Curlin Medical 4000 CMS

Pump
Rongna Sun
Crystal Thomas
Kristina Woehler
Stephanie Wood
University of Texas at Tyler
NURS 5327.060

 Course Topic: Curlin Medical 4000 CMS Pump

Course Title: Using Curlin Medical 4000 CMS
Pump in the home setting
Education Outcome: Continuing education units
for RNs to maintain license
Education Program Philosophy: To equip
missionary nurse to meet needs across cultures

Course Description
The basics of using a Curlin Medical
4000 CMS Pump: delivery modes,
programming, inserting an IV line, LED
indicator lights and alarms/alerts

Learner Analysis
Who are the learners: registered nurses,
novice or experienced.
What do they know: they know how to
administer IV infusion, but do or do not
have experience with using this type of
infusion pump.

Student Learning Outcomes (SLO):

After completion of this course, students will be able to:
1. Able to identify when to use and how to set up Curlin
Medical 4000 CMS pump
2. Able to program Medical 4000 CMS pump according to the
prescription
3. Able to identify meanings of the indication lights
4. Able to troubleshoot according to alarms/alerts

Teaching/Learning Strategies
Watch online video presentation of CMS 4000
pump
PowerPoint presentation on correct use of CMS
4000 pump
Work in small groups to correctly demonstrate use
of the CMS 4000 pump

Online Video Presentation of CMS

4000 pump
https://www.youtube.com/watch?v=c0BGbB82Fyc
https://www.youtube.com/watch?v=O_IItHva8hg

Course Content on PowerPoint

Introduction of Curlin Medical 4000 CMS
Pump
Delivery modes
Insertion of IV tubing
Programming the pump
LED Indicator Lights
Alarms/Alerts

Curlin Medical 4000 CMS Pump

Picture retrieved from (MedWrench, 2016)

Curlin Medical 4000 CMS Pump

Lightweight and portable IV infusion pump
Functions using batteries (2 size C batteries) or an external power
source
Operates in any position (does not have to be kept on IV pole or
upright to function appropriately)
Retains in memory the infusion settings as programmed by the
clinician, unless the program has been cleared
The outside of pump can be cleaned with soap and warm water (do
not submerge in water), alcohol, a bleach and water mixture, or
household cleaner (not sprayed directly onto pump)
This pump is often used in home health with the patient/family
member being the primary operator

Delivery Modes
1. Continuous Infusion allows a constant, programmed rate of infusion
2. PCA or Patient Controlled Analgesia allows a continuous rate of
infusion, patient-controlled demand boluses, or both
3. TPN with Automatic Ramping - allows a level rate of infusion of total
parenteral nutritional products with the option of tapering at the
beginning, end, or both beginning and end of the infusion
4. Intermittent Delivery allows programmed intervals and rates of
specified amounts of IV fluids and to optionally deliver small amounts of
the IV fluids between doses to keep the patients access site patent
5. Variable Program - allows varying amounts, rates, and times of delivery
of infusions up to twenty-four specified programs

CMS 4000 IV PUMP

Picture from Curlin Medical (2004)

Insertion of IV tubing

Picture from Curlin Medical (2004)

Programming the pump

1. Turn pump on by pressing on/off button
2. Select therapy on the display screen to set therapy
delivery mode
3. Select new program on the display screen
4. Enter required information as indicated on display screen,
per therapy delivery mode selected (may include units,
concentration, delay-will ask for start time, titrate, bag
volume, amount to be infused, rate, time-to complete
infusion, KVO rate)
5. Press yes/enter button to accept the settings

Programming the pump (continued)

6. Connect IV infusion tubing to pump
7. Choose prime option by pressing prime/bolus button in order to
fill the line with IV fluids (hold the button down to prime the line
when not connected to the patient, release button once fluid has
reached the end of the IV tubing and no air remains in the line)
8. Connect end of IV tubing to the patients access site (follow proper
sterile techniques per facility policies and access type)
9. Select run on the display screen to start the infusion (may select
no to review settings or options to set other features)
10. Infusion can be paused at any time by pressing the run/pause
button; when ready to resume the infusion, select resume on the
display screen

Programing the pump (continued)

If pump is already programmed with therapy prescription and
no changes are needed, turn on the pump and have IV fluids
with infusion tubing attached and primed, then choose the
option of repeat RX on the display screen. Then you can
connect to patients access and start the infusion.

LED Indicator Lights

The pump features an LED light with three colors to display to
indicate the pump status (Curlin Medical, 2004):

Green light pump is running; light will blink

approximately every 3 seconds during the infusion
Yellow light pump is paused or in standby mode; light
will blink approximately every 3 seconds while pump is
paused
Red light pump has stopped or there is an alarm;
light will blink approximately every 3 seconds

LED Indicator Lights (continued)

Green and red lights together pump has completed
infusion and is set with KVO or a Down Occlusion Alarm with
automatic restart has occurred
Yellow and green lights together pump is in standby mode
with automatic start set (this may occur during a delay start
with a 0 KVO (keep vein open) programmed or in PCA
during a 0 basal rate and bolus only programmed

Alarms/Alerts
Common alarms/alerts and how to correct these issues:
Air in line prime line to release any air
Door open or set not properly installed check the
placement of the IV tubing set within the pump and readjust
as needed
Low batteries replace batteries or connect to external
power source

Alarms/Alerts (continued)
Alarm down occlusion check for any possible occlusions
between pump and patient (clamp in place, kinks in line, etc.)
Alarm up occlusion check for any possible occlusions
between IV medication bag and pump
Infusion complete the set infusion has completed, turn off
pump and disconnect from patient

Assessment

References
Curlin Medical. (2004). Users manual for use with the 4000
plustm and cmstm ambulatory infusion systems. Retrieved
from http://prnrents.com/manuals/Curlin-4000-User-Manual.pdf
MedWrench. (2016). Curan medical 4000 cms pump. Retrieved
from http://www.medwrench.com/?equipment.view/equipmentNo
/750/Curlin-Medical/4000-CMS /
MOOG Medical Devices Group. (2011). Curlin 4000 cms (1 of 2) [Video
file]. Retrieved from
https://www.youtube.com/watch?v=c0BGbB82Fyc
MOOG Medical Devices Group. (2011). Curlin 4000 CMS (2 of 2) [Video
file]. Retrieved from
https://www.youtube.com/watch?v=O_IItHva8hg