Module 7 Transcript

[MODULE 7—Troubleshooting]

AudioVideo
(music)
Voiceover: Welcome to module 7 of the Caninsulin VetPen training course. This module will guide you through some common issues that you may experience while using VetPen and help you use it correctly.
(visual: VetPen, perhaps with cartridge separately)
(superimposed logo)Caninsulin® VetPen®
(superimposed copy)Caninsulin® VetPen® Training
Module 7: Troubleshooting
Voiceover: Always start by confirming that air was properly removed from the cartridge during priming. Inadequate removal of air can create multiple issues that result in the pet receiving too much or too little insulin. 
Priming is complete when no air bubbles are seen in the cartridge window as VetPen is turned upside down and insulin from the test dose drips actively or squirts out of the needle.
If it has been confirmed that air has been properly removed from the cartridge, you can go on to review other potential issues.
(superimposed copy)Always check to see if the cartridge was primed before going any further (video—demonstration: priming technique to display a cartridge free from air bubbles)
Voiceover: The first issue we will examine is that insulin drips actively from the needle after injection. This may indicate that the needle may have been removed from the skin before the injection was complete.
If small drops of insulin are seen dripping actively from the needle after injection, the pet should not be given another dose until the next dose is scheduled because it is not possible to know how much of the insulin dose was missed.
To make sure the pet receives the selected dose, press the release button down fully and hold until the arrow points to the start line on the dose selector. Then, keep the needle under the skin for at least 5 seconds to allow the selected dose to be injected into the pet.
(superimposed copy)Insulin drips actively from the needle after injection
Likely cause: The needle has been removed before the injection was complete  (video—demonstration: correct injection technique with count to 5)
Voiceover: The second common issue we will review occurs when the dose selector does not return to the start line. There are 4 likely reasons for this.
Reason 1 is that the release button is not pushed down sufficiently. This can sometimes prevent the VetPen from being fully activated. Be sure the release button is pushed down fully straight toward the needle during each injection so that the dose selector can rotate back to the start line.
(superimposed copy)Dose selector does not return to the start line
1. Release button not pushed sufficiently 
(video—demonstration: proper injection technique in pushing the release button)
Voiceover: Reason 2 is that the dose selector may be held too tightly, which prevents it from fully rotating back to the start line. Hold the VetPen like a pen so that the dose selector is able to rotate freely after the release button has been completely depressed.(superimposed copy) Dose selector does not return to the start line
2. Dose selector may be held too tightly  
(video—demonstration: proper injection technique in keeping hand loose overdose dial)
Voiceover: Reason 3: The needle could be blocked. It is important to use a new needle for each injection for hygiene and safety reasons. Also, a used needle could be blunt or bent, which may cause discomfort. (superimposed copy) Dose selector does not return to the start line
3. Needle is blocked  
(video—demonstration: attaching a new needle; removing used needle)
Voiceover: Reason 4 that may keep the dose selector from returning to the start line is that there was not enough insulin in the cartridge for the pet’s full dose.
If there is not enough insulin in the cartridge to complete an injection, you can tell how many units of the pet’s dose were not given by looking at the number where the dial stopped. The pet may need to be given the remainder of the dose. If so, write the number on the dial down.
A new cartridge should be put in and the VetPen should be primed and prepared for use. Then, the dose selector should be turned to the number written down, and the pet may be injected as usual.
(superimposed copy) Dose selector does not return to the start line
4. Not enough insulin in the cartridge  
(video—demonstration: replacing cartridge)
Voiceover: Another common issue that may be encountered is that no insulin drips actively or squirts from the needle after priming a cartridge or preparing VetPen for use. There are 2 possible causes for this. The first is a blocked needle.
As previously mentioned, a blocked needle may be fixed by simply replacing it with a new needle. Always remember to use a new needle for each injection.
(superimposed copy)Insulin does not drip actively or squirt from the needle 
1. The needle is blocked (video—demonstration: footage from current administration video)
Voiceover: The second reason that insulin does not drip actively or squirt out of the needle after priming or preparation for use is that the cartridge plunger may be stuck.  
To solve this problem, place the outer protective cap back on the needle.
Unscrew the cartridge holder.
Slide the release button towards the internal plunger and hold it in place until the start line on the dose selector returns to the arrow on the pen body.
Next, dial 2 units on the dose selector without screwing the VetPen back together. Push and hold down the release button towards the internal plunger until the arrow points to the start line.
Without rewinding the internal plunger, screw the cartridge holder and the VetPen body back together gently but firmly. 
This should release the cartridge plunger and expel some of the insulin. 
(superimposed copy)Insulin does not drip actively or squirt from the needle 
2. The cartridge plunger is stuck   (video—demonstration: footage from current administration video)
Voiceover: When dosing, 2 common situations may occur: there is not enough insulin in the cartridge to complete an injection or too high a dose has been selected. 
If there is not enough insulin in the cartridge, the pet’s remaining dose may need to be given. Refer back to the steps we covered for giving the pet the remainder of the dose.
(superimposed copy)Dosing issues
1. Not enough insulin to complete an injection

Voiceover: If too high a dose has been selected, do not to try to turn the dial back to a lower dose. This can damage or break the VetPen. The dose selector is designed to turn from low to high numbers, but cannot be turned back from high to low numbers. If too high a dose has been selected, the insulin should be released through the needle into a tissue or swab by pressing the release button. Then the correct dose can be selected.(superimposed copy)Dosing issues
2. Too high a dose has been selected 
Do not turn the dose selector back Release the insulin and select a new dose

Voiceover: This concludes module 7 of the Caninsulin VetPen training course. You now know how to address common issues while using VetPen.
You can now continue on to module 8, which will cover the safety and storage of VetPen. 
(visuals: lifestyle photos for VetPen library)
(on-screen text)Continue on to Module 8: Safety and storage
(superimposed logo)Caninsulin® VetPen®
Music fades(superimposed logo)MSD Animal Health
(superimposed copy)Copyright © 2013 Intervet International B.V., a subsidiary of Merck & Co., Inc. All rights reserved.