the highlighted patient specific parameter or press Select to edit the highlighted parameter.
4. Continue until all patient specific parameters have been reviewed, accepted and display checkmarks. Press Next.
5. “Start Pump?” displays. Press Yes.
Note: If a security code was used to unlock the keypad, the keypad automatically relocks when the pump is started. If a key was used to unlock the cassette/keypad, use the key to relock the cassette/keypad lock.

Providing a Bolus Dose

Give Clinician Bolus
A clinician bolus may only be delivered while the pump is running. It allows you to deliver a specified amount of drug, for example, as a loading dose. A clinician bolus cannot be started while a PCA dose is in progress. The amount delivered decreases the reservoir volume and increase the amount given, but does not add to the dose counters or to the delivery limit. A clinician bolus may be stopped in progress.

NOTE: If a clinician bolus is manually stopped by a clinician or automatically by an alarm, power failure, or other condition that stops delivery, the pump will remember what point the bolus was at when it stopped . The next time you choose to give a clinician bolus, it will give you the option to restart the clinician bolus where it left off or to start with a new clinician bolus.

WARNING: Exercise care when using the clinician bolus function. Since there are no limits on the frequency of delivering a bolus, and since the amount can be set as high as 20 mL (or the mg or mcg equivalent), you should not permit the patient to become familiar with the procedure for giving a clinician bolus. Improper programming could result in serious patient injury or death.

To start a clinician bolus:
1. Make sure the pump is running. Start the pump if necessary.
2. From the Tasks menu, press ↑ or ↓ until Give Clinician Bolus is highlighted, then press Select.
3. Unlock the keypad using the pump key or press ↑ or ↓ to enter the clinician code. Press Select to advance to the next digit. Once the code has been entered, select Accept Value.
4. Make sure the clinician bolus amount is at the desired value and select Deliver.
5. The screen will show the amount decreasing as the bolus is delivered. You may stop the bolus at any time by selecting Stop Bolus.

WARNING: To prevent the patient from accessing the clinician bolus function, do not let the patient know the security codes. Improper programming could result in serious injury or death. Never leave the pump unattended while on the clinician bolus edit screen. You must press “Confirm” or “Deliver” to deliver the programmed value or cancel to leave the screen. Failure to do so could result in serious patient injury or death.

Complete a Shift Check

Information about previous shift totals etc. is always available for quick reference from the Home screen.

Disconnecting the Pump

Stopping the pump stops delivery. When the pump is stopped, “Stopped” will appear with red highlighting on the status bar and the amber indicator light will flash, while the green indicator will be off.
To stop the pump:
1. Press stop/start.
NOTE: If a PCA dose or clinician bolus is in progress, “Stop PCA dose?” or “Stop clinician bolus?” will appear. Select Yes to stop the dose.
2. When “Stop Pump?” appears, select Yes.

Changing the Batteries

AA 1.5 volt (non-rechargeable) batteries are recommended for use in this pump.
NOTE: It is not recommended to mix old and new batteries; doing so may affect low battery alarm times. Always select four new batteries when replacing them.
The pump retains all programmed values while the batteries are removed. If the batteries are removed while the pump is delivering, and an AC adaptor is not connected, delivery will stop and the pump will lose power.
To install batteries:
1. Make sure the pump is stopped or powered off. Using your fingers, the pump key, or a coin, turn the knob on the battery door counter-clockwise and open the battery door.
2. Hold the pump at an angle and place 4 AA batteries in the pump, matching the markings (+ and -) on the new batteries with the markings on the pump.
3. Close the battery door and using your fingers, the pump key, or a coin, turn the knob on the battery door clockwise to lock.
NOTE: If the batteries are installed incorrectly, the pump will not power on.

Troubleshooting Issues, Screensaver and Alarms

Screensaver
The screensaver allows the pump to conserve battery power when not in an edit mode and if no keypad buttons have been pressed for 30 seconds. The pump displays a blank screen. Press any button on the keypad to turn the display on.

Alarms and Troubleshooting
Alarm Conditions
High Priority Alarm
If the pump is running, it always stops when a high priority alarm is activated. Accompanied by a red screen, it continues until acknowledged or until the condition that triggered the alarm goes away.
Medium Priority Alarm
This alarm does not stop the pump. Accompanied by an amber screen, it continues until acknowledged or until the condition that triggered the alarm goes away.
Low Priority Alarm
A low priority alarm does not stop the pump. Accompanied by a blue screen, the alarm automatically clears after 5 seconds or until the condition that triggered the alarm goes away.
Informational Message
This alarm does not stop the pump. The message appears in the status bar. It is displayed for 5 seconds and is generally silent, requiring no acknowledgement.

Troubleshooting
Screen is blank and alarm is sounding
Alarm Priority High. The pump has lost power and is no longer delivering. The pump was delivering and the batteries were removed or the battery door was opened. Clear this alarm by replacing the batteries or closing the battery door. Then turn the pump back on or the alarm stops after the power has been off for a minimum of 2 minutes.
Air-in-line detected. Press “acknowledge’ then prime tubing.
Alarm Priority High. The pump is stopped and cannot run. The air detector has detected air in the fluid path; the fluid path may contain air bubbles. Acknowledge the alarm. Then, if the fluid path contains air bubbles, close the clamps, disconnect the fluid path from the patient, and follow the instructions for priming to remove the air.
Battery depleted. Pump stopped.
Alarm Priority High. Install 2 new AA batteries or a fully charged rechargeable battery pack. In order to start delivery, good batteries must always be installed, even when an external source of power is connected. If appropriate, restart the pump.
Battery low, replace battery.
Alarm Priority Low. Change the rechargeable battery pack or 4 AA batteries soon.
Delivery limit reached. Or, delivery limit reached and partial dose delivered.
Pump’s low status bar reads “KVO = 0”
Alarm Priority Low. The programmed delivery limit has been reached, and the pump is not delivering fluid. This alarm occurs when the continuous rate or a PCA dose has caused the delivery limit to be exceeded. Acknowledge the alarm (the alarm automatically clears after 5 seconds).
Pump low status bar reads “Del Limit”
Alarm Priority Low. The programmed delivery limit has been reached, and the pump is delivering fluid at the KVO rate of 0.1 mL/hr. This alarm occurs when the continuous rate or a PCA dose has caused the delivery limit to be exceeded. Acknowledge the alarm (the alarm automatically clears after 5 seconds).
Downstream occlusion. Clear occlusion between pump and patient.
Alarm Priority High. The pump has detected high pressure which may be resulting from a downstream blockage, kink in the fluid path, or a closed tubing clamp. Delivery pauses and resumes if the occlusion is removed. Remove the obstruction or stop the pump to silence the alarm for 2 minutes, then remove the obstruction and restart the pump.
Reservoir volume low
Alarm Priority Medium or Low (depending on how the alarm is programmed). Level of fluid in the reservoir is low. Prepare to install a new fluid container, if appropriate.
Reservoir volume is zero. Pump stopped.
Alarm Priority High. The reservoir volume has reached 0.0 mL. The pump stops and cannot run. Acknowledge the alarm. Install a new fluid container. Reset or edit the value of the reservoir volume.
Upstream occlusion. Clear occlusion between pump and reservoir.
Alarm Priority High. Fluid is not flowing from the fluid container to the pump, which may be resulting from a kink, a closed clamp, or an air bubble in the tubing between the fluid container and pump. Delivery is paused and will resume if the occlusion is removed. Remove the obstruction to resume operation. The alarm clears when the obstruction is removed. You will be required to acknowledge this alarm after it clears if it has occurred and cleared more than 3 times in 15 minutes.

Client & Family Teaching

Along with following your organizations policies and practices, some important points to consider include:
• Simple explanations about the indications for using the pump
• Simple rationale for when to consider self-administering bolus medication doses
• Care and safe handling of the equipment and medication
• Avoid getting the pump wet
• Avoid dropping the pump
• Keep medication bags in a secure appropriate location
• See troubleshooting and quick tips guide for additional information about alarm codes and actions
• Safe disposal practices
• Reinforcing potential medication side effects and appropriate actions to follow

Patient Reference: http://www.smiths-medical.com/Upload/products/PDF/CADD_Solis_System/IN193505.pdf

Quick Tips Guide


CADD Solis Quick Guide

Competency Assessment

Download the PDF competency assessment here: Competency Assessment Form