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Welcome to Shield HealthCare. For 50
years now we have made it our business to provide customers with quality
medical supplies for care at home, along with excellent service. Shield HealthCare
is the market leader when it comes to providing products and programs and
clinical services for incontinence and urological and ostomy and enteral
nutrition. Frankly, here at Shield HealthCare, we measure our degree of
excellence by one number alone: that’s the number of satisfied customers that
we serve each and every day in order to provide you with the best customer
experience possible. Shield HealthCare has proudly prepared the following
instructional video just for you. We believe that this educational video will
provide you with greater information about our products and our services. So
thanks for taking the time today. The Kangaroo Joey is an enteral feed and
flush pump ideal for ambulatory use. The pumps compact, lightweight design lets
you use it virtually anywhere and the Kangaroo Joey is attitude independent.
You can tip it or turn it, and the pump still works. If using the Kangaroo Joey
on an IV pole, use the quick-connect clamp. You may also simply place it on a
desk or table. For feeding, you can use either a ready to hang bottle, or fill a
bag with formula. In order to ensure proper accuracy and best results, hang
the feeding set with the initial fluid level six inches above the top of the
Kangaroo Joey feeding pump. Caution: failure to hang this set at the proper
level can result in inaccurate system feeding. Attach the power cord to the
back of the pump and plug it into an AC wall outlet.
The Kangaroo Joey also runs on battery power, providing approximately 18 hours
of operation on a fully charged battery. Press the power button — the hopping
kangaroos tell you the pump is on and ready to go. Please note: the first time
you turn the Kangaroo Joey Enteral Feeding Pump on, you will see the select
language screen. Use the arrow keys to select the desired language, then press
done after the language has been selected. You will not see this screen
again unless it is accessed in the biotech screen. Once the pump is on, it
instructs you to either “keep settings” or “clear settings.” By selecting “keep
settings,” the pump will retain the most recent settings for feed rate and volume,
and flush volume and interval if applicable. Selecting “clear settings” will
reset the feed rate and volume, and flush volume and interval, to zero. After making
the selection, the pump instructs you to “load a set.” This screen will also appear
if a set is not loaded during operation. Open the blue door to the loading area
on top of the pump. Slide the thumb tab on the valve into the slot on the left
side. Make sure it is pressed down and firmly seated in the loading column.
Grasp the black retention disk and gently wrap the tube under the rotor, and
drop the disk into the slot on the right. Use caution to not over stretch the tubing.
Close the door. Make sure the finger tab on the feeding set is clearly
visible through the slot in the blue door. The Kangaroo Joey display will now read “set loaded.” The Kangaroo Joey will tell
you if the tubing has been correctly placed around the rotor. Follow the
instructions on the screen to power down and reinstall the set. The “set loaded”
menu guides you through Joey’s programming and operation, using
on-screen prompts with arrow keys. To begin, press the arrow next to “prime the
pump.” Joey will remind you to disconnect the
pump set from the patient before priming. When a feed flush set is loaded, four menu
choices appear on the priming screen. Press “auto prime” to automatically prime
the pump. When auto priming with a feed flush set, the pump primes the flush
line prior to the feed line. You’ll know you’re in auto prime mode when a
progress bar appears on-screen. You can stop auto priming at any time by
pressing the stop button. The Kangaroo Joey tells you when auto
prime is complete and stops before reaching the end of the tubing to
prevent spills. Once priming is complete, press done and you will return to the
“set loaded” screen. When using a “feed only set,” you have two on-screen priming
options: you can prime the pump automatically, or manually prime it by
pressing and holding the “hold to prime” button. The pump will continue to prime as long as the button is pressed. To complete, press “done” to return to the
previous screen. Your next step is to choose continuous or intermittent
feeding. Pressing the “more” button will bring you to the “more options” screen.
Press the button that reads “continuous/ intermittent.” The Kangaroo Joey now
displays the “select mode” screen. By selecting “continuous,” you will be able to
deliver enteral nutrition at a steady rate, either until the programmed volume
has been delivered or until the formula has been exhausted. By selecting
“intermittent,” you are able to deliver boluses of enteral nutrition at
programmed time intervals. Choose the mode of operation by pressing the arrows.
A check mark appears next to your selection, and the Kangaroo Joey is
placed into the chosen mode. Press “done” two times to return to the prior screen.
To begin programming the pump for your specific patient, start by selecting
“adjust feed.” If you have previously selected “continuous mode,” the Kangaroo
Joey leads you through the process with three menu options. To set the pump’s
delivery speed, press the “feed rate” button. Notice that the maximum feed rate
of 400 milliliters per hour is displayed in the upper right corner. Press the
arrows for ones, tens and hundreds at left, using increments of ones to reach the
desired rate. If you go past the desired digit, keep pressing and the numbers will
return to zero. Hit “enter” to return to the “adjust feed” screen. Next, press “feed VTBD” to set the volume to be delivered. Once again, the Kangaroo Joey
communicates the maximum amount: 3,000 milliliters. Continue pressing the
buttons until you reach the required volume, then press “enter.” If you are using
a feed flush set, you also have the ability to adjust the flush settings.
These options will not be displayed if you are using a feed only set. Press the
“adjust flush” button. Set the volume to be flushed by pressing “flush volume.” The
maximum volume — 500 milliliters — is displayed in the upper right hand corner.
Pressing the buttons at left enables you to increase the volume number in
increments of one. Once the correct volume has been input, press “enter.”
Now establish the frequency of flushes by pressing the “flush interval” button.
You can set the time between automatic flush cycles from one hour to 24 hours,
in one-hour increments. The 24-hour maximum time limit is clearly evident.
Now press “enter” after the settings have been adjusted. For feed or feed flush
sets, simply press the “run” button. The Kangaroo Joey goes to work and
displays a “running” screen and the falling drop icon. The pump also lets you
know if a bag or set has been in place for more than 24 hours. When running with
a feed flush set you have the option to flush the pump immediately by pressing
the “flush now” button. If the volume is correct, press “enter” to
flush the pump. If you need to temporarily stop the pump, press the “hold”
button. For example, you may want to change feeding parameters, which are
locked in the system, and cannot be changed without hitting “hold.” Notice that
the drop icon is not falling, indicating that the pump is holding. If the pump is
inactive for more than 10 minutes, a “hold error” message will appear and an alarm
will sound, directing you to power down or press “continue” to return to the hold
screen. When a feed flush set is loaded, the
screen provides “feed rate,” “remaining volume,” “flush” and “flush interval.” When a
feed set is loaded, the whole screen displays the feed rate and remaining
volume. In either application, the “hold” menu offers five options: “clear the
volume,” “adjust settings,” “resume in minutes,” “run” and “history.” Additional options may
be accessed from this menu by pressing the “more” button, including “buzzer, “history,” “languages,” and the continuous or intermittent” selection, reviewed earlier.
To adjust the alarm volume, press “buzzer,” then “increase” or “decrease” the alarms
pitch to achieve the appropriate level. The “history” function lets you view up to
72 hours of pump activity, not including the last hour. Just enter the time period
being covered, and the Kangaroo Joey will display the data. If a feed flush set is
loaded, the pump will also display corresponding flush volume information.
Once again, the maximum time-frame and volume delivered are clearly displayed.
After you view the desired history, press “done” to return to the previous screen.
Once the kangaroo Joey has fulfilled its programmed requirements, the “feed error”
screen appears, showing “bag empty” and instructing you to turn the pump off. To
do so just press and hold the “power” button. An on-screen timer will count
down from three to zero and quietly shut the pump down. “KTO” or “keep tube open”
ensures the feeding tube remains patent [open], even when not actively feeding. When the
pump is running, the “KTO” option will appear on the screen. After a few seconds,
press the “KTO” button and the pump will begin pumping at the “KTO” rate. Program
the desired amount of time for “KTO”: five to 240 minutes. At the end of the programed
time, the pump will resume the programmed operation. The “screen lock” feature makes
the pump easier to use for the clinician, and increases patient safety. In order to
access the “screen lock” feature, the pump must be running. Push and hold the third
button down on the left for three to five seconds. A small lock symbol will
appear, indicating that the screen is now locked. To cancel this feature, push and
hold the third button down on the left for three to five seconds. The small lock
symbol will disappear, indicating that the screen is now unlocked.
Should you encounter any system interruptions, the Kangaroo Joey will
guide you to their resolution through a series of help screens and buzzer alarms.
If a system error occurs, this screen appears. It includes a phone number to
call for immediate service and a code indicating the type of error. It also
directs you to “power down the system.” When the feed volume is not being
delivered due to a clog in either the pump set or the tube from the set to the
pump, or if you have run out of formula, the feed error screen appears. Follow the
on-screen instructions. If the line between the pump and the patient is
clogged, a “flow error” message will appear. The Kangaroo Joey provides a checklist
for rectifying the situation, before you continue. The Kangaroo Joey sets have an
anti-free flow feature that stops formula from rushing in if a pump set is
dislodged. You will also see a warning screen if you are using battery power
and the battery is low. The pump prompts you to plug in the power cord to
recharge the battery, and then automatically returns you to the prior
screen. The downstream occlusion test detects occlusions distal to the black
retention disk. This test is conducted when the pump begins to feed. In order to
ensure that a true downstream occlusion is detected, the pump may take up to 12
minutes prior to alarming. This can help reduce the possibility of false alarms.
Maintaining the Kangaroo Joey is as easy as using it. To replace the battery pack,
unscrew and open the battery door. Detach the connector and remove the old battery
pack. Slide the new battery in place with the
cable extending out. Attach the cable by locking the tab snaps. Press down the
wire loop and close the battery door. Tighten the screws to complete the
process. You should clean the pump following each use. To do so, unplug the
pump. Spray one of the recommended cleaning agents on a clean damp cloth
and wipe the unit, making sure to remove any spills. The Kangaroo Joey is
engineered to be used everywhere by everyone who requires enteral feeding.
And it makes the Kangaroo family more ambulatory than ever.

Randall Smitham

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