*U2435* *U2435* This document is available in the MyLVAD Policies and Procedures library for reference purposes only.

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1 HM II VAD VIDNC F TACHIN ased on patient s needs and concerns Teaching bjectives atient or family will: TATIV CA DIN HITA TAY Methods, utcomes, Follow-p CMT eview information in the patient handbook atient has HeartMate II atient Handbook tates importance of pain control for activities tates understanding and demonstrates activity limitations while HM II VAD in place roper sternal precautions including no lifting, pulling, or pushing objects weighing more than 10 pounds during first 6 weeks post implant. Demonstrates proper use of shower kit tates understanding of importance of diet in wound healing HM CA tates understanding of activity limitations while at home 1. N DIVIN 2. No swimming, bathing, sauna, other water activities 3. Avoids static electricity, e.g. computer screens, TV screens, shuffling feet, vacuuming 4. Able to state five (5) daily activities: MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM Temperature Weight xit site dressing change ecord VAD values Checks: ystem Controller & ower Module Demonstrates proper wound care of exit site 1. Demonstrates dressing change using clean technique 2. Identifies and states signs and symptoms of exit site infection tates details of follow up care and contact people 1. Mechanical Circulatory upport Coordinator 2. Weekly/imonthly clinic appointment W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN tates importance of maintaining 2 hour drive proximity to hospital at discharge or calling the Heart Transplant Coordinator n Call aging perator H2435 V JAN 10 A 1 F 8

2 Teaching bjectives atient or family will: tates equipment/information MT carry on person at all times 1. ackup ystem Controller 2. Charged batteries 3. Mechanical Circulatory upport Coordinator pager number tates when to call Mechanical Circulatory upport Coordinator Methods, utcomes, Follow-p CMT 1. Fever 2. ed Heart alarm / ther Hazard alarm 3. nresolved fatigue 4. nresolved dizziness 5. Any time going to or calling M Correctly identifies each part of HM II VAD system 1. ercutaneous tube (driveline) 2. ystem Controller 3. atteries and attery Clips 4. ower Module 5. niversal attery Charger 6. Display Module 7. mergency ower ack tates purpose of each part of HM II VAD system 1. ercutaneous tube (driveline) 2. ystem Controller 3. atteries and attery Clips 4. ower Module 5. niversal attery Charger 6. Display Module 7. mergency ower ack MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN H2435 V JAN 10 A 2 F 8

3 Teaching bjectives atient or family will: YTM CNT tates purpose of the ystem Controller Correctly identifies each symbol/alarm/alert on ystem Controller face 1. ystem Controller self test 2. Alarm reset/fuel gauge Methods, utcomes, Follow-p CMT 3. reen power symbol 4. Yellow cell symbol 5. ed heart 6. Yellow battery 7. ed battery 8. olid tone without alarm symbol and without green power symbol 9. roken tone without alarm symbol Demonstrates normal use of system controller including 1. ystem Controller self test MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM a. tates why it is important to perform system self test every day b. xplains why controller will NT perform self test and what should be done 2. Alarm reset/fuel gauge 3. reen power symbol 4. Yellow cell symbol a. tates when to change controller battery cell b. Demonstrates correct changing of controller battery cell 5. ed heart 6. Yellow battery 7. ed battery se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN 8. tates reasons to change system controller 9. Demonstrates appropriate technique and safety factors when changing system controller H2435 V JAN 10 A 3 F 8

4 Teaching bjectives atient or family will: AT and AAM Demonstrates immediate action for any Advisory alert until cause is known Methods, utcomes, Follow-p CMT 1. Demonstrates connecting ystem Controller to M attached to Display Module to see alarm note 2. Check connections Identify cause of ADVIY AT 1. Flashing green power light and flashing power bars (with beep every second) 2. Yellow attery symbol (with beep every 4 seconds) 3. roken tone (with N alarm symbol) 4. Yellow cell light (with beep every 4 seconds) Demonstrates immediate action for each ADVIY AT 1. Flashing green power light and flashing power bars (with beep every second) 2. Yellow attery symbol (with beep every 4 seconds) 3. roken tone (with N alarm symbol) 4. Yellow cell light (with beep every 4 seconds) Identify cause of HAZAD AAM 1. D HAT - ow Flow; No operation/inappropriate operation MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN 2. D ATTY ess than 5 minutes of power left (after 10 min will drop speed to 8000 rpm) 3. TADY TN AAM WITH N YM (and no green power light) Demonstrates immediate action for each HAZAD AAM 1. D HAT AAM (with steady tone) Check all connections Call 911 Change power source Change ystem Controller Call Mechanical Circulatory upport Coordinator 2. D ATTY AAM (with steady tone) Change power source H2435 V JAN 10 A 4 F 8

5 Teaching bjectives atient or family will: 3. TADY TN AAM WITH N YM (and no green power light) Methods, utcomes, Follow-p CMT MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM Connect to power W MD (M), ATTI, and ATTY CHA tates understanding of M functions 1. tates life of internal M battery 2. Identifies alarm reset button on ower Module 3. tates what to do for each alarm A/C fail: n button goes from green to yellow Yellow attery: eeping ed attery: teady Tone Yellow Wrench: eeping ed Wrench: teady Tone Identifies principles of battery care 1. tates when to change batteries se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN 2. tates how to check power level of each battery (push number of slot full symbol in window) 3. tates life of individual battery as tates life of battery per charge as 6-10 hours 5. tates meaning of expiration date on each battery 6. tates acceptable temperature range for batteries (avoid extreme heat/cold) 7. tates how to exchange expired batteries for new batteries 8. Demonstrates correct insertion of batteries into niversal attery Charger tates understanding of battery charging functions and care of batteries 1. tates meaning of charge lights (green, yellow and red) 2. tates what to do if red light next to charging bay H2435 V JAN 10 A 5 F 8

6 Teaching bjectives atient or family will: CHANIN W C Demonstrates safety and correct technique in changing from M to batteries 1. ather 2 battery clips, 2 charged batteries Methods, utcomes, Follow-p CMT 2. lace the batteries near the black and white connector cables 3. lace charged battery into clip by aligning red arrows and push the battery all the way into the clip until you hear a click 4. nscrew black connector (AAM WI ND) and connect to one battery 5. Alarm must be FF before changing 2nd power cable 6. epeat with the white connector 7. When connecting the cables, remember to only hand tighten all connections Demonstrates safety and correct technique in changing from batteries to M 1. lace the connectors near the black and white connector cables 2. nscrew white connector cable from battery and connect to white connector 3. epeat with the black connector cable 4. When connecting the cables, remember to only hand tighten all connections Demonstrates safety and correct technique in changing batteries MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN 1. ather 2 fully charged batteries 2. To remove batteries from the clip, hold the release button and pull out the battery *AN AAM WI ND 3. Match the red arrows on the clip and the battery; slide the battery into place until you hear the click 4. epeat the procedure for the second battery H2435 V JAN 10 A 6 F 8

7 Teaching bjectives atient or family will: CHANIN YTM CNT Demonstrates safety and correct technique in changing system controller 1. Have patient sit or lie down 2. et new system controller 3. ay out in same configuration as current ystem Controller 4. nlock ocking Mechanism Methods, utcomes, Follow-p CMT 5. Disconnect WHIT power cable from CNT ystem Controller *AAM WI ND 6. Connect WHIT power cable to NW ystem Controller *AAM WI ND 7. Disconnect driveline from current system controller and 8. Connect to new system controller. *Must align black marks on driveline and new system controller to make connection 9. Disconnect ACK power cable from CNT ystem Controller 10. Connect ACK power cable to NW ystem Controller 11. ock ocking Mechanism 12. erform ystem Check 13. et new backup ystem Controller (with appropriate speed setting) ystem Controller successfully changed by: rimary ystem Controller s/n: MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN H2435 V JAN 10 A 7 F 8 Date:

8 Teaching bjectives atient or family will: DICHA I ower outlets checked at residence that all are safe and working Transplant Notebook ower Module niversal attery Charger Display Module MyVAD Document Disclaimer: This document is available in the MyVAD olicies and rocedures library for reference purposes only. y downloading this document you agree to the following: KY: A THAT AY FM ACH IT ersons T-atient -artner FA-Family F-Friend resent: -ther utcomes; V-Verbalized nderstanding D-eturn Demonstrated Follow-up: D-Describes/Able to estate F-Further Instruction/einforcement Needed NAM M: C: se of this document is strictly voluntary and solely at your own risk. You release MyVAD, the autor and donating institution from any and all legal claims that arise W Medicine Harborview Medical Center W Medical Center eattle, Washington HM II VAD VIDNC F TACHIN Methods, utcomes, Follow-p 2 ystem Controllers (rimary & ackup) C: C: Car adapter Vest Combination ag Travel ack 8 batteries mergency power pack mergency power pack cable hower kit Driveline exit site wound care supplies x 1 week Driveline stabilization device belt or tube holder DI: H2435 V JAN 10 A 8 F 8 CMT