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What This Guide Helps With
This guide helps troubleshoot the Stop mode reminder alarm on the ICU Medical CADD-Solis infusion pump. This alarm indicates that the pump is stopped and may not be delivering therapy. The manual lists this as a high-priority alarm, while administrator settings may allow the stopped pump alarm to be configured as informational or high priority depending on facility setup.
Because the pump may not be actively infusing while this alarm is present, clinical staff should verify whether therapy was intentionally stopped and whether restarting therapy is appropriate.
Step-by-Step Troubleshooting
Ensure Patient Safety First
- Do not silence or clear the alarm without confirming the patient’s therapy status.
- Check whether the patient is supposed to be receiving an active infusion.
- If therapy is required, notify clinical staff immediately that the pump is stopped.
- Use a backup pump or alternate approved therapy method if medication delivery cannot be safely resumed.
Confirm the Pump Is Actually in Stop Mode
- Look at the pump display and confirm the reported alarm is Stop mode reminder.
- Verify whether the pump is stopped, paused, or waiting for user action.
- Ask the clinical user whether the pump was intentionally stopped for medication change, patient transfer, line access, programming review, or end of therapy.
- Do not assume the alarm is a pump failure until the stop condition is confirmed.
Verify Whether Therapy Should Be Running
- Confirm the ordered therapy and current clinical plan with the nurse or authorized clinician.
- Check whether the infusion was intentionally stopped because therapy was complete, held, discontinued, or pending verification.
- If the pump was stopped unintentionally, have clinical staff verify the medication, dose, route, concentration, volume, rate, and program before restarting.
- Restart therapy only if clinically appropriate and the programmed settings are verified.
Check the Administration Set and External Setup
- Inspect the tubing path, cassette connection, clamps, and medication container.
- Confirm the line is not clamped, disconnected, kinked, empty, or removed from the patient.
- Verify the cassette is properly attached and the pump door or cassette latch is secure.
- Correct any obvious external setup issue before restarting therapy.
Review Alarm Priority and Facility Configuration
- Be aware that administrator settings may allow the stopped pump alarm to be configured as informational or high priority.
- If staff report that the alarm priority seems different from expected, compare the behavior against facility policy and pump configuration standards.
- Do not change administrator settings unless authorized by facility policy.
- If alarm configuration appears incorrect, escalate to the appropriate pump administrator, pharmacy, infusion safety team, or clinical engineering lead.
Confirm Normal Operation After Restart
- After clinical staff restart therapy, confirm the Stop mode reminder alarm clears.
- Verify the pump display shows the expected running status.
- Confirm there are no additional alarms, such as occlusion, air-in-line, cassette, battery, or reservoir-related alarms.
- Have the clinical user monitor the pump briefly to confirm therapy continues as expected.
If the Problem Persists
If the Stop mode reminder alarm remains active after therapy status, programming, cassette setup, tubing, clamps, and external conditions have been checked, remove the infusion pump from service.
Label the pump Out of Service and send it for repair or bench evaluation. Document that external causes were ruled out, including user stop status, therapy verification, tubing setup, cassette connection, and alarm behavior.
Clinical Use Tip
Never troubleshoot an infusion pump on an active patient in a way that could interrupt medication delivery or delay care. Move the patient to a backup pump or approved alternate delivery method first if therapy must continue.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"ICU Medical CADD-Solis pump alarming Stop mode reminder and therapy was not running."
Cause
What was observed during troubleshooting.
Example:
"Pump was found in stop mode. Program and external setup were reviewed with clinical staff. Alarm cleared after therapy was restarted by authorized staff."
Resolution
What action was taken.
Example:
"Confirmed pump operation after restart. Verified no additional alarms were present. Pump remained in service after clinical staff confirmed therapy and settings were appropriate."
Helpful Details to Include (If Known)
- Alarm behavior
- Accessories swapped
- Power behavior
- Environmental factors
- Indicator lights
- Final device status
Final Thought
A Stop mode reminder should be treated as a therapy status alarm first, not just a device nuisance. Confirm whether the pump is intentionally stopped, verify the therapy plan, check the external setup, and restart therapy only when clinically appropriate. If the alarm does not clear or the pump does not behave normally, remove it from service and document the findings clearly.
That is successful troubleshooting.