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.