There are a few variations of the CADD pump. Each will be reviewed here.
This pump has been around for many years and is still used in the home care setting. It is capable of continuous, intermittent, TPN and PCA delivery modes.
While there is an actual CADD pump key, unless your patient has been given a pump with an elevated lock level, you have no need for it.
The various Lock Levels (LL0,LL1,LL2) are shown on the screen of the pump when it goes through the review.
LL0 gives anyone the ability to change any programming as far as dose, time, etc.
LL1 limits the abilty to change things that will be within the normal tasks performed by the nurse.
LL2 restricts the functions even further for those patients that should not have access to making any changes. There are codes that will be given to the clinician if a LL2 is enforced so bag changes can be made and then the LL2 reinstated. These codes should not be shared with the patient.
In order to remove and attach the cassette to the pump, a coin is used to turn the latch on the side of the pump. Every nurse I know always has a penny on them and when completing the set up, simply tapes the penny to the back of the pump so it is handy for whoever needs to change the bag the next time.
The battery will last 72 hours easily, but some facilities prefer you change them every 24 hrs just to be on the safe side. These batteries should come with the other supplies sent by the infusion company.
Along with setting the infusion rates, times, kvo settings and priming the pump, they will send alcohol wipes, and flushes. Depending on the situation, there may or may not be Heparin used as part of the flush sequence.
When the pump asks if it should reset the reservoir volume, it means "are you attaching a new, full bag of 250 ml (or 500 ml or other size) to the CADD pump?". It knows to ask this because it sensed you removing the old cassette and attaching a new one.
It is important to remember never to change the cassette / bag while the battery is out. The reason is that the pump will not be aware of your changing IV bags and so won't ask you that question. It will then resume operating assuming the old, almost depleted bag is attached and will start beeping when it THINKS there is no medication left based on its old calculations.
If that happens, you have to stop the pump, remove the cassette and then reattach it. It will then go though the normal routine of asking if you want to reset the reservoir to a full bag. You then answer yes and you are good to go.
You can find a CADD Prizm Pump quick reference guide here.
The link for the CADD Legacy Pump User manual for CLINICIANS ONLY.
I am not sure if the code mentioned in this video is specific to this nurse's facility or if it is a general code used throughout hospitals. So check with your pharmacist.
Because air bubble alarms will happen...