US-ED02-0050-0119 - Plum 360 woMN SU - GU Training Guide - SW15.11 and Higher - Final

Plum 360™ Infusion System
(without ICU Medical MedNet™ Software_SW 15.11 and higher)

Use with General Users and Super Users
RX only. For safe and proper use, refer to the appropriate manual, guide, or instruction for use.
in the box indicates that the customer has declined this section of Training. Must be documented on appropriate Training Waiver Form. Form must be signed by the customer.
UNDERSTANDING ROLES AND RESPONSIBILITIES OF THE SUPER USER (SUPER USER ONLY)
>> Understand and promote the education objectives and Go-Live plan as a facility subject matter expert.
>> Proctor at least one General User training class (if applicable).
>> Assist with Go-Live and Post Go-Live: Select Super Users will be scheduled to work the day of Go-Live and on shifts following
Go-Live until staff is independent with the new devices.
>> Assist your facility with:

>> (e.g., training staff members).
EDUCATION/GO-LIVE/POST GO-LIVE LOGISTICS

>> Review education timeline:
>> Review Go-Live process:
>> Review Post Go-Live process:

>> ICU Medical Clinical Staff will not be touching/programming any device — act as resource only.
>> Location of implementation resource information.
REVIEW OUTSIDE OF PUMP

>> Pump weight is approximately 10 pounds
Front
–– Line A and Line B tubing guides
–– Label: WARNING: Close all clamps before opening door.
–– Cassette Door Lever
–– Label: Close Lever When Not in Use
–– Audio Paused Key — Has two functions, temporarily silencing all audio output for any active alarms for two minutes or
temporarily silencing keypad input sound feedback for two minutes if there are no active alarms.
–– Line A Flow Indicator
–– Line B Flow Indicator
–– Softkeys
–– START Key
–– STOP Key
Information given is intended for hospital/homecare staff certified to make clinical decisions using the device.
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© 2019 ICU Medical Inc. | US-ED02-0050-0119 | Restricted Distribution 800.824.7890 | www.icumed.com

–– AC ON — Charging/AC Connected Indicator

–– ON/OFF Key
–– C — Clear Key
–– Number/Letter Key
–– Decimal Key
–– Select Key
–– Lock Keypad — Disables all keys on the keypad except [STOP] until a valid passcode is entered.
–– Label: Follow Instructions for Use. Refer to the System Operating Manual for proper use, warnings, and cautions.
Back
–– Activity Indicator LEDs — These LEDs show CE (Communications Engine) Module Activity.
–– Volume Control Knob — adjusts the sound level of the audible alarm. Rotate the knob clockwise to increase the volume.
Rotate the knob counterclockwise to decrease the volume.
–– I/O Port Cover
–– Ethernet Port — accepts a shielded Ethernet cable to connect to a local area network.
–– Nurse Call Interface Call Port — connects to the facility’s Nurse Call System to provide remote notification for all infuser
alarms.
–– Service Port (ICU Medical Use Only)
–– Pole Clamp — adjusts to fit round IV Poles from 0.5 to 1.5 inches.
–– Power Cord — Plugs into AC (mains) power to provide power, charge the battery, and ground the infuser enclosure and
chassis. The power cord connection to the infuser is protected by an enclosure to prevent accidental disconnection.
MOUNTING AN INFUSER ON AN IV POLE

1. Make sure the pole is assembled correctly, rests on a stable surface, and is placed where infuser operations will not be
affected by other equipment.
2. Turn the pole clamp knob counterclockwise until the gap between the pole clamp and the pole clamp screw is wide
enough to fit the IV pole.
3. Grasp the infuser by the handle and position the clamp around the IV pole.
4. Rest the pole against the pole support.
5. With your other hand, turn the pole clamp knob clockwise to secure the infuser to the pole.
NOTE: The pole clamp has a ratchet mechanism that produces an audible click when properly tightened. When the pole
clamp is tight enough, a ratcheting sound indicates that the clamp is being over-tightened.
CAUTION: Make sure the pole clamp is tightened properly and the infuser is securely attached to the pole, to prevent
personal injury or damage to the infuser.
6. Push down and pull up on the infuser to confirm that it is tightly clamped to the IV pole, without vertical or rotational
slippage.
NOTE: If you detect slippage, loosen the pole clamp screw, realign the pole clamp, tighten the pole clamp screw, and then
check again.
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BATTERY INFORMATION
>> One sealed, lead-acid, rechargeable 6 V battery, internal to device.
>> The typical battery operating time with a new and fully charged battery is 7 hours when infusing at 25 mL/hr, and
4 hours at 999 mL/hr.
>> The battery charges whenever the infuser is connected to AC power. If the infuser is switched OFF, recharge takes
approximately 8 hours. Recharge takes longer if the infuser is turned ON.
>> To maintain maximum battery charge and to prolong battery life, connect the infuser to AC (mains) power whenever possible.
>> If the low-battery alarm sounds, connect the infuser to AC power immediately.
NOTE: If a Depleted Battery alarm occurs, the device will shut down in 3 minutes. If plugged in, the device will immediately
reboot. When the device reboots, the previous therapy will be maintained when the user presses [No] to the “New Patient?”
question.
ADMINISTRATION SET
>> List Number:
>> Lot Number
>> Open package and remove set.
>> Describe tubing end-to-end:
–– Convertible Piercing Pin with Drip Chamber — Vent open for bottles/closed for bags
–– Slide Clamp
–– Primary Line
–– Secondary Port (Prepierced, capped, or Clave™) — not for IV push delivery of medicine
–– Flow Regulator
–– Cassette Finger Grip
–– Air Trap
–– Pumping Chamber
–– Distal Patient Line
–– Y-site (For IV push delivery of medication)
–– Locking collar connector
–– Protective Cap with Filter to maintain sterility during priming — remove before attaching to patient.
NOTE: The administration set should be changed per facility policy — discard after use.

DEMONSTRATE PRIMING
>> Use aseptic technique with all fluid path connections to prevent contamination and infection. Remove caps when required
and secure all connections.
1. Inspect the administration set packaging. If the packaging is not intact, discard it and use a new set.
2. Open the package and remove the administration set.
3. Press the cassette flow regulator in to make sure it is closed and confirm that there is no flow during priming.
CAUTION: Be careful when piercing the fluid container to avoid puncturing it.
4. Insert the piercing pin into the outlet on the fluid container using a twisting motion.
NOTE: Do not insert the piercing pin while the container is hanging above the infuser.
5. Suspend the container on an IV Pole.
NOTE: Check the container for leaks. If any part of the container is leaking, replace it.
6. Squeeze the drip chamber to the score mark. Do not completely fill the drip chamber.
7. If using a rigid fluid container (glass bottle, for example), open the filter vent cover above the drip chamber. If using a
flexible plastic container, make sure this vent cover is closed.
8. Invert the cassette so that the secondary port is pointing down.
9. Slowly open the flow regulator by turning it counter-clockwise while holding the cassette in the inverted position, to allow
the fluid to flow into the cassette at a controlled rate.
NOTE: To quickly stop the flow at any time, push in on the flow regulator.
10. When the first drop appears in the pumping chamber, turn the cassette upright.
11. Continue to slowly prime the set until all air is removed from the cassette and the remainder of the tubing. Tap the
cassette and tubing to dislodge air bubbles.
NOTE: Invert and tap each Y-site to fill it with fluid, then turn the Y-site upright.
>> If the filter at the distal (patient) end of the tubing gets wet, you must temporarily remove the cap to continue priming.
12. Once priming is complete, push the flow regulator in to close it.
CAUTION: Check the drip chamber and the distal end of the tubing to confirm that there is no flow and that no kinks
appear in the tubing. If you observe flow or leaks, close all clamps and replace the administration set.
DEMONSTRATE LOADING A PRIMED CASSETTE AND TURNING ON THE DEVICE

1. Lift the lever to open the cassette door.
2. Grasp the cassette by the finger grip (facing you).
3. Slide the cassette between the cassette door and the door guides.
4. Press the lever down to close the cassette door — Note on Lever: Close Lever When Not in Use.
5. Insert the proximal line into the Line A tubing guide.
6. Open all clamps.
CAUTION: Check the drip chamber and the distal end of the tubing to confirm that there is no flow and that no kinks
appear in the tubing. If you observe flow or leaks, close all clamps and replace the administration set.
7. Press [ON/OFF] to turn on the infuser.

NOTE: A small amount of fluid may be expelled from the set (less than or equal to 0.2 mL) when the infuser is powered
on. If potent drugs are being used, take appropriate action to guard against over-medication of the patient.
8. After the infuser completes its startup sequence, insert the connector on the distal tubing into the patient access device.
Move the locking collar over the connection. Turn the collar clockwise to secure the tubing to the patient access device.
PROGRAMMING WITH THE DRUG LIST

1. System self-test screen is displayed. After self-testing completes, the display will proceed to the next screen.
>> The on-screen message “New Patient?” may appear. Press [Yes] to clear all settings or [No] to continue.
2. Press [A].
3. Press [Drug List].
NOTE: The default drug library has 113 drugs, including No Drug Selected, which is always listed first. After selecting a
drug, the assigned default dosing unit is highlighted; this can be changed if needed.
>> Use the [Page Up] or [Page Down] and the [SELECT Up or Down] key to navigate or use the alphanumeric keypad search
functionality.
>> Drug Name/Concentration:

(Suggested medications for training: IV Maint Fluid)
4. If necessary press on the numeric keypad time(s) to sort the drug list and find all medications
starting with .
starting with .
starting with .
7. If necessary press the [SELECT] to highlight drug name:

8. Press [Choose].
9. On the Dosing Units screen, mL/hr is highlighted. Press [Choose].
10. Using the numeric keypad, enter a Rate of (100 mL/hr).
11. Press [SELECT] to move down to the VTBI field and using the numeric keypad, enter a VTBI of (2 mL).
12. Press [START] and confirm your program for accuracy.
13. Press [Yes] to Start delivery.
>> The Line A Fluid Flow Indicator is flashing to indicate pumping — Status region for A should be PUMPING.
NOTE: The caution symbol appears on the display to tell the clinician to use caution because the specified drug has not
been programmed with specified safety limits.
CAUTION: At rates below 0.4 mL/hr, pauses in flow continuity of more than 20 seconds will occur, which may impact
the physiologic response to drugs that have a very short half-life.

REVIEW LCD SCREEN

>> Status Region
>> Working Region — Note Drug Name/Concentration
>> Message Region
>> Softkey Label
>> Battery Capacity — The following figure shows all possible appearances for this symbol.
From left to right, the symbols represent 100%, 75% 50%, and 25% charge levels,
a fully-depleted battery, and a battery not installed.
ADDRESS VTBI COMPLETE ALARM

>> Upon completion of delivery, the screen shows a flashing “VTBI completed Line A! — Add more VTBI or Clear Line A” message
and the audible alarm sounds.
NOTE: The KVO (Keep Vein Open) rate will change to the Rate of 1 mL/hr.
1. Press [AUDIO PAUSED] to stop alarm sound.
2. Press [A].
3. Press [SELECT] and highlight the VTBI field. Using the numeric keypad, enter a new VTBI of 1000 mL or .
4. Press [START] and confirm your order for accuracy.
5. Press [Yes] to Start the program.
DEMONSTRATE TITRATION
1. Press [A].
NOTE: Line A doesn’t have to be stopped to titrate.
2. Enter a new rate of 25 mL/hr or .

NOTE: During titration, infuser continues to deliver at previous parameters until new program is confirmed.

DEMONSTRATE STANDBY
>> Standby — enables the clinician to postpone starting delivery for a period of 24 to 72 hours. Default is 72 hours.
Your hospital’s setting is .
>> If a line is in standby and the configured maximum standby time expires, the program on the line is cleared and the infuser
alarms 2 minutes later if there has been no interaction with the pump on either line.
1. From the Delivery Screen, press [Standby].
2. From the Confirm Standby Screen — Put delivery A in Standby? Press [Yes].
>> The Line A Fluid Flow Indicator is constant green to indicate standby — Status region for A should be STANDBY.
3. To resume the infusion, press [START].
4. Cancel Standby for Line A — Resume Delivery? Press [Yes] to resume.
NOTE: An infusion may also be placed in Standby from the Confirm Program screen.
DEMONSTRATE DELAYED START

1. Press [A].
2. Press [Delay].
3. Press [SELECT] and highlight minutes field— Using the numeric keypad, enter a Delay Start of 1 min.
4. Press [Done].
5. Press [START].
6. Press [Yes] to Start delay of delivery.
>> The Line A Fluid Flow Indicator is constant green to indicate delayed — Status region for A should be flashing between 01 min
and DELAYED.
>> Wait 1 minute for the infusion to resume.
DEMONSTRATE CONNECTING TO CLAVE™ OR CAPPED SECONDARY PORT

Clave Port Capped Port
1. Grasp the base of the Clave connector to support it. 1. Confirm that the cassette door is closed to prevent
leakage.
2. Insert the end of the secondary line or syringe into the 2. Loosen, remove, and discard the cap.
Clave.
3. Secure the connection – if attaching a secondary line, WARNING: Close the clamp on proximal Line A to prevent
continue to support the Clave with one hand as you move fluid from spilling if you must open the cassette door to
the locking collar clockwise to secure the line. remove the cap.
NOTE: Do not twist or bend the Clave when accessing the 3. Insert the connector on the secondary line or syringe into
secondary port. the secondary port.
4. Secure the connection — if attaching a secondary line,
move the locking collar over the port and twist the collar
clockwise to secure the line.

DEMONSTRATE BACKPRIME
>> Backprime – The use of fluid in Line A to move proximal air or fluid into a receptacle attached to Line B. No fluid is delivered
distal to the cassette during a backprime.
1. Press [STOP].
NOTE: Backpriming is available only when all delivery is stopped. A secondary container or syringe is necessary to
receive the air.
2. Press [BackPrime] and hold until fluid pumped from Line A to Line B clears air from the cassette and from Line B
(if present).
NOTE: If you hold this key for 2 minutes, a stuck key alarm sounds and the display screen shows Power Off then On.
Replace pump if alarm continues.
>> Upon the release of [BackPrime], the infuser performs a cassette test.
3. Press [START] to restart Line A.
DEMONSTRATE SYRINGE DELIVERY — PIGGYBACK USING NO DRUG SELECTED

>> Syringe sized accepted:
–– 3 mL to 60 mL.
–– 10 mL or smaller syringes require a syringe adapter to ensure delivery accuracy.
–– Syringes larger than 10 mL do not require a syringe adapter.
>> If using a syringe adapter, attach the adapter to the syringe and prime the adapter before attaching the syringe/adapter
assembly to the port.
>> When using a syringe, consider the following:
–– Volume of drug to be administered.
–– Distal priming volume of the tubing.
1. Press [B].
NOTE: No Drug Selected is highlighted at the top of the Program Piggyback B screen. No Drug Selected can also be found
in the Drug List.
2. Use the [SELECT] to highlight VTBI field.
3. Using the numeric keypad, enter a VTBI of 2 mL.
4. Press [SELECT] to highlight the minute field — enter 10 min.
6. Press [Yes] Start delivery.
>> The Line A Fluid Flow Indicator remains constant to indicate pending — Status region for A should be PENDING.
>> The Line B Fluid Flow Indicator is flashing to indicate pumping — Status region for B should be PUMPING.
NOTE: Cautionary Symbol on Line B — there are no rule sets associated with this drug.
>> Before disconnecting a syringe from the cassette, pull up the plunger slightly to avoid spilling the fluid.

RECALCULATION ALERT (When titrating a Confirmed mL/hr or Non-Time-Based Dosing Unit Program)
1. Press [B].
2. Press [SELECT] to highlight the minute field — enter 01 min.
3. Press [START] to Confirm program.
>> You will receive message: Rate recalculated from mL/hr to mL/hr due to DURATION change.
4. Press [Yes] to Continue.
NOTE: New rate change — Let 1 mL of fluid infuse.
DEMONSTRATE PIGGYBACK DELIVERY WITH CALLBACK

>> To set up for this section: Press [B] è Clear Line B Settings? è Press [Yes].
1. With Line A pumping, press [B].
starting with .
starting with .
starting with .
6. If necessary press the [SELECT] to highlight drug name:

(Suggested medications for training: antibiotic or electrolyte.)
7. Press [Choose].
8. On the Dosing Units No screen, mL/hr or is highlighted. Press [Choose].

9. Mode is highlighted — keep mode as Piggyback. Press [SELECT] and highlight the Rate field. Using the numeric keypad,
enter a rate of mL/hr or .
10. Press [SELECT] and highlight the VTBI field and using the numeric keypad, enter a VTBI of 2 mL.
NOTE: While the VTBI is being entered, the duration is automatically computed.
11. Press [Add Callback]. To remove the Callback, press [Remove Callback].
>> The Line A Fluid Flow Indicator remains constant to indicate PENDING — Status region for A should be PENDING.
>> The Line B Fluid Flow Indicator is flashing to indicate PUMPING — Status region for B should be PUMPING.
14. Press [STOP], then [Stop A].
>> Attention: Line B in piggyback mode. Line A not programmed to resume. No end of infusion KVO/Rate. There will be a VTBI
complete alarm. Continue anyway?

NOTE: Whenever a valid [START] key is pressed, the device checks the delivery program(s) for non-delivery conditions that
could permit a period of non-delivery. If so, the display presents this warning screen.
15. Press [No].
>> After the 2 mL has infused, Line A will resume pumping and Line B will alarm “Callback to Line B! — Silence audio to clear.”
16. Press [AUDIO PAUSED].
>> The Line A Fluid Flow Indicator is flashing green to indicate PUMPING — Status region for A should be PUMPING.
>> The Line B Fluid Flow Indicator is not illuminated — Status region for B should be STOPPED.
DEMONSTRATE CONCURRENT DELIVERY

>> Concurrent Delivery — Simultaneous delivery of fluids on Line A and Line B.
WARNING: Ensure medications that are delivered concurrently, or in piggyback, are compatible.
CAUTION: At rates below 0.4 mL/hr, pauses in flow continuity of more than 20 seconds will occur, which may impact the
physiologic response to drugs that have a very short half-life.
>> Consult facility policy on the use of the concurrent feature.
NOTE: To program Line B in Concurrent delivery mode, Line A and B:
–– 0.5 mL/hr minimum for each line.
–– 500 mL/hr cumulative (A+B) maximum.
>> To set up for the following scenario: Press [B] è Clear Line B Settings? è Press [Yes].
1. Press [B].
starting with .
starting with .
starting with .
6. If necessary use press the [SELECT] to highlight drug name:

(Suggested medication for training: Vancomycin or electrolyte).
7. Press [Choose].
8. On the Dosing Units screen, mL/hr or is highlighted. Press [Choose].

If applicable, enter concentration: .
9. Mode field is highlighted – using [Change Mode], change the mode to Concurrent. Press [SELECT] and highlight the Rate
field. Using the numeric keypad, enter a Rate of mL/hr or .
10. Press [SELECT] and highlight VTBI field and using the numeric keypad, enter a VTBI of (2 mL).
NOTE: While the VTBI is being entered, the duration is automatically computed.


13. The Line A and B Fluid Flow Indicators are flashing to indicate pumping — Status region for A and B should be PUMPING.
Practice Starting and Stopping Line A and B.
–– Ensure both lines are infusing (Start Line A and B).
–– After the 2 mL has infused, Line A will remain pumping and Line B will go into a KVO and alarm “VTBI Completed Line B!”
Add more VTBI or Clear Line B.
NOTE: Only stopping Line B without adding more VTBI or clearing the line will trigger a No Action Alarm!
14. Press [AUDIO PAUSED].
15. Press [STOP].
16. Press [Stop B] è Press [B]. Clear Line B Settings? è Press [Yes].
DEMONSTRATE DOSE CALCULATION

>> To set up for the following scenario: Press [STOP] è Press [A]. Clear Line A Settings? è Press [Yes].
>> Dose Calculation — allows programming dose rates in alternative units of measure.
1. Press [A].
starting with D or .
starting with DO or .
starting with DOP or .
6. If necessary press the [SELECT] to highlight Drug Name:

(Suggested medication for training: weight-based dopamine, dobutamine or heparin).
7. Press [Choose].
8. On the Dosing Units screen, mcg/kg/min or is highlighted. Press [Choose].
9. On the Select Concentration screen, mg or is highlighted. Press [Choose].
10. Enter concentration of 400 mg then press [SELECT] and enter 250 mL or .
11. Press [SELECT] to highlight weight. Enter 70 kg (if applicable).
12. Press [SELECT] to move down to the Rate field and using the numeric keypad, enter a Rate of mcg/kg/min
or .
13. Press [SELECT] to move down to the VTBI field and using the numeric keypad, enter a VTBI of mL.

REVIEW SETTINGS/VOLS/CCA
Post Infusion Rate — Device must be stopped
>> Prior to changing Post Infusion Rate, infuser must be stopped.
1. Press [STOP].
2. Press [Settings/Vols/CCA] .
3. Ensure Post Infusion Rate is highlighted.
4. Press [Choose].
>> KVO: The infuser continues to deliver fluid at a Keep Vein Open (KVO) rate of 1 mL/hr. If the delivery rate of the infusion that
just completed was less than 1 mL/hr, the KVO rate will continue at the same delivery rate (for example, if the delivery rate
was 0.5 mL/hr, the KVO rate will be 0.5 mL/hr).
>> Rate: The infuser continues to deliver fluid at the programmed rate, maintaining the therapeutic rate until the VTBI Complete
alarm can be resolved.
5. If KVO is highlighted — Press [KVO/Rate] to change to Rate.
6. Press [Done] to save your changes and return to the Settings/Vols/CCA screen.
7. Press [Previous Screen].
8. Press [START] to resume your infusion.
NOTE: If you choose Rate as default, it will affect both Lines A and B.
NOTE: When changing the Post Infusion Rate from what is defaulted on the device, the new change will remain in place
for any subsequent infusions programmed on the device unless manually changed back or, when powering the device
back ON and [Yes] is answered to the “New Patient?” screen.
Volumes Infused — Device does not need to be stopped
>> The infuser records the volume infused during each delivery and keeps separate records for Line A and Line B, and a
cumulative total for both lines. The recorded volume infused is retained for 5 hours after the pump is turned off.
1. On the Main Delivery Screen, press [Settings/Vols/CCA].
2. Press [SELECT] to highlight Volumes Infused.
3. Press [Choose].
NOTE: To clear Line A or Line B individually press [Clear A] or [Clear B].
4. Press [Clear Total].
5. Press [Previous Screen] to return to the Main Delivery Screen.
NOTE: After clearing Total Volume, the Volume Infused reading on the main screen continues to accumulate and does not
return to zero.

Lighting/Contrast — Device does not need to be stopped

>> You can adjust the lighting and contrast on the infuser display screen to ensure visibility and customize the level for the
surrounding environment.
2. Press [SELECT] to highlight Lighting Contrast.
3. Press [Choose].
>> Backlight Intensity is highlighted.
4. Press [Decrease Setting] or [Increase Setting] on the Backlight Intensity.
5. Press [SELECT] to highlight Display Contrast.
6. Press [Decrease Setting] or [Increase Setting] to change Display Contrast.
7. Press [Done].
CCA/Infuser Settings — Device does not need to be stopped
>> To view the CCA/Infuser settings for the current CCA.
1. Press [Settings/Vols/CCA].
2. Press [SELECT] to highlight Display CCA/Infuser Settings.
3. Press [Choose].
4. Review the CCA/Infuser Settings.
5. Press [Page Down] to review additional parameters.
6. Press [Previous Screen] to return to the Settings/Vols/CCA Screen.
Pressure — Device must be stopped
>> The distal pressure limit sets the threshold for the distal occlusion alarm. When the infuser detects that the distal pressure in
the cassette sensor area is greater than the distal pressure limit you set, ± 3 psi, the infuser issues an alarm.
2. Press [SELECT] to highlight Pressure.
3. Press [Choose].
4. Change Distal Pressure Alarm Limit to psi.

5. Press [Done].
CAUTION: DO NOT set the Distal Pressure alarm level lower than 3 psi or higher than 12 psi. Setting the alarm outside of
that range may result in unreliable alarm functioning.

LOCK KEYPAD
>> The keypad can be locked to prevent unauthorized use. The keypad lock disables all keys on the keypad except [STOP] until a
valid passcode is entered.
#1 via Settings/Vols/CCA:
1. Press [Settings/Vols/CCA].
2. Press [Lock Keypad].
3. Passcode: Decimal — 9 — 6 — 3 to Lock.
4. Press [Enter].
NOTE: Lock ON — Enter Code to disable.
>> When the keypad is locked, the lock symbol appears on the delivery screen on the message bar.
#2 via Lock Keypad Hard Key:
1. Press
2. Passcode: Decimal — 9 — 6 — 3 to lock.
3. Press [Enter] to return to the Main Delivery Screen.
NOTE: Lock ON — Enter Code to disable.
>> When the keypad is locked, the lock symbol appears on the delivery screen on the message bar.
To unlock:
1. Press any key on the keypad to display the Passcode data entry screen.
2. Passcode: Decimal — 9 — 6 — 3 to unlock.
3. Press [Enter] to return to the Main Delivery Screen.
DEMONSTRATE LOADING DOSE

>> Loading Dose — A Loading Dose delivery is a sequential program that can deliver up to 2 doses (Loading Dose and
Maintenance Dose) from one container at different rate/dose/VTBI and durations using the same dosing unit.
>> To set up for this section: Press [STOP] è Press [A] Clear Line A Settings? è Press [Yes].
1. Press [A].
starting with .
starting with .
starting with .
6. If necessary use [SELECT] to highlight drug name:

(Suggested medication for training: IV Maint Fluid entry.)
7. Press [Choose].

8. On the Dosing Units screen, mL/hr or . is highlighted. Press [Choose].

9. Press [Loading Dose] before entering any values on the programming screen.
10. Press [SELECT] and highlight VTBI field — using the numeric keypad, enter a VTBI of 250 mL or
11. Press [SELECT] and highlight minutes field — using the numeric keypad, enter 30 minutes or
12. Press [SELECT] and highlight Rate (in Step 2) — using the numeric keypad, enter a Rate of 125 mL/hr or
13. Press [SELECT] and highlight VTBI field — using the numeric keypad, enter a VTBI of 750 mL or
14. Press [START].
15. Confirm Loading Dose — Press [Yes] to Start delivery.
DEMONSTRATE MULTISTEP
>> Multistep — Multistep delivery is a sequential program that can deliver up to 10 steps from one container at different
rate/dose/VTBI and durations using the same dosing unit and concentration.
>> To set up for this section: Press [STOP] è Press [A]. Clear Line A Settings? è Press [Yes].
1. Press [A].
starting with .
starting with .
starting with .
6. If necessary use [SELECT] to highlight drug name:

(Suggested medications for training: IV fluid entry or TPN with steps.)
7. Press [Choose].
8. On the Dosing Units screen, mL/hr or . is highlighted.

9. Press [Choose].
10. Press [Multistep] before entering any values on the programming screen.
11. Step 1: Enter 2 of the 3 parameters:
–– Rate: .
–– VTBI: .
–– Time: .
12. Press [SELECT] to move to Step 2.

–– Rate: .
–– VTBI: ..
–– Time: .
14. Press [SELECT] to move to Step 3.
–– Rate: ..
–– VTBI: .
–– Time: ..
NOTE: To add additional steps, Press [To Steps 4-10].
16. Press [START].
17. Confirm Multistep — Press [Yes] to Start delivery.
>> Step 1 of 3 will be infusing — The Line A Fluid Flow Indicator flashing to indicate pumping — Status region for A should be
PUMPING.
>> To check progress of the infusion, or to add extra steps — Press [A].
–– * indicates Current Step.
–– “d” indicates Step has been completed.
>> Press [Return to A/B].
DEMONSTRATE DISCONTINUING FLUID ADMINISTRATION

WARNING: Close all clamps before opening the cassette door.
1. Press [STOP]. If two lines were pumping, press [Stop All].
2. Press [ON/OFF] to turn off the infuser.
3. Close all clamps.
4. Open the cassette door and remove the cassette.
5. Close cassette door.
>> Discard set and fluid container per facility policy/procedure.
DEMONSTRATE GRAVITY FLOW

1. If only 1 line was pumping, open all clamps. If 2 lines were pumping, you must choose one line for gravity flow.
2. Open the clamps on that proximal line and on the distal line. Make sure one proximal line stays clamped.
3. Holding the cassette upright, set gravity flow by turning the flow regulator counter-clockwise.
NOTE: If the line is equipped with a roller clamp, you can use the clamp to control the flow rate. To do this, close the roller
clamp, open the flow regulator completely, and then gradually open the roller clamp to adjust the flow.
4. Check the drip chamber to measure the flow rate. Refer to the administration set package for the number of drops/mL.

REVIEW PUMP COLLATERAL INFORMATION

>> Priming Poster
>> Cleaning Product Information — per facility
>> Cleaning Poster
>> Quick Reference Card
>> Location of System Operators Manual
>> Identity of Unit Super Users (if applicable)
REVIEW NEW TUBING (If applicable)

>> Pump Tubing
>> Blood Tubing (suggest having set up demonstration station). ICU Medical Clinical Consultant will talk through blood set up.
>> Gravity Tubing
>> Extension Tubing
>> Soluset™ Tubing
>> Clave™/MicroClave™
REVIEW COMMON ALARMS AND TROUBLESHOOTING

>> Alarms are prioritized as high, medium, or low. You can distinguish the priority by the number of beeps:
>> !!! High Priority Alarm — 10 beeps
–– Example: Power Off then On, Replace pump if alarm continues.
–– Example: Distal OCCLUSION! Resolve then Backprime.
>> !! Medium Priority Alarm — 3 beeps
–– Example: Door opened! Delayed Start! Close Door
–– Example: Distal OCCLUSION — Paused! Attempting restart.
>> ! Low Priority Alarm — 2 beeps
–– Example: Keep Plugged into AC! Service battery/replace pump.
–– Example: Low Battery! Plug into AC power!
NOTE: If a Depleted Battery alarm occurs, the device will shut down in 3 minutes. If plugged in, the device will
immediately reboot. When the device reboots, the previous therapy will be maintained when the user presses [No] to the
“New Patient?” question.
>> Please see the System Operating Manual for Plum 360™ Infusion System for use with ICU Medical MedNet™ for a complete
listing of alarms and troubleshooting.
PRACTICE CASE SCENARIOS (SUPER USER ONLY)
Reference(s) Used:
430-98340-003 (A, 2017 - 09) Plum 360™ System Operating Manual
430-98340-002 (A, 2017-03) Plum 360™ System Operating Manual_15.1
430-98341-001 (A, 2017-03) Plum 360™ Technical Service Manual 15.1

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Plum 360™ Infusion System

(without ICU Medical MedNet™ Software_SW 15.11 and higher)

>> Assist your facility with:

EDUCATION/GO-LIVE/POST GO-LIVE LOGISTICS

>> Review Go-Live process:

>> Review Post Go-Live process:

>> Location of implementation resource information.

REVIEW OUTSIDE OF PUMP

© 2019 ICU Medical Inc. | US-ED02-0050-0119 | Restricted Distribution 800.824.7890 | www.icumed.com

–– AC ON — Charging/AC Connected Indicator

MOUNTING AN INFUSER ON AN IV POLE

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DEMONSTRATE LOADING A PRIMED CASSETTE AND TURNING ON THE DEVICE

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PROGRAMMING WITH THE DRUG LIST

>> Drug Name/Concentration:

7. If necessary press the [SELECT] to highlight drug name:

10. Using the numeric keypad, enter a Rate of (100 mL/hr).

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REVIEW LCD SCREEN

ADDRESS VTBI COMPLETE ALARM

2. Enter a new rate of 25 mL/hr or .

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DEMONSTRATE DELAYED START

DEMONSTRATE CONNECTING TO CLAVE™ OR CAPPED SECONDARY PORT

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DEMONSTRATE SYRINGE DELIVERY — PIGGYBACK USING NO DRUG SELECTED

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DEMONSTRATE PIGGYBACK DELIVERY WITH CALLBACK

6. If necessary press the [SELECT] to highlight drug name:

8. On the Dosing Units No screen, mL/hr or is highlighted. Press [Choose].

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DEMONSTRATE CONCURRENT DELIVERY

6. If necessary use press the [SELECT] to highlight drug name:

8. On the Dosing Units screen, mL/hr or is highlighted. Press [Choose].

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12. Press [Yes] to Start delivery.

DEMONSTRATE DOSE CALCULATION

6. If necessary press the [SELECT] to highlight Drug Name:

8. On the Dosing Units screen, mcg/kg/min or is highlighted. Press [Choose].

9. On the Select Concentration screen, mg or is highlighted. Press [Choose].

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Lighting/Contrast — Device does not need to be stopped

4. Change Distal Pressure Alarm Limit to psi.

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DEMONSTRATE LOADING DOSE

6. If necessary use [SELECT] to highlight drug name:

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8. On the Dosing Units screen, mL/hr or . is highlighted. Press [Choose].

6. If necessary use [SELECT] to highlight drug name:

8. On the Dosing Units screen, mL/hr or . is highlighted.

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13. Step 2: Enter 2 of the 3 parameters:

DEMONSTRATE DISCONTINUING FLUID ADMINISTRATION

DEMONSTRATE GRAVITY FLOW

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REVIEW PUMP COLLATERAL INFORMATION