Treatment at home with a portable infusion pump

Information for parents, children and adolescents who are starting intravenous treatment at home with a portable infusion pump (CADD Solis VIP).

Information for parents, children and adolescents who are starting intravenous treatment at home with a portable infusion pump (CADD Solis VIP)

Patient information for treatment at home

Your child can receive intravenous treatment with a portable infusion pump at home instead of being admitted to the hospital.

How does it work?

  • It is important that you feel well-informed and safe with the situation before going home with the pump. The decision to start home treatment for your child is one you make together with the doctor and a nurse from the department based on the child’s health and condition.
  • How and for who we use home treatment varies from one situation to the next, e.g. from one infection to another. Your child’s health and the nature of the infection are important determinants for weather a home treatment is possible.
  • The pump is automatic and pre-programmed. It is locked to ensure correct doses and it cannot be changed by you or your child by accident.
  • The pump with medication will be connected to the child at the department and then you and your child can go home with the pump. The pump will be refilled with medication or disconnected from the child by a nurse at the department dependent on the duration of the treatment.
  • Usually you must come every day at the department, to refill the pump, check the intravenous catheter and maybe have blood tests. You will see the doctor if necessary. Waiting time can occur, because of emergency patients.
  • You will receive guidance in handling the pump before going home.
  • You can call the department any time you need to, and your child can be admitted at any time regardless of home treatment.

What should you pay attention to at home?

1. Fever

You must contact the department if your child has increased temperature:

  • One measurement of 38,5 °C (if stem cell transplanted, then one measurement of 38 °C)
  • Two measurements of 38 °C within one hour

If your child gets antibiotics or any other treatment at home that requires temperature control, it is important to measure the temperature every morning and evening and any time in between if you suspect your child has fever. A feeling of being cold or having chills are often symptoms of a beginning fever. It is important that your child does not drink anything very cold or warm just before measuring the temperature.

2. Allergic reaction

It is very rare that a child reacts with an allergic reaction to medicine. However, there is an increased risk with intravenous medicine.

It is important to take contact to us, if your child experiences itching, blushing or get other allergic symptoms. If your child reacts with symptoms of more serious grade, such as difficulties in breathing, palpitations or consciousness effects, you need to call 112 Depending on medication and diagnosis, it may be necessary to bring medication to treat allergic reactions at home.

3. General condition of the child

You must contact the department if your child’s general condition is deteriorating as compared to with when you left the hospital. This includes symptoms such as your child getting quiet, slow, or uninterested, or if he or she does not want to eat or drink or is increasingly irritable or touchy.

4. The pump

During the day you must check that the pump is running and does not display any alarms. You will hear a beeping sound from the pump when the alarm goes off. The alarm for ”okklusion nedadgående” will set off if the infusion set is bended, but if the bend is removed by itself, the alarm stops, and the pump continues, and you can´t see the reason for the alarm.

You must check the status of the battery, and maybe charge or change it (see guidance below). If the alarm goes off, you can try to solve the problem by using the guide below or contact the department (see ”Contacts related to home treatment”).

5. Intravenous catheter

It is important that you observe the catheter as instructed in the pamphlet given to you. You receive a band aid, you can use if the catheter slides out and to alcohol wipes, if the catheter and intravenous line disconnect.

Home and in institution

We recommend that your child is not home alone with the pump for longer periods of time. If the child is going to school or other institutions or is being taking care of by others, it is your responsibility that the caretakers are comfortable with the pump and can react if an allergic reaction should occur. Together with a doctor and a nurse you decide if your child should go to school with the pump. If the child goes to school, information to teachers/pedagogues is your responsibility.

Pictures of explanation for the screen of CADD solis VIP pump

A:

This shows the volume of medicine in the pump. When the pump starts, the screen displays the full volume and every time a dose has been given, the volume is reduced.

B:

”Kører” means that the pump is running. ”Stoppet” means that the pump is stopped.

C:

This shows the battery. The pump uses rechargeable battery, which is placed in the top of the pump. If the amount of battery is below half, the battery must be charged before going home. You will receive 4 AA
battery that can be used if the rechargeable battery runs out.

D:

This lock illustrates that the pump is locked, and you can’t change the settings of the pump without a code. You can still press ”Start/stop”

E:

This shows the reservoir volume, which is the remaining volume and the remaining time of the infusion in hours and minutes.

Pictures of explanation for the screen of CADD solis VIP pump

Change of battery

  • Press ”stop” on the pump
  • The machine shows ”Stop pumpe” (Stop the pump). Press ”Ja” (Yes)
  • Turn off on the outer right side of the pump.
  • The machine shows ”Luk ned” (Shut down). Press ”Ja” (Yes)
  • Turn the button on the top of the machine to gain access to the battery. Change the battery and close again.
  • Turn on the pump in the right side
  • Press ”Start”. The machine shows ”Start pumpe” (Start the pump?). Press ”Ja” (Yes)

How to turn off the pump

  • Press the start/stop button on the display
  • The screen shows ”Stop pumpe” (Stop the pump). Write ”Ja” (Yes)
  • Press the ‘turn off’ button of the right side of the pump. The screen shows ”Luk ned” (Shut down). Press ”Ja” (Yes)

Quick problem solver for CADD-SOLIS VIP pump

1. Red alarm –” Downstream occlusion. Clear occlusion between pump and patient”

Danish: ”Okklusion nedadgående. Ryd okklusion mellem pumpe og patient.”

The explanation can be:

A.

The clasp between patient and pump might not be opened.

B.

The infusion set could be bended.

Solution:

Open the clasp and check that the infusion set is not bended.

2. Orange alarm - ”Loss of power occurred while running. Replace AA batteries”

Danish: ”Der opstod strømafbrydelse mens pumpen kørte, skift batterier.”

Explanation:

The machine is running out of battery and the battery needs to be changed.

Solution:

Turn the button on the top of the pump to access the battery. Change the battery and close. Turn on the pump and press ”Start” when the picture is showing.

3. Orange Alarm – ”Reservoir volume low”

Danish: ”Reservoir volumen lav.”

Explanation:

The volume is low in the infusion bag. This means that you will need to change it soon, although it still has some volume left in the bag. Therefore, it is allowed to keep the pump running.

Solution:

Press ”accepter” (accept) and ”start”

4. Blue alarm:” Dose scheduled to start in 2 min. Pump is stopped”

Danish: ”Dosis planlagt til at starte om 2 min. Pumpen er stoppet.”

Explanation:

The pump is installed to start in 4 minutes, but the pump hasn’t been started. The pump will not start unless you press ”Start”.

Solution:

Press ”Accepter” (Accept) and then ”Start”

5. Red alarm – ”Air in-line detected. Press ”acknowledge” then prime tubing”

Danish: ”Luft i slange detekteret. Tryk ”Accepter”, og fyld så slangerne.”

Explanation:

The problem is an air bubble in the infusion set and the screen wants you to remove the air.

Follow the instruction below

  • Press ”Accepter” (Accept)
  • Press ”Opgaver” (Task)
  • The machine shows ”Fyld slange” (Fill the infusion set). Press ”Ja” (Yes)
  • The machine shows ”Frakobl slange fra patienten” (Disconnect the infusion set from the patient). Do not disconnect the infusion set from patient, but press ”Fyld” (Fill). The volume of air in the infusion set is not dangerous for the patient.
  • The machine primes manually and only stop when you press stop. Let the machine prime about 2,3 ml and press ”stop”.
  • The machine shows ”fortsæt fyldning” (continue filling). Press ”nej” (no).

6. Red alarm: ” Upstream occlusion. Clear occlusion between pump and reservoir”

Danish: ”Okklusion opadgående. Ryd okklusion mellem pumpe og reservoir.”

The explanation can be:

A.

There is a problem between the cassette and the pump.

Solution:

Unlock the ”arm”, remove the cassette and reattach.

B.

The clasp between patient and pump might not be opened.

Solution:

Check that all the clasps are open, and that the infusion set is not bend.

Checklist to the nurse when administrating home treatment with infusion pump

Examined:                                                                                   completed - date/sign


General observation of the child                                              _____________________

Observation of the intravenous catheter
and precautions related to shower                                          _____________________

Anaphylaxis – symptoms and actions
(Patients with Cystic fibrosis and enzyme
disorders must bring adrenaline to the home)                        ____________________

Infusion pump – does it work, when does
it need to be changed, alarms etc.                                            _____________________

Contact to the hospital – when and where.                            ______________________

Extradited:                                                                                   completed - date/sign


1 sterile band-aid (if the intravenous catheter falls out)       ____________________

2 alcohol wipes (if the intravenous line disconnects
and must be switched on again)                                               _____________________

Equipment to protection of the intravenous 
catheter related to shower                                                          ____________________

4 AA battery and/or rechargeable battery incl. lines             ____________________

Inform the parents that all equipment must be returned     ____________________

Give ”Information for participants-
Research on home treatment”.                                                   ___________________

Documentation in SP:                                                                completed - date/sign


Use the Smartphrase ”Hjemmebehandling –
Hospitals-administreret”                                                          ________________________

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