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NAME

EC NO
DEPT
TRAINING EVALUATION FORM

EQUIPMENT NAME : INFUSION PUMPS

Q.1 What is meant by VTBI?


A). Vertical tension bolus infusion
B). Volume to be infused

Q.2 What are the modes in an infusion pump?


1. Rate mode
2. Time volume mode
3. Dosage weight mode

Q.3 What is the most commonly used mode of drug delivery in an infusion pump?
Time volume mode

Q.4 Which buttons can be used to give bolus dose of a drug in an infusion pump?

Bolus can begiven by long pressing start/ bolus button

Q.5 What are the different type of IV sets used?

Marks obtained: Evaluated by:

Based on the evaluation, Trainee is Qualified/ not qualified

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