 |
 |
|
||||||||||
|
|
||||||||||
| EMERGENCY CONDITIONS and BASIC STAFF RESPONSE |
| UCSF Medical Center & Children's Hospital |
| MEDICAL EQUIPMENT FAILURES | ||
|
MEDICAL EQUIPMENT FAILURE |
CLINICAL RESPONSE |
OTHER ACTIONS |
| Defibrillator | Resume CPR and ACLS measures until alternative defibrillator is brought to the bedside. | Every department should know where the closest “BACK-UP” is located (i.e., down the hall, next room, etc.) |
| Monitor | 1) Retrieve a transport monitor and connect the
patient OR 2) Retrieve defibrillator. The monitor portion can be connected to patient for monitoring purposes. |
After Clinical Engineering hours, notify the Nursing Supervisor. Clinical Engineering will either respond by phone or Nursing Supervisor will know the location of Clinical Engineering’s spare roll-around monitor. |
| Ventilator | Hand-ventilate patient until spare ventilator arrives. | Notify the Respirator Therapist assigned to the specific unit or page the Therapist-in-Charge (719-4946) to obtain spare ventilator. |
| Dialysis Machine | Remove blood-line from venous line clamp. Then manually hand-crank blood-pump to return patient’s blood. | After hours, obtain another dialysis machine. The dialysis technician will investigate the malfunctioning unit the following work day. |
| Heart-Lung Machine and/or ECMO Pump | Electrical Failure Utilize hand crank. Mechanical Failure (crank does not work) Remove tubing from the malfunctioning pump head and place in other pump. |
Heart-Lung Machines” Replace malfunctioning pump with spare pump (located in pump room). Notify Clinical Engineering OR Shop (353-1736)
ECMO: Change out malfunctioning equipment with spare. Contact Clinical Engineering main shop. (353-1727) |
| Anesthesia Unit | Ventilator Hand-bag patient until spare unit arrives. Gas Wall-Outlet Failure Connect patient to the E-tank (located on cart). |
Obtain spare unit. Notify Clinical Engineering (Parnassus
353-1736) or (Mount Zion 885-7642).
Notify Medical Center Facilities (Parnassus –3-1120) or (Mount Zion – 5- 7576). |
| Ventricular Assist Device (VAD) | Thoratec Utilize hand bulbs in back of machine until spare arrives. BioMedicus Utilize hand crank (2 cranks) until spare arrives. |
The Medical Center has a total of three (3) machines (2 Thoratecs and 1 Bio-Medicus), all located in the Operating Room. Notify Clinical Engineering OR Shop (353-1736). |
| Continuous Veno/Venous Hemofiltration (CVVH) | Utilize hand crank to prevent blood from clotting until spare pump arrives | Contact Central Services 353-1837 to obtain a replacement pump. |
| Continuous Veno/Venous Hemofiltration (CVVH) |
Obtain replacement pump immediately. | The Medical Center has three (3) IAPBs (two located in Intensive Cardiac Care and one in the Operating Room). |
| Emergency Aspirator | Hand bag patient until spare unit arrives. | Contact Central Service (Parnassus 353-1837) or (Mount Zion 885-7255) to request an emergency replacement aspirator. |
| Pumps, Infusion or PCA | Stop pump. | Contact Central Services (Parnassus 353-1837) or Mount Zion (885-7255) to request an emergency replacement pump. |
| ALL other equipment | Stop using equipment and attain spare equipment from appropriate source. | If after hours and device needs immediate repair, notify Nursing Supervisor in order to get a Clinical Engineer to respond to problem. |
| These are general guidelines and should be reviewed for clinical practices that are specific to your department. | ||
MEDICAL EQUIPMENT FAILURES
Page Updated: June 27, 2005
| Top of Page |