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What This Guide Helps With
Error 20 during priming causing failure to detect stopcock position, preventing proper priming and delaying enteral feeding.
Step-by-Step Troubleshooting
Ensure Patient Safety First
- Remove the pump from patient use if actively infusing
- Transition to an alternate feeding method or backup pump
- Confirm patient nutrition delivery is maintained
Verify the Reported Error and Behavior
- Power on the pump and attempt to prime the set
- Confirm Error 20 appears during priming
- Observe if the pump stops or fails to advance the set
- Note any abnormal sounds or lack of movement
Re-Prime the Feeding Set
- Remove the current set from the pump
- Reinstall the set carefully following proper routing
- Restart the priming process
Inspect the Pump Set for Issues
- Check for kinks, twists, or improper loading
- Inspect cassette or segment for damage or deformity
- Ensure correct Kangaroo ePump set is being used
Check for Obstructions or Improper Seating
- Open the pump door and inspect the internal channel
- Ensure tubing is fully seated in the track
- Remove any debris or buildup
Power Cycle the Pump
- Turn the pump off
- Wait 10–15 seconds
- Restart and attempt priming again
Try a New Feeding Set
- Replace with a new, unused Kangaroo ePump set
- Attempt priming again
If the Problem Persists
If Error 20 continues after re-priming, verifying setup, and replacing the feeding set, external causes have been ruled out and the issue likely indicates an internal mechanical or position-sensing failure.
- Remove the device from service
- Label as Out of Service
- Send for repair or bench evaluation
Clinical Use Tip
Never troubleshoot priming errors on an active patient. Always transition the patient to a backup feeding pump before performing troubleshooting steps.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"Pump displaying Error 20 during priming; unable to initiate feeding."
Cause
What was observed during troubleshooting.
Example:
"Stopcock flush position not detected despite proper setup and new pump set; likely internal positioning failure."
Resolution
What action was taken.
Example:
"Re-primed system, verified tubing placement, replaced feeding set. Error persisted. Removed from service and sent for repair."
Helpful Details to Include (If Known)
- Alarm behavior
- Accessories swapped
- Power behavior
- Environmental factors
- Indicator lights
- Final device status
Final Thought
Error 20 is most commonly caused by setup or feeding set issues, but persistent failures indicate internal positioning or sensing problems. Always rule out external causes first and ensure uninterrupted patient feeding.
That is successful troubleshooting.