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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Cardiology, Cardiovascular Surgery

Teaching Guideline for Discharge with a HeartMate II VAD (1174)

Teaching Guideline for Discharge with a HeartMate II VAD (1174) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Cardiology, Cardiovascular Surgery

1174

Ventricular Assist Device - HeartMate II
Topic & Points(Write using patient/family-
friendly language)
Record
ID
Titles this point is shared with Description (Optional information to guide
clinicians about what to teach)
Linked
HFFY
Topic: Home care – Pump
ξ How it works and effect on
palpable pulse/blood pressure
505024
HeartMate II
Runs consistently without rest
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Location of the pump 505025 HeartMate II In reference to patient’s ribs
Provide patient with Heartmate II Patient
Handbook
HFFY 6681
HFFY 6440
ξ Reason for anticoagulation 505094 HeartMate II Prevent clot formation in pump
Provide patient with Heartmate II Patient
Handbook

Topic: Home care - Driveline
ξ Prevent fluid in/near driveline 505029 HeartMate II Prevent a short in the system
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
ξ Prevent trauma to the driveline
lead
505030 HeartMate II Prevent damage to the internal wires
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
ξ Internal Wires 505032 HeartMate II Primary and redundant
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
ξ Percutaneous lead care 505031 HeartMate II No scissors near driveline or cutting
polyurethane coating
Limit twisting
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
ξ Check connections to driveline
daily
NEW HeartMate II Prevent any disconnection causing pump to
stop
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
ξ Latchguard 505158 HeartMate II Check secure, minimum daily.
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
ξ Avoidant Agents 505020 HeartMate II No petroleum, acetone, Betadine, ointments
Provide patient with Heartmate II Patient
Handbook.
HFFY 6440



2
Topic: Home care – Controller
ξ How it connect to the driveline,
Power Module (PM), Mobile
Power Unit (MPU), batteries
505034 HeartMate II Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Controller plate/ symbol
definitions
505167 HeartMate II Alarm bell with ”X” – alarm silence
Square “-“ VAD readings battery, battery
check, system check
Green arrows: lit means pump is on and
working
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Systems check 505036 HeartMate II How to do it
Why
Frequency
What to do if it is abnormal
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Backup controller (built in) 505159 HeartMate II How it works
When it is activated
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Mode – fixed 505160 HeartMate II No adjustment for activity
Provide patient with Heartmate II Patient
Handbook

Pt
handbook
ξ Controller cell battery


505038 HeartMate II What it does
Alarm
Charging: when and how
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Battery indicator lights NEW HeartMate II Four lights equals full power
Estimate of power available Provide patient
with Heartmate II Patient Handbook
Pt
handbook
ξ Display readings NEW HeartMate II Speed, Flow, PI, Power
Provide patient with Heartmate II Patient
Handbook
Pt
handbook




3

Topic: Home care – Connection to AC
outlet

ξ Cables 505040 HeartMate II Patient cables leads (white and black)
How to connect PM or MPU.
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Power module (PM)or Mobile
power unit (MPU)
505041 HeartMate II Cable connection
Connection process – PM or MPU
Change batteries/ care.
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
Topic: Home care – Power sources
ξ 2 power sources 505044 HeartMate II Device wants it at all times
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Temporarily run on 1 power
source
505045 HeartMate II Changing power source.
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
Topic: Home care – Changing power supply HeartMate II
ξ Battery to PM or MPU 505050 HeartMate II PM/MPU: white to white and black to black
Battery: either clip.
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ PM or MPU to battery or use AC
power to battery to PM or MPU
505051 HeartMate II Assuring one power source is attached at all
times
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ PM to DC power NEW HeartMate II Maintain charge to internal PM battery (only
needed for PM patients)
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Change from battery to battery NEW HeartMate II Provide patient with Heartmate II Patient
Handbook

Pt
handbook
ξ Check battery supply while on
battery
505052 HeartMate II Frequency, when to act on changing batteries.
Provide patient with Heartmate II Patient
Handbook
Pt
handbook



4
ξ How to place in carry mechanisms
(i.e. holster, bag)
505053 HeartMate II Provide patient with Heartmate II Patient
Handbook
Pt
handbook
Topic: Home care - Batteries
ξ Care 505047 HeartMate II How to put batteries in universal battery
charger (UBC)
Battery indicator lights (red, yellow, green)
No further charging with power failure.
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ How to check battery life and what
the battery power indicator
light(s) mean on battery charger
505048 HeartMate II How long to charge Battery life
How they drain
How to check battery power
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
ξ Storage 505049

HeartMate II Do not store in hot / cold locations
Number and rotate batteries
How to clean battery contacts
How long charge lasts if not recharged
Provide patient with Heartmate II Patient
Handbook
Pt
handbook
Topic: Home care - Wound care
ξ Dressing procedure 505016 HeartMate II Sterile process
Daily kit components
No betadine, acetone or Vaseline to
percutaneous lead/driveline
HFFY 6440
Daily kit
instructio
ns
ξ Dressing supplies 505017 HeartMate II How to obtain more supplies HFFY 6440
ξ Signs and symptoms of driveline
infection
505021 HeartMate II Pain, redness, tenderness, erythema, drainage
(new, different color), odor
HFFY 6440
Topic: Home care – Monitoring
ξ Temperature/weight 505012 HeartMate II Daily and document on flow sheet in binder.
Provide patient with Heartmate II Patient
Handbook.
HFFY 6440
ξ VAD readings 505014 HeartMate II Daily and document on flowsheet in binder.
Provide patient with Heartmate II Patient
Handbook
HFFY 6440



5
ξ Mode/speed/flow/pulsatility
index/power
505170 HeartMate II Definition
Patient parameters
Thresholds to call
Who to contact with abnormal values
Symptoms with normal VAD values or
abnormal VAD values
Speed changes and what they mean (suction
event)
Alarm notification.
Provide patient with Heartmate II Patient
Handbook
HFFY 6440
Topic: Home care - Preparation
ξ Obtaining more supplies –
Ventricular Assist Device
equipment
505005 HeartMate II DME vs. UWHC HFFY 6440
ξ Grounded wall outlet for PM and
two prong for MPU
505006 HeartMate II MPU or PM
Battery charger
HFFY 6440
ξ Important phone numbers 505066 HeartMate II VAD coordinator, paging operator, clinic HFFY 6440
ξ Emergency/After-Hours Contact
numbers
505008 HeartMate II Local EMS
Local hospital ER
Local cardiac rehab program
Local power company
HFFY 6440
ξ Hotel accommodations 505010 HeartMate II If applicable HFFY 6440
ξ Medical equipment and supplies 505168 HeartMate II Backup controller
Batteries
Clips
Alarm guides
Medic alert bracelet
PM or MPU battery charger
HFFY 6440
Topic: Home care – Power failure
ξ Response 505054 HeartMate II Role of power company
Change to batteries ASAP
HFFY 6440
ξ Power options 505056 HeartMate II Extra batteries, generator HFFY 6440
ξ Other options for long-term
emergency power (local hospital,
ED, Fire Dept.)
505057 HeartMate II Provide patient with Heartware Patient
Handbook


HFFY 6440



6
Topic: Home care – Alarm troubleshooting
ξ Yellow battery(intermittent
beeping tone)
505058 HeartMate II Hook up to PM/MPU/batteries
Indicates 15 minutes of power remain.
Provide patient with Heartmate II Alarm
Guide
Pt Alarm
Guide
ξ Red battery (continuous tone) 505171 HeartMate II Less than 5 minutes to restart pump
Hook to MPU/PM/batteries ASAP
Indicates 5 minutes of power remain
Pump’s speed decreases to 8000 rpm
Symptoms may develop with decreased speed
Provide patient with Heartmate II Alarm
Guide
Pt Alarm
Guide
ξ Red Heart: low flow / VAD failure
(continuous tone); green arrow lit
or green arrows blank
505161 HeartMate II Less than 5 minutes to restart pump
Call 911
Check connections
Change controller IF PUMP IS OFF ONLY
Call UW Hospital and Clinics

Provide patient with Heartmate II Alarm Guide
Pt Alarm
Guide
ξ Steady tone – no power to pump 505162 HeartMate II Less than 5 minutes to restart pump
No information on controller
Check connections
Assure controller connected to power source
Ensure driveline connection secure
Change controller
Provide patient with Heartmate II Alarm Guide
Pt Alarm
Guide
ξ Driveline disconnected
(continuous tone)
NEW HeartMate II Reconnect driveline ASAP if < 5 minutes off
Pump is OFF
Provide patient with Heartmate II Alarm
Guide
Pt Alarm
Guide
ξ Back-up controller (intermittent
beeping tone)
505164 HeartMate II “Replace system driver alarm” will appear
Change controller
Provide patient with Heartmate II Alarm
Guide
Pt Alarm
Guide
ξ System controller backup battery
fault (intermittent beeping tone)
NEW HeartMate II Call VAD coordinator
Provide patient with Heartmate II Alarm
Guide

Pt Alarm
Guide



7
ξ Low operation speed (intermittent
beeping tone)
505165 HeartMate II Call VAD coordinator Provide patient with
Heartmate II Alarm Guide
k
Pt Alarm
Guide
ξ Driveline alarms (intermittent
beeping tone):
NEW HeartMate II Call VAD Coordinator
Check no kinks in driveline
Provide patient with Heartmate II Alarm
Guide
Pt Alarm
Guide
Topic: Homecare – Changing the Controller
ξ Process 505166 HeartMate II Make sure power connected to new controller
with BOTH POWER LEADS
Switch driveline from old controller to new
one
Secure Latchguard
Make sure green arrows are lit and no new
alarms on new controller
Disconnect power from old controller and put
into sleep mode
System check
Notification of VAD Coordinator
How to obtain a new controller
Provide patient with Heartmate II Patient
Handbook
Pt Alarm
Guide













Your health care team may have given you this information as part of your care. If so, please use it and call if you have any questions. If this information was not given to you as
part of your care, please check with your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s
health needs are different, you should talk with your doctor or others on your health care team when using this information. If you have an emergency, please call 911. Copyright
© 12/2016 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#1174