Other Patients | Philips V24CT, V26CT guide

4 Other Patients

This chapter describes the Other Patients function. It includes the following sections:

•	Overview	4-2
•	Philips Patient Care System	4-3

•Using Philips Patient Care System with an Arrhythmia

Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

Other Patients 4-1

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Philips V24CT, V26CT manual Other Patients, Using Philips Patient Care System with an Arrhythmia

Contents

Part Number M1046-9220L Printed 02/2003 PHI Warranty Iii Avoiding Electromagnetic Interference Electromagnetic InterferenceElectromagnetic Compatibility M1205A Only Environment Intended UseDescription Purpose Physiological Purpose Indications for UseCondition Frequency of Use Prescription Versus Over-the-Counter Viii Indications for Use Monitor Setup Monitor Revision → Show SW Rev Manufacturer´s Address Responsibility of the Manufacturer Responsibility of the Manufacturer Xii Contents CMS and V24 and V26 Patient Monitors Getting Started Contents-4 Other Patients Contents-6 Admit/Discharge/End Case Neonatal Event Review Battery Information V24CT and V26CT only 12-1 Contents-10 CMS and V24 and V26 Patient Monitors System IntroductionCMS Patient Monitoring M1167/77A System M1167/77A System with External Alarm Device Full Title Abbreviation M1165/75A and M1166/76A System CMS and V24 and V26 Patient Monitors V24 Patient Monitor Hardkeys ControlPanel Softkeys V24 and V26 Patient Monitor Control Panel CMS Control PanelKey instead CMS only Handheld KeypadKeys Until External Alarm DeviceNormal Functions Hardkey Confirm Key Supply V26CT/V24CT Power SupplyBattery Power Specifications BatteryVolt Parameter Modules Symbol Name Function Which Modules? Symbols to Indicate Key Functions Rack can be used Rack Type Mounting CommentsCMS Patient Monitoring System V24 and V26 Patient Monitor Is displayed if an unknown module is plugged into the rack Message Operating Levels CMS and V24 and V26 Patient Monitors 135/72 Function For information on how to change the selection seeSelection Window Via the Selection Window By pressing the Setup key on the parameter moduleTask There are two ways to get into the second operating level Task Window Getting into the Operating LevelsBelow to get into the Selection and Task Windows Selection Window CMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window Trackball GeneralTouch Mouse Touch Responsive Objects From Items Task Window the Touchboard was accessed from Press Disabling Module CMS Computer ModulesM1046A Computer ECG Output and Defibrillator Marker Input M1046B V24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Performance Requirements Using an ITE DisplaySafety Safety Require Specification Requirement or Value UnitsPerfor Mance Using an ITE Display CMS and V24 and V26 Patient Monitors Getting Started Setting up the Monitor V24 and V26 only Inserted. StartedGetting Getting Started Setting up the Parameter Modules Attaching the Patient V24 AdjustingScreen Contrast Messages Starting Monitoring Task Window the prompt and status messages remain until Below the alarm and Inop messagesReserving a Channel Prompt messages appear for 3 seconds Standby FailureInformation Center Getting Started Getting Started Setting up your Monitor Changing Display Screens CMS or ProcedureSelecting a Screen Press the hardkey Other key except To restart the waves Freezing Waves CMS onlyYou can freeze any wave movement on the screen via Keys. Press What you Can Configure Hardkeys are indicated in the text like this Changes to the Configuration Making Changes to the Main Display Assigning Waves to Screen Channels To place in your selected channel Press Repeatedly to select a channel onScreen Press To move the selection to the wave you want Task Window. The other items on the screen will change Depending on the configuration of the different screensPress To select a screen A-E. The selected Screen choice and its screen label will appear at the top Selecting Screen Labels for Realtime Display Screens Press Confirm Screen Press To choose 4, 6, or 8 waves to be displayed Selecting the Number of WavesDepending on your model Indicate which waves are overlapping Changing the Wave OverlapPress To choose one of the available numbers Dependent on model. The boxes in the middle of the screen Selecting Realtime Wave Speeds To return to To return to the RealtimeSelection window or On/Off Numerics Numeric Positions Aligned Numerics Numeric Sizes Additional Application window to be displayed Selecting an Application WindowThey are described in more detail in the following sections Press Until ApplicWindow is selected on Special Implications for Touch or Mouse Operation Displaying Split Screen Trends Systolic pressure Viewing TrendData for Invasive Blood Data for Non With a thicker line than the other trendsBelow Main Screen Display with oxyCRG OxyCRG Display Main Screen OxyCRGStandard Display OxyCRG Display Monitor CSA Display CMS only Realtime waves Main Screen Standard Display CSA Display Press Until Wave Replace is selected on Wave ReplaceWill be filled with another wave Press To choose fixed or moving traces Trace Mode Configuring a Second Independent Display CMS only Switch this setup off again using On/Off Setup or Other Functions You Can ConfigureParameters On/Off → On/Off Setup Adjusting the Volume Control 135/72 Message will appear with the date and time settings Adjusting the Date and TimeCorresponding softkeys Monitor Selecting Waves for Central Recorders Configuring Module, Bedside and Central Recordings Other Patients Controls Status Log Function Monitor Revision Function Changing Default Settings and Patient Category Changing the Patient Category Adult Neo Inv. Pressure Parameter Patient Category Adult Pedi NeoAdult Pedi Neo Adult Neo Neonate ExamplesAdult Pediatric Setting up your Monitor Morphology NBP RecommendationsECG Recommendations Recommendation Adult bpm Pedi/Neo bpm Heart Rate HR / PulsePressure SpO2 Adult/Pedi Neo CO2 Type, as this is automatically set to or Changing the Configuration Set Configuration Set are displayed Set you require. The universal settings for the selectedTo switch to the selected set Changing Operating Modes Mode Returning to Again Press the softkey Move the highlighting to Enter the password by pressing the appropriate combinationInstrument goes through the boot-up sequence and reverts Password by pressing Test Signals Function Then Procedure Analog Output CMS onlyPress softkey Instrument Configuration Press hardkey MmHg 0.0 kPa 25 rpm Temperature 40C 104F Numeric onlyECG and ECG MmHg 6.0 kPa Parameter Settings Transfer Monitor Message Condition Action required Parameter Settings Transfer Messages Setting up your Monitor Other Patients Using Philips Patient Care System with an Arrhythmia Overview Patients Including alarms and INOPsPhilips Patient Care System Other Incoming Alarm Automatic Alarm Other Patients Multiple Incoming Alarms Other Patients Configuring Other Patients Controls Other Patients Beat Label Meaning Bpm using the Change Limits display Absence of V fib or chaotic signalTachy run limit is adjustable from 3 to Using the Change Limits display. Tachy HR XXX UUU HR XXX LLL AlarmMinimum Condition Required for Alarm On-T VPBs Alarm Minimum Condition Requiring an Alarm Arrhythmia Alarms on the 78720 Arrhythmia Computer Run limit Fibrillatory wave for 4 consecutive secondsTach HR V-Tach HR limit Message Minimum Condition Requiring an Alarm Extended Overview CMS only To View an Extended Other Patients Bed Select the bed, usingExtended Overview Task Window will be displayed When done, select To return to the Main Screen or to To view an Alarming Bed from Alert NotificationAlert Notification Pressed on the source bedside monitor or On the central Alarm Functions Alarm Functions Alarm DisplayControl Panel Alarm Lamps Suspending AlarmsWhat the Symbol Means Suspended Alarms during Arrhythmia Monitoring Silencing and Resetting Alarms Alarm Reminder Alarm Behavior Alarm Reminder Reminder Time New Alarm Recording Full alarm tone Alarm is given Audible alarm Priorities Audible Alarms Viewing Alarm MessagesHardkey Alarm Functions Occurs When an Alarms Selection Window Alarm Setup Adjust the limits Changing Alarm LimitsIf there are more than 10 alarm bars to review, press QRS and the alarm tone volume can be set independently Press Setting Volume Control Call Relay Alarm Reminder Nurse Call Relay Signal Behavior Alarm Functions Recording Functions Plug-In M1116A/B a Channel Bedside General Recorder InformationModel Number Recorder Stop key Controls and Indicators on the Plug- In RecorderContinue light RUN/CONT key Controls and Indicators on the 4- Channel Recorder CMS only Plug-In Recorder M1116A/B Recorder CapabilitiesKey Makes currently printing recording Recorder 1 Makes delayed recordings of waveforms broadcast overCentral station and other monitors in overview mode Central Types of Recordings Delayed Recording Press To select waveform Configuring Delayed RecordingsFor Plug-In and 4-Channel Bedside Recorders Select wave for each channel Press Display To return to the standard monitoring For Central RecordersPress Change Second to select secondary wave To store the selected wave Making Delayed Recordings Alarm Recording Configuring Alarm Recordings Starting at the bottom channel, in the following priority RecordingChannel AlRecType Yellow CO2 alarm would produce a recording ordered asChannel P3 alarm All AlarmRec Recordings can be made during cardiac output measurements Procedure RecordingsConfiguring Procedure Recordings Making Procedure Recordings ST Recordings Procedure Recordings Recording Functions Non-Preset Recordings Preset RecordingsRealtime Wave Recordings Select wave for each channel Configuring Preset Recording ModesChannel Press To give a name to the mode being Configured Modes B and C are configured in the same way If available Making Preset Recordings Making NonTo stop realtime recordings Recordings If the Recorder is Busy Making Calibrated Recording Functions Definitions Realtime Vital Signs / Blood Recordings Recording Functions Recording Functions Recording Functions On the control panel Monitor Setup selection windowTrended Vital Signs Recordings Header Recording Functions Systolic Value has been entered Manually To stop trended vital signs recordings Making Trended Vital Signs Recordings Event Neonatal Event Review RecordingsTabular Neonatal Making a Tabular Neonatal Event Recording OxyCRG Episode Recordings for Neonatal Events Making an oxyCRG Episode Recording OxyCRG Episode Data OxyCRG Recordings Patient Name Current Numerics & Alarms Alarm Recording Code Meaning Additional Information Recording Functions Cal Pulse Where @@@ is the signal value as follows@@@ Recording as many times as needed Delayed and realtime recordings can be extended orChanging Length Display Changing the Recorder Speed Continuing Timed RecordingOn the recorder. The recording runs until you stop it by Pressing On the recorder or Softkey on Layouts SignalInserting a Calibration #11 25 mm Wave1 75 mm 50 mm Wave 3,4 Layout Choices on Recorder M1117A Sector Message Meaning Recording Status Messages Stopped Stopped by pressing On the recorder Recorder door is open load new paperRecorder Or shut the door An actively running recording has been Damaged Accessories and Ordering InformationPhilips’ approval Use only Philips-approved accessories For details Loading Paper To Replace Paper Plug-In Recorder Backwards Recorder stripes Loading Paper into the Four Channel M1117A Recorder CMS only Recording Functions Required Cleaning the Roller on the Four Channel M1117A RecorderStep Equipment Loading Paper Recording Functions Admit/Discharge/End Case Admitting a Patient Admit/Discharge/End Case Admit/Discharge/End Case To clear data Changing Patient Information V24 and V26 only Case ICU Mode Adult/Pediatric ICU Mode Neonatal Or Mode Ending a DischargingCase Endcase.tif Trends and Calculations Introduction to Trends & Calculations Viewing Patient Data Standard Database No. of Parameters Resolution SizeMinute Hours Seconds Extended Database CMS only No. of Parameters Resolution Size Blood Mea TrendingPriority Viewing Calculations Trends Trends and Calculations Yellow Status Monochrome Display Color Display Printout Vital Signs Interval Direction Graph Trends Span Viewing Vital SignsMinute Hour Hours Calculations Trends Trends and Calculations Trends SelectingParameters For Graph Graph Data management configuration and the options purchased Up to five pre-configured screens can be displayed using Calculations Trends Trends and Calculations Mark Examination of the waveforms and calibration signals Procedure to Insert a Calibration Pulse All Pressures Calibration pulse varies according to the wave typeMV square wave Ohm M-shaped wave Left Cardiac Work LCW Performing and Reviewing CalculationsThere are two calculation functions available HemodynamicsVentilation Trends and Calculations Calculation Task Window for Touch Screen Calculation Task Window Trends and Calculations Stores the resampled values at the current time Pressing Keys or Scheduled Printing ReportsPrinting Window Reports To turn the scheduled report capability on or off, press Graph Trends Report David Schultz Vital Signs Report Blood Review Report Not Print What to DoIf Your Report Does Calculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Storage ManualFollowed by Indicated by two or three event bars GraphicalDetails Event Bar Neonatal Event Review Neonatal Event Review Neonatal Event Review Specifically by the user This value represents the most severe value during an event BD = AD =ABD = Example of an Event Summary Line Event Review OxyCRG Selecting anEvent Viewing an Summary Changing RecordingSummary Printing Viewing oxyCRG Episodes Neonatal Event Review Jumps from one oxyCRG episode to the next in both directions Episode Printing an Recording anSelecting Softkey documents the selected oxyCRG Associated oxyCRG episodes Adjusting Neonatal Event Review Settings Criteria SettingsApnea Event Bradycardia Listed under each event group Operating In the Event Setup task window you canSelect items Change the item content Selecting Contents of an item ContentsChanging Item Data Transfer Data Transfer Module CMS Data Symbol Name Function Which Modules? What is Transferred Data Transfer To Module Types of TransferTransfer All Data to Module Data Transfer Data Transfer Transfer Data to the Monitor When aTo Monitor Are automatically erased Data TransferringBlood Analysis Data Transfer Blood AnalysisScenarios CTS Database Combining DataTime Conversion Transfers to the Monitor Data Transfer To the Monitor Vital Signs, Blood Review and GraphsTo the Module When the transfer is finished Indicator of time changeAt calculation time Event Results Troubleshooting Back up Memory Time Performance SpecificationsTransfer Transfer Time Monitor Installation and Patient Safety Philips M1026A Anesthetic Gas Module V24 CMS Acms Ncms Monitor Installation Patient Safety Aution Source Installation Information Do not use a 3-wire to 2-wire adapter with these instruments Earth interconnected with either monitor Monitor Installation Patient Safety Ment Environ Philips M1205A V24, V26, V24C and V26C Care Operating StorageAcms with Anesthetic Gas Module Operating Storage Up to 95% RH at 35C 95F Up to 90% RH at 40ºC 104ºF Condensa- tionPhilips M1205A V24CT and V26CT To 35C 41 to 95F 15 to 40ºC 5 to 104ºF Explanation of Symbols used Monitor Installation Patient Safety Maintenance Frequency Source of Information Maintenance Checks Maintenance Checks Leads CablesFailure and possible health hazards M1046A Computer Module is a component of the M1165A/66A/75A Controls and ConnectorsFollowing diagram Front Rack Connector ECG Output P-p Module Connectors Connectors M1046A Computer Module Front Panel M1046B Computer Module For 100 Connectors M1046B Computer Module Rear Panel M1046A/B Computer Modules Monitor Installation Patient Safety Rear Panel Display Modules M1092A/M1094A Display Module M1094A M1094B Display ModuleControls M1092A Connectors Monitor Installation Patient Safety M1095A M1095A Display Module ControlsDisplay Controls Connectors M1109A External Alarm Device Rear Panel M1109A External Alarm Device ITE display Shown in the following diagramRear M1026A Anesthetic Gas Module Line protection fuses, T1.6 H Anesthetic Gas Exhaust Monitor Installation Patient Safety Lifting the Display Module Connecting the Anesthetic Gas Module V26 Connectors Monitor Installation Patient Safety Assembling V24 V26 78599AI-#J10 78599AI-#J0678599AI-#J20 Monitor Installation Patient Safety Battery Information V24CT and V26CT AC and DC Battery Operation Amber LED Line power for an initial charging cycleAC power is indicated by Green LED indicator Operating Instructions Up to 30-40% Flashing Off Information V26CT Battery V24CT 100 Battery Indicator and Messages Information V26CT Battery V24CT External Battery Charger Battery Care and Maintenance Handling Care 40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger Information V26CT Battery V24CT Maintenance Alcohol General cleaning of the SystemSoaps Ammonias Maintenance Phenol based General Disinfecting of the SystemBased Aldehyde Based Bleach Maintenance Monitor Maintenance Procedure Frequency Source of Information Monitor InspectInspect Exterior Maintenance Perform a System Self Test Performance Assurance Checks Maintenance Check System Self-test Values Module Test Numeric Test Waveform Overview Auto Check None Performing ECG ModuleSelf-Test Module Test Numeric Test Waveform Module Self Performing Invasive Pressure Self-Test None Auto Check None Performing NBP Module Self Test SpO2 Pleth Cardiac Output TcpO2 Malfunction is given refer to the Troubleshooting ChapterTo the normal monitoring mode Performing 25 rpm PressET CO2 40 mmHg 6.0kPa MmHg 0.0kPa Ment Data ManageBase Self Test Tests for VueLink Module and Anesthetic Gas Module Maintenance Index of Volume Page With Data Transfer, 10-6 monitoring network V24 and V24C Patient Monitor getting started, 2-1,3-1