# # # issue - the bed's wooden guardrail is adjustable. # # # impact - the patient may fall out of bed if the guardrail is not properly adjusted. # # # possible causes - the wooden guardrail is broken. - the mechanism that adjusts the wooden guardrail is broken. - the bed is not properly assembled. # # # recommendations - inspect the wooden guardrail for damage. - inspect the mechanism that adjusts the wooden guardrail for damage. - ensure that the bed is properly assembled. - replace the broken wooden guardrail. - repair the broken mechanism that adjusts the wooden guardrail. @topic:6


# # # issue - the bed does not adjust properly and tilts after adjustment. # # # impact - the bed is not able to be used safely for patient care. # # # possible causes - the gearbox is not properly lubricated. - the motor is not functioning properly. - the control board is not sending the correct signals to the motor. - the bed frame is damaged. # # # recommendations - the gearbox should be lubricated. - the motor should be replaced or repaired. - the control board should be replaced or repaired. - the bed frame should be inspected for damage and repaired or replaced if necessary. @topic:1


# # # issue the sensor box is not connecting to the nim machine. # # # impact the patient's vital signs cannot be monitored accurately. # # # possible causes - the sensor box is not properly connected to the nim machine. - the sensor box is defective. - the nim machine is defective. - the software on the nim machine is not up - to - date. # # # recommendations 1. check that the sensor box is properly connected to the nim machine. 2. if the sensor box is properly connected, replace the sensor box. 3. if replacing the sensor box does not solve the problem, replace the nim machine. 4. if replacing the nim machine does not solve the problem, update the software on the nim machine. @topic:20


* * issue : * * * lock wheels are not tight. * * impact : * * * the bed may move unexpectedly, posing a safety hazard to patients and staff. * * possible causes : * * * * * insufficient torque : * * the lock wheels were not tightened with enough force. * * * loose bolts : * * the bolts securing the lock wheels have come loose. * * * damaged threads : * * the threads on the bolts or lock wheels are stripped or damaged. * * * improper assembly : * * the lock wheels were not assembled correctly or the bolts were not properly aligned. * * recommendations : * * * * * inspect the lock wheels and bolts : * * ensure that the wheels are properly attached and that the bolts are tight. * * * tighten the bolts using a torque wrench : * * apply the correct torque specified by the manufacturer to ensure the bolts are secure. * * * replace damaged components : * * if the bolts or lock wheels are damaged, replace them with new ones. * * * train staff on proper assembly : * * provide training to ensure that biomedical engineers and other personnel know how to assemble and tighten lock wheels properly. @topic:6


# # # issue the remote control for the electric bed is not working. # # # impact the bed cannot be adjusted, which can make it difficult for the patient to get in and out of bed, or to be comfortable while in bed. # # # possible causes - the remote control is not properly connected to the bed. - the batteries in the remote control are dead. - the remote control is damaged. # # # recommendations - check that the remote control is properly connected to the bed. - replace the batteries in the remote control. - if the remote control is damaged, it will need to be replaced. @topic:7


. 0 st - v3 rr 2. 0 t - v4 apnea time 20 sec 2. 02. 0 70 st - v5 bis 2. 020. 0 st - ve tcor36. 0 34. 95 39. 0 9p02 takin 36. 0 20 [UNK] pulse in№2 62 nbre in№20 0 21 0. 55 abps tiso 60 - 2. 00 20 pulsnis1 0. 45 pard tsev 60 120 pulsnsev 50 - philips page 1 ( last ) measurement labels, with alarms off symbol where alarms are switched off 1 2 graphic view of current alarm limits in relation to currently monitored measurement value 377 29 printing patient reports ealtime reporbed1 jones, bob 12345678 realtime report 7 mar 13 16 : 43 : 54 ate of birth : 4 feb 1963 patient cat : adult paced mode : off gender : male weight : 80. 0 kg bsa : 1. 98 m2 age : 50 years eight : 178 on 100 / 66 ( 74 ) g от 376 mec qt - hr 60 bpm hr low nbp от 7 mar 13 16 : 03 0 bp92 110 / 80 ( 91 ) hr art br sp02 2 0 / min pulse 59 bpm perf 16. 9 0 гpvc 376 seсте 16. 9 < - 49 msedote ii hahahahahrtruth bandwidth 0. 5 - 40 2 son - paced 10mm / 25mm / sec art [ mallgམ ་ [UNK] art [ mallg ] 3 es6. 25mm / sec general hospital philips age 1 ( la1 patient demographic information, time stamp active alarms and inops, followed by vital signs measurement waves section 2 3 ardiac output repormonitor 1 bob jones 12345678 apr 02 15 : @topic:8


# # # issue - loose bed rails # # # impact - patient safety hazard as the bed rails may not provide adequate protection against falls. # # # possible causes - n / a ( not provided in the input ) # # # recommendations - tighten the bolts securing the bed rails to the bed frame. - inspect the bed rails periodically for signs of wear or damage. - replace the bed rails if they are damaged. - train staff on the proper use and maintenance of bed rails. @topic:6


# # # issue - the bed's side rails are not locking properly. # # # impact - the patient may fall out of bed and injure themselves. # # # possible causes - the locking mechanism is faulty. - the side rails are not properly aligned. - the bed frame is damaged. # # # recommendations - check the locking mechanism and make sure it is working properly. - make sure the side rails are properly aligned. - inspect the bed frame for damage. @topic:6


# # # issue - inability to raise the bed # # # impact - patient discomfort and immobility - difficulty performing nursing tasks # # # possible causes - malfunctioning control panel - electrical fault - mechanical failure # # # recommendations - verify the functionality of the control panel buttons. - check electrical connections and ensure proper grounding. - inspect mechanical components for damage or wear. - consult the manufacturer's service manual for specific troubleshooting steps. @topic:1


docking station perform docking station performance tests and safety test blocks. ( monitor must be on docking station ). repair service event test blocks required ( when performing...... complete these tests ) repairs of m3015a perform power on and m3015a tests repairs where the monitor has been damaged by impact perform power on and safety ( 2 ) and ( 3 ) test blocks repairs where the unit has been opened ( front and back separated ) perform power on and safety ( 2 ) test block all other intellivue monitoring system repairs perform power on test block repairs of intellivue instrument telemetry ( iit ) module perform power on and safety test blocks and iit communication test repairs of the docking station perform docking station performance tests and safety test blocks. monitor must be on docking station. preventive maintenance perform preventive maintenance tests and procedures : • nbp calibration 39 3 testing and maintenance preventive maintenance procedures • microstream c0 2 calibration • pump and scrubber replacement. performance verification perform all safety, accuracy and performance test procedures listed in the following sections. if a particular measurement is in question, perform the measurement performance test only. upgrades service event ( when performing... test blocks required... complete these tests ) software upgrades perform power on test block unless otherwise specified in the upgrade installation notes shipped with the upgrade. hardware upgrades where the unit is not opened up ( i. e. system interface and i / o board upgrades ) perform power on test block unless otherwise specified in the upgrade installation notes shipped with the upgrade. hardware upgrades where the unit is opened up perform power on test block and safety ( 2 ) test block hardware upgrades where intellivue instrument telemetry ( iit ) is installed perform power on and safety test blocks and iit communication test hardware upgrades where intellivue 802. 11 bedside adapter is installed perform @topic:10


# # # issue - bed is not able to adjust. # # # impact - patient discomfort and potential for harm. - decreased efficiency of healthcare providers. # # # possible causes - motor failure - control system failure - mechanical obstruction - power supply issue - software glitch # # # recommendations - check motor for proper operation and replace if necessary. - inspect control system for loose connections or damaged components. - remove any mechanical obstructions that may be preventing adjustment. - ensure that the power supply is adequate and the device is properly plugged in. - update software or perform a system reset to address any glitches. @topic:1


# # # issue - mindray monitor beneview t1 is showing a spo2 sensor error message on its display. # # # impact - the monitor is unable to accurately measure the patient's oxygen saturation levels. # # # possible causes - the spo2 sensor cable is damaged or faulty. - the spo2 sensor is not properly connected to the monitor or the patient. - the monitor's software or firmware is malfunctioning. # # # recommendations - replace the spo2 sensor cable. - ensure that the spo2 sensor is properly connected to the monitor and the patient. - update the monitor's software or firmware if necessary. @topic:4


# # # issue - medical equipment ( bedside physiologic monitor ) is not functioning properly. # # # impact - the medical equipment is not able to provide accurate patient monitoring, which could lead to missed diagnoses or improper treatment. # # # possible causes - the battery is loose or not properly connected. - the battery is not charging properly. - the battery is defective. # # # recommendations - check the battery connections and ensure that the battery is properly seated. - charge the battery for the recommended amount of time. - if the battery still does not charge or hold a charge, replace the battery. @topic:11


# # # issue - equipment : blood pressure monitor - band : ge healthcare - model : dinamap procare 100 - description : the cuff is worn and the joints are loose. the cuff has been replaced. running the test is normal. test ok but the blood pressure monitor will not release when squeezed. # # # impact - the blood pressure monitor cannot be used to measure blood pressure. # # # possible causes - the pressure relief valve is faulty. - the air hose is kinked or blocked. - the cuff is not properly connected to the monitor. # # # recommendations - check the pressure relief valve and replace it if necessary. - check the air hose for kinks or blockages and replace it if necessary. - make sure the cuff is properly connected to the monitor. @topic:14


# # # issue * cuff leak # # # impact * inaccurate blood pressure readings * patient discomfort * delays in patient care # # # possible causes * damaged cuff * loose cuff connection * improper cuff size * worn or aging cuff material # # # recommendations * replace the cuff with a new one. * ensure that the cuff is properly connected to the monitor. * choose the appropriate cuff size for the patient's arm circumference. * regularly inspect the cuff for signs of wear or damage. @topic:3


# # # issue - broken wire # # # impact - equipment malfunction # # # possible causes - normal wear and tear - accidental damage - manufacturing defect # # # recommendations - inspect wires regularly for signs of damage - handle equipment with care - contact the manufacturer for warranty repairs or replacements @topic:12


line lists the probable cause of an unsuccessful zero : message corrective action the hardware is faulty. contact your service personnel. unable to zero - equipment malfunction unable to zero offset make sure the transducer is vented to air and try again. if this fails, the hardware may be faulty. replace the adapter cable and try again. if it fails, replace the transducer and try again. if it still fails, contact your service personnel. - - unable to zero unstable signal - unable to zero - no transducer make sure that the transducer is connected and try again. if this fails, exchange the adapter cable and try again. if this fails, exchange the ransducer. unable to zero - pulsatile pressure make sure that the transducer is vented to air, not to the patient, and try pressing the zero hardkey or zero < press label > key again. ithis fails, replace the transducer and adapter cable and contact your service personnel. imed ouunable to zero - switch on first pressure measurement is switched off. to switch it on, in the setup < press label > menu, select the pressure's label. 216 each time you use a reusable transducer, compare the calibration factor written on your transducer with the calibration factor shown on the monitor. to ensure accurate measurement, they must be the same. in the setup < press label > menu, select cal. factor. 1 if the value here does not match that on the transducer, select the corresponding value from the list now in accordance with your hospital's procedure. to confirm you want to use the new calibration factor, select the confirm pop - up key. 2 use this when you want to see only the mean pressure. in the pressure's setup menu, select mean only @topic:17


# # # issue - cuff for the bedside physiologic monitor malfunctioned and had to be replaced. # # # impact - the bedside physiologic monitor was not able to accurately measure patient vital signs, which could have led to delayed or inaccurate treatment. # # # possible causes - normal wear and tear over time - improper storage or handling of the cuff - exposure to extreme temperatures or humidity - physical damage to the cuff # # # recommendations - regularly inspect and maintain the cuff to ensure it is in good condition. - replace the cuff when it shows signs of wear or damage. - store and handle the cuff according to the manufacturer's instructions. - protect the cuff from exposure to extreme temperatures or humidity. @topic:5


# # # issue - broken keypad cable on a hill - rom care assist es bed # # # impact - impairs the ability to adjust the bed # # # possible causes - physical damage to the cable, such as pinching or cutting - wear and tear over time - faulty installation or manufacturing defect # # # recommendations - replace the broken keypad cable - inspect the surrounding area for any other damage or potential hazards - ensure proper installation and handling of the bed to prevent future cable damage @topic:25


, alarms limits, nbp alarm source, nbp repeat time, temperature unit ( °f or °c ), pressure unit ( mmhg or kpa ). onitor settings. each profile can have a choice of different predefined monitor settings. these relate to the monitor as a whole ; for example, display brightness, alarms off / paused, alarm volume, qrs tone volume, tone modulation, prompt tone volume, wave speed, resp wave speed, pulse source. 39 1 introduction you can change from one complete profile to another or swap individual settings blocks ( display / monitor settings / measurement settings ) to change a subset of a profile. changes you make to any element within the settings blocks are not saved when you discharge the patient, unless you save them ode. depending on your monitor configuration, when you switch on or discharge a patient the monitor either continues with the previous profile, or resets to the default profile configured for that monitor. warning if you switch to a different profile, the patient category and paced status normally change to the setting specified in the new profile. however some profiles may be set up to leave the patient category and paced status unchanged. always check the patient category, paced status, and all alarms and settings, when you change profiles.. if if if your monitor is configured to show the profile name in the info line at the top of the screen, be aware that individual settings may have been changed by other users or by settings synchronization since the profile was loaded. hence settings may be different than implied by the profile name. you leave demonstration mode, the monitor uses the default profile. when select profiles in the monitor info line, or select the profiles smartkey. 1 select the profile details pop - up key2 in the profiles menu, select profile. 3 choose a profile from the pop - up list. 4 confirm your selection. 5 select the profile in @topic:10


# # # issue the philips suresigns vs2 + monitor is failing due to a faulty cuff. # # # impact the monitor cannot accurately measure vital signs, such as blood pressure, heart rate, and oxygen saturation. this can lead to incorrect treatment decisions and patient harm. # # # possible causes the cuff may be : - torn or damaged - leaking air - the wrong size for the patient # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - inspect the cuff regularly for damage. @topic:15


connex spot monitor : a welch allyn device that supports nibp ; temperature ( suretemp plus and braun ) ; spo2 ( nellcor ; masimo, and nonin ) ; weight, height, and bmi ; pain ; and other configured parameters. domain component - in ldap servers and active directory, a dotted domain name is split into domain components that form " dc = component " pairs separated by commas. example : ad. welchallyn. com in an ad server will be " dc = ad, dc = welchallyn, dc = com " fqdn fully qualified domain name. the complete domain name of a computer on the internet. contains the host. a software application that can receive data from a device and convert the data to hl7 messages and then transmit that data via a tcp / ip socket. health level 7 a framework for the exchange, integration, sharing, and retrieval of electronic health information. hl7 software system that receives the hl7 data from thdevice. host hl7 system or host application interface design specification ds lightweight directory access protocol - an industry standard protocol for maintaining distributed directory information. often used for user names and password information. ldap network time protocol is a networking protocol for clock synchronization between computer systems. it is used by the devices to maintain accurate date / time in the devices. ntp the act of the device configuration / behavior ensuring that the vitals record contains the patient context. patient confirmation patient identification the act of the device configuration / behavior that isplays the patient context on the device and that service manual connex direct 219 description acronym / term allows the clinician to ensure the right vitals go to the right patient. secure sockets layer - a set of cryptographic protocols to provide security of communications over a network. ssl is a predecessor to tls. @topic:10


# # # issue - keyboard is not working # # # impact - the medical cart cannot be used to input patient data or other information. # # # possible causes - the keyboard is not properly connected to the medical cart. - the keyboard is not receiving power. - the keyboard is damaged. # # # recommendations - check the connection between the keyboard and the medical cart. - ensure that the medical cart is receiving power. - if the keyboard is not receiving power, replace the batteries or ensure that the power cord is plugged in. - if the keyboard is damaged, replace the keyboard. @topic:27


# # # issue - remote control of the electric bed is not working. - the bed cannot be adjusted up or down. # # # impact - patient discomfort - difficulty in providing care - risk of accidents # # # possible causes - * * malfunctioning remote control : * * the remote control may be damaged or not functioning properly. - * * faulty wiring : * * the wiring connecting the remote control to the bed may be damaged or loose. - * * malfunctioning bed motor : * * the motor that adjusts the bed up and down may be malfunctioning. - * * obstruction : * * there may be an obstruction preventing the bed from adjusting, such as a broken spring or a jammed mechanism. # # # recommendations - inspect the remote control for any damage or loose connections. - check the wiring connecting the remote control to the bed for any damage or loose connections. - test the bed motor to ensure it is functioning properly. - check for any obstructions that may be preventing the bed from adjusting. - replace the remote control if it is found to be faulty. - repair or replace the wiring if it is found to be damaged or loose. - repair or replace the bed motor if it is found to be malfunctioning. - remove any obstructions that may be preventing the bed from adjusting. @topic:7


* * issue : * * - monitor does not power on when plugged in. * * impact : * * - inability to use the monitor for patient monitoring. * * possible causes : * * - faulty power cable or connection - loose connection between the monitor and the power source - internal electrical fault within the monitor * * recommendations : * * - * * check the power cable and connections : * * ensure that the power cable is securely plugged into both the monitor and the power outlet. verify that the power outlet is functioning properly. - * * inspect the monitor for any visible damage : * * look for any loose wires or damaged components. - * * test with a different power cable : * * if possible, try using a different power cable to rule out a cable fault. - * * contact the manufacturer or a qualified biomedical engineer : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:2


the blood pressure measurements determined with this device comply with the american national standard for electronic or automated sphygmomanometers ( ansi / aami sp10 - 1992 ) in relation to mean error and standard deviation, when compared to intra - arterial or auscultatory measurements ( depending on the configuration ) in a representative patient population. for the auscultatory reference the 5th korotkoff sound was used to determine the diastolic pressure. in neonatal mode, the blood pressure measurements determined with this device comply with the american national standard for electronic or automated sphygmomanometers ( ansi / aami sp10 - 1992 and aami / ansi sp10a - 1996 ) in relation to mean error and standard deviation, when compared to intra - arterial measurements in a representative patient population. 436 measurement specifications 38 installation and specifications nbp alarm specifications range adjustment systolic adult : 30 to 270 mmhg ( 4 to 36 kpa ) 10 to 30 mmhg : 2 mmhg ( 0. 5 kpa ) > 30 mmhg : 5 mmhg ( 1 kpa ) pedi : 30 to 180 mmhg ( 4 to 24 kpa ) neo : 30 to 130 mmhg ( 4 to 17 kpa ) diastolic adult : 10 to 245 mmhg ( 1. 5 to 32 kpa ) pedi : 10 to 150 mmhg ( 1. 5 to 20 kpa ) neo : 10 to 100 mmhg ( 1. 5 to 13 kpa ) mean adult : 20 to 255 mmhg ( 2. 5 to 34 kpa ) pedi : 20 to 160 mmhg ( 2. 5 to 21 kpa ) neo : 20 to 120 mmhg ( 2. 5 to 16 kpa ) nbp overpressure settings adult > 300 mmhg ( 40 kpa ) > 2 sec not user adjustable pedi > 300 mm @topic:17


pvcs ecg / arrhythmia for e1r < 100, a pvc with r - r interval < 1 / 3 the average interval followed by a compensatory pause of 1. 25 x average r - r interval or two such vs without compensatory pause occurring within 5 minutes of each other. ( when hr > 100, 1 / 3 r - r interval is too short for detection. ). numeric flashes, yellow alarm lamp, short yellow audible alarm. * * rr high resp the respiration rate has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. 74 patient alarm messages 4 patient alarms and inops alarm message from condition indication * * rr low resp the respiration rate has dropped below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * / * * run pvcs high ecg / arrhythmia a run of pvcs greater than 2 was detected. numeric flashes, yellow alarm lamp, short yellow audible alarm. * * < s0 2 label > high sv0 2 / s0 2 the the measured intravascular oxygen saturation has exceeded the high limit. numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone. * * < s0 2 label > low sv0 2 / s0 2 the measured intravascular oxygen saturation has fallen below the low limit. numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone. * * < sp0 2 label > high s p°2 the arterial oxygen saturation has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * < sp0 2 label > low sp0 2 the arterial oxygen saturation has fallen below the low alarm @topic:8


# # # issue - monitor not displaying parameter values on central monitors. # # # impact - inability to monitor patient's vital parameters accurately and effectively. # # # possible causes - loose lan cable connection between the monitor and central station. # # # recommendations - ensure that the lan cable is securely connected to both the monitor and central station. - verify that the network settings on the monitor are configured correctly. - check the status of the network connection to the central station. - contact the manufacturer's technical support for further assistance if the issue persists. @topic:16


# # # issue - remort cannot be adjusted due to no power supply. # # # impact - inability to operate the bed, affecting patient care. # # # possible causes - loose ac plug within the control box. # # # recommendations - ensure a secure connection of the ac plug within the control box. @topic:1


# # # issue equipment malfunction # # # impact patient care may be delayed or interrupted. # # # possible causes - improper installation or maintenance - user error - component failure # # # recommendations - check equipment for proper installation and maintenance. - train users on proper operation and maintenance procedures. - replace faulty components as necessary. @topic:12


# # # issue : equipment malfunction # # # impact : patient care may be delayed or compromised. # # # possible causes : - equipment was not properly maintained or inspected. - equipment was damaged during transport or storage. - equipment was not used in accordance with the manufacturer's instructions. - equipment was used for a purpose for which it was not intended. - equipment was not properly calibrated. - equipment was not properly sterilized. # # # recommendations : - ensure that equipment is properly maintained and inspected on a regular basis. - ensure that equipment is transported and stored in a safe and secure manner. - ensure that equipment is used in accordance with the manufacturer's instructions. - ensure that equipment is used for the purpose for which it was intended. - ensure that equipment is properly calibrated. - ensure that equipment is properly sterilized. @topic:12


black. the text moves across the screen. solid green painted green. the text “ green ” is drawn in black. the text moves across the screen. solid blue painted blue. the text " blue ” is drawn in black. the text moves around the screen. 2. to exit the test, press or turn the wheel. running the audio test the audio test plays a sample sound on each of the different db levels. to perform the audio test : 1. in the system diagnostics menu, rotate the wheel to highlight the audio test button, then press the wheel to start the test. a window appears confirming that the monitor is entering the audio test and displays the text “ listen for a short tone. ” the monitor sounds three short tones at different db levels. when the test completes, the window closes. troubleshooting 7 - 31 tracking component usage tracking component usage the monitor tracks the usage of some of its parameters. this can be helpful in diagnosing problems with the monitor. the monitor tracks the following parameters : parameter description nbp cycle count number of times an nbp measurement has been taken lcd usage hours the hours that the system has been on ( something displayed on the monitor screen ). errors the number of errors that the system has recorded. resetting parameters important — you should always reset a tracked parameter a fter replacing the associated part. to reset a tracked parameter : 1. in the system diagnostics menu, rotate the wheel to highlight the reset button to the right of the parameter you want to reset, nbp cycle count, for example, then press the wheel. a confirmation window appears before the parameter is cleared. 2. in the confirmation window, turn the wheel to highlight yes, and press it to reset the parameter to 0. viewing and printing error logs the monitor flashes when it has detected an error code, including errors that occur during the self test. in addition @topic:22


patient sliding or moving. electrical function management the electrical functions are managed on the foot control pendant * or the caregiver half - siderail keypads. these lockout units are used to generally or selectively inhibit or enable the electrical functions of the bed. selective lock - out to inhibit an electrical function from a half - siderail keypad, press and hold the lock symbol, then press the function to be inhibited. - 1 the indicator light of the corresponding function comes on to indicate that the function is locked out ( 1 ). locking out the thigh section adjustment control will also lock out the autocontour when the adjustable head section function is disabled. to enable an electrical function from a half - siderail keypad, press and hold the lock symbol, then press the function to be enabled. 0 the indicator light of the corresponding function goes off to indicate that the function is enabled ( 0 ). the selective locking out of functions is intended mainly to prevent accidental use that may cause injury of worsen a patient's conditions ( e. g., for patients with hip replacements, disable the adjustable thigh section function ). bed not in lowered position indicator a light on the caregiver keypads on the two half - siderails goes off when the bed is in the lowered position. this position is recommended when patients are left unattended. this information can be sent to the duty nurse if the bed is connected to a hospital network with a compatible information system. a light on the caregiver keypads on the half - siderails turns blue when in this way, the personnel is made aware of the message when positioned on the side of the bed opposite the gci. a light on the caregiver half - siderail keypads shows the charge level of the bed and green light : the batteries are sufficiently charged. the batteries must be recharged @topic:9


# # # issue - the electrocardiogram ( ekg ) leads are not displaying any measurements. # # # impact - the medical staff will not be able to monitor the patient's heart activity, which could lead to inaccurate or delayed diagnosis and treatment. # # # possible causes - the battery for the ekg is depleted. - the ekg leads are not properly connected to the patient. - there is a fault in the ekg machine. # # # recommendations - check if the battery for the ekg is depleted and replace it if necessary. - ensure that the ekg leads are properly connected to the patient. - if the issue persists, contact a qualified medical equipment technician to diagnose and repair the ekg machine. @topic:18


# # # issue - fuse 1a in the control camera is broken - the joints need lubrication - the equipment is functioning normally # # # impact - the equipment cannot be adjusted up and down - there is a loud noise when adjusting up and down # # # possible causes - fuse may have blown due to a power surge - joints may be dry or damaged, causing friction - machine not being regularly serviced # # # recommendations - replace fuse 1a in control camera - lubricate the joints regularly - send equipment for regular servicing @topic:24


# # # issue - physiologic monitor ( hewlett packard m1166a ) # # # impact - monitor screen turns off # # # possible causes - pluy ac ( ac power cord ) is loose # # # recommendations - check and tighten the ac power cord connection to the monitor - ensure that the ac power cord is securely plugged into a power outlet - if the issue persists, contact a qualified biomedical engineer for further troubleshooting and repair @topic:2


# # # issue - malfunctioning power plug # # # impact - potential electrical hazards - intermittent or complete loss of functionality for the bed # # # possible causes - physical damage to the plug or cord - corrosion or loose connections - misuse or improper handling # # # recommendations - inspect the plug and cord for any visible damage, such as cracks or fraying. - tighten any loose connections using an appropriate tool. - replace the plug if it is damaged or corroded. - ensure that the power cord is not pinched or routed in a way that could cause damage. - educate staff on proper handling and storage of medical equipment. @topic:9


itbvi 200 j _ j point ( st ) 148 k keyboard connection symbol 403 keys hardkeys 25 permanent keys 22 pop - up 25 smartkeys 23 l label conflict resolution 36 labels resolving conflict 36 lactate measurement 313 language conflicts with device driver 353 latching alarms 68 alarms, behavior 68 latching arrhythmia alarms 140 lateral chest expansion ( neonates ) monitoring resp 166 lcw / lcwi 200 lead fallback and arrhythmia relearning 139 lead fallback ( ecg ) 124 lead labels ( ecg ) 124 lead placement v activating easi / standard 123 for resp measurement 165 leads monitored ( ecg ) 123 leads off inop ( ecg ) 124 levels of arrhythmia analysis 133 levels of event surveillance 291 line frequency interference ( bis ) 262 loops 359 capturing 360 loop size in window 361 loops report 362 source device 361 volume - flow 359 low filter ( eeg ) 255 low pass filter ( bis ) 262 lvci 200 m m1116b 321 m3160a recorder 322 main screen overview 19 mainstream capnography 16 mainstream c02 accessories 216, 226, 242 measuring 217, 219 maintenance cables 377 cords 377 measurements, schedule 378 microstream c02, calibration 378 schedule 377 visual inspection 377 major parts and keys mp20mp30 3 mp40mp50 4 mangement bundle recommendations 317 manual detection mode ( resp ) 167 and apnea alarms 168 manually triggering events 297 manufacture date symbol 403 manufacturer ’ s information 402 map st 151 marker input connector 424 mason - likar lead system 127 max hold setting ( c02 ) 216 mdf ( mean dominant frequency ) 249 mean dominant frequency ( mdf ) 249 mean pressure calculation ( trends ) 286 measurement adjusting a wave 33 preparation 41 setting up 33 switching on and off 33 wave speed @topic:8


* * issue : * * broken ekg lead * * impact : * * the patient's ekg signal may not be accurately monitored, which could lead to incorrect diagnoses or treatments. * * possible causes : * * * the ekg lead may have been damaged during handling or storage. * the ekg lead may have been pulled or twisted, causing the wires to break. * the ekg lead may have been exposed to excessive heat or moisture, which can weaken the wires. * * recommendations : * * * inspect the ekg lead for any visible damage, such as cuts, tears, or frayed wires. * replace the ekg lead if it is damaged. * store the ekg lead properly to prevent damage. * avoid pulling or twisting the ekg lead. * protect the ekg lead from excessive heat and moisture. @topic:18


* * issue : * * remote control error * * impact : * * inability to adjust the hospital bed. * * possible causes : * * * * * faulty remote control : * * the remote control itself may have a hardware or software issue that prevents it from sending commands to the bed. * * * communication problems : * * there may be an issue with the wireless communication between the remote control and the bed. * * * bed control module problem : * * the control module within the bed that receives commands from the remote control may be malfunctioning. * * * patient safety concern : * * an inability to adjust the bed can compromise patient safety and comfort. * * recommendations : * * * * * reset the remote control : * * follow the manufacturer's instructions to reset the remote control, which may resolve any software glitches. * * * check the batteries : * * ensure that the batteries in the remote control are fresh and properly inserted. * * * inspect remote control connections : * * verify that the remote control's buttons are making good contact and that there are no visible signs of damage. * * * check the wireless signal : * * ensure that there are no obstacles between the remote control and the bed that could interfere with the wireless signal. * * * examine the bed control module : * * check the bed control module for any loose connections or signs of damage. * * * consult the device manual : * * refer to the manufacturer's manual for specific troubleshooting procedures. * * * contact biomedical engineering ( bme ) : * * if the issue persists after trying the above steps, contact bme for further assistance. @topic:7


# # # issue - unable to log in to the desktop on the medical cart. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the technician did not enter the correct username and / or password. - the desktop is not connected to the network. - the desktop is frozen or crashed. - the profile of the user is corrupted. # # # recommendations - verify that the technician is entering the correct username and password. - check that the desktop is connected to the network. - reboot the desktop. - contact the it department to reset the user profile. @topic:13


# # # issue - cuff detachment due to deterioration # # # impact - inaccurate vital signs monitoring - patient discomfort # # # possible causes - prolonged use of cuff - improper storage or handling - material degradation # # # recommendations - regular inspection and maintenance of cuff and equipment - replace cuff when signs of deterioration are observed - store equipment in a clean, dry environment - use compatible cuffs for the specific device and patient @topic:5


# # # issue - the bed's side rail locks are broken, preventing the rail from being lowered. # # # impact - the patient may be at risk of falling out of bed. - the patient may be unable to get out of bed independently. # # # possible causes - the locks may have been damaged due to excessive force being applied to the side rails. - the locks may have become worn or corroded over time. - the locks may have been improperly installed or adjusted. # # # recommendations - replace the broken locks. - inspect the side rails and locks regularly for signs of wear or damage. - adjust the locks according to the manufacturer's instructions. @topic:6


# # # issue - the intellivue mp70 ( m8007a ) bedside physiologic monitor is unable to measure respiratory rate ( rr ). # # # impact - the inability to accurately measure rr can lead to delayed or inaccurate treatment decisions, potentially compromising patient safety. # # # possible causes - * * hardware failure : * * a malfunction in the monitor's hardware components, such as sensors or cables, could prevent the device from accurately detecting and measuring rr. - * * software malfunction : * * bugs or errors in the monitor's software could interfere with its ability to process and display rr data. - * * patient factors : * * certain patient conditions, such as irregular breathing patterns or movement, can make it difficult for the monitor to accurately measure rr. - * * improper operation : * * incorrect use or maintenance of the monitor, such as improper sensor placement or calibration, could also contribute to inaccurate rr measurements. # # # recommendations - * * verify sensor placement and calibration : * * ensure that the rr sensor is properly placed and calibrated according to the manufacturer's instructions. - * * check hardware connections : * * inspect all cables and connections between the monitor, sensors, and patient to ensure they are secure and undamaged. - * * update software : * * if available, check for and install any software updates for the monitor that may address rr measurement issues. - * * contact technical support : * * if the problem persists, contact the manufacturer's technical support for further assistance and troubleshooting. - * * consider patient factors : * * evaluate the patient's breathing patterns and consult with clinical staff to determine if any physiological factors may be affecting rr measurements. @topic:20


1 system overview, theory of operation, a - 1 t technical alarms, battery, 2 — 5 temperature measurement problems, troubleshooting, 4 — 7 predictive module, removing, 5 — 6 theory of operation, a - 7 tympanic module, removing, 5 — 10 verification test, 3 - 19 verification, predictive test, 3 — 18 test equipment, required, 3 — 3 testing and inspection guidelines, 3 — 1 tests performance, 3 - 1 performance, recommended frequency, 3 — 2 recording results, 3 — 3 verification, performing, 3 — 10 theory of operation block diagram, a - 1 front end board, a - 3 front panel assembly, a — 4 main board, a - 3 monitored temperature, a — 7 navigation wheel, a - 5 nbp assembly, a — 6 nurse call contacts, a — 4 power supply, a - 5 predictive temperature, a - 7 recorder, a — 6 speaker, a - 5 spo > processing, a - 7 system overview, a - 1 temperature, a — 7 tools, required for repairs, 5 — 2 index - 3 suresigns vs4 service guide touch screen board, removing, 5 — 50 calibration, 3 — 22 theory of operation, a - 5 troubleshooting problems, 4 — 9 troubleshooting ac power, 4 — 4 diagnosing problems, 4 — 1 front panel, 4 - 9 navigation wheel, 4 — 9 nbp, 4 - 6 nurse call, 4 - 10 overview, 4 — 1 recorder, 4 — 9, 4 - 10 spo, measurements, 4 — 8 temperature measurement problems, 4 — 7 touch screen, 4 — 9 tympanic temperature module calibration, 3 — 18 performance test, 3 — 18 removing, 5 — 10 theory of operation, a - 8 u upgrade, software, performing, 3 — 7 usb @topic:19


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# # # issue - the bedside physiologic monitor ( intellivue mp70 ) in icu 2 turns on and then immediately turns off. # # # impact - the monitor is unavailable for patient monitoring, which could compromise patient safety. # # # possible causes - * * defective power supply : * * the power supply may be providing insufficient or intermittent power to the monitor. - * * faulty motherboard : * * the motherboard may contain a defective component that is causing the monitor to shut down. - * * loose connection : * * a loose connection between the power supply and the monitor or between the monitor and the wall outlet could be interrupting power flow. - * * software issue : * * a software glitch or corruption may be causing the monitor to malfunction. # # # recommendations - * * inspect the power supply : * * check the power cord, power supply, and connection between the power supply and the monitor for any damage or loose connections. - * * reset the monitor : * * unplug the monitor from the power outlet and wait for 30 seconds. plug it back in and check if the issue persists. - * * inspect the motherboard : * * visually inspect the motherboard for any burnt components, bulging capacitors, or other abnormalities. - * * update the software : * * check if there are any available software updates for the monitor and install them if necessary. - * * contact the manufacturer : * * if the issue cannot be resolved by the above steps, contact the manufacturer for technical support and repair assistance. @topic:2


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty providing care - increased risk of falls # # # possible causes - power outage - broken or loose electrical connections - faulty motor or control panel - broken or damaged cables - software issues # # # recommendations - check for power outages and ensure the bed is plugged in properly. - inspect electrical connections for any loose or broken wires. - test the motor and control panel for proper functionality. - inspect cables for any damage or breaks. - update software if necessary. @topic:1


# # # issue - display is split into two images. # # # impact - impaired visualization and interpretation of medical data. # # # possible causes - * * incorrect display mode setting : * * the display may have been inadvertently set to split - screen mode. - * * software glitch : * * a software bug may have caused the display to malfunction. - * * hardware failure : * * a faulty component in the display system could be responsible for the split image. # # # recommendations - * * check display mode settings : * * verify that the monitor is set to the correct display mode. - * * restart the device : * * power cycling the monitor may resolve software glitches. - * * inspect hardware connections : * * ensure that all cables and connectors are securely connected. - * * contact manufacturer support : * * if the issue persists, reach out to the manufacturer for technical guidance and potential hardware repair. @topic:2


# # # issue - the electric bed is unable to adjust its height. # # # impact - patients may not be able to get in or out of bed safely. - nurses and other healthcare providers may have difficulty providing care to patients in bed. # # # possible causes - electrical problem - mechanical problem - hydraulic problem - software problem # # # recommendations - troubleshooting the electrical system : - check the power cord for damage. - check the electrical outlet to make sure it is working. - check the circuit breaker or fuse to make sure it is not tripped or blown. - if the electrical system is not the problem, then the mechanical system should be checked. - check the moving parts of the bed for any obstruction or damage. - lubricate the moving parts of the bed. - if the mechanical system is not the problem, then the hydraulic system should be checked. - check the hydraulic fluid level. - check the hydraulic hoses for any leaks or damage. - if the hydraulic system is not the problem, then the software should be checked. - update the software to the latest version. - reset the software to factory settings. - if the software is not the problem, then the bed may need to be replaced. @topic:1


not recommended by hill - rom may result in damage oaccidents for users. references of recommended accessories patient helper ad810a ad811a adjustable patient helper hrome - plated iv hoac953a ac959a ad101a ad102a oxygen cylinder holder model b5 ( 0140 ) oxygen cylinder holder model d ( 0100 ) oxygen cylinder holder model e ( 0100 ) ac962a * ac963a ac968a ac981a ad242a d244b onitor stand as0078 extension mattress removable frame ad270b ad271b pair of metal siderails without attachments pair of siderails, with 60 mm gap between bars, without attachments l1900b0 control unit on a flexible arm ad272b d280a l1900b0 control pendant d281b l1900b2 control pendant ad282a l1900b2 control unit on a flexible arm ad283a ad290b head egress handle ad296b d292a cable attachment fixed iv pole ad294a ad298a ad299a ad312a net for siderail ad271 ad325a label holder foot gap panels ad288a iv line manager & supporall stop ad286a ad277a iv line manager & support ad286a ad288a foot gap panels b. remember to specify the model when ordering. references of traction frames traction frame t39 st875a a. traction frame incompatible with beds equipped with a bed exit alerts system * l1900b3 ) recommended part numbers for hoists 2020003 sabina ii ee 2020004 sabina ii em 2040015 2040013 000014 golvo @topic:9


# # # issue monitor screen not turning on. # # # impact unable to monitor patient's vital signs. # # # possible causes 1. * * power supply : * * ensure that the monitor is plugged into a power outlet and that the power switch is turned on. 2. * * display settings : * * adjust the display settings, such as brightness and contrast, to ensure that the screen is visible. 3. * * loose connections : * * check all cables and connections to and from the monitor, including power cords, data cables, and video cables. ensure that they are securely plugged in. 4. * * faulty display : * * the display panel itself may be malfunctioning. 5. * * internal component failure : * * a component within the monitor may have failed, such as the power supply unit or the display controller. # # # recommendations 1. * * verify power : * * check the power supply and ensure that the monitor is receiving power. 2. * * adjust display settings : * * access the monitor's settings menu and adjust the brightness and contrast to an acceptable level. 3. * * inspect connections : * * unplug and reconnect all cables and connections to the monitor. ensure that they are firmly seated. 4. * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further assistance. 5. * * obtain replacement : * * if the monitor cannot be repaired, obtain a replacement unit to ensure patient monitoring capabilities. @topic:2


# # # issue - the cause of failure for the philips suresigns vs4 physiologic vital signs monitor is unknown, as the history is missing. # # # impact - the unknown cause of failure makes it difficult to determine the appropriate repairs or maintenance to restore the monitor to proper working order. # # # possible causes - * * power supply issues * * : the monitor may not be receiving power properly, either due to a faulty power cable or a problem with the power outlet. - * * hardware defects * * : there may be a problem with the monitor's hardware, such as a faulty sensor or circuit board. - * * software issues * * : the monitor's software may have become corrupted or buggy, causing it to malfunction. - * * user error * * : the monitor may have been operated incorrectly, causing it to fail. - * * environmental factors * * : the monitor may have been exposed to extreme temperatures, humidity, or other environmental conditions that have caused it to fail. # # # recommendations - * * troubleshooting * * : the first step is to troubleshoot the issue by checking the power supply, connections, and software. - * * contact the manufacturer * * : if the troubleshooting steps do not resolve the issue, contact the manufacturer for technical support. - * * replace the monitor * * : if the manufacturer cannot repair the monitor, it may need to be replaced. - * * maintain a maintenance log * * : keep a detailed maintenance log for the monitor, including any repairs or maintenance performed, to help identify and prevent future failures. @topic:2


* * issue : * * " bed cannot be adjusted " * * impact : * * the patient may not be able to be positioned comfortably or safely. * * possible causes : * * * * * failure of the electric motor : * * the motor may be damaged or not receiving power. * * * failure of the control panel : * * the control panel may be malfunctioning or not sending the correct signals to the motor. * * * damaged or loose wiring : * * the wiring connecting the motor to the control panel may be damaged or loose, preventing the motor from receiving power. * * * mechanical obstruction : * * an obstruction may be preventing the bed from moving, such as a broken spring or a stuck wheel. * * * software glitch : * * a software glitch may be causing the bed to behave erratically. * * recommendations : * * * * * check the power supply : * * ensure that the bed is plugged into a working power outlet and that the power cord is not damaged. * * * inspect the control panel : * * look for any signs of damage or loose connections. * * * check the wiring : * * inspect the wiring connecting the motor to the control panel for any damage or loose connections. * * * check for mechanical obstructions : * * move the bed manually to check for any obstructions that may be preventing it from moving. * * * restart the system : * * if possible, restart the bed's software. * * * contact a qualified biomedical engineer : * * if the issue cannot be resolved by the above steps, contact a qualified biomedical engineer for further diagnosis and repair. @topic:1


# # # issue - noisy wheels # # # impact - the noise can be distracting and annoying for patients and staff - the noise can make it difficult to hear patient alarms # # # possible causes - the wheels are not properly lubricated - the wheels are worn or damaged - the bearings in the wheels are worn or damaged - the wheels are not properly aligned # # # recommendations - lubricate the wheels according to the manufacturer's instructions - inspect the wheels for wear or damage and replace as necessary - inspect the bearings in the wheels for wear or damage and replace as necessary - align the wheels according to the manufacturer's instructions @topic:24


# # # issue - the bed is not adjustable # # # impact - the patient cannot be positioned in the optimal position for their care. # # # possible causes - the remote control is not working. - the power cord is not plugged in. - the motor is not working. # # # recommendations - replace the remote control. - plug in the power cord. - contact a qualified technician to diagnose and repair the motor. @topic:1


* * issue : * * wheels on patient transport monitor broke and came off * * impact : * * patient transport monitor cannot be used for transporting patients * * possible causes : * * * * * defective wheels : * * the wheels may have been damaged during manufacturing or handling. * * * overuse : * * the patient transport monitor may have been overloaded or used on uneven surfaces, putting excessive stress on the wheels. * * * lack of maintenance : * * regular maintenance may not have been performed, leading to wear and tear on the wheels. * * * improper assembly : * * the wheels may have been incorrectly assembled, causing them to detach from the monitor. * * * other : * * environmental factors, such as extreme temperatures or moisture, may have weakened the wheels. * * recommendations : * * * * * inspect wheels regularly : * * regularly inspect the wheels for any signs of damage or wear and tear. * * * follow maintenance schedule : * * adhere to the recommended maintenance schedule for the patient transport monitor, including wheel inspection and lubrication. * * * handle with care : * * avoid overloading the patient transport monitor or using it on uneven surfaces. * * * properly assemble wheels : * * ensure that the wheels are correctly assembled according to the manufacturer's instructions. * * * consider wheel replacement : * * if the wheels are significantly damaged or worn, consider replacing them with new ones. @topic:24


# # # issue - the beds, electric, hill - rom, 900 accella is not adjusting as expected. # # # impact - the patient may not be able to be positioned comfortably in the bed. - the healthcare provider may not be able to access the patient easily. # # # possible causes - the control panel is not functioning properly. - the motor is not functioning properly. - the wiring is damaged. - the bed is overloaded. # # # recommendations - check the control panel for any loose connections or damage. - if the control panel is damaged, replace it. - check the motor for any loose connections or damage. - if the motor is damaged, replace it. - check the wiring for any loose connections or damage. - if the wiring is damaged, repair it. - ensure that the bed is not overloaded. @topic:9


# # # issue * * - equipment : * * bed, electric * * - band : * * hill - rom * * - model : * * care assist es230 * * - description : * * bedside rail and remote control are defective. # # # impact - patient safety hazard due to lack of bed rails. - inability to operate the bed remotely, causing inconvenience to patients and staff. # # # possible causes - * * bedside rail : * * - worn or loose bolts or hinges - mechanical damage or deformation - * * remote control : * * - battery failure - electrical component malfunction - damage to buttons or control panel # # # recommendations - * * bedside rail : * * - inspect and tighten bolts and hinges - assess for any mechanical damage or deformation - replace if necessary - * * remote control : * * - replace batteries - check for any loose connections or damaged components - consider repairing or replacing if necessary - * * additional : * * - train staff on proper use and maintenance of the bed and remote control - encourage regular inspections and preventive maintenance to avoid future equipment failures @topic:7


# # # issue : - equipment failure : monitor, patient transport - band : philips - model : intellivue mp40 ( m8003a ) # # # impact : - the device is not able to monitor patient vital signs or provide treatment. # # # possible causes : - * * broken ekg cable : * * the ekg cable is responsible for transmitting electrical signals from the patient to the monitor. if the cable is broken, the monitor will not be able to receive these signals and will not be able to display the patient's heart rate or other vital signs. - * * faulty ekg electrode : * * the ekg electrode is responsible for making contact with the patient's skin and transmitting electrical signals from the patient to the ekg cable. if the electrode is faulty, it may not be able to make good contact with the skin, which can result in a loss of signal. - * * problem with the monitor itself : * * in some cases, the problem may be with the monitor itself. this could be due to a power supply issue, a software glitch, or a hardware failure. # # # recommendations : - * * inspect the ekg cable and electrodes : * * check the ekg cable for any visible damage, such as cuts or breaks. also, check the ekg electrodes to ensure that they are making good contact with the patient's skin. - * * clean the ekg cable and electrodes : * * if the ekg cable and electrodes are dirty, they may not be able to make good electrical contact. clean the cable and electrodes with rubbing alcohol or another appropriate cleaning solution. - * * replace the ekg cable or electrodes : * * if the ekg cable or electrodes are damaged or faulty, they will need to be replaced. - * * restart the monitor : * * in @topic:18


# # # issue - the bedside physiologic monitor is displaying inaccurate readings. # # # impact - this could lead to incorrect diagnosis and treatment of the patient. # # # possible causes - * * faulty sensor : * * this could cause the monitor to receive incorrect data from the patient. - * * incorrect calibration : * * the monitor may not have been calibrated properly, leading to inaccurate readings. - * * electrical interference : * * other devices in the room, such as cell phones or other medical equipment, could be interfering with the monitor's signals. - * * software malfunction : * * a software bug could be causing the monitor to interpret the data incorrectly. - * * hardware defect : * * there could be a physical defect in the monitor's hardware, causing it to display inaccurate readings. # # # recommendations - * * check the sensors : * * ensure that the sensors are properly connected to the patient and that they are clean and free of debris. - * * calibrate the monitor : * * calibrate the monitor according to the manufacturer's instructions. - * * check for electrical interference : * * move the monitor away from other devices that may be causing interference. - * * update the software : * * check for updates to the monitor's software and install them if available. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support. @topic:20


# # # issue - cuff connection is loose. # # # impact - vital signs monitoring may be inaccurate or unreliable. # # # possible causes - cuff may not be properly attached or tightened. - cuff connector may be damaged or worn. - equipment may need calibration or repair. # # # recommendations - check and ensure the cuff is properly attached and tightened. - inspect the cuff connector for any damage or wear. - calibrate and / or repair the equipment as necessary. @topic:5


with an oxygen tent or in explosive atmospheres ( presence of inflammable gases or vapors ). use only nasal tubes and oxygen masks. for reasons of safety, masks and tubes should always be ept at a higher level than the sleep surface. always lock out the hilow function before any cleaning or maintenance operations. if the bed is equipped with a battery, and the bed is stored for long periods of time, the battery must be charged every 3 months. failure to do so could result in damage to the battery. if a continuous alarm sounds when activating a movement, the battery needs to be recharged. general precautions for the place of use it is advisable not to use the bed under the following conditions : in hospital wards other than the intended ward ( see " applications " page 3 ) climatic conditions outside the corresponding ranges recommended by hill - rom, n hyperbaric chambersin explosive atmospheres, in the presence of flammable gases or vapors, with oxygen tent type respiration devices or devices that outdoors or to transport a patient in a vehicle, - moving the bed over soft ground or inappropriate surfaces, moving the bed along slopes of over 10° ( with or without a patient ). climatic restrictions service temperature 10° and + 40° 30 % - 85 % ervice humiditworking atmospheric pressure 700 hpa to 1, 060 hpa age 9 precautions for transport and storage the following conditions must be met to ensure that the bed and its accessories are shipped and stored in complete safety. when stored, the bed must be : - in the lowered position - in the lowered position - all functions locked out all functions locked out covered, brakes applied - covered, brakes apred rotected from fluid ingrea. transport does not include the transfer of the bed between wards with or without patients. climatic restrictions on transport and storage transport / storage temperature - 30° and @topic:9


# # # issue - the central monitor is not linking to room 11. # # # impact - the central monitor cannot receive data from room 11. # # # possible causes - the lan cable is not connected properly. - the lan cable is damaged. - the port on the central monitor is not working properly. # # # recommendations - check the lan cable connections at both ends. - replace the lan cable if it is damaged. - contact the manufacturer of the central monitor if the port is not working properly. @topic:16


in its place. nstalling an x - ray ca1. remove the headboard to install the x - ray cassette in the top of the head section. install the sleep surface or raise the head section in order to insert the cassette. 2. unhook the buckle of the right strap from its storage 3. hook. pull on the left strap to extract the cassette support. 4. lift the cassette retaining bar and insert the cassette in the landscape or portrait direction, as required. 5. check that the retaining bar locks the cassette in position. 6. for portrait images, pull the retaining bar upwards to lock the cassette. 7. 8. adjust the position of the cassette using the right and left straps so that the retaining bar is positioned on the edge of the mattress. 9. 10. adjust the cassette positioning buckle. wind the right strap around the mattress and put the buckle on the upper edge of the mattress. once it has been adjusted using the right and left straps, this buckle is used to position the top of the cassette as required. 11. position the patient on the bed with their hips by the marker on the siderail. 12. adjust the height of the sleep surface and incline the head section as required. 13. adjust the position of the cassette as required. pull on the left strap to extract the cassette support. raise the retaining bar and take out the cassette. 1. 2. pull on the right strap to insert the cassette support. 3. hook the buckle of the right strap on its storage hook. 4. chrome - plated iv hook ( ac953a ) * * this accessory is used a * *. label holder ( ad325a ) * * this additional part is used as a place to insert patient name label. the adapteur support tete ( 214557 ) enables the hill - rom 900 accella bed to be equipped with the c @topic:26


# # # issue - keyhole is misaligned, causing the sensor to malfunction and indicate that a key is inserted. # # # impact - the medical cart cannot be locked securely, posing a risk of unauthorized access or theft of medical supplies. # # # possible causes - * * manufacturing defect : * * the misalignment may have occurred during the manufacturing process. - * * improper handling : * * the medical cart may have been subjected to excessive force or mishandling, causing the keyhole to become misaligned. - * * wear and tear : * * over time, the keyhole may have become worn or damaged due to repeated use, leading to misalignment. # # # recommendations - * * inspect all equipment : * * regularly inspect all medical carts to identify any potential issues with keyholes or sensors. - * * proper handling : * * train staff on proper handling techniques to avoid damaging keyholes. - * * regular maintenance : * * schedule regular maintenance to identify and address any wear and tear that could contribute to misalignment. - * * replacement : * * if the keyhole cannot be repaired, consider replacing the medical cart to ensure its proper functioning and security. @topic:27


# # # issue the cause of failure is not technical but rather due to a request from another department to borrow the equipment. # # # impact the equipment is not available for use by the intended department. # # # possible causes - the equipment is not properly tracked or inventoried. - the department does not have a clear policy or process for borrowing equipment. - the technician is not aware of the department's policy or process for borrowing equipment. # # # recommendations - the hospital should implement a system for tracking and inventorying equipment. - the hospital should develop a clear policy and process for borrowing equipment. - the hospital should train technicians on the department's policy and process for borrowing equipment. @topic:12


# # # issue - patient monitor is unable to measure oxygen saturation. # # # impact - clinicians may not be able to accurately monitor patient's oxygen levels, which could lead to delayed or incorrect treatment. # # # possible causes - malfunctioning oxygen saturation sensor - damaged or disconnected sensor cable - software issue with the patient monitor - calibration issue # # # recommendations - replace the oxygen saturation sensor. - inspect and replace the sensor cable if necessary. - update the patient monitor software if required. - calibrate the patient monitor according to manufacturer's instructions. @topic:4


* * issue : * * medical cart does not display the patient's name. * * impact : * * the medical cart cannot be used to track the patient's medical records or provide them with the necessary care. * * possible causes : * * * the patient's name has not been entered into the cart's database. * the cart's database is corrupted or damaged. * the cart's software is outdated or malfunctioning. * the cart's hardware is faulty or damaged. * * recommendations : * * * check the cart's database to ensure that the patient's name has been entered correctly. * if the database is corrupted or damaged, restore it from a backup or contact the manufacturer for assistance. * update the cart's software to the latest version. * if the cart's hardware is faulty or damaged, contact the manufacturer for repair or replacement. @topic:13


- 58 articulating frame — c model beds. 5 - 60 head siderail — c model beds. 5 - 64 motor control box — c model beds. 5 - 68 control cables — c model beds. 5 - 70 base frame — d model and newer beds. 5 - 72 articulating frame — d model and newer beds. 5 - 76 foot extension — d model and newer beds. 5 - 80 head siderail — d model and newer beds. 5 - 82 head siderail mounting — d model and newer beds. 5 - 86 foot siderail — d model and newer beds. 5 - 88 footboard and headboard — d model and newer beds. 5 - 90 plastic sleep deck — d model and newer beds. 5 - 91 motor control box — d and e model beds. 5 - 92 cpr cables — d model and newer beds. 5 - 95 control cables — d model and newer beds. 5 - 96 auxiliary outlet. 5 - 98 safeview™ alerts. 5 - 100 motor control box — f model beds. 5 - 102 chapter 6 : general procedures clean and disinfect. 6 - 1 clean. 6 - 2 page x careassist® and careassist® es bed service manual ( man330 rev 4 ) disinfect. 6 - 3 component handling. 6 - 4 p. c. board. 6 - 4 lubrication requirements. 6 - 5 preventive maintenance. 6 - 6 preventive maintenance schedule. 6 - 7 preventive maintenance checklist. 6 - 13 scale calibration. 6 - 14 chapter 7 : accessories accessories. 7 - 1 infusion support system — p158. 7 - 2 oxygen tank holder — p27601. 7 - 3 iv pole — p2217. 7 - 4 mattress pad extender — p734ea1. 7 - 5 mattress — p731ea3. @topic:26


# # # issue the cause of failure is incorrectly setting the monitor nbp countdown to initiate the next measurement. # # # impact the incorrect setting may result in delayed or missed vital sign measurements, potentially compromising patient care. # # # possible causes - technician error in setting the countdown value - misunderstanding of the monitor's functionality - inadequate training on the specific monitor model # # # recommendations to prevent similar failures : - ensure comprehensive training for all technicians on the operation and maintenance of medical devices. - provide clear instructions for setting countdown values on specific monitors. - establish a protocol for testing and verifying countdown settings before patient use. - implement a system for reporting and tracking device failures to identify and address potential issues promptly. @topic:20


##plugged numeric is replaced by -? - inop tone the measurement is switched on but the module is unplugged. the measurement automatically disappears from the display. silencing this inop switches off the measurement. eeg inops what to do eeg equip malnop tone the eeg hardware is faulty. contact your service personnel. eeg impedance high eeg1 impedancehigeeg2 impedancehigh the signal electrode in one or both channels exceeds the user - selected impedance limit, or the impedance of a single electrode exceeds the limit. check the impedance. if the impedance is too high, reconnect the electrodes according to the eeg monitoring setup guidelines. if the inop persists, contact your service personnel. eeg line noise eeg1 line noise eeg2 line noise eeg muscle noise eeg1 muscle noise eeg2muscle noise excessive line noise has been detected in either channel eeg1 or eeg2, or in both eeg channels. d away from metallic bodies, other cables & radiated fields. too much power above 30 hz has been detected in channel eeg1 or eeg2, or both. check the electrode - to - skin impedance and reposition the electrode away from possible muscle activity, if necessary. eeg unplugged inop tone eegi lead off < n > eeg2 lead off < n > plug in module. silencing this inop switches off the measurement. reconnect specified electrode. [ n = electrode ] eeg1 lead off eg2 lead off one or more electrodes are not connected. check in the eeg impedance / montage window on the monitor which electrode ( s ) are affected and reconnect the electrodes. at information center eeg1 leads off eeg2 leads off two @topic:22


# # # issue : - cuff of blood pressure ( bp ) monitor is damaged. # # # impact : - blood pressure readings may be inaccurate or unavailable. # # # possible causes : - cuff may have been damaged during use. - cuff may have deteriorated due to aging or repeated use. - cuff may not be compatible with the monitor. # # # recommendations : - replace the damaged cuff with a new one compatible with the monitor. - regularly inspect the cuff for damage or wear. - adhere to manufacturer's guidelines for cuff maintenance and replacement. @topic:3


# # # issue * keyboard not working on medical cart, specifically the numeric keypad. # # # impact * inability to input numerical data accurately, hindering the efficient use of the medical cart for patient care. # # # possible causes * * * keyboard malfunction : * * physical damage to the keyboard, such as cracked or loose keys, could prevent it from functioning properly. * * * software issues : * * incompatibility between the keyboard and the medical cart's operating system or software could cause the keyboard to malfunction. * * * electrical problems : * * faulty wiring, loose connections, or power issues can disrupt the electrical signals between the keyboard and the medical cart, resulting in keyboard failure. * * * environmental factors : * * extreme temperatures, humidity, or dust could affect the keyboard's performance and cause it to fail. # # # recommendations * * * troubleshoot the issue : * * * inspect the keyboard for visible damage or loose keys. * check the electrical connections and ensure they are secure. * restart the medical cart to eliminate software glitches. * * * replace the keyboard : * * * if the troubleshooting steps do not resolve the issue, consider replacing the keyboard with a compatible spare part. * * * preventive maintenance : * * * regularly inspect the keyboard for signs of wear or damage. * ensure proper storage and handling of the medical cart to prevent damage to the keyboard. * update the medical cart software to address any compatibility issues. @topic:27


# # # issue - clip lock module breakage on philips intellivue mp40 ( m8003a ) patient transport monitor. # # # impact - inability to securely attach the monitor to the patient transport stretcher, potentially compromising patient safety and device functionality. # # # possible causes - fatigue or excessive force applied to the clip lock module. - manufacturing defect or material failure. - improper maintenance or handling of the device. # # # recommendations - replace the broken clip lock module with a compatible spare part from the manufacturer or authorized distributor. - inspect other clip lock modules on the device for signs of wear or damage. - ensure proper training for users on the correct handling and maintenance of the device. - consult with the manufacturer for any updates or recommendations regarding the clip lock module. @topic:2


# # # issue - the band of the device is not showing any wave ekg. # # # impact - the device cannot be used to monitor the patient's heart rate and rhythm. # # # possible causes - the cable connecting the device to the patient's chest is not properly connected. - the cable is faulty. - the device is not properly configured. # # # recommendations - verify that the cable is properly connected to both the device and the patient's chest. - if the cable appears to be faulty, replace it with a new one. - ensure that the device is properly configured to display the ekg wave. @topic:18


# # # issue : cal co2 not passing # # # impact : the physiologic monitor may not be able to accurately measure co2 levels, which can lead to incorrect patient care decisions. # # # possible causes : - faulty co2 sensor - miscalibration of the co2 sensor - incorrect co2 gas mixture used for calibration - blockage in the co2 sampling line - software issue with the monitor # # # recommendations : 1. check the co2 sensor for any physical damage or contamination. if necessary, replace the sensor. 2. calibrate the co2 sensor using the manufacturer's recommended procedure and the correct co2 gas mixture. 3. ensure that the co2 sampling line is clear of any blockages. 4. update the monitor's software to the latest version, if available. 5. if the problem persists, contact the manufacturer's technical support for further assistance. @topic:4


# # # issue - remote control cannot be adjusted # # # impact - patients or staff may not be able to adjust the bed to a comfortable position. # # # possible causes - broken or damaged remote control cables - faulty remote control buttons or switches - electrical issues within the remote control # # # recommendations - inspect the remote control cables for any visible damage or breaks and replace if necessary. - test the remote control buttons and switches to identify any that are not functioning properly and consider replacing the remote control if needed. - check the electrical connections of the remote control and ensure it is properly powered. @topic:7


# # # issue the cause of failure is not clearly stated in the given input. # # # impact the impact of the failure is not mentioned in the input. # # # possible causes one possible cause of the failure could be that the bed was not properly maintained or serviced. another possible cause could be that the bed was damaged during transport or storage. # # # recommendations to prevent similar failures in the future, the following recommendations could be implemented : - ensure that the bed is properly maintained and serviced according to the manufacturer's instructions. - inspect the bed for any damage before using it. - train staff on how to properly use and care for the bed. @topic:9


# # # issue : equipment failure # # # impact : device is not functioning properly and may pose a risk to patients. # # # possible causes : - * * hardware failure : * * the equipment may have a faulty component, such as a sensor, circuit board, or display. - * * software failure : * * the equipment's software may have become corrupted or buggy, causing it to malfunction. - * * user error : * * the equipment may have been used incorrectly or mishandled, leading to damage. - * * environmental factors : * * the equipment may have been exposed to extreme temperatures, humidity, or other environmental conditions that can cause damage. # # # recommendations : - * * perform a thorough inspection : * * check the equipment for any obvious physical damage, such as cracks, dents, or loose connections. - * * test the equipment : * * run diagnostic tests to identify any functional issues. - * * check the software : * * update the software to the latest version if necessary or troubleshoot any software errors. - * * train users : * * ensure that users are properly trained on how to operate and maintain the equipment. - * * establish a regular maintenance schedule : * * schedule periodic inspections and maintenance to prevent future failures. @topic:12


# # # issue - the wireless signal is not 100 %, causing data to lag. # # # impact - the monitor may not provide accurate or timely data, which can affect patient care. # # # possible causes - the wireless transmitter or receiver may be faulty. - there may be interference from other wireless devices in the area. - the battery in the wireless transmitter may be low. # # # recommendations - check the wireless transmitter and receiver for any damage or loose connections. - resync the wireless transmitter and receiver. - replace the battery in the wireless transmitter. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:16


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : none - cause of failure : damaged shelf # # # impact - the damaged shelf may cause the medical cart to be unstable, which could lead to the cart tipping over and / or the equipment on the cart falling off. this could result in injury to patients or staff, damage to the equipment, and / or disruption of patient care. # # # possible causes - the shelf may have been damaged due to excessive weight being placed on it. - the shelf may have been damaged due to being hit or bumped. - the shelf may have been damaged due to corrosion or rust. - the shelf may have been damaged due to a manufacturing defect. # # # recommendations - inspect the medical cart regularly for any signs of damage, including damage to the shelves. - do not place excessive weight on the shelves. - avoid hitting or bumping the medical cart. - protect the medical cart from corrosion and rust. - if the shelf is damaged, replace it immediately. @topic:31


select a different screen with fewer waves. inop toncontact your service personnel if you want the screen deleted from the profile ( s ) to avoid this ifuture. chk ecg sync cablinop tone the ecg sync is detecting an invalid signal, or the ecg sync cable is disconnected. hk indepdsp cthe monitor cannot communicate with the d80 intelligent display. check the msl coupling cable. the end with the gray connector must be connected to the intelligent display. chk < measurement synchronization of the settings for the measurement cited, has failed. check that settings are appropriate for your patient. label > settings chk msl connectioinop tone check that the msl cable is properly connected. if this is the case, try using another msl cable, to check if your cable is defective. if this does not help, the device connected via the msl cable may be defective, contact your service personnel. internal. comm. malinop tone mcc reversed inop tone there is a problem with i2c bus communication in the monitor. contact your service personnel. the msl coupling cable is reversed. connect the end with the gray connector to the intelligent display. mcc unsupportenop tone eas. deactivated an msl coupling cable has been connected to a device which does not support msl coupling. an x2 or mp5 has been connected to a host monitor ( companion mode ) and all derived measurements have been deactivated and / or measurements with a label conflict. the measurements can only be reactivated by disconnecting the measurement device from the host monitor.!! more bed alarms!!! more bed alarms at information center the monitor is associated with a telemetry device and is sending data to the information center via the telemetry device. there are currently more alarms at the bedside than can @topic:22


# # # issue the bed's wooden side rails are unable to be adjusted downwards. # # # impact the patient may be unable to get out of bed or may be injured if the side rails cannot be adjusted. # # # possible causes * * * mechanical failure : * * the mechanism that adjusts the side rails may be broken or damaged. * * * electrical failure : * * the electrical components that control the side rails may be malfunctioning. * * * user error : * * the side rails may not be being adjusted properly. # # # recommendations * * * inspect the side rails : * * look for any visible damage or obstructions. * * * check the electrical connections : * * make sure that the electrical connections are secure and that there is no damage to the wires. * * * test the side rails : * * try to adjust the side rails up and down to see if they are working properly. * * * if the side rails are still not working properly, contact a qualified biomedical engineer. * * @topic:6


# # # issue the armrests on the bed were loose and wobbling. # # # impact this could pose a safety hazard for patients, as they could potentially fall off the bed. # # # possible causes * the nuts holding the armrests in place had become loose. # # # recommendations * the technician tightened the nuts and tested the armrests to ensure that they were secure. @topic:6


# # # issue : - the telemetry ekg module is contaminated with feces. # # # impact : - the contaminated equipment poses a health risk to patients and healthcare providers. - the equipment may malfunction or become damaged. # # # possible causes : - the equipment was not properly cleaned or disinfected after use. - the equipment was exposed to feces during use. # # # recommendations : - the equipment should be thoroughly cleaned and disinfected according to the manufacturer's instructions. - the equipment should be inspected for damage and tested to ensure it is functioning properly. - healthcare providers should follow proper infection control procedures to prevent the spread of infection. @topic:18


# # # issue - equipment not adjusting up and down # # # impact - patient discomfort - difficulty performing procedures - potential for injury # # # possible causes - faulty motor or actuator - broken or loose cables - software issues - power supply problems # # # recommendations - inspect the motor or actuator for any visible damage or signs of wear. - check the cables for any breaks or loose connections. - update the software if necessary. - ensure that the power supply is providing the correct voltage and amperage. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:24


# # # issue - the bed cannot adjust its legs. # # # impact - the bed cannot be used to properly position the patient. # # # possible causes - * * electrical : * * - faulty junction box - damaged wiring harness - malfunctioning motor controller - * * mechanical : * * - worn or damaged gears - loose or broken connections - jammed or obstructed mechanisms - * * other : * * - software glitch in the control system - overloaded or improper use of the bed # # # recommendations - inspect the junction box for loose connections, damaged wires, or burned components. - check the wiring harness for continuity and any visible damage. - test the motor controller by applying power directly to the motor. - inspect the gears for wear, damage, or misalignment. - check all connections for tightness and any broken or frayed wires. - clear any obstructions or jams in the mechanisms. - reset the control system by disconnecting the power and reconnecting it after a few minutes. - ensure that the bed is not overloaded and is being used in accordance with the manufacturer's instructions. @topic:1


# # # issue - cuff bp deterioration # # # impact - unable to properly measure blood pressure, potentially leading to incorrect treatment decisions. # # # possible causes - cuff is old and has been used extensively, leading to wear and tear. - cuff has been exposed to harsh chemicals or environments, causing damage to the material. - cuff has not been properly maintained or cleaned, leading to contamination and deterioration. # # # recommendations - replace the cuff bp with a new one. - establish a regular maintenance and cleaning schedule for all cuffs bp. - train staff on the proper use and handling of cuffs bp. - store cuffs bp in a clean and dry environment when not in use. @topic:3


” on page 5 - 6. 867 ( 49 ) | temp module malfunc ( 49 ) internal circuit validation shut down ( see “ shutting down the resistor ( ptb ) is damaged. | monitor ’ on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 50 ) | temp module malfunc ( 50 ) internal circuit validation shut down ( see “ shutting down the resistor ( ptb ) is damaged. | monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 51 ) | temp module malfunc ( 51 ) a / d measurement timed shut down ( see “ shutting down the out and did not finish in monitor ” on page 5 - 2 ) and restart the the allowed time slot. monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 59 ) | temp module malfunc ( 59 ) battery or power supply replace the front end assembly. see voltage below maximum “ removing the front end assembly ” on value. page 5 - 24. 867 ( 60 ) | temp module malfunc ( 60 ) battery or power supply replace the front end assembly. see voltage exceeds minimum | “ removing the front end assembly ” on value. page 5 - 24. 867 ( 61 ) | temp module malfunc ( 61 ) reference voltage circuit shut down ( see “ shutting down the under voltage or unstable. | monitor ’ on page 5 - 2 ) and restart the monitor. if the problem @topic:22


# # # issue - probe spo2 fiber optic degradation # # # impact - significant reduction in light transmission # # # possible cause - deterioration and damage of fiber optic cable # # # recommendations - replace the faulty fiber optic cable with a new one @topic:4


100. 6. if you do not get the results in step 4, see chapter 7, troubleshooting. to perform the respiration performance test : 1. change the patient simulator configuration to : - respiration rate 40 rpm 2. verify that the displayed respiration waveform and respiration rate ( + / - 2rpm ) are the same as the values you selected on the patient monitor : between 38 - 42 rpm. 3. if you do not get the results in step 3, see chapter 7, troubleshooting. ecg sync performance before you start : see “ required test equipment " for a list of the equipment that you need to perform this test. this test checks the performance of ecg synchronization between the monitor and a defibrillator. it only needs to be performed when this feature is in use as a protocol at the customer site. 1. connect the patient simulator to the ecg connector on the monitor and the defibrillator to the ecg sync output on the monitor. 2. set the patient simulator to the following configuration : - hr = 100 bpm - ecg sinus rhythm 3. turn on the defibrillator and check that the marker pulse displays on the defibrillator screen before the t - wave begins. 4. if you do not get the expected results, see chapter 7, troubleshooting. 6 - 8 performance verification testing performing verification tests nbp test before you start : see “ required test equipment ” for a list of the equipment that you need to perform this test. these tests check the performance of the non - invasive blood pressure measurement. perform each of these nbp checks and procedures when checking the nbp unit : • nbp accuracy • nbp calibration procedure ( if required ) • nbp pneumatic leakage • nbp overpressure valve n @topic:17


# # # issue broken bed remote # # # impact - patient discomfort due to inability to adjust bed position - increased workload for healthcare staff to manually adjust the bed # # # possible causes - normal wear and tear - accidental damage - electrical malfunction # # # recommendations - replace the broken remote with a new one - inspect the bed for any other potential issues - train healthcare staff on proper use and maintenance of the bed @topic:7


or realigning the components. for electrical faults, check the wiring and connections, and if necessary, replace faulty components. in case of software issues, consider updating the software or seeking technical support from the manufacturer. - * * battery check : * * ensure that the newly replaced batteries are properly connected and fully charged. replace the batteries if necessary. - * * calibration : * * after any repairs or adjustments, calibrate the bed according to the manufacturer's instructions to ensure accurate positioning and proper functioning. @topic:9


# # # issue : bed is not adjustable # # # impact : patient comfort and safety may be compromised. # # # possible causes : - remote control malfunction - electrical fault in the bed - mechanical problem with the bed's adjustment mechanism # # # recommendations : - verify that the remote control is functioning correctly. - inspect the electrical connections and wiring of the bed. - examine the bed's adjustment mechanism for any signs of damage or wear. @topic:1


# # # issue - cuff connector is missing # # # impact - the vital signs monitor cannot be used to measure blood pressure. # # # possible causes - the cuff connector was not properly attached to the monitor. - the cuff connector was damaged or lost. # # # recommendations - check that the cuff connector is properly attached to the monitor. - if the cuff connector is damaged or lost, replace it with a new one. @topic:14


# # # issue - the patient bed is not adjusting up or down. # # # impact - the patient cannot be positioned properly for comfort or treatment. - the nursing staff cannot use the bed to safely transfer the patient. # # # possible causes - * * remote control failure : * * the remote control may be damaged or not functioning properly. - * * electrical connection issue : * * the bed may not be receiving power or the electrical connection may be loose. - * * mechanical failure : * * the bed's motors or gears may be malfunctioning, preventing it from adjusting. - * * software issue : * * the bed's software may be corrupted or out of date, causing it to malfunction. # # # recommendations - * * check the remote control : * * ensure that the remote control is powered on and functioning properly. replace the batteries if necessary. - * * inspect the electrical connection : * * verify that the bed is plugged in and that the electrical connection is secure. - * * consult the manufacturer's manual : * * refer to the manual for troubleshooting steps specific to the bed's model. - * * contact a qualified biomedical engineer : * * if the issue cannot be resolved by following the manufacturer's instructions, contact a qualified biomedical engineer for further diagnosis and repair. @topic:1


# # # issue : monitor no link # # # possible causes : - incorrect ip address - firewall settings - network connectivity issues - incompatible firmware versions # # # recommendations : - verify the ip address and subnet mask of the monitor and ensure it matches the network configuration. - check firewall settings to ensure that the monitor is allowed to communicate with the central monitor. - troubleshoot any network connectivity issues by checking cables, switches, and routers. - update the firmware on the monitor and central monitor to the latest compatible versions. @topic:16


# # # issue - battery failure # # # impact - inability to monitor vital signs accurately - potential patient safety hazard # # # possible causes - * * battery degradation over time * * - * * improper charging practices * * - * * electrical faults in the monitor * * # # # recommendations - * * regularly inspect and replace batteries according to manufacturer's recommendations * * - * * ensure proper charging procedures are followed * * - * * have the monitor serviced by a qualified biomedical engineer to identify and repair any electrical faults * * @topic:11


# # # issue - displaying inaccurate colors on the lcd monitor during endoscopic procedures. # # # impact - incorrect color representation can impair the surgeon's ability to accurately assess tissue health and make informed decisions during surgery. # # # possible causes - * * loose hdmi cable connection : * * the hdmi cable connecting the camera to the monitor may have become loose, resulting in intermittent signal transmission and color distortion. # # # recommendations - * * tighten hdmi cable connection : * * ensure that the hdmi cable is securely plugged into both the camera and the monitor. verify that the connection is snug and free of any loose wires. - * * replace hdmi cable : * * if tightening the connection does not resolve the issue, the hdmi cable may be damaged or faulty. replace the cable with a new one to ensure proper signal transmission. - * * inspect camera and monitor : * * examine the camera and monitor for any visible damage or defects. loose components or malfunctioning internal circuitry can also contribute to color distortions. - * * update software : * * ensure that both the camera and the monitor are running the latest software versions. software updates may include bug fixes and enhancements that address color accuracy issues. - * * contact manufacturer : * * if the issue persists despite following the above recommendations, contact the manufacturer of the equipment for further troubleshooting and potential repair. @topic:2


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - potential for patient harm # # # possible causes - cuff damage - cuff connection issues - cuff size mismatch # # # recommendations - replace cuff - inspect cuff connections - ensure proper cuff size @topic:3


# # # issue - liden drawer does not pop out after scanning # # # impact - it may cause delay and disruption in the workflow # # # possible causes - liden drawer friction # # # recommendations - lubricate the rails with wd40 - replace the glide rails if necessary - adjust the tension of the spring - inspect the drawer for any obstructions @topic:21


# # # issue the cause of failure is a faulty remote. # # # impact the bed is not able to be operated properly. # # # possible causes - damaged wires - faulty buttons - battery failure # # # recommendations - replace the remote. - inspect the wires and buttons for damage. - replace the batteries. @topic:7


# # # issue - the electric bed cannot be adjusted for all functions. # # # impact - the patient may not be able to use the bed in the most comfortable or appropriate position. - the bed may not be able to be used for certain procedures. # # # possible causes - the plug to the electrical outlet is loose. - a fuse or circuit breaker has blown. - a wire has become disconnected. - the control panel is malfunctioning. - the motor is not working properly. # # # recommendations - check the plug to the electrical outlet and make sure it is secure. - check the fuse or circuit breaker and replace if necessary. - check the wires for any disconnections and reconnect if necessary. - inspect the control panel for any damage or loose connections. - test the motor to make sure it is working properly. @topic:1


# # # issue - cuff blood pressure ( cuff bp ) is deteriorated, resulting in peeling of the outer cover and velcro. # # # impact - inaccurate blood pressure measurements. # # # possible causes - prolonged use of cuff bp without proper maintenance. - poor storage conditions, such as exposure to extreme temperatures or moisture. - lack of regular inspections and maintenance. # # # recommendations - replace the cuff bp with a new one. - inspect and maintain cuff bp regularly to ensure its proper functioning. - provide training to relevant staff on the importance of proper cuff bp maintenance. @topic:3