lost
Junior Member
Posts: 80
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Post by lost on Sept 29, 2021 15:13:48 GMT
What are some simple things you do in your clinics to make things a little bit easier on yourselves and your staff?
I'll add two things:
- I keep a bag of both bicarbonate and concentrate spike o-rings hanging on my bulletin board right inside my office. The staff all know that if they break or lose one, then they can simply grab a new o-ring and keep going instead of pulling the machine. Small effort.. huge impact.
- I also have long replaced the metal BP cuff connectors with a plastic luer lock style from RPC. Super easy to connect and disconnect (the staff is uses this style of connection on the bloodline sets), and I very rarely end up with those dreaded taped connections you see when they have issues with metal connectors.
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Post by gfreely on Sept 29, 2021 16:40:21 GMT
Every clinic I have worked in has always had an area (shelves/draws/cabinet) with labeled containers including BP fittings, various O-rings, vacuum grease, assorted BP cuffs, ethernet cords, etc. If a staff member comes to me about something on the floor, they usually start with "I tried changing X".
It's a little bump, I'll take every bump in my schedule I can get!
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Post by gnurk on Sept 30, 2021 12:51:51 GMT
lost query?? what is the product number for the connectors from rpc
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Post by Chuck Weddle on Sept 30, 2021 13:15:03 GMT
lost query?? what is the product number for the connectors from rpc The female half is BF00-0010. The male half is BF00-0011.
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Post by gnurk on Sept 30, 2021 15:59:08 GMT
thanks
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Post by Breakfast on Oct 18, 2021 15:17:46 GMT
I also have long replaced the metal BP cuff connectors with a plastic luer lock style from RPC. Super easy to connect and disconnect (the staff is uses this style of connection on the bloodline sets), and I very rarely end up with those dreaded taped connections you see when they have issues with metal connectors. I use those too. Because simply twisting a piece of plastic is too hard, most just rip the connectors out when they want to switch to a different cuff. I work a lot of Sundays and I'll walk the floor and find a few BP cuffs missing the connectors. I tried using tie wraps on them but the stronger PCTs refuse to let that stop them.
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Post by Rainy Parade on Dec 15, 2021 12:54:00 GMT
Just a quick fyi, those plastic BP connectors are not an official part for 2008t machines, therefore they are not 510(k) certified.
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Post by dave74 on Dec 17, 2021 0:53:39 GMT
lost query?? what is the product number for the connectors from rpc The female half is BF00-0010. The male half is BF00-0011. I can't help but laugh about employees who don't know the difference between male and female fittings.
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Post by biomedicalengineer on Apr 6, 2022 16:16:23 GMT
Just a quick fyi, those plastic BP connectors are not an official part for 2008t machines, therefore they are not 510(k) certified. Put Otiker clamps from Fresenius on the machine side line, I haven't lost one yet
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Post by biomedicalengineer on Apr 6, 2022 16:19:33 GMT
Place spare fuses inside all of your control boxes, bicarb mixers, pump controllers etc. That way when you need them they are readily available
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Post by Adrian Bachelier (RPC) on Jul 11, 2022 16:20:36 GMT
Just a quick fyi, those plastic BP connectors are not an official part for 2008t machines, therefore they are not 510(k) certified. RPC is an FDA registered medical device manufacturer. RPC specializes in products for use in dialysis. Over the past 31 years, since the inception of RPC, RPC has had zero product recalls. In the past three FDA routine audits of RPC - spanning a 12-year period – RPC has received zero citations from FDA. While adhering to FDA/ISO requirements, RPC does design and manufacture specifically for dialysis use improvement. This RPC approach – designing for improvement - includes component parts. That said, component parts do not require FDA clearance. RPC BP cuffs and the connectors are considered to be component parts and have been in widespread use in dialysis for decades. RPC has been active in the AAMI Renal Disease and Detoxification (RDD) Committee – that sets the guidelines and standards for dialysis – for decades. The AAMI RDD Committee includes FDA, CDC, CMS, Fresenius, DaVita, USRC, other manufacturers and other dialysis providers. RPC continues to have an excellent working relationship with all of these entities.”
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Post by jaretac on Jul 19, 2022 15:05:58 GMT
Just a quick fyi, those plastic BP connectors are not an official part for 2008t machines, therefore they are not 510(k) certified. RPC is an FDA registered medical device manufacturer. RPC specializes in products for use in dialysis. Over the past 31 years, since the inception of RPC, RPC has had zero product recalls. In the past three FDA routine audits of RPC - spanning a 12-year period – RPC has received zero citations from FDA. While adhering to FDA/ISO requirements, RPC does design and manufacture specifically for dialysis use improvement. This RPC approach – designing for improvement - includes component parts. That said, component parts do not require FDA clearance. RPC BP cuffs and the connectors are considered to be component parts and have been in widespread use in dialysis for decades. RPC has been active in the AAMI Renal Disease and Detoxification (RDD) Committee – that sets the guidelines and standards for dialysis – for decades. The AAMI RDD Committee includes FDA, CDC, CMS, Fresenius, DaVita, USRC, other manufacturers and other dialysis providers. RPC continues to have an excellent working relationship with all of these entities.” None of what you said actually addresses the issue and that is using non Fresenius approved parts voids the 510K for the machine. Is it going to hurt a patient, I would guess no. Will you be cited for it, probably not. Do I wish Fresenius would improve some parts or allow more alternative parts, absolutely, but they haven't and until they do we can't use them officially. Doesn't matter how great RPC is or how great their product is, it has everything to do with what Fresenius allows. My tip is when you use a part order the part. For machines usually I order monthly based on what I used. For everything else I order I as I use it. I replace a UV light, I order new right away that way I always have spares on hand for the just in case.
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Post by dave74 on Aug 10, 2022 2:00:13 GMT
I used to work for a technical manager who thought exactly like jaretac. If Fresenius didn't manufacture or approve any kind of a rebuild kit, we couldn't use it. If a circuit board failed, we could only send it to Fresenius under their exchange program, etc.
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Post by anon’s face on Aug 10, 2022 11:12:21 GMT
I used to work for a technical manager who thought exactly like jaretac. If Fresenius didn't manufacture or approve any kind of a rebuild kit, we couldn't use it. If a circuit board failed, we could only send it to Fresenius under their exchange program, etc. What is it Fresenius? Cause that’s accurate and how you have to comply with policy. If it’s elsewhere, meh.
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Post by biomedmac on Oct 10, 2023 2:34:31 GMT
1-Print out your order and put it on a clipboard so staff can see what is coming in. This will allow them to reference the sheet and hopefully will prevent them from asking you to order something you already ordered. Certain staff may even be able to calculate errors or give you heads up if you either didn't order or didn't order enough.
2-Print out a copy of the Operators Manual and put dividers in for each section ideally labeled. Put out on the floor and discuss in huddle/meeting with staff. Instruct staff to reference this manual especially for alarms whenever possible. This will allow them to troubleshoot certain things before just pulling a machine and will also give the people who want to learn more the opportunity.
3-Clean the inside of the machine (hydraulics) whenever you see residual Acid, Bicarb, UF etc. after repairing leaks. This will allow you to spot leaks and trace them a lot easier next time.
4-Write stuff down. Whenever you think of something like a task you need to do later, a call you need to make or any other things you need to remember. Instead of storing everything in your head just take a sheet of notebook paper and just make bullets. For example -Call Marcor and get CWP PM part number -Order 13mm allen wrench -Do Semi Annual on #6 -Bring 15G needles to Other Clinic -Review Log findings with CM
5-Use the Outlook Calendar whenever possible. Take 30 mins at end of the week to set up next week drag stuff you couldn't get done to next week. Outlook is great for planning repeat tasks like cultures but also for scheduling things with vendors. Taking that 30 mins is annoying at first but once you get used to it it will keep you sane and prepared. It will also allow you to look back. For example when did we have the sprinklers inspected last? Instead of having to look it up.
6-Use the back of the service tag or work order to write down everything you do to a machine. For example- Calibrated Dearation Calibrated Dialysate Pressure Performed Valve Leak Test(V41 Failed) Replaced V41 Performed Valve Leak Test (Passed) Put through tests x2 (No Alarms) Etc. This will make it much easier to type up once complete but will also allow you or others to know where you left off if you don't finish that day.
Thats all I can think of now. I'm sure I have more though. If I think of them I will come back.
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