Use of the Medi-Sis Pump

The Medi-Sis pump is a mechanical (wind up) pump that is easy to use.  The flow control is in the tubing, not in the pump. 

The pump will accommodate a 60 cc syringe (or a smaller pump will accommodate a 20cc syringe)
 The above picture shows the syringe ready to place into the pump, but the pump is not “open” it’s in it’s closed position.  To open the pump one must unwind it turning the back blue knob counterclockwise (like you were unscrewing a cork) 

When the pump is “unscrewed” the blue inner section goes toward the back of the pump, allowing enough space to insert the syringe

Once the pump is in this position, one can place the syringe into the pump.  The plunger must be placed all the way to the back of the pump.  When you look inside the pump you’ll see an indentation that the plunger will fit into!

Before putting the syringe into the pump, however, be sure to place the IV tubing onto the tip of the syringe!  THIS IS VERY IMPORTANT!  If you don’t do that, when the pump is ready to go, if you take the cap off the end, you will be the recipient of about 50cc of IV fluid.  (It takes about 2 seconds to completely unload that syringe, so I’d suggest proper procedure, put the IV tubing on first, make sure it is firmly attached and the clamp is on the closed position)

Once the pump is open (and you’ve put the IV tubing on…. In this picture the IV tubing is not on, but this is for illustration only) you can place the syringe into the pump.  You’ll have to rotate the syringe as it goes into the pump so that it will fit. 

Now you’re ready to wind up the pump.  Turn the back handle clockwise, and the blue section of the pump will screw down over the syringe.  The blue section of the pump should be all the way down to the end of plunger when it’s completely screwed down.

This is how the pump will look when you’re ready to go.  Notice how the blue section has covered the entire plunger, and the syringe markings are outside of the pump.  Now you’re ready to go.  With the tubing in place, all you need do is unclamp the tubing and the infusion will start.

Formal Procedure for use of the Medi-sis pump

First gather all materials together for your infusion.  You will need the following:

1     paper towel

2     alcohol wipes

1     disposable syringe with prefilled medication

      1 Medi-sys pump

2 10cc syringes with Normal Saline (Syringe may be 12cc with 10cc of saline in the syringe

1 5 cc 100U heparin - central access (Syringe may be 12cc with 5cc of heparin in it

1 sterile end cap

1 Medi-sys tubing for your syringe (so connect the syringe with the IV access)

You'll also need an antibacterial soap.

Here’s how you put everything together:

 Formal procedure for using the Medi-SIS pump.

1.    Wash hands you were instructed by your nurse or Doctor.  It should be a thorough hand washing, not just a quickie.  Use an antibacterial soap such as Dial or a liquid antibacterial soap. 

2.    Gather necessary supplies, place on a clean dry surface.

3.    Wash hands again, after you’ve assembled everything.  This seems repetitive, and it is, but it should be.   Use an antibacterial soap such as Dial or a liquid antibacterial soap. 

5.    Check the medication, solution or fluid label for correct patient name, accurate drug, dosage, and expiration date.  Check the syringe for particles, precipitate, leaks or defects.  If present, do not use that syringe, use a fresh one and call Infuserve America to report the problem after your infusion is completed.

  6.    Get the syringe, IV tubing and place them in front of you.  Look at the IV tubing, and make sure the clamp on the tubing is closed so no liquid will flow through the tubing. 

      Note the tubing has one red cap and one white cap.  It’s the red cap side that will screw into your syringe.

Before you remove the red cap from the tubing and the blue cap from the syringe be sure the white clamp is closed! 

Prepare the Syringe by placing the IV tubing on the end of the syringe.  Connect the end of the tubing that has a red cap onto the end of the syringe.  Of course you’ll have to remove the red cap first.   Be sure the tubing is securely attached to the syringe, and that the clamp is closed.

Now that you have the tubing attached to the syringe you can place the syringe into the Pump

But before you do that you’ll have to open the pump.  That is done by unscrewing the inner syringe driver (the blue thing on the end of the pump) until it is all the way to the back, exposing the chamber into which the syringe will be placed.  You can see lines inside the chamber in the picture above.  You just place the syringe in the chamber.  Once you’ve done that the pump and syringe will look like the photo below:  

7.    Wind the inner syringe driver (the blue thing on the back of the Pump) clockwise until the blue cover completely covers the syringe plunger.  When you’ve successfully completed this the syringe and pump will look like the picture below:

8.    Prime the tubing (that means let the fluid from inside the syringe fill up the IV set, or tubing) You do that by removing the white cap on the end of the IV line, and then unclamp the white clamp that is on the tubing set.  You’ll see a drop of fluid come out of the end of the line.  Clamp the line when the first drop comes out (and there is no air in the line.  If there is air in the line, allow fluid to run until all the air is gone.  A few “champagne like bubbles” are no problem, but big spaces of are could be a problem.

8a.    Swab the adapter that is on the end of your IV access.  (On the end of the line that goes into your vein).  Flush the access route with saline as your nurse instructed you.

9.    Remove the protective white cap from the end of the IV line, and insert it into the Clave.  Tape securely if desired. 

10.   Unclamp and allow your IV to run.  It should take about as much time as it states on the prescription label.

11.   Upon completion of the infusion, close the clamp on the tubing.  Remove the end of the IV line from the clave adapter of the access route.

12.   Put a sterile cap on the end of the IV Line if you are doing more than one infusion in 48 hours.

13.   Flush the access route with saline and Heparin as you were instructed.  Remember SASH for Saline, Antibiotic, Saline then Heparin.  So you will use Saline after your infusion, and then you will use Heparin as a final flush.;

14.       Discard all waste and wash hands.

15.       Remove the syringe from the Pump after unscrewing the inner syringe driver.

IMPORTANT:  If you are doing more than one infusion per day you must saving the tubing in the following manner:

Remove the syringe and tubing from the pump (the sterile end cap should already be in place)  then place the syringe and tubing in the refrigerator.  Leave it there until your next infusion. When it’s time for your next infusion, take the old syringe out of the refrigerator (that has the tubing attached).  After you’ve washed your hands and placed all your equipment in front of you, detach the syringe from the tubing, and attach a new syringe to the end of the tubing.  Now repeat the above steps.

You can use the same tubing for 48 hours, but be sure to place the sterile end cap on the end of the tubing after each use.  After 48 hours, discard the tubing.

Sterile Cap Placement:  DO NOT TOUCH the end of the sterile cap that covers the end of the tubing.  You must be sure that is not contaminated.