Priming

Question 1

Step 2

Answer 1

Retrieve ECMO pump from storage

Question 2

Step 3

Answer 2

Plug in pump & heater

Question 3

Step 4

Answer 3

Connect Air & O2 Lines to wall

Question 4

Step 5

Answer 4

Clamp Rotaflow Outlet

Question 5

Step 6

Answer 5

Apply Paste to Rotaflow

Question 6

Step 7

Answer 6

Insert Rotaflow under lip & secure lock

Question 7

Step 8

Answer 7

Remove cover & turn on Rotaflow pump

Question 8

Step 9

Answer 8

Rotaflow perform self check/test; wait for alarm to sound

Question 9

Step 10

Answer 9

Pump display reads [-OK-EX.X PUMP OK]

Question 10

Step 11

Answer 10

Pump Display message [Valve?]

Question 11

Step 12

Answer 11

Press Silence Button & Press Clamp Button to confirm

Question 12

Step 13

Answer 12

Turn Flow knob past 1500 RPMs & back down to bring flow knob to zero

Question 13

Step 14

Answer 13

Press Zero Button for 3 seconds, until long beep is audible for calibration

Question 14

Step 15

Answer 14

Confirm Flow display reads 0.00

Question 15

Step 16

Answer 15

Turn Flow to 1000 RPMs; will prevent retrograde flow

Question 16

Step 17

Answer 16

Release clamp & recirculate ECMO circuit

Question 17

Step 18

Answer 17

Remove yellow vent clamp; Prime oxygenator

Question 18

Step 19

Answer 18

Discontinue shunt around oxygenator

Question 19

Step 20

Answer 19

Prime pressure lines & zero

Question 20

Step 21

Answer 20

Add 2 x 1 liter sterile Watertown water heater

Question 21

Step 22

Answer 21

Save bottle for use in blood prime

Question 22

Step 23

Answer 22

Turn water heater to 35 degrees

Question 23

Step 24

Answer 23

Turn water fittings to oxygenator to open

Question 24

Step 25

Answer 24

Check for air; remove any bubbles present

Question 25

Step 26

Answer 25

Ask surgeon if they want to blood prime circuit

Question 26

Step 27

Answer 26

Prime 1 bag of PRBCs for pump
50mL 25% albumin
30 mEq Sodium Bicarbonate
100 units of heparin

Question 27

Step 28

Answer 27

Prime circuit with primed blood bag using empty sterile water bottle for fluid removal

Question 28

Step 29

Answer 28

2nd unit of blood needed; DO NOT place prime drugs in 2nd bag

Question 29

Step 30

Answer 29

Discontinue the prime filter

Question 30

Step 31

Answer 30

Reattach the loop

Question 31

Step 32

Answer 31

Blow off CO2 by:

 Setting pump at 800 mL/min
 Setting sweep flow at 500mL/min
 Setting the FiO2 at 21%
 Run this for a minimum of 90 seconds or until circuit is attached to patient

Question 32

Priming Step 1

Answer 32

2 Units of PRBCs available for pump