How To Handle A Down Occlusion Reading In Hospice
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- How To Handle A Down Occlusion Reading In Hospice
A “Down Occlusion” is an occlusion between the pump and the patient’s access site.
What Should I Do If My Pump Reads “Down Occlusion”
- Check clamp on tubing and unclamp if clamped.
- Check tubing for any kinks or if patient is lying on tubing causing it to occlude.
- Make sure tubing is placed in pump correctly. Tubing should fit under the notch when latch/door is open.
- Try to restart by pressing Pause/Yes to Resume/Run to Start.
- Turn pump off for 2 minutes and restart by pressing Yes at Program/Yes to Resume/Run to Start.
If None of the Above Work
- Disconnect tubing from patient at blue/white injection cap.
- Turn pump on and press Yes at Program/Yes to Resume/Run to Start.
- If pump functions without alarming “Down Occlusion” the problem is with the IV not the tubing or pump.
Assessing the IV for Occlusion
- Flush with NS to check for patency.
- If able to flush without resistance, change injection cap and resume pump.
- If unable to flush, contact the IV team.
- If line flushes easily, caps are changed, and “down occlusion” is still alarming, call the IV team.
Assessing the SQ for Occlusion (Do Not Flush)
- Assess for leaking of fluid around the SQ needle. Remove and restart SQ if leakage noted.
- Palpate area around needle for hardness (pooled medication). Remove and restart SQ if noted.
- If no leaking or hardness noted, check for injection caps and anti-reflux caps attached to tubing. Remove if present and restart pump (it is not necessary to place an injection cap or anti-reflux cap on a SQ since this is not going into the bloodstream).
- If still unable to start, change SQ.
- Call IV team if occlusion is not resolved.
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