User's Manual

Table Of Contents
135
5. Press SEL. When the PPC screen is flashing “PUMP SUSPEND” press
ACT. The system is now in normal mode.
6. Using the PPC, program and deliver a 4 unit bolus.
7. Observe syringe 6. If the level of INSULIN approaches 2 mL, close the
stopcock to prevent air from entering the Pump. Observe syringe 5. At least 1
mL of INSULIN must pass into syringe 5 to be sure that all of the RINSE
BUFFER is removed from the side port. If less than 1 ml enters, repeat the
bolus from Step 7, some Pumps may require 3 successive boluses to obtain 1
ml.
8. Close both stopcocks. Remove syringe 6 from the Pump. Set the syringe
aside to be weighed.
9. With the stopcock closed, remove syringe 5 from the side port. It will have a
vacuum inside from the previous step. Enter the Pump fill port with syringe 5
and open the stopcock and remove 2 ml. This will restore the negative
pressure safety feature of the Pump.
10. Close the stopcock, remove syringe 5 from the Pump, and set it aside to be
weighed.
11. Press SEL until the “SUSPEND PUMP” screen is displayed. Then Press
ACT.
Remove guide needles and record refill amount
At this point, the 18 gauge guide needles should be removed, and the refill
amount should be calculated and recorded.
1. Remove the 18 gauge guide needles and discard them. Apply pressure to the
insertion sites.
2. Weigh syringes 5 and 6 and record the combined weight on the Refill Form.
Subtract the combined weight from the weight obtained in step 14. Remove
Rinse Buffer and Fill with Insulin. The result is the new refill amount.
3. Record the new and extracted refill amount in the PPC refill worksheet.
Program new basal rate
Using the patient’s PPC, cancel the “SUSPEND” mode and allow the Pump to
return to the patient’s original basal rate.