Disconnecting Your CADD®-Solis VIP Pump and De-accessing Your Implanted Port

This information explains how to disconnect your CADD®-Solis VIP pump and de-access your implanted port or CVC.

Your CADD-Solis VIP pump will be connected to your central venous catheter (CVC). There are 3 main types of CVCs: tunneled chest catheters, peripherally inserted central catheters (PICCs), and implanted ports (such as Medi-Ports®). If you’re not sure which type of CVC you have, ask your doctor or nurse.

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About Your CADD-Solis VIP Pump

Your CADD-Solis VIP pump is a small, battery operated pump that can be used to send fluids, medication, and chemotherapy as an intravenous infusion (see Figure 1). An infusion is when medication is put into your bloodstream through a vein over a period of time. When your infusion is finished, you will need to disconnect your CADD-Solis VIP pump from your CVC line. You should follow the steps in this resource to disconnect the pump and de-access your implanted port if needed.

Figure 1. CADD-Solis VIP Pump

Figure 1. CADD-Solis VIP Pump

You’ll know your infusion is finished when your CADD-Solis VIP pump beeps, the display screen shows “reservoir volume 0”, and your pump shows the words “infusion complete.” Your treatment will be finished even if there is still fluid in your bag. This should happen close to the date and time your healthcare provider writes below.

Date: ___________

Time: ___________

Alarms

Your pump has different alarms that will alert you to any problems. The alarm will stop once the problem is fixed. Read the resource CADD®-Solis VIP Alarm Help Guide to learn about the different alarms and what to do when they go off. For more information, call your healthcare provider.

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Removing the Battery of Your CADD-Solis VIP Pump

Before you disconnect your CADD-Solis VIP pump, you will need to take out the battery. The battery is located on the top of the pump. Before removing the battery, press the “stop/start” button and then press “Yes.” To take out the battery, turn the battery compartment lock on the battery door. The battery door will open. Now you’re ready to disconnect your CADD-Solis VIP pump.

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Disconnecting Your CADD-Solis VIP Pump with Non-Chemotherapy Infusions

You’ll need to remove the pump tubing from your CVC. This is called disconnecting. The tubing is connected to a clave which is the part the IV tubing that’s connected to your CVC.

Follow the steps below to disconnect your CADD-Solis VIP pump:

  1. Prepare a clean area to set up your supplies, such as your kitchen table. Don’t disconnect your CADD-Solis VIP pump in the bathroom.
  2. Gather your supplies. These supplies will be given to you or ordered by your healthcare provider. You will need:
    • 1 (10 mL) syringe prefilled with normal saline
    • 1 pair of nonsterile gloves
    • 1 SwabCap®
    • 2 alcohol pads
    • 1 gauze pad
    • A heavy plastic container with a screw-on top (such as a plastic coffee container). Label the container “Chemotherapy” if you’re disconnecting a chemotherapy pump.
      • Make sure the container is strong enough that needles can’t poke through the sides.
      • Don’t use plastic or paper bags.
  3. Wash your hands with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer.
  4. Put on the gloves.
  5. Prepare your normal saline syringe. To do this:
    • Pick up the normal saline syringe. Hold it with the tip facing up.
    • Loosen the cap, but don’t take it off.
    • Push the plunger gently to push any air out of the syringe.
    • Retighten the cap.
    • Set the syringe down on your clean workspace.
  6. Follow the clear CADD-Solis VIP pump tubing to where it connects to the clave on your CVC. Open the gauze pad and use it to twist the CADD-Solis VIP pump tubing counter-clockwise (to the left) to disconnect it from the clave.
  7. Place the pump and tubing back in the backpack that your pump and infusion came in, and zip it closed.
  8. Clean the clave with an alcohol pad for 15 seconds. Let it dry for 15 seconds.
  9. Take the cap off the syringe with normal saline solution by turning it counter-clockwise (to the left).
  10. Push the syringe into the clave and turn it clockwise (to the right).
  11. Use the push/pause method to flush the tubing with 10 mL of normal saline:
    • Push down on the plunger to quickly inject about ⅓ of the saline into the clave.
    • Pause.
    • Inject the next ⅓ of the saline.
    • Pause.
    • Inject the last ⅓ of the saline.
    Figure 2. Closed clamp

    Figure 2. Closed clamp

  12. Clamp your CVC (see Figure 2).
  13. Twist the empty syringe counter-clockwise to remove it from the clave.
  14. Open the SwabCap. Put the SwabCap on the clave by firmly pressing it in and twisting it clockwise.
  15. Put all the used supplies into your sharps container and put on the lid. If you’re also de-accessing your implanted port now, you can keep the same gloves on to do this.

You’re now disconnected from your CADD-Solis VIP pump.

Remember to bring your backpack, CADD-Solis VIP pump, and tubing to the Pediatric Ambulatory Care Center (PACC) at your next visit.

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Disconnecting Your CADD-Solis VIP Pump Infusing Chemotherapy

Follow the steps below to disconnect your CADD-Solis VIP pump infusing chemotherapy:

  1. Gather your supplies. These supplies will be given to you or ordered by your healthcare provider. You will need:
    • 1 (10 mL) syringe prefilled with normal saline
    • 1 female adapter Equishield closed-system device
    • 1 pair of nonsterile gloves
    • 1 SwabCap®
    • 2 alcohol pads
    • 1 gauze pad
    • A heavy plastic container with a screw-on top (such as a plastic coffee container). Label the container “Chemotherapy”
      • Make sure the container is strong enough that needles can’t poke through the sides.
      • Don’t use plastic or paper bags.
  2. Wash your hands with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer.
  3. Put on the gloves.
  4. Prepare your normal saline syringe. To do this:
    • Open the Equishield female connector but leave it in the package.
    • Pick up the normal saline syringe. Hold it with the tip facing up.
    • Loosen the cap, but don’t take it off.
    • Push the plunger gently to push any air out of the syringe.
    • Remove the cap.
    • Attach the normal saline syringe to the Equishield connector by inserting the tip into the luer-lock connection and turning clockwise until tight.
    • Set the syringe down on your clean workspace.
  5. Follow the clear CADD-Solis VIP pump tubing to where it connects to the clave on your CVC. There will be a full Equishield closed system (male and female adapters).
  6. Disconnect the female connector from the male connector by pushing the red and white tab in and pulling the 2 pieces apart (see Figure 3).
    Figure 3. Disconnect the connectors by pushing the red and white tab

    Figure 3. Disconnect the connectors by pushing the red and white tab

  7. Scrub the tip of the male adapter with an alcohol swab for 15 seconds. Let it dry for 15 seconds.
  8. Connect the normal saline syringe (with female connector attached) to the CVC by matching the red stripes on Female connector to the red strips on male adapter (red and white tab) and pushing together until you hear a click and cannot pull apart without pushing in the tab.
  9. Use the push/pause method to flush the tubing with 10 mL of normal saline:
    • Push down on the plunger to quickly inject about ⅓ of the saline into the clave
    • Pause
    • Inject the next ⅓ of the saline
    • Pause
    • Inject the last ⅓ of the saline
  10. Close the second clamp (the one closest to your body) so it’s pinching the clear tubing.
  11. Twist the empty syringe/Equishield closed-system devices counter-clockwise to remove it from the clave (clave remains attached to your CVC). You will remove the male adapter, female connector and syringe all together.
  12. Open the SwabCap. Put the SwabCap on the clave by firmly pressing it in and twisting it clockwise. Pull off the clear protective cover from the SwabCap.
  13. Put all the used supplies into your sharps container and put on the lid. If you’re also de-accessing your implanted port now, read the section “Flushing and De-accessing Your Implanted Port.” You can keep the same gloves on to flush.
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Flushing and De-accessing Your Implanted Port

You will need to remove the needle from your implanted port. This is called de-accessing. Before you de-access your implanted port, you must flush it with normal saline and heparin. These liquids will keep it from becoming clogged.

Follow the steps below to de-access your implanted port:

  1. Prepare a clean area to set up your supplies, such as your kitchen table. Don’t disconnect your CADD-Solis VIP pump in the bathroom.
  2. Gather your supplies. You will need:
    • 1 (10 mL) syringe prefilled with normal saline
    • 1 (3 mL) syringe prefilled with 300 units (3 mL) of heparin
    • 1 pair of nonsterile gloves
    • 1 bandage (Band-Aid®)
    • 2 Alcohol pads
    • 1 gauze pad
    • A heavy plastic container with a screw-on top (such as a plastic coffee container).
      • Make sure the container is strong enough that needles can’t poke through the sides.
      • Don’t use plastic or paper bags.
  3. Wash your hands thoroughly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer.
  4. Put on the nonsterile gloves.
  5. Prepare your normal saline and heparin prefilled syringes. To do this:
    • Pick up the normal saline syringe. Hold it with the tip facing up.
    • Loosen the cap, but don’t take it off.
    • Push the plunger gently to push any air out of the syringe.
    • Retighten the cap.
    • Set the syringe down on your clean workspace.

Repeat these steps with the heparin prefilled syringe.

Flush your IV tubing with normal saline

  1. Clean the clave with an alcohol pad 15 seconds. Let it dry for 15 seconds.
  2. Take the cap off the syringe with normal saline by turning it counter-clockwise (to the left).
  1. Push the syringe with normal saline into the clave and turn it clockwise (to the right).
  2. Use the push/pause method to flush the tubing with normal saline:
    • Quickly inject ⅓ of the normal saline
    • Pause
    • Repeat
    • Quickly inject the last ⅓ of the normal saline
  3. Twist the syringe counter-clockwise (to the left) to remove it from the clave.
  4. Clean the clave with an alcohol pad for 15 seconds. Let it dry for 15 seconds.

Flush your IV tubing with heparin

  1. Take the cap off the heparin syringe. Attach the heparin syringe to the clave the same way you attached the saline syringe.
  2. Once the heparin syringe is attached, use the push/pause method to flush the tubing with the heparin. Inject ⅓ of the heparin at a time. Do this the same way you injected the saline.
  3. Twist the empty heparin syringe counterclockwise to remove it from the clave.
  4. Close the second clamp (the one closest to your body) so it’s pinching the clear tubing.

Take the needle out of your needle site

  1. Remove the dressing over your implanted port. Peel the tape off your skin.
  2. Take the needle out of your needle site. To do this:
    • Hold the base with the 2 fingers of your non-dominant hand (the hand you don’t write with).
    • Gently push the base of the safety hinge against your skin.
      Figure 4. Pulling the textured handle up

      Figure 4. Pulling the textured handle up

    • Firmly pull the textured handle (or wings of the port’s needle) up until you feel a firm stop, a click, or both (see Figure 4). This means that the needle is locked in the safety position (see Figure 5).
      Figure 5. Examples of needle in locked safety position

      Figure 5. Examples of needle in locked safety position

  3. Hold a gauze pad over the needle site and press down until the bleeding stops. Place a bandage (Band-Aid®) over the area where the needle was.

Clean up

  1. Put the needle directly into the heavy plastic container.
  2. Put all dirty supplies (such as the empty syringes, dirty gloves, and used gauze and alcohol pads) in the container with the needle. Close the lid tightly.
  3. Bring the container to your nurse at your next visit. Don’t throw it in the trash.
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Contact Information

If you have any questions or concerns, call your healthcare provider.

Pediatric Service: If you’re calling between 7:00 am and 7:00 pm, call your primary care team. After 7:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the pediatric doctor on call. You can also call InfuSystem clinical support at 800-315-3287 if you have any questions about your pump.

Adult Service: If you have any questions or concerns, call your healthcare provider. You can reach a staff member Monday through Friday from 9:00 am to 5:00 pm. After 5:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the doctor on call for your doctor. You can also call InfuSystem clinical support at 800-315-3287 if you have any questions about your pump.

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