CBC II Blood Collection & Reinfusion System. Installation and use in Operating Room

Transcription

1 CBC II Blood Collection & Reinfusion System Installation and use in Operating Room

2 Open the sealed container

3 Take unit out of sealed container

4 Unfold blue cover

5 Keep blue cover under unit while inspecting the unit

6 Re-wrap unit to reduce chance of transfer of blood from the surgical field to the outside of the unit.

7 Take out evacuator tube and drainage tube pack. There are 12 to 16 pairs of drain holes in the drainage tube

8 Insert 1 or 2 drainage tubes into the drainage site

9 Exit drainage site carefully holding trocar or needle

10 Cut-off the trocar or needle with scissors

11 Trim evacuator tube (Y-connector) to secure it to wound drain tube and make sure all connections are air-proof

12 Turn vacuum dial to low level and wait for red knob to deflate

13 Wait to check that red knob has deflated

14 Turn vacuum off, depress blue lever & verify that red knob re-inflates in order to make sure unit is working properly

15 Completely remove blue cover from unit

16 Affix unit to bed rail or footboard in vertical position at same height as wound for accurate vacuum level setting

17 Secure unit with security strap for transport

18 Initiate drainage by turning vacuum dial to low level vacuum for 10 minutes

19 Watch red knob deflate as vacuum is turned on. After 10min, set the vacuum dial to the level prescribed by physician.

20 Record start time and volume output on reservoir label

21 Move patient to the ward. Tuck tubing away to avoid damage during transport

22 . BLOOD REINFUSION

23 Clamp the evacuator tube near the reservoir with the slide clamp and connect blood bag

24 Unband the blood bag and tubing

25 Hold bag tubing so that it forms half a loop at the base of the reservoir

26 Initiate Reinfusion within 6 hours of the starting time of the drainage mentioned on the label on the reservoir

27 Blood bag should be placed lower than the reservoir and Vacuum dial set at level 2

28 Fully depress and hold down the release lever on top of unit in order to transfer blood into blood bag

29 Verify that red knob is deflated which means that suction is working correctly

30 Some fluid containing fats will remain in the reservoir and should not be reinfused

31 When transfer is complete, release the lever and clamp the blood bag tubing as close as possible to blood bag

32 Use regular Tubing and Blood Transfusion Filter for transferring blood back to patient

33 Once lever is released the pump will automatically turn on to restart vacuum in reservoir

34 Hang Blood bag with filter to IV pole

35 Unclamp Blood bag tubing and reinfuse the collected blood within 6 hours of drainage

36 . WOUND DRAINAGE

37 After reinfusion is ended, the unit functions as a negative or non-negative pressure wound drain receptacle

38 Blood bag tubing is clamped 5cm away from reservoir and cut below clamp and discarded. Then red cap is put on remaining tubing coming from reservoir.

39 Cap the end of remaining tubing on the reservoir with red cap and the system has now been converted into a drain.

40 Wound drainage is measured directly from the reservoir. The wound drainage output can be monitored by marking the fluid level & time of reading on the reservoir label

41 If reservoir needs emptying - depress lever on lid to transfer blood into blood bag or container

42 . UNIT REPLACEMENT

43 Clamp evacuator tube on each side of the quick-connect of the original unit

44 Twist quick-connect to separate evacuator tube from original unit. Discard Y connector portion of evacuator tube. Attach quick-connect of new unit to quick-connect of the evacuator tube attached to the patient.

45 Set vacuum level at prescribed setting

46 Unclamp evacuator tube

47 .