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What This Guide Helps With
Error 111 Pulse dmnd too high indicates the programmed interval infusion requires a delivery rate beyond the pump’s physical capability. This prevents infusion from starting or continuing and may interrupt therapy.
Step-by-Step Troubleshooting
Ensure Patient Safety First
- Remove the pump from active patient use if infusion is interrupted or unreliable
- Transfer infusion to another pump if therapy must continue
- Confirm patient therapy is maintained without interruption
Verify the Reported Error and Behavior
- Power on the pump and confirm Error: 111 Pulse dmnd too high is displayed
- Observe when the error occurs (programming, start, or immediately after entry)
- Check if the error is consistent during interval infusion attempts
Check Infusion Mode and Programming
- Verify the pump is operating in Interval mode
- Review dose or volume per interval
- Review interval timing
- Calculate equivalent mL/hr delivery rate
Reduce Programmed Delivery Demand
- Increase the interval duration
- Decrease the volume per interval
- Switch to continuous mode if clinically appropriate
- Ensure calculated delivery rate is within pump limits
Verify Drug Library / Guardrails Settings
- Confirm correct drug and concentration selection
- Ensure limits are not forcing excessive delivery rates
- Adjust programming if limits are driving unrealistic demands
Inspect Administration Set and Setup
- Ensure correct Baxter-compatible tubing is used
- Verify tubing is properly loaded and aligned
- Check for kinks, occlusions, or resistance
Reattempt Infusion
- Restart infusion after adjustments
- Confirm error does not return
- Verify stable operation
If the Problem Persists
If Error 111 continues after confirming correct programming and setup, external causes have been ruled out.
- Remove the device from service
- Label the device Out of Service
- Send for repair or bench evaluation
Clinical Use Tip
Never troubleshoot an infusion pump while connected to a patient. Always transition the patient to a backup device before making adjustments or attempting to resolve errors.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"Pump displaying Error 111 Pulse dmnd too high when attempting interval infusion."
Cause
What was observed during troubleshooting.
Example:
"Programmed interval delivery required pulse rate exceeding pump capability."
Resolution
What action was taken.
Example:
"Adjusted interval settings to acceptable range or removed device from service for further evaluation."
Helpful Details to Include (If Known)
- Alarm behavior
- Accessories swapped
- Power behavior
- Environmental factors
- Indicator lights
- Final device status
Final Thought
Error 111 Pulse dmnd too high is typically a programming limitation rather than a hardware failure. Always verify infusion parameters first, but escalate appropriately when the device cannot meet expected delivery requirements.
That is successful troubleshooting.