5 months of attachment

Wednesday, April 05, 2006

Eighteenth DaY of AttAchMent

Remember i cleaning the stains made by grease and glucose? To my surprise, the infusion pump able to run very smoothly and quiet. It really shows that frequent thorough maintenance about to improve the functioning of the devices. I did my very first soldering job which was soldering two wires together as the wires are separated from the connector. After connecting wires together, I rememeber what i have learnt from EPS and reminded by my colleague, Lee Chong, that i have to put a plastic insulation on the exposed wires to prevent any damaging of the devices and short circuit it.

I required to do the function check for the defibrillator from physiocontrol, Lifepak 12 for Mr Sin. I was quite unsure what i have to do for it so i asked Lee Chong for any advices and being taught how to use the safety check by Mr Sin. The usual solution that will clear your doubts in the function check is the service manuals. They will tell you a lot about troubleshooting and maintenance. I had to do a leakage current test which is completely different as you have to enter the number of leads used and the type of the leads (e.g. type CF according to the device). maximum number of leads used for safety check is 5 leads so if the device has more than 5 leads, the safety test have done more than once. I used the defibrillator analyzer to measure the amount of energy delivered to the subject for various amount of energy (e.g. 200J)

I have been doing function check for the infusion pump STC 503 for the past 3 weeks. Since there are preventive maintenance for the syringe pump TE 311 and STC 523 for this month, i was pretty glad that i am able to learn more of the pump. The steps of function check for the syringe pretty much different from the infusion pumps. There is no delivery limit for the syringe button so you only have to adjust the delivery rate which are different for occlusion and flow. As what i have learnt for infusion pump, the delivery rate is always 300 ml/hr for occlusion and flow. However, the delivery rate for occlusion setting is 50 ml/hr and 70 ml/hr for flow setting ( for TE 311). For STC 523, both of the settings is 50ml/hr. Syringe pump have to check whether the buttons are working, the LEDs lighting up and alarms for nearly empty and occlusion. Always using a 50 ml syringe for the function check and also check whether the pump is about to detect the size of it by the diameter.

Lastly, i got the chance to see more devices that the hospital has while doing preventive maintenance. The one that i find quite interesting is the ultrasound doppler which is used to measure the blood flow and Hear Rate at that instant. It generates sound that indicates the blood flow.

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