® On Q Pain Pump ® Pain Pump is a device that is inserted during some surgeries to help An On Q ® control pain as you recover. The On Q ball (disposable pain pump) is filled with local anesthetic (numbing medicine) at one end of the device and tubing. This is attached to a thinner tube called a catheter. The tip of the catheter is inside your body near your surgery site. ® The On Q automatically delivers pain medicine very slowly. This medicine numbs the nerves near your incision so you feel less pain. The medicine flows at a rate ordered by your doctor. The pump will last 2 to 5 days. You will not see a fluid line in the ball or the medicine moving through the tubing. You may notice the outside bag on the ball getting looser with wrinkles over time. The ball will slowly become smaller. While you do not need to adjust the pump*, there are some things you should do:  Make sure the clamp is open and there are no kinks in the tubing.  Make sure the lower part of the tubing with the flow restrictor is next to your skin.  Do not place tape over the filter or remove any tape.  If you are using ice or cold packs, place them away from the lower part of the pump tubing. * If you have an On Q pump with ONDEMAND™ or with Select-A-Flow©, you will receive further instructions on how to operate it. If you go home with the On Q pump in place, check the site each day. Call your doctor if you have:  Redness, pain, swelling or a large bruise around the catheter site.  A lot of bleeding from the catheter site.  Questions or concerns about the catheter site. 1 Do not take a tub bath while the pump is in. If you are allowed to shower, cover it with plastic wrap and tape in place to keep it dry. When all of the medicine has been given, the outside bag will be flat and a hard tube can be felt in the middle of the ball. If you have been told to remove the pump when the medicine is gone, follow these steps: 1. Wash your hands with soap and warm water for at least 15 seconds. Rinse and dry with a clean towel. 2. Gently remove the clear dressing by peeling it back from the edge. 3. Loosen the small strips of tape over the tubing. 4. Hold the tube close to the skin and gently pull using a steady motion to remove.  The tube should come out easily. If it is hard to remove or starts to stretch, stop and call your doctor right away.  The end of the tube should have a colored tip so you know that it is all out. If the end of the tube does not have a colored tip, call your doctor right away. 5. Place a band aid or small bandage over the site where the tube was removed. 6. If bleeding occurs, apply pressure for at least 2 minutes. If bleeding continues, maintain pressure and call your doctor. 7. Throw the tube, pump and dressing into a trash bag. 8. Wash your hands again with warm water and soap. Rinse and towel dry.  Call your doctor with any questions or concerns.  You can also contact the 24-Hour Patient Hotline at 800-444-2728 or visit myON-Q.com. Dev. 7/08, Rev. 4/10, 4/11, 9/11 \\Mcehemcshare\netit patient education$\Mount Carmel Handouts\Surgery\On Q Pain Pump.doc ©Mount Carmel 2011 2
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