# # # issue - the philips suresigns vs4 physiologic vital signs monitor is not sending data. # # # impact - this issue can impact the accuracy and timeliness of patient monitoring. # # # possible causes * * the following are possible causes of this issue : * * - incorrect settings on the monitor - faulty or disconnected cables - issue with the patient's blood pressure cuff # # # recommendations the following steps are recommended to troubleshoot and resolve this issue : - check the monitor's settings to ensure that they are correct. - inspect the cables and connections to ensure that they are secure and not damaged. - inspect the patient's blood pressure cuff for any leaks or damage. - if the issue persists, contact the manufacturer for further assistance. * * additional notes : * * - this issue can also be caused by software or firmware issues on the monitor. - it is important to keep the monitor's software and firmware up to date to ensure optimal performance. @topic:20


# # # issue - spo2 cable defective # # # impact - inability to measure oxygen saturation levels # # # possible causes - physical damage to the cable - faulty manufacturing - wear and tear # # # recommendations - replace the spo2 cable @topic:4


mms to the monitor. if the monitor detects a patient mismatch, a window will open showing your patient's data and asking whether to complete transfer of this 5 select yes to complete the transfer. this re - admits the patient from the transfer list to the new monitor. this will upload the patient demographics, and, if configured, the measurement settings and trend data stored in the mms to the receiving monitor. 6 verify that the settings for patient category and paced mode are correct. 7 warning measurements from an mms extension connected to an x2 are not available when the x2 is running on its own battery power. they are only available when the x2 is powered by external power : when connected to a host monitor, to the external power supply ( m8023a ) or to the battery extension ( 865297 ). piic scenario : a centrally - monitored patient is moved to another monitoring location on the same information center database server without interrupting the collection of patient trend information. 1 before you disconnect the x2 from the host monitor, select the patient name field or select the patient demogr. smartkey to open the patient demographics window, then select the transfer pop - up key. if the patient is not admitted or not monitored by an information center, the transfer key is inactive ( " grayed - out " ). 2 remove the x2 and any connected extensions from the monitor. silence the resulting mms unplugged inop. 3 4 move the patient using the x2 as the transport monitor. at the new location, connect the x2 to the new host monitor. if the monitor detects a patient mismatch, a window will open showing your patient's data and asking complete transfer of this patient?. 5 select yes to complete the transfer. this re - admits the patient from the transfer list to the new monitor. this @topic:10


# # # issue - medical cart cannot connect to the medcart program. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the medical cart is not connected to the hospital's wi - fi network. - the medcart program is not installed on the medical cart. - the medcart program is not configured correctly. - the user does not have the correct permissions to log in to the medcart program. # # # recommendations - check that the medical cart is connected to the hospital's wi - fi network. - install the medcart program on the medical cart. - configure the medcart program correctly. - ensure that the user has the correct permissions to log in to the medcart program. @topic:13


# # # issue - the ked pad on the hill - rom care assist es electric bed is not working properly and cannot be adjusted on one side. # # # impact - the patient may be uncomfortable or at risk of injury if the bed cannot be adjusted properly. - the bed may be out of service until the issue can be resolved. # # # possible causes - the ked pad may be damaged or malfunctioning. - the electrical connection to the ked pad may be loose or faulty. - the control panel for the bed may be malfunctioning. # # # recommendations - inspect the ked pad for any damage or defects. - check the electrical connection to the ked pad to ensure that it is secure. - test the control panel for the bed to ensure that it is functioning properly. - replace the ked pad, electrical connection, or control panel as necessary. - retest the bed to ensure that the issue has been resolved. @topic:9


# # # issue : - machine not detecting signals # # # impact : - inability to monitor patient's electrocardiography ( ecg ) signals - compromised patient care and safety # # # possible causes : - faulty or damaged sensor - loose or disconnected cables - malfunctioning electrode pads - interference from other electronic devices - software issues or bugs - internal hardware failure # # # recommendations : - check and replace sensor if necessary - ensure all cables are securely connected - inspect and clean electrode pads - verify there are no external sources of interference - update software or troubleshoot bugs - consult with manufacturer or qualified biomedical engineer for further diagnostics and repairs @topic:18


# # # issue - cuff is deteriorated due to aging # # # impact - the cuff may not be able to provide accurate blood pressure readings. # # # possible causes - the cuff may have been used for an extended period of time. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been damaged during cleaning or storage. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is used according to the manufacturer's instructions. - store the cuff in a cool, dry place when not in use. @topic:3


# # # issue - remote control for knee adjustment is not functioning properly # # # impact - inability to adjust the knee position of the electric bed, which can affect patient comfort and mobility # # # possible causes - remote control malfunction ( e. g., loose or damaged buttons ) - faulty wiring or connection issues between the remote control and the bed - software or firmware errors in the remote control or the bed system - lack of power supply to the remote control or the bed # # # recommendations - * * inspect the remote control : * * check for any visible damage or loose buttons that may be preventing it from functioning properly. - * * test the wiring : * * use a multimeter to check the continuity and integrity of the cables and connections between the remote control and the bed. - * * reset the system : * * disconnect the bed from power and reconnect it to reset the software and firmware. - * * update software / firmware : * * contact the manufacturer to obtain the latest software or firmware updates and install them on the bed system. - * * replace the remote control or bed system : * * if the above steps do not resolve the issue, the remote control or the bed system may need to be replaced. - * * ensure adequate power supply : * * verify that the bed and remote control are receiving sufficient power from the electrical outlet. @topic:32


# # # issue * the wooden slide that acts as a bed rails can't be adjusted properly. # # # impact * may cause the patient to fall out of bed. * safety issue for the patient and care staff. # # # possible causes * the wooden slide is broken. * the mechanism for adjusting the slide is malfunctioning. * the slide is not properly installed. # # # recommendations * replace the wooden slide with a new one. * inspect the mechanism for adjusting the slide. * ensure that the slide is properly installed. @topic:6


# # # issue - the electric bed is currently not functioning properly. # # # impact - the patient may not be able to use the bed, which could affect their comfort and care. - the staff may have to manually adjust the bed, which could be time - consuming and difficult. # # # possible causes - the bed may have a mechanical issue, such as a broken motor. - the bed may have an electrical issue, such as a loose wire. - the bed may be damaged due to normal wear and tear, or a user error. # # # recommendations - the bme should inspect the bed to determine the cause of the failure. - the bme should repair or replace the bed as necessary. - the staff should be trained on how to properly use the bed to prevent future failures. @topic:9


# # # issue - equipment malfunction due to battery failure # # # impact - interruption of patient monitoring and potential for inaccurate or delayed vital signs readings # # # possible causes - battery life has expired - battery not properly installed or seated - battery contacts are corroded or dirty - electrical fault within the battery or device # # # recommendations - replace the battery with a new one - check battery installation and seating - inspect battery contacts for corrosion or dirt and clean if necessary - contact the device manufacturer for further troubleshooting or repair @topic:11


# # # issue - equipment : central monitor - manufacturer : hewlett packard - model : m3150a # # # impact - the equipment was not functioning properly due to a faulty battery unit. # # # possible causes - the battery unit may have reached the end of its lifespan. - the battery unit may have been damaged due to improper handling or storage. - the battery unit may have been incorrectly installed. # # # recommendations - the battery unit should be replaced with a new one of the same type and capacity. - the new battery unit should be properly installed and secured. - the equipment should be tested to ensure that it is functioning properly. - the battery unit should be regularly inspected and replaced as needed. @topic:11


# # # cause of failure : external factors * * issue : * * equipment borrowed by external department. * * impact : * * equipment is not available for use by intended department. * * possible causes : * * - lack of communication or coordination between departments. - misunderstanding of equipment usage or availability. - unauthorized borrowing of equipment without proper notification or tracking. * * recommendations : * * - establish clear policies and procedures for equipment borrowing and lending. - designate a responsible person to oversee equipment usage and ensure proper documentation. - implement a tracking system to monitor equipment location and availability. - provide education and training to all staff on the importance of proper equipment management. @topic:12


# # # issue the monitor does not display any values. # # # impact inability to monitor patient's vital signs. # # # possible causes - faulty display - loose connection - power supply issue - software malfunction # # # recommendations - check display connections and cables. - ensure power supply is stable. - update software if available. - replace display if necessary. @topic:2


# # # issue - equipment failure due to a depleted battery. # # # impact - device malfunction and potential inability to monitor vital signs accurately, leading to patient safety concerns. # # # possible causes - * * battery aging and degradation : * * batteries have a limited lifespan and gradually lose capacity over time. - * * excessive use or high demand : * * continuous or extended use of the device may drain the battery more rapidly. - * * defective battery : * * manufacturing defects or external damage can compromise battery performance. # # # recommendations - * * regular battery maintenance : * * schedule routine checks to monitor battery health and replace it proactively when necessary. - * * optimized device usage : * * avoid unnecessary device use or excessive power consumption when possible. - * * proper battery storage : * * store spare batteries in optimal conditions to prevent premature degradation. - * * consider alternative power sources : * * explore options for providing backup power or alternative monitoring methods in case of battery failure. @topic:11


# # # issue - defective spo2 cable # # # impact - inaccurate or unreliable spo2 readings - potential patient safety risks if accurate oxygen saturation measurements are not available # # # possible causes - damaged or faulty cable - improper handling or storage - age or wear and tear # # # recommendations - replace the defective spo2 cable with a new one - inspect all spo2 cables regularly for signs of damage or wear - handle and store spo2 cables properly to prevent damage - consider using wireless spo2 monitors to eliminate cable - related issues @topic:4


# # # issue - * * machine difficult to move : * * nibp monitor is not rolling smoothly. - * * oxygen saturation ( spo2 ) sensor not detecting : * * spo2 sensor is not providing accurate readings or is not working at all. # # # impact - delays in patient care due to inability to move the machine to the patient's location. - inaccurate or missed spo2 readings, compromising patient monitoring and respiratory assessment. # # # possible causes * * machine difficult to move : * * - faulty or damaged wheels - obstruction in the wheelbase - bent or misaligned frame * * oxygen saturation sensor not detecting : * * - broken or loose spo2 sensor cable - malfunctioning sensor probe - insufficient contact between the sensor and the patient's finger or toe - patient movement or interference # # # recommendations * * machine difficult to move : * * - inspect the wheels for damage or obstructions. - check the wheelbase for debris or misalignment. - if necessary, replace the wheels or repair the frame. * * oxygen saturation sensor not detecting : * * - inspect the spo2 sensor cable for breaks or loose connections. - clean the sensor probe and ensure proper contact with the patient. - check if the patient is moving excessively or interfering with the sensor. - replace the sensor probe if necessary. @topic:4


# # # issue - cuff is deteriorated due to aging. # # # impact - inaccurate blood pressure measurement. # # # possible causes - cuff is not properly inflated. - cuff is not the correct size for the patient. - cuff is not properly maintained. # # # recommendations - replace the cuff with a new one. - make sure the cuff is properly inflated. - make sure the cuff is the correct size for the patient. - properly maintain the cuff. @topic:3


. place the transducer on one of the calstick cells and select start cal1. 2 enter the calibration value printed on the calstick then press confirm to start calibration. 3 start cal2 calibration appears, put the 4 transducer on the other cell and select start cal2 then press confirm. when you see the message co2 calibration completed - leave cal. mode, calibration is complete. 5 select cal. mode to switch calibration mode off. you cannot monitor in calibration mode. 6 1 open the latch and place the transducer ( b ) onto the airway adapter ( a ). place the airway adapter in the patient's breathing circuit between the endotracheal tube and the y - piece. you may see the 247 co2 sens warmup message until the transducer reaches operating temperature. wait until this disappears before starting the measurement. a to remove the transducer from the airway adapter, open the latch and pull out the airway adapter. 2 warning to prevent stress on the endotracheal tube, support the transducer and airway adapter. to avoid infection, use only sterilized airway adapters. measuring microstream co2 using m3015a / b the m3015a / b microstream co2 extension measures the partial pressure of carbon dioxide in a patient's expired gas using microstream technology. the measurement is equipped with an automatic barometric pressure compensation. 4 warning when using the ipi numeric ( available for adult and pediatric patients ), always ensure that the patient's date of birth is entered correctly and that the monitor is displaying the current date. these two pieces of information are used to calculate the age of the patient, which affects the algorithm used to provide the ipi numeric. the @topic:17


# # # issue - cuff bp ( blood pressure cuff ) deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - prolonged use - improper storage - environmental factors ( e. g., humidity, temperature ) # # # recommendations - replace cuff bp - inspect and replace cuff bp regularly ( every 6 - 12 months ) - store cuff bp in a cool, dry place - avoid prolonged exposure to extreme temperatures or humidity @topic:3


# # # issue * * battery replacement failure * * # # # impact * inability to use the patient transport monitor * potential patient safety risks due to inaccurate monitoring # # # possible causes * * * incorrect battery type : * * the technician may have installed an incompatible battery, e. g., different voltage, capacity, or chemistry. * * * defective battery : * * the new batteries may be defective or damaged, leading to premature failure. * * * improper installation : * * the batteries may not have been installed correctly, causing poor electrical contact or damage. * * * underlying electrical fault : * * a problem within the monitor itself, such as a faulty charging circuit or power supply, may be causing battery failure. # # # recommendations * * * verify battery compatibility : * * ensure that the installed batteries are the correct type and specifications as per the manufacturer's instructions. * * * test batteries : * * use a battery tester to verify the voltage and capacity of the new batteries before installation. * * * proper installation : * * follow the manufacturer's guidelines for installing batteries, including proper polarity and secure connections. * * * check monitor health : * * perform a comprehensive electrical inspection of the monitor to identify and resolve any underlying electrical faults that may be impacting battery performance. * * * monitor usage : * * observe the monitor's battery usage patterns and charge cycles to identify any abnormal behavior or premature discharge. @topic:11


* * issue : * * monitor error * * impact : * * the monitor is not able to accurately measure vital signs, which could lead to incorrect diagnosis and treatment. * * possible causes : * * * faulty cuff * loose or damaged cables * software glitch * hardware malfunction * * recommendations : * * * replace the cuff * check the cables for damage and ensure they are securely connected * restart the monitor * contact a biomedical engineer for further troubleshooting and repair @topic:20


# # # issue - nibp error * * propaq no. 1 * * # # # impact - the device cannot accurately measure blood pressure, which can lead to incorrect treatment decisions. # # # possible causes - faulty nibp sensor - loose or damaged nibp hose - kinked nibp hose - incorrect nibp cuff size - electrical interference from other devices - software error # # # recommendations - replace the nibp sensor. - inspect the nibp hose for damage or loose connections. - ensure that the nibp hose is not kinked. - use the correct nibp cuff size for the patient. - move any other electrical devices away from the nibp device. - update the software on the nibp device. @topic:15


# # # issue - bed alarm icon with red wrench is displayed on the bed control panel, preventing the bed from being used. # # # impact - the patient cannot use the bed, which may cause discomfort or inconvenience. - the hospital staff cannot provide proper care to the patient. # # # possible causes - faulty bed alarm sensor - loose or disconnected wires or cables - software glitch or malfunction - power supply issues ( 6n2bih ) # # # recommendations - inspect the bed alarm sensor for any damage or obstruction. - check all wires and cables for loose connections or damage. tighten any loose connections. - reset the bed control panel by unplugging it from the power source and then plugging it back in. - contact the manufacturer for support if the issue persists after following the above steps. @topic:26


note this access code is configurable and could be different at your location. baxter recommends changing the default password. he general tab appears4. perform service tasks by making selections or touching other tabs. note service tasks and how to do them are detailed in this section. 5. he home tab appears dvanced settingwelch [UNK] connex® spot monitor 24 general tab specify the language you first access advanced settings, the general tab appears, displaying the language tab. hen select a language. 1. do one of the following : 2. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. specify profile settings caution switching from the office profile drops the bluetooth connection. switching to the office profile clears both patient information and current readings. switching to another profile retains patient information, but current readings are a in advanced settings, touch the general > profiles tabs. 1. 2. specify settings. setting action / description select the profile types to display : intervals, officend spot. rofile typeselect the primary profile. rimary profile custom profile name if desired, modify the profile names. 3. touch apply. do one of the following : 4. to continue in advanced settings, touch another tab. • to exit advanced settings and return to the home tab, touch exit. specify date and time settings 1. in advanced settings, touch the general > date / time tabs. 2. specify settings. action / description setting select a date format for display. ate format ime zondisplays utc time zone ( read only ) enable the monitor to query the correct date and time from a trusted time server. when enabled, manual date and time entry on the settings tab is disabled. use network time protocol 3. touch test network connection. test results appear for the time sync test, ip address, and d @topic:10


# # # issue - keyboard keys are not functioning on the medical cart # # # impact - inability to operate the medical cart - delay in patient care - inconvenience to healthcare professionals # # # possible causes * * hardware issues : * * - faulty keyboard - loose or damaged connections - liquid or foreign object spillage on the keyboard * * software issues : * * - driver conflicts or software updates - malware or virus infection - operating system compatibility issues # # # recommendations * * troubleshooting steps : * * 1. * * restart the medical cart : * * this can often resolve minor software glitches. 2. * * check for physical damage : * * inspect the keyboard for any visible damage or signs of wear. 3. * * clean the keyboard : * * use a soft cloth and antibacterial wipes to clean the keyboard and remove any debris or spills. 4. * * tighten connections : * * ensure that all cables and connectors are securely fastened at both ends. 5. * * update software : * * check for available software updates for the medical cart and its operating system. 6. * * run diagnostics : * * some medical carts may have built - in diagnostic tools to test the functionality of peripherals like keyboards. * * repair or replacement : * * if troubleshooting steps do not resolve the issue, it may be necessary to : - * * repair the existing keyboard : * * this involves disassembling the medical cart and replacing the faulty parts. - * * replace the keyboard : * * a new keyboard may need to be purchased and installed. * * preventive measures : * * - regular maintenance and cleaning of the medical cart - use protective covers for the keyboard - train healthcare professionals on proper handling and care of the equipment @topic:27


# # # issue - cuff failure in philips intellivue mp70 bedside physiologic monitor # # # impact - inability to accurately measure blood pressure, which can lead to incorrect treatment decisions. # # # possible causes - repeated use and wear of the cuff over time - damage to the cuff material due to mishandling or improper storage - defects in the manufacturing process - use of the cuff with an incompatible blood pressure monitor # # # recommendations - regularly inspect the cuff for signs of damage, such as tears or fraying. - replace the cuff if any damage is detected or if it has been used for an extended period. - ensure that the cuff is properly connected to the blood pressure monitor and that all connections are secure. - train users on proper handling and storage techniques to minimize damage to the cuff. - consider using a blood pressure monitor with a more durable cuff if the cuff is prone to failure. @topic:14


* * issue : * * equipment failure due to error function * * impact : * * inability to monitor vital signs accurately, potentially leading to delayed or incorrect medical interventions. * * possible causes : * * * * * software glitch : * * a malfunction in the monitor's software could cause the error function to occur. * * * hardware failure : * * a hardware component, such as a sensor or circuit board, may have failed, leading to the error function. * * * electrical surge or power fluctuation : * * a sudden surge or drop in electrical voltage can damage sensitive electronic components in the monitor, causing the error function. * * * loose connections : * * loose internal or external connections can disrupt the flow of data or power, resulting in the error function. * * * improper setup or calibration : * * inappropriate configuration or calibration of the monitor can lead to incorrect readings and error functions. * * * user error : * * unintentional or incorrect operation of the monitor can trigger the error function. * * recommendations : * * * * * restart the monitor : * * a simple reboot may clear any temporary software glitches. * * * check connections : * * inspect all internal and external connections to ensure they are secure and properly seated. * * * inspect hardware : * * visually examine the monitor for signs of damage or loose components. * * * verify proper setup and calibration : * * refer to the manufacturer's instructions to ensure the monitor is configured and calibrated correctly. * * * contact manufacturer support : * * if the issue persists, reach out to the equipment manufacturer for technical assistance and guidance on repair or replacement. @topic:2


# # # issue - cuff bp cannot fit tightly. # # # impact - the cuff cannot measure the patient's blood pressure accurately. # # # possible causes - the velcro on the cuff is worn out due to age and usage. # # # recommendations - replace the cuff bp with a new one. - check the cuff bp regularly for wear and tear. @topic:3


# # # issue : vital signs monitor cuff failure # # # impact : unable to accurately measure patient's blood pressure # # # possible causes : - * * cuff degradation : * * over time, the cuff material can deteriorate due to wear and tear, affecting its ability to seal and provide accurate pressure readings. - * * leakage : * * damage to the cuff or tubing can result in leaks, leading to inaccurate pressure measurements. - * * blockage : * * obstructions within the tubing or cuff can prevent pressure from being transmitted correctly, causing incorrect readings. - * * electrical issues : * * faulty wiring or connections within the cuff or monitor can lead to disruptions in electrical signals, affecting pressure readings. # # # recommendations : - * * regular maintenance and inspection : * * schedule routine maintenance to check the cuff for wear, leaks, or blockages. replace the cuff if necessary. - * * proper storage and handling : * * ensure the cuff is stored and handled according to manufacturer guidelines to prevent damage. - * * calibration and testing : * * regularly calibrate the monitor and test the cuff to verify accuracy. - * * training of staff : * * provide training to clinical staff on the proper use and maintenance of the vital signs monitor and cuff. - * * consider use of alternative cuff types : * * explore the use of disposable or reusable cuffs with improved durability or resistance to degradation. - * * investigate electrical connections : * * verify the integrity of all electrical connections, including wiring and connectors, to eliminate possible electrical issues. @topic:5


# # # issue - keyboard on medical cart ( bdms 01 ) is not functioning. # # # impact - inability to input data or navigate the medical cart's system, hindering its functionality and potentially affecting patient care. # # # possible causes - * * keyboard malfunction * * : the keyboard itself may be defective or damaged, preventing it from receiving or registering keystrokes. - * * bluetooth connectivity issue * * : the keyboard may not be properly paired or connected to the medical cart via bluetooth, resulting in lack of communication. - * * software glitch * * : a software issue in the medical cart's system may be interfering with the keyboard's functionality. - * * physical obstruction * * : something may be physically obstructing the keyboard, preventing it from functioning correctly. - * * user error * * : the user may not be pressing the keys correctly or may not have turned on the keyboard. # # # recommendations 1. * * check keyboard connection * * : ensure the keyboard is properly paired and connected to the medical cart via bluetooth. 2. * * inspect the keyboard * * : examine the keyboard for any physical damage or debris that may be obstructing the keys. 3. * * reset the keyboard * * : if possible, reset the keyboard by following the manufacturer's instructions to clear any software glitches. 4. * * update software * * : check for any available software updates for the medical cart and install them as necessary. 5. * * contact vendor * * : if the above steps do not resolve the issue, contact the vendor or manufacturer of the medical cart for further troubleshooting and repair services. @topic:27


# # # issue - battery not charging, displaying battery error. # # # impact - unable to use the device for patient transport or monitoring. # # # possible causes - faulty battery or charger. - loose or damaged connections between the battery, charger, and device. - firmware or software issues. - internal hardware failure. # # # recommendations - * * check the battery and charger : * * verify that the battery is securely inserted into the charger and that the charger is connected to a power source. inspect the battery and charger for any damage or corrosion. - * * inspect the connections : * * ensure that the connections between the battery, charger, and device are secure and free of debris. clean any dirty or loose connections. - * * update firmware : * * if applicable, check for and install the latest firmware updates for the device. - * * diagnose hardware failure : * * perform diagnostic tests on the device according to the manufacturer's instructions. if hardware failure is suspected, contact the manufacturer for repair or replacement. @topic:11


support technology citrix® and ica® ( independent computing architecture ) client, tunneling control engine ( tce ) capabilities a monitor connected to a philips application server can show a windows application on the monitor display. the application can be controlled by the monitor user input devices. x2 ( m3002a ) interface specifications measurement link ( msl ) connectors female odu ( proprietary ) power 30 v to 60 v input power sync. rs - 422 compliant input 78. 125 kelz ( typical ) lan signals ieee 802. 3 10 - base - t compliant serial signals rs - 422 compliant local signals provided for connecting mms extensions ecg sync pulse output ( rectangular pulse ) cable detection yes marker in no wave output no connector binder series 709 / 719 output levels output low < 0. 8 v @ i = - 4 ma output high > 2. 4 v @ i = 4 ma isolation none pulse width 100 + / - 10 ms ( high ) delay from r - wave peak to start of pulse 20 ms maximum per aami ec 13 minimum required r - wave amplitude 0. 5 v wireless network device interface ( integrated, for compatible network options see below ) signals rd + / -, td + / - : ieee 802. 3 lobase - t, pwr, gnd 12. 5 v ±20 %, 3. 5 w continuous short range radio interface 1 type internal srr interface technology ieee 802. 15. 4 frequency band 2. 4 ghz ism ( 2. 400 - 2. 483 ghz ) modulation technique dsss ( o - qpsk ) effective radiated power max. 0 dbm ( 1 mw ) 1. the short range radio interface is compatible with the following telemetry devices : trx484la / trx4851a intellivue telemetry system transceiver. 425 38 installation and specifications monitor performance specifications m80 @topic:10


# # # issue the patient bed is not able to be adjusted. the control buttons are not illuminated. # # # impact this issue prevents the patient from being positioned comfortably and hinders the medical staff in providing optimal care. # # # possible causes - faulty control unit - wiring issues - power supply problems - software malfunction # # # recommendations - replace the control unit and test functionality. - inspect wiring connections for damage or loose connections and repair as necessary. - check for loose battery connections or damaged power cords and replace them if needed. - if software issues are suspected, update or reinstall the software and test the functionality. @topic:1


# # # issue the bed is making noise. # # # impact the noise may be disruptive to patients and staff. it may also indicate a problem with the bed that could lead to failure. # # # possible causes * the bed may have worn - out or damaged parts. * the bed may be improperly lubricated. * the bed may be overloaded. * the bed may be on an uneven surface. # # # recommendations * inspect the bed for worn - out or damaged parts. replace any damaged parts. * lubricate the bed according to the manufacturer's instructions. * ensure that the bed is not overloaded. * place the bed on a level surface. @topic:9


# # # issue monitor is not charging. # # # impact the monitor cannot be used wirelessly. # # # possible cause - the adapter is not properly connected to the monitor. - the adapter is not providing power to the monitor. - the battery in the monitor is dead. - the charging port on the monitor is damaged. # # # recommendations - check that the adapter is properly connected to the monitor. - try using a different adapter. - replace the battery in the monitor. - contact a qualified technician to repair the charging port. @topic:11


# # # issue * * remote control is not working. * * # # # impact * * the bed cannot be adjusted properly, which can be uncomfortable and dangerous for the patient. * * # # # possible causes * * plugs on the remote control might be loose. * * # # # recommendations * * check the plugs on the remote control and make sure they are secure. if the plugs are loose, tighten them or replace the remote control. * * @topic:7


# # # issue - leaking blood pressure ( bp ) cuff on philips intellivue x2 patient transport monitors ( model m3002a ) # # # impact - inaccurate blood pressure measurements or inability to measure blood pressure # # # possible causes - damaged or worn bp cuff - loose or disconnected cuff tubing - faulty cuff connector or port on the monitor # # # recommendations - replace the bp cuff with a new one. - inspect the cuff tubing and connections for damage or leaks. - clean and tighten any loose connections. - if the issue persists, contact philips technical support or an authorized service provider for further troubleshooting and repair. @topic:14


- tach run limit, a yellow non - sustain vt alarm is generated. • bout st monitorinthe monitor performs st segment analysis on normal and atrially paced beats and calculates st segment elevations and depressions. this information can be displayed in the form of st numerics and the monitor also performs st elevation ( ste ) analysis using automated iso and j point determination and measuring the st segment directly at the j point ( j + 0 ). this is based on the recommendations for measuring st elevation published by the american heart association, the american college of cardiology and the european society of cardiology. all available leads can be monitored continuously. the ecg waveform does not need to be displayed on the monitor for st segment analysis. st analysis is always performed using a dedicated filter which ensures diagnostic quality. if you are monitoring ecg using an ecg filter mode other than diagnostic, the st segment of the ecg wave may look different from the st segment of the st snippet for the same wave. for diagnostic evaluation of the st segment, always switch to diagnostic filter mode or use the st snippet. 164 6 ecg, arrhythmia, st and qt monitoring warning some clinical conditions may make it difficult to achieve reliable st monitoring, for example : if you are unable to get a lead that is not noisy. if arrhythmias such as atrial fib / flutter are present, which may cause an irregular baseline • if the patient is continuously ventricularly paced • • you should consider switching st monitoring off if these conditions are present. this monitor provides st level change information ; the clinical significance of the st level change information should be determined by a physician. st segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients. for this reason, the recommended - and default - @topic:8


# # # issue - monitor not linking # # # impact - patients may not be able to receive proper medical care due to lack of access to vital patient data. # # # possible causes - xds error during configuration - incorrect or incompatible software - hardware malfunction - cable or connection issues # # # recommendations - reinstall the configuration program and verify that it is the correct version. check the software compatibility with the monitor model. - inspect the monitor and connections for any loose wires or damaged components. - reset the monitor to factory settings. - contact the manufacturer for support and troubleshooting assistance. @topic:16


* * issue : * * bed not adjusting down * * impact : * * patient cannot be properly positioned in the bed, which can lead to discomfort, pressure sores, and other health problems. * * possible causes : * * * * * power supply : * * the bed may not be receiving power, or the power supply may be faulty. * * * hand control : * * the hand control may be damaged or malfunctioning. * * * actuators : * * the actuators that move the bed may be damaged or malfunctioning. * * * control board : * * the control board that coordinates the movement of the bed may be damaged or malfunctioning. * * * obstruction : * * there may be an obstruction, such as a patient's clothing or bedding, that is preventing the bed from adjusting down. * * recommendations : * * * * * check the power supply : * * ensure that the bed is plugged into a working outlet and that the power cord is not damaged. * * * inspect the hand control : * * look for any damage to the hand control, such as cracks or broken buttons. * * * check the actuators : * * listen for any unusual noises coming from the actuators when the bed is adjusted. * * * inspect the control board : * * look for any burnt or damaged components on the control board. * * * clear any obstructions : * * ensure that there are no obstructions that could be preventing the bed from adjusting down. * * * contact a qualified technician : * * if none of the above steps resolve the issue, contact a qualified technician to diagnose and repair the bed. @topic:1


# # # issue - * * equipment : * * beds, electric - * * band : * * hill - rom - * * model : * * 900b - * * description : * * the bed's remote control is faulty, preventing the bed from being adjusted. # # # impact - the patient is unable to adjust the bed's height or position, which can be uncomfortable and impede their recovery. # # # possible causes - * * remote control malfunction : * * the remote control may have a faulty switch, button, or other internal component. - * * electrical connection issue : * * there may be a loose or damaged electrical connection between the remote control and the bed. - * * power supply problem : * * the bed may not be receiving sufficient power, either from the hospital's main electrical system or from an internal battery. - * * software glitch : * * a software error in the bed's control system could be preventing it from responding to commands from the remote control. # # # recommendations - * * replace the remote control : * * if the remote control is clearly faulty, it should be replaced with a new one. - * * check electrical connections : * * inspect the electrical connections between the remote control and the bed to ensure they are secure and undamaged. - * * troubleshoot power supply : * * verify that the bed is connected to the hospital's electrical system and that the internal battery ( if applicable ) is functioning properly. - * * update software : * * if a software glitch is suspected, contact the bed manufacturer to inquire about any available software updates. @topic:7


##ies with an arterial catheter, or intravascular venous infusion line. connecting sp02 cables ♦ connect the sensor cable to the color - coded socket on the measurement device ( mms or module ). you can connect some philips sensors directly to the measurement device. for other sensors, use the corresponding adapter cable. caution extension cables : do not use more than one extension cable ( m1941a ). do not use an extension cable with philips reusable sensors or adapter cables with part numbers ending in - l ( indicates “ long ” cable version ). electrical interference : position the sensor cable and connector away from power cables, to avoid electrical interference. humidity : for neonatal patients, make sure that all sensor connectors and adapter cable connectors are outside the incubator. the humid atmosphere inside can cause inaccurate measurements. measuring sp0 2 1 select the correct patient category setting ( adult / pediatric and neonatal ), as this is used to optimize the calculation of the sp0 2 and pulse numerics. 172 sp0 2 signal quality indicator ( fast sp0 2 only ) 9 monitoring sp0 2 2 during measurement, ensure that the application site : - has a pulsatile flow, ideally with a perfusion indicator value above 1. 0. - has not changed in its thickness ( for example, due to edema ), causing an improper fit of the sensor. warning inspect the application site every two to three hours to ensure skin quality and correct optical alignment. if the skin quality changes, move the sensor to another site. change the application site at least every four hours. caution • injected dyes such as methylene blue, or intravascular dyshemoglobins such as methemoglobin and carboxyhemoglobin may lead to inaccurate measurements. • interference can be caused by : — high @topic:17


# # # issue - cuff blood pressure ( cuff bp ) deterioration - velcro worn out # # # impact - inaccurate blood pressure measurement - device malfunction # # # possible causes - * * cuff deterioration * * - over time, the cuff can become stretched or damaged, which can affect the accuracy of the blood pressure measurement. - * * velcro worn out * * - the velcro may become worn out over time, which can make it difficult to secure the cuff around the patient's arm. # # # recommendations - * * replace the cuff * *. the cuff should be replaced if it is damaged or deteriorated. - * * secure the velcro * *. the velcro should be checked and replaced if it is worn out. @topic:3


. 1 cm ) height extended chassis : 6. 5 in. ( 16. 5 cm ) with braun extended chassis : 6. 4 in. ( 16. 3 cm ) with suretemp standard chassis : 9. 2 in. ( 23. 4 cm ) width 132 appendix welch [UNK] connex® spot monitor protection classifications, all monitor configurations extended chassis : 11. 7 in. ( 29. 8 cm ) with braun extended chassis : 11. 7 in. ( 29. 8 cm ) with suretemp standard chassis : 2. 3 in. ( 5. 8 cm ) depth extended chassis : 4. 4 in. ( 11. 0 cm ) with braun extended chassis : 4. 2 in. ( 10. 6 cm ) with suretemp standard chassis : 2. 9 lb ( 1. 3 kg ) weight ( including battery ) extended chassis : 3. 7 lb ( 1. 7 kg ) with braun extended chassis : 3. 5 lb in. ( 1. 6 kg ) with suretemp 6. 5 in. ( w ) x 4. 1 in. ( h ) x 0. 13 in. ( d ) ( 164. 9 mm [ h ] x 103. 8 mm [ w ] x 3. 40 mm [ d ] ) dimensional outline ctive are6. 1 in. ( w ) x 3. 4 in. ( h ) ( 154. 08 mm [ w ] x 85. 92 mm [ h ] ) 800 x 480 pixels resolution pixel arrangement rgb ( red, green, blue ) 63. 2 μm ( w ) x 179 μm ( h ) pixel size luminance 530 cd / m2 minimum output sound pressure 60 db at 1. 0 meter alarm and pulse tones pulse frequency ( fo ) 150 - 1000 hz number of harmonic components in the range 300 hz to 4000 hz minimum of 4 igh priority : 75 - 200 ms effective @topic:19


# # # issue - remote cord failure # # # impact - inability to operate the bed # # # possible causes - physical damage to the cord - faulty connection # # # recommendations - replace the remote cord - inspect the connection between the cord and the bed - ensure proper handling of the cord to prevent future damage @topic:7


# # # issue : remote control broken # # # impact : - inability to operate the bed, electric huntleigh contoura 360. - disruption of patient care and workflow. # # # possible causes : - physical damage to the remote control due to accidental drop or mishandling. - internal electrical or mechanical failure within the remote control. # # # recommendations : - inspect the remote control for visible damage such as cracks, dents, or broken buttons. - replace the remote control with a new one or a compatible model. - if replacing the remote control does not resolve the issue, further troubleshooting of the device itself may be necessary. - handle the remote control with care and avoid dropping or rough handling. - consider using a protective case or cover for the remote control to prevent future damage. - regularly inspect the remote control for signs of wear and tear and replace it as needed. @topic:7


# # # issue - broken module clip # # # impact - the module cannot be secured to the rack, which could lead to it becoming dislodged and causing a patient safety hazard. # # # possible causes - the rack is physically damaged. - the module clip is damaged due to excessive force or wear and tear. - the module was not properly installed in the rack. # # # recommendations - inspect the rack for any physical damage and replace if necessary. - inspect the module clip for any damage and replace if necessary. - ensure that the module is properly installed in the rack. - train staff on the proper handling of medical devices. @topic:12


# # # issue - the patient's name disappears from the med cart program. # # # impact - the biomedical engineer ( bme ) is unable to track the patient's care and retrieve their medical information. # # # possible causes - a software glitch in the med cart program. - a hardware issue with the med cart. - user error, such as accidentally deleting the patient's name. # # # recommendations - the bme should restart the med cart program and check if the issue is resolved. - if the issue persists, the bme should contact the manufacturer of the med cart for technical support. - the bme should also check the user manual for the med cart to ensure that the patient's name was entered correctly. @topic:13


# # # issue - device shuts down when vital signs are measured and restarts. # # # impact - interruption of patient monitoring. - delays in medical decision - making. - potential for adverse patient outcomes. # # # possible causes - battery degradation. - battery not making proper contact. - loose battery terminal connections. # # # recommendations - replace the battery. - ensure that the battery is properly seated. - tighten any loose terminal connections. - monitor the device's performance and battery life. @topic:11


# # # issue - cuff of bedside physiologic monitor has deteriorated. # # # impact - blood pressure measurement may be inaccurate or unavailable. # # # possible causes - cuff may have been over - inflated or under - inflated. - cuff may have been damaged or torn. - cuff may not have been properly connected to the monitor. - equipment or sensors may be malfunctioning. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated and connected to the monitor. - calibrate the monitor and sensors according to the manufacturer's instructions. - monitor the cuff and monitor for any further issues. @topic:3


electrode. 2 attach the black cable clamp cable to the distal electrode, ( see figure above ). 3 attach the red cable clamp cable to the proximal electrode, ( see figure above ). 4 place and affix the transducer with a large flat side against the palmar side of the thumb. the cablshould be attached in such a way that it does not'pull'at the transducer and that movement of ththumb is not obstructed. the more distal the transducer is placed on the thumb, the stronger the acceleration signal. 5 caution make sure that the lead wires cannot come into contact with external pacemaker or catheter wires. arm position the arm used for the nmt measurement, should be kept immobile during the whole procedure. ote both the nmt calibration and nmt measurement cannot be started : - during the recovery phase after a measurement. - during an ongoing automatic measurement cycle. - when error conditions have been detected. hen no patient cable is connected. calibrating the nmt measurement with the nmt calibration the supramaximal stimulation current is determined and the reference twitch is set to 100 %. the reference twitch is the twitch at the supramaximal stimulation current when the patient is not paralyzed. this must be done prior to administration of neuromuscular blocking agents ( nmba ). if the nmt module is unable to establish a reference twitch, it uses an internal reference value for single - twitch measurements. note it is recommended that the patient be anesthetized before setting up the calibration twitch as nervstimulation can be painful. the nmt key on the module, or select the numeric on the screen to enter the setup 1 either press 2 select start cal. 296 0 monitoring nmt 3 select confirm. this automatically @topic:17


# # # issue - malfunctioning cuff bp # # # impact - the malfunctioning cuff bp can lead to inaccurate blood pressure readings. - this can result in incorrect diagnosis, treatment, and delayed patient care. # # # possible causes - cuff bp has been deteriorated. # # # recommendations - replace the cuff bp @topic:3


# # # issue : - cuff deterioration # # # impact : - compromised accuracy of vital signs monitoring # # # possible causes : - prolonged use leading to material degradation - exposure to extreme temperatures or moisture - improper storage or handling # # # recommendations : - regular inspection and testing of cuff integrity - replacement of worn or damaged cuffs - proper storage and handling procedures to prolong cuff life - training of healthcare personnel on correct cuff application and maintenance @topic:5


# # # issue machine is difficult to move. # # # impact - inefficient workflow for healthcare professionals - potential delays in patient care # # # possible causes - * * mechanical obstruction : * * foreign objects ( e. g., hair, dirt ) lodged in the wheels or base of the machine. - * * improper lubrication : * * insufficient or worn - out lubricant in the wheel bearings or other moving parts. - * * bent or damaged wheels : * * deformities in the wheels can hinder their smooth rotation and increase resistance to movement. - * * faulty motor : * * malfunctioning of the motor responsible for driving the wheels can lead to decreased power and difficulty in moving the machine. # # # recommendations 1. * * thorough cleaning : * * carefully inspect and remove any foreign objects obstructing the wheels or base. 2. * * lubrication : * * apply appropriate lubricant to the wheel bearings and other moving parts as per the manufacturer's instructions. 3. * * wheel inspection : * * examine the wheels for any bends, cracks, or other damage. replace damaged wheels if necessary. 4. * * motor testing : * * perform diagnostics on the motor to identify any electrical or mechanical issues. if faulty, consider repairing or replacing the motor. 5. * * calibration : * * ensure that the machine is properly calibrated to optimize its performance and movement. @topic:24


# # # issue * cuff is damaged. # # # impact * the patient's vital signs cannot be accurately measured. # # # possible causes * the cuff may have been punctured or torn. * the cuff may have been stretched or deformed. * the cuff may have been exposed to excessive heat or moisture. # # # recommendations * replace the cuff with a new one. * inspect the cuff regularly for signs of damage. * store the cuff in a cool, dry place. @topic:5


# # # issue - the electric bed motor is not working, resulting in the bed not functioning properly. # # # impact - patients may be unable to use the bed, which may cause discomfort or pain. - healthcare staff may be unable to provide proper care to patients, which may delay treatment or recovery. # # # possible causes - the motor may be faulty or damaged. - the power supply to the motor may be interrupted. - the control unit for the motor may be malfunctioning. # # # recommendations - check the power supply to the motor and ensure that it is functioning properly. - inspect the motor for any visible signs of damage or wear. - test the control unit for the motor to ensure that it is functioning properly. - if the problem cannot be resolved by troubleshooting, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:9


* * issue : * * * bedside rail was loose * * impact : * * * potential patient fall hazard * * possible causes : * * * insufficient tightening of the bedside rail screws * * recommendations : * * * ensure that all bedside rail screws are properly tightened according to manufacturer specifications. * regularly inspect bedside rails for any signs of looseness or damage. * educate staff on the importance of promptly reporting any issues with the bedside rails. @topic:6


# # # issue - medical cart is not functioning properly. # # # impact - inability to use the medical cart for patient care. # # # possible causes - hardware issue : faulty driver or component. - software issue : corrupted or outdated software. - power issue : battery depletion or power outage. # # # recommendations - verify the battery level and replace if necessary. - inspect the device for any physical damage or loose connections. - reinstall the software and drivers. - contact the manufacturer for further troubleshooting and support. @topic:13


. 20, 0 kafollow the instructions. 3. sist zam / lare 01 / 07 / 2018 - 02 : 35 if a message appears on the gwhen resetting, adjust the bed 100 g magnification add / remove items zero / tare reset / tare operation complete : 4. 9 : 15 02 / 07 / 2018 ) ) scale deletes the patient weight difference data and resets the weigh system. 0 the screen shows 0. 0 kg and the > 0 < light comes on to show the accuracy of the reset / tare operation. age 43 weigh the patient δη the weigh system is used to obtain the weight and bmi of the patient. this information must never be used alone for therapeutic purposes or to monitor the patient's vital parameters. make sure that the patient is lying in the d. 1.? 20, 0 kpress scale on the gci. 2. f out of respect for the patient, the display of the weight disappears after 30 seconds. but it can be displayed permanently ( see " setting the display / mask patient weight options " page 52 ). this information can be sent to the duty nurse by a compatible wi - fi system. display a weight variance and the patient's bmi it is necessary to record th1. t press the patient size control and save the height in 2. cm. 3. the screen shows three values : de 0, 5kg - min 10kg - max 250kg current weight current weight : 02 / 07 / 2018 9 : 15 120, 0 kg saved weight saved weight : 19, 0 k02 / 07 / 2018 size : 180 cm mi : 36, 7 kg / m² 7 : 15 + 1, 0 kg press saving current weight and follow the instructions to save the weight in the istory. save current weight close check the information and press save @topic:25


##0 2 calibration chamber kit m1018a traditional cms - style module calibration chamber front housing front housing with calibration chamber m1018a new style module 147 5 repair and disassembly plug - in modules note you must order a new front housing and a new calibration chamber kit when repairing a traditional cms - style m1018a module. the calibration chamber must be replaced first for the new style housing to fit properly to remove the calibration chamber 1 using a flat - tipped screwdriver, remove the screw holding the calibration chamber in place on the front of the plug - in module. 2 lift the chamber off the plug - in module. ensure that the white plastic switch tip located in the module is not lost. to replace the calibration chamber 1 ensure the white plastic switch tip is in place in the plug - in module. 2 place the calibration chamber in the allocated position on the plug - in module. 3 insert and tighten the screw into the calibration chamber, securing it to the plug - in module. recorder module paper the recorder will not run when the door is open or when the recorder is out of paper. to prevent damage to the recorder module, use only philips approved paper ( philips re - order number 40477a / b ) 148 multi - measurement server ( mms ) disassembly 5 repair and disassembly to load paper into the recorder module : 1 remove the empty core from the previous roll of paper. 2 cut off and discard the first few inches of paper to eliminate any traces of adhesive. 3 pull out several inches of paper from the new roll, holding the roll with the loose end hanging over the top toward you. 4 open the door and push the paper roll into the holders in the recorder. 5 thread the paper under the roller @topic:19


to stop the test. 11 if the difference between the manometer and displayed values is greater than 3 mmhg, calibrate the monitor ( see “ nbp calibration procedure ” on page 3 - 16 ). if the results are as expected, proceed to the “ pneumatic leakage test ” on page 3 - 17. performance verification testing suresigns vs4 service guide 3 - 15 nbp test nbp calibration procedure 3 - 16 to calibrate the nbp module : step 1 in the nbp test window, select nbp calibration. note — to stop the calibration process at any time, select stop. the nbp calibration menu appears. nbp calibration set pressure value : note — / f you are using a manual manometer, close the valve before continuing. 2 select the start button to begin calibration. the monitor inflates the expansion chamber and displays the message, starting nbp calibration... 3 wait until the message, ready for calibration at first pressure point..., appears. 4 select the set pressure value field, and then select the value to match that displayed on the manometer. 5 select cal point to save the calibration point. 6 wait until the message, nbp calibration successful, appears. if the test fails for any reason, select the stop button to stop the test. 7 select the return button to exit the test. 8 to verify the calibration, check the accuracy of the nbp. see “ nbp accuracy ” on page 3 - 14. performance verification testing suresigns vs4 service guide nbp test step if you do not get the expected results after several tries, see chapter 4, “ troubleshooting. ” pneumatic leak @topic:17


# # # issue - cover on the side of the medical cart has come off # # # impact - the medical cart may not be able to be used safely or effectively # # # possible causes - the screws that hold the cover in place may have come loose # # # recommendations - tighten the screws that hold the cover in place - inspect the medical cart regularly to ensure that all screws are tight - if the screws continue to come loose, the medical cart may need to be repaired or replaced @topic:31


# # # issue - equipment not functioning properly - unable to measure temperature # # # impact - inability to monitor patient's vital signs accurately - potential for delayed or incorrect diagnosis # # # possible causes - faulty temperature probe - loose connections - software malfunction # # # recommendations - replace the temperature probe - check and tighten all connections - update the software if necessary - send the equipment to the manufacturer for repair @topic:20


* * issue : * * * spo2 measurement is unavailable due to a broken probe cable. * * impact : * * * inability to monitor patient's oxygen saturation levels, which is crucial for assessing their respiratory status. * * possible causes : * * * * * wear and tear : * * the probe cable may have deteriorated over time due to repeated use or mishandling. * * * physical damage : * * the cable may have been accidentally damaged, such as being kinked or crushed. * * * compatibility issues : * * the replacement probe cable may not be compatible with the bedside monitor, resulting in a connection failure. * * recommendations : * * * * * replace the probe cable : * * install a new probe cable that is compatible with the bedside monitor. * * * inspect the cable regularly : * * periodically check the probe cable for signs of wear or damage. * * * handle the cable with care : * * avoid kinking, crushing, or stretching the cable to prevent damage. * * * ensure proper storage : * * store the bedside monitor and probe cable in a designated location when not in use to minimize risks of accidental damage. * * * train users on proper handling : * * educate staff on the importance of handling medical devices with care, especially sensitive cables like probes. @topic:4


# # # issue - scanner failure on medical cart # # # impact - inability to scan barcodes, affecting patient identification, inventory management, and other critical processes. # # # possible causes - * * scanner degradation : * * aging components, wear and tear, or exposure to harsh environments can deteriorate the scanner's performance. - * * defective components : * * faulty or damaged components within the scanner, such as the laser diode or optics, can lead to scanning failures. - * * software errors : * * outdated or corrupted software can interfere with the scanner's operation. - * * physical obstruction : * * objects blocking the scanner's field of view or debris on the scanning surface can prevent successful scanning. - * * operator error : * * incorrect barcode alignment or improper scanning techniques can result in scanning failures. # # # recommendations - * * preventive maintenance : * * regular inspections, cleaning, and calibration can help maintain scanner performance and extend its lifespan. - * * component replacement : * * replacing worn or damaged components with genuine parts ensures optimal functionality. - * * software updates : * * installing the latest firmware or software updates can resolve bugs and improve scanning accuracy. - * * clear obstructions : * * remove any physical barriers that may obstruct the scanner's field of view. - * * operator training : * * train staff on proper barcode scanning techniques to minimize scanning errors. @topic:23


# # # issue equipment not charging # # # impact equipment cannot be used # # # possible causes - battery is not connected properly - power supply is not working - battery is dead # # # recommendations - check the battery connection - check the power supply - replace the battery if necessary @topic:11


4. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 40 on page 4 - 95 ). 5. remove the retainers ( c ). 6. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 7. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 8. disconnect the battery cable from the power supply rc. board. 9. remove the power supply cover ( e ) from the power supply ( f ). 10. note the positions of the cables connected to the interface rc. board ( g ). 1. torx® is a registered trademark of acument intellectual properties, llc. page 4 - 94 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 31 siderail interface p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 40. interface p. c. board to do so could cause component damage. 11. put on the antistatic strap. 12. disconnect the cables from the interface p. c. board ( g ). 13. pinch the ends of the standoffs ( h ). 14. pull the p. c. board ( g ) off the standoffs ( h ). 15. remove the p. c. board ( g ) from the power supply ( f ). replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 95 4. 32 transformer ( b model and newer beds ) chapter 4 @topic:26


# # # issue - monitor not displaying ekg waveform # # # impact - inability to monitor patient's heart activity - potential for delayed diagnosis or treatment # # # possible causes - faulty ekg cable or leads - loose connections between cable and monitor - malfunctioning ekg amplifier within the monitor - software glitch or bug # # # recommendations - inspect ekg cable and leads for any physical damage or loose connections - ensure secure connections between cable and monitor - check for any loose or damaged internal components within the monitor - update or reinstall software if necessary - contact the manufacturer for technical support or replacement parts @topic:18


# # # issue : electric bed intermittently malfunctioning # # # impact : patient safety and comfort may be compromised # # # possible causes : - loose or damaged wiring connections inside the bed frame or remote control - malfunctioning motor or gear system - faulty remote control or control panel - software issues or glitches # # # recommendations : - thoroughly inspect the bed frame and remote control for any loose or damaged connections. tighten or repair as necessary. - test the motor and gear system by manually adjusting the bed and listening for any unusual noises or vibrations. - replace or repair the remote control or control panel if they are found to be faulty. - contact the manufacturer for software updates or troubleshooting assistance if necessary. - regular maintenance and preventive checks should be scheduled to minimize the risk of future malfunctions. ensure that the bed is operated according to the manufacturer's guidelines to prevent user error. @topic:32


gas depending on the type of ventilator environment ( e. g. if you are using a heat moisture exchanger ) you may want to change the temperature setting of the inspired gas : 1 in the setup spirometry menu, select gas compensation. 2 select inspired temp to change the temperature of the inspired gas. 3 select the appropriate temperature setting. note changing the temperature setting unintentionally will result in approximately 3 % reduced accuracy per 10°c ( 18°f ) temperature setting change. 261 26 16 the tcgas module measures the partial pressure of the oxygen and carbon dioxide that diffuses through the skin, thereby providing a measure of these gases in the capillary blood. the monitor's settings for altitude and barometric pressure influence the measurement. the tcpo2 / tcpco2 measurement is valid for an infant patient not under gas anesthesia. anesthetic agents, such as halothane, can cause incorrect or drifting readings. transcutaneous measurements cannot replace arterial blood gas monitoring. however, you can use transcutaneous monitoring to reduce the frequency of arterial sampling. the values at tissue level will not be the same as those measured arterially because the measurement is transcutaneous. they correlate with ( track closely ) the arterial values. for example, a drop in transcutaneous values usually indicates a corresponding drop in arterial values. transcutaneous values will not always correlate with blood samples taken from the capillary blood of the heel ( heelsticks or astrups ). identifying tcgas module components press to enter setup tcgas menu 1 2 calibration chamber 3 transducer connector 4 02 / co2 cal 263 setting the tcgas sensor temperature in the setup tcgas menu, select transducer temp.. 1 choose a temperature value appropriate for your patient's age, weight and physical condition in accordance with your @topic:17


# # # issue - bp cuff is faulty # # # impact - incorrect bp readings - unable to monitor patient's bp accurately # # # possible causes - cuff is damaged or worn - cuff is not properly inflated - air leak in the cuff - loose connections between the cuff and the monitor # # # recommendations - replace the bp cuff with a new one - ensure that the cuff is properly inflated and not too tight or too loose - check for air leaks in the cuff and tubing - tighten any loose connections between the cuff and the monitor @topic:3


# # # issue - battery failure in nibp monitor ( casmed model 740 ) # # # impact - inability to use the nibp monitor for blood pressure measurements # # # possible causes - battery depletion due to prolonged use or improper charging - battery damage due to physical impact or exposure to extreme temperatures # # # recommendations - replace the battery with a new one - ensure proper charging and handling procedures to prevent future battery failures - consider using a battery tester to monitor battery health and replace batteries before they completely fail @topic:11


. check if the connection works without the concentrator the advanced system interface board is defective check board and replace if necessary detailed protocol problem consult the data export protocol document. 132 4 troubleshooting nurse call relay symptoms cause of failure failure isolation and remedy inop message check nurse call relay is issued advanced system interface board defective replace advanced system interface board monitor alarmed, nurse call did not activate incorrect configuration ( relay latency. relay trigger ) check monitor configuration ( see configuration guide ) connection of cable to monitor or nurse call system not correct check cable connection advanced system interface board defective replace advanced system interface board standard system interface board is defective replace standard system interface board flexible nurse call relay symptoms cause of failure failure isolation and remedy the inop message check nurse call relay is issued. the flexible nurse call relay 1 / o board is defective. replace the flexible nurse call relay i / o board. the monitor alarmed, and the nurse call is not activated. there is an incorrect configuration present ( relay latency. relay trigger ). check the monitor configuration ( see the configuration guide ). the connection of the cable to the monitor, or the nurse call system is defect. check the cable connections. the flexible nurse call relay 1 / o board is defective. replace the flexible nurse call relay i / o board. troubleshooting the ecg out symptoms cause of failure failure isolation and remedy inop ecgout equip malf is issued communication problem or power switch / ecg out board defective. check that the ecg out cable is securely connected and that all msl connections are properly made. check that the msl cable and the msl connectors are not defective. if the problem persists, replace the power switch / ecg out board. 133 [ 4 troubleshooting ] symptoms cause of failure failure isolation and remedy no ecg - out signal to the defib check the defib cable and the cable connection @topic:16


# # # issue - module co2 lock is broken. # # # impact - inability to accurately monitor patient's end - tidal co2 levels. # # # possible causes - hardware failure : the module itself may be faulty and require replacement. - electrical short : a short circuit could have damaged the module, causing it to malfunction. - physical damage : the module may have been damaged by an external impact or mishandling. # # # recommendations - check the module's electrical connections to ensure they are secure and free of corrosion. - replace the module if it is found to be faulty. - inspect the surrounding area for any signs of physical damage that may have caused the module to fail. - follow the manufacturer's guidelines for proper use and maintenance of the equipment to prevent future failures. @topic:4


# # # issue - the bed is lowering faster than normal when the head of the bed is adjusted. # # # impact - this could pose a safety hazard for patients, as they could fall out of the bed if it lowers too quickly. # # # possible causes - a faulty sensor in the bed's head that is not detecting the patient's weight correctly. - a loose or damaged connection in the bed's wiring. - a problem with the bed's hydraulic system. # # # recommendations - inspect the bed's head sensor to ensure that it is functioning properly. - check the bed's wiring for any loose or damaged connections. - have the bed's hydraulic system inspected and serviced by a qualified technician. @topic:1


# # # issue - slow response time of spo2 sensor # # # impact - inaccurate or delayed monitoring of patient's oxygen saturation levels - potential for adverse patient outcomes # # # possible causes - defective spo2 sensor cable - loose connections - software glitches - interference from other devices # # # recommendations - * * replace the spo2 sensor cable * * with a new one to eliminate the possibility of a defective cable. - * * check all connections * * between the sensor and the monitor to ensure they are secure and free of corrosion. - * * update the monitor's software * * to the latest version to address any potential glitches. - * * identify and minimize * * any potential sources of interference from other devices in the vicinity. - * * monitor the performance * * of the new spo2 sensor cable regularly to ensure it is functioning properly. @topic:4


# # # issue - loose monitor stand base # # # impact - monitor may be unstable or fall, potentially causing injury to patients or staff. # # # possible causes - loose nuts or bolts - damaged or worn - out components - improper assembly # # # recommendations - tighten loose nuts or bolts - replace damaged or worn - out components - ensure proper assembly of the monitor stand and base - regularly inspect and maintain the monitor stand to ensure it is in good working condition @topic:12


# # # issue - the bed, electric, hill - rom, model 900b is not available for use due to an unspecified failure. # # # impact - the 6d ward is unable to use the bed, which may disrupt patient care. # # # possible causes - the input provided does not specify the cause of failure, so it is not possible to determine the exact reason for the equipment's malfunction. # # # recommendations - the biomedical engineer will need to investigate the equipment to determine the cause of failure. - once the cause of failure is determined, the biomedical engineer can make recommendations for repair or replacement of the equipment, as necessary. @topic:9


# # # issue - cuff of the physiologic vital signs monitor is damaged and need replacement # # # impact - the monitor may not be able to provide accurate blood pressure readings, which can lead to incorrect diagnosis and treatment. # # # possible cause - the cuff may have been damaged due to improper use, such as over - inflation or being left on for too long. - the cuff may have deteriorated over time due to exposure to heat, moisture, or chemicals. # # # recommendations - replace the cuff with a new one from the manufacturer. - ensure that the cuff is properly sized for the patient. - train staff on how to properly use and maintain the monitor. @topic:5


# # # issue the monitor, patient transport equipment from philips, model intellivue mp40 ( m8003a ), was malfunctioning. # # # impact the equipment was not able to provide accurate readings due to incorrect profile or setting in neo mode. # # # possible causes the cause of the failure was determined to be : - the equipment was incorrectly set to neonate mode, which caused incorrect readings. # # # recommendations to resolve the issue, the bme ( biomedical engineer ) reset the config settings and tested the equipment to ensure it was working properly. @topic:22


##sassembling the monitor for repairs note — remove four additional screws from the rear bezel of the suresigns vm8 patient monitor. 5. separate the main front and rear case assemblies by pulling the lower edge of the front case assembly and carefully and slowly lifting it up over the handle 8 - 12 repairing the monitor disassembling the monitor for repairs caution connectors run between the front and rear case assemblies repairing the monitor 8 - 13 disassembling the monitor for repairs 6. 7. disconnect the keypad ribbon cable from the pcb by pulling the keypad connector to release it, then gently pulling the ribbon cable out of the connector. when assembling the front and rear cases 1. connect all cables. 2. to reattach the front and rear cases, line up the tab on the front assembly case with the handle on the rear case and slip the front assembly case over the handle. snap the two assembly cases together. 3. install the final four screws ( final eight screws on vm8 ) and power up the monitor. if the monitor boots properly, perform the required performance tests ( see “ testing and inspection guidelines ” on page 6 - 2 ). 8 - 14 repairing the monitor disassembling the monitor for repairs removing the main pcb assembly this section describes how to remove the main pcb assembly from the rear case. removing the main pcb assembly from the rear case to remove the main pcb assembly : 1. separate the front and rear case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10. 2. remove the faceplate or optional recorder. removing the faceplate or optional recorder 1. for monitors without the optional recorder, remove the plastic label covering the two torx t10 screws holding the faceplate to the monitor case. 2. remove the two screws, and @topic:19


* * issue : * * * can't connect to hardware * * impact : * * * the medical cart cannot be used for patient care, potentially delaying or interrupting treatment. * * possible causes : * * * hardware failure : the hardware component responsible for the connection may have failed. * software error : the software controlling the hardware may have encountered an error or bug. * interface issue : the connection between the hardware and software may have been interrupted or damaged. * compatibility problem : the hardware and software may not be compatible with each other. * * recommendations : * * * * * restart the device : * * restarting the device can sometimes clear temporary errors or software glitches. * * * check hardware connections : * * inspect all hardware connections to ensure they are secure and undamaged. * * * update software : * * make sure the software is up - to - date and compatible with the hardware. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the medical cart or hardware component for further assistance or troubleshooting. * * * consider replacing the hardware : * * if the hardware is confirmed to be faulty, it may need to be replaced. * * * monitor the device : * * once the issue has been resolved, monitor the device closely to ensure it is functioning properly and without further interruptions. @topic:13


# # # issue * * broken control box * * # # # impact * the bed cannot be operated electrically. * the patient may be uncomfortable or unsafe if the bed cannot be moved or adjusted to the correct position. # # # possible causes * * * lightning strike : * * electrical surges can damage the control box. * * * power outage : * * sudden loss of power can cause the control box to malfunction. * * * internal component failure : * * the control box contains a number of electronic components that can fail over time or due to manufacturing defects. # # # recommendations * * * inspections : * * regularly inspect the control box for signs of damage or loose connections. * * * surge protection : * * install surge protectors to protect the control box from electrical surges. * * * preventative maintenance : * * perform preventative maintenance on the control box according to the manufacturer's instructions. * * * replacement : * * if the control box is damaged beyond repair, it should be replaced. @topic:32


software to the latest version if necessary. - if the issue persists, consider replacing the monitor or contacting the manufacturer for support. @topic:2


# # # issue - equipment : medical cart # # # impact - the medical cart is not functioning properly, which may impact patient care. # # # possible causes based on the provided information, the possible cause of failure is : - * * power supply issue : * * the medical cart may not be receiving power, which could be due to a faulty power cord, outlet, or internal power supply component. - * * battery issue : * * if the medical cart is equipped with a battery, it may be depleted or malfunctioning, preventing the cart from powering on. - * * software glitch : * * a software glitch or bug may be preventing the cart from booting up properly. - * * hardware malfunction : * * a hardware component within the cart, such as the motherboard or power button, may have failed. # # # recommendations to troubleshoot the issue, the biomedical engineer should : - * * check the power supply : * * inspect the power cord and outlet to ensure they are undamaged and securely connected. verify that the power supply is providing the correct voltage and amperage. - * * check the battery : * * if applicable, test the battery to determine if it is holding a charge and providing sufficient power. replace the battery if necessary. - * * inspect the cart : * * look for any visible signs of damage, such as loose connections, broken wires, or leaking fluids. - * * perform a software update : * * if a software update is available, install it to address any potential glitches or bugs. - * * contact the manufacturer : * * if the issue persists, the biomedical engineer may need to contact the manufacturer for further assistance and repair options. @topic:13


# # # issue : - spo2 cable breakage # # # impact : - inability to measure spo2 levels # # # possible causes : - cable damage due to mishandling or wear - and - tear - defective cable # # # recommendations : - replace damaged cable with a new one - ensure proper handling and storage of the cable - regularly inspect the cable for any damage or defects @topic:4


# # # issue - the bed, electric, stiegelmeyer, seta em4 is not functioning properly. # # # impact - the patient could be at risk if the bed is not functioning properly. - the hospital could lose revenue if the bed is not functioning properly. # # # possible causes - the pm was not performed properly. - the bed was not properly maintained. - the bed was damaged. # # # recommendations - the technician should check the pm records to see if the pm was performed properly. - the technician should check the bed for any damage. - the technician should perform a thorough maintenance on the bed. @topic:9


* * issue : * * - defective goose feet * * impact : * * - monitor cannot be securely attached to the patient's bed * * possible causes : * * - wear and tear over time - improper handling or storage - ageing of material causing brittle goose feet * * recommendations : * * - replace defective goose feet with new ones - regularly inspect and maintain the monitor to prevent future failures - ensure proper handling and storage of the monitor to avoid damage to the goose feet - consider using a different type of mount that is less prone to failure, such as a magnetic mount @topic:12


# # # issue : - electric hospital bed cannot adjust its height. # # # impact : - patient may experience discomfort or difficulty getting in and out of bed. # # # possible causes : - remote control malfunction. # # # recommendations : - replace the remote control. @topic:1


# # # issue - spo2 sensor on the philips suresigns vs4 monitor is not displaying readings # # # impact - clinicians are unable to accurately monitor patient oxygen saturation levels # # # possible causes - faulty spo2 sensor cable - loose connection between the sensor cable and the monitor - malfunctioning sensor on the patient's finger - electrical interference from other devices # # # recommendations - replace the spo2 sensor cable - ensure that the sensor cable is securely connected to the monitor - check the sensor on the patient's finger for proper placement and cleanliness - remove any potential sources of electrical interference from the vicinity of the monitor @topic:4


4. 4 battery ( a model beds ) tools required : 13 mm socket ratchet extension note : it is required to change both batteries at the same time. removal 1. set the brakes. 2. raise the head section to the high position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) and washers ( b ) from the power supply cover ( c ) ( see figure 4 - 5 on page 4 - 13 ). 5. remove the cover ( c ). 6. disconnect the battery cable ( d ) from the power supply rc. board ( e ). 7. remove the batteries ( f ). 8. note the connection of the wires on the batteries. 9. disconnect the battery cables ( d ) and ( g ) from the batteries ( f ). page 4 - 12 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 4 battery ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 5. battery replacement caution : the polarities must be respected when installing the elements of the battery backup. disregarding this caution will permanently damage the power supply p. c. board of the bed. 1. perform the removal in reverse order, ensure the correct polarities are used when connecting new batteries. note : when connecting the batteries, the red wire must be connected last. a spark is produced when it is connected, but is not dangerous for the power supply p. c. board or the technical personnel. 2. raise and lower the bed one time to make sure the battery is functioning correctly. note : a technician may @topic:26


# # # issue - expired heart reference sensor ( evhrs ) # # # impact - inability to zero the machine, resulting in incorrect calculation of values. # # # possible causes - neglecting to replace the expired evhrs. # # # recommendations - replace the expired evhrs with a new one. - establish a regular maintenance schedule to ensure timely replacement of consumables. - train staff on the importance of timely replacement of consumables to avoid equipment malfunction. @topic:20


* * # # # issue * * - central monitor freezing * * # # # impact * * - inability to monitor patient vital signs accurately, which could lead to delayed or incorrect diagnosis and treatment. - potential for patient harm. * * # # # possible causes * * - hardware failure within the central monitor ( e. g., faulty power supply, malfunctioning components ) - software bugs or glitches in the monitor's operating system - communication issues between the monitor and other devices / systems - environmental factors ( e. g., power surges, high / low temperatures ) * * # # # recommendations * * - * * troubleshooting * * : check for any obvious signs of hardware damage ( e. g., loose connections, burnt components ). verify power supply and ensure monitor has sufficient voltage. - * * software updates * * : check for any available software updates and install if necessary. - * * diagnostics * * : perform diagnostic tests to identify specific issues within the hardware or software. - * * inspection * * : visually inspect the monitor for any signs of physical damage or defects. - * * replacement * * : if troubleshooting and repairs are unsuccessful, consider replacing the central monitor with a new or refurbished unit. - * * maintenance * * : establish a regular maintenance schedule to prevent future failures and ensure optimal performance of the monitor. - * * training * * : ensure staff are adequately trained on the proper use and maintenance of the monitor. @topic:2


# # # issue - the bed's side rail is stuck against the head of the bed, preventing the bed from being lowered. # # # impact - the patient cannot be safely positioned in the bed. # # # possible causes - the side rail is not properly secured in its track. - the head of the bed is not in the correct position. - there is something obstructing the side rail from moving. # # # recommendations - check to make sure that the side rail is properly secured in its track. - adjust the head of the bed to the correct position. - remove any obstructions that may be preventing the side rail from moving. @topic:6


# # # issue - the medical cart restarts itself repeatedly. # # # impact - the medical cart cannot be used reliably. - this could lead to delays in patient care. # # # possible causes - the ssd card is faulty. - the power supply is faulty. - the motherboard is faulty. # # # recommendations - replace the ssd card. - check the power supply. - if the problem persists, contact the manufacturer for further troubleshooting. # # # additional notes - the technician has already replaced the ssd card and tested the medical cart. the medical cart is now working properly. - the cause of the failure is likely due to the faulty ssd card. @topic:13


# # # issue - battery replacement is needed. # # # impact - the device may not function properly if the battery is not replaced. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been damaged. # # # recommendations - replace the battery with a new one of the same specifications ( 10. 8v 6ah x 2 ). @topic:11


# # # issue - worn - out cuff # # # impact - inaccurate blood pressure readings - potential harm to patient due to incorrect medical decisions - reduced efficiency in patient care # # # possible causes - prolonged use of the cuff - improper storage or handling of the cuff - exposure to extreme temperatures or moisture # # # recommendations - regular inspection and maintenance of the cuff - ensure proper storage and handling of the cuff - replacement of the cuff when it shows signs of wear and tear - proper training of staff on the use and maintenance of the cuff @topic:3


receptacle from the service tool enter the setup c. o window and change the method of measurement to “ right heart " qu ge c a enter the c. o. procedure window and check the tinj value. the expected result is : tinj = 0. 0°c 4 + / - 0. 1°c expected test results cardiac output service tool tinj = 0. 0°c + / - 0. 1°c procedure version 2 91 power loss alarm buzzer performance test ( only if multi - port nurse call connector board is installed ) 92 do oe e l. switch on the monitor. remove the battery and disconnect the monitor from ac power. the power loss alarm buzzer should beep for about one minute. to switch off the alarm sound, either press the power button, connect the monitor to ac power or insert a battery expected test results power loss alarm buzzer beep for one minute performance test intellivue 802. 11 bedside adapter communication test make sure the lan cable is disconnected from the rear of the monitor, then switch on the monitor. go into service mode and select main setup - > network - > setup wlan. in the setup wlan menu : - setmode to either 802. 11ah, 802. 11g, 802. 11bg ( not recommended ), auto ( not recommended ) or none ( this setting disables the wireless lan functionality permanently ), to match your wireless infrastructure installation. - set ssid to match your installation. - set the country code to “ 1000 ”. setting the country code to this value will automatically adjust the regulatory domain to match the configuration of the infrastructure. do not set the country code to values other than “ 1000 ” unless otherwise instructed. - set the security mode to wpa ( psk ) and enter the wpa password ( string between 8 and 63 characters ). select @topic:10


and the transfer key has been selected, the monitor will show this patient's data and ask complete transfer of this patient?. you can then select yes to complete the transfer. if you select no atient window. you will go to the selecthere can be up to three sets of demographic data in the select patient window if the patient is different in the information center, monitor, and mms. after you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. confirm your choice. the monitor automatically displays the patient demographics window after confirmation. verify that the settings shown are correct for the patient. gender, date of birth, height, weight, and nursing notes do not generate a mismatch. if these fields ardifferent on different devices, the monitor resolves them itself. for example, it may take date of birth from the information center, whilst taking gender from the mms. always check the patient demographics after combining patients, to ensure that you are satisfied with the results. change them if necessary. warning after resolving a patient mismatch, check that the monitor settings ( especially patient category, paced status and alarm limits ) are correct for the patient. patient mismatch - if one set of patient data is correct if there is a mismatch between an information center and a monitor, or a monitor and an mms, choose the data set you want to continue using for this patient by selecting one of the sectors in the select patient window. 1 5 managing patients and equipment select patient x 1 1234hg9565, 2010 / 00321 non - paced adult 2 1 miller, paul dul2 paced same patient 3 4 new patient patient demographic1 atient categorand paced status 2 same patient - see " patient mismatch - if both patient data sets refer @topic:10


# # # issue - equipment : monitors, physiologic, vital signs - band : casmed - model : 740 - description : the biomedical engineer ( bme ) found that the battery terminals were loose. # # # impact - the device may not be able to power on or function properly. # # # possible causes - the battery terminals may have become loose due to vibration or movement of the device. - the battery terminals may have been improperly installed or tightened. # # # recommendations - the bme should tighten the battery terminals to ensure a secure connection. - the bme should check the battery terminals regularly to ensure that they remain tight. - the bme should follow the manufacturer's instructions for installing and maintaining the battery. @topic:11


# # # issue * ekg signal instability # # # impact * incorrect patient monitoring * delayed or incorrect diagnosis * increased risk of patient harm # # # possible causes * loose or disconnected electrodes * poor skin contact * electrolyte imbalance * cardiac arrhythmia * equipment malfunction # # # recommendations * check and secure electrode connections. * ensure good skin contact by cleaning and prepping the skin. * monitor patient electrolyte levels and correct any imbalances. * evaluate patient's cardiac rhythm and consult with a physician if arrhythmia is suspected. * inspect the equipment for any damage or loose connections. if necessary, replace or repair the equipment. @topic:18


# # # issue the bed is unable to adjust its height or position. # # # impact this issue can have a significant impact on the patient's care and comfort. the bed may be too high or low for the patient to get in or out of, and it may be difficult for the patient to reach items on the bedside table or other objects. # # # possible causes there are several possible causes for this issue, including : - electrical problems - mechanical problems - hydraulic problems - software problems # # # recommendations to troubleshoot this issue, the following steps should be taken : 1. check the electrical connections to the bed. make sure that the power cord is plugged into a working outlet and that the circuit breaker or fuse is not tripped. 2. inspect the bed for any mechanical problems. look for loose or damaged wires, gears, or other components. 3. check the hydraulic system for any leaks or other problems. 4. if the bed is controlled by a software program, check the software for any errors or updates. if the issue cannot be resolved by troubleshooting, the bed may need to be repaired or replaced. @topic:1


# # # issue - cuff failure in the vital signs monitor. # # # impact - inaccurate vital signs measurements, potentially leading to incorrect medical decisions. # # # possible causes - * * natural wear and tear : * * cuffs can deteriorate over time due to frequent use and exposure to moisture. - * * improper handling : * * mishandling, such as over - inflation or excessive pulling, can damage the cuff. - * * defective materials : * * manufacturing defects or substandard materials may lead to premature cuff failure. # # # recommendations - * * regular maintenance : * * inspect cuffs regularly for signs of damage and replace them promptly. - * * proper handling : * * train staff on correct cuff inflation and handling techniques. - * * quality control : * * ensure that cuffs meet quality standards and adhere to manufacturer's guidelines. - * * redundancy : * * consider using multiple cuffs as backups to minimize downtime in case of failure. @topic:5


# # # issue - * * computer freezes and lan cable is loose. * * # # # impact - * * graphs are not displayed on the central monitor. * * # # # possible causes - * * possible causes of the computer freezing include : * * - software issues - hardware issues - power supply issues - * * possible causes of the loose lan cable include : * * - physical damage - loose connection # # # recommendations - * * to troubleshoot the computer freezing, try the following : * * - restart the computer - check for software updates - check hardware connections - check power supply - * * to troubleshoot the loose lan cable, try the following : * * - re - seat the lan cable - replace the lan cable - * * if the problem persists, contact the manufacturer for further troubleshooting assistance. * * @topic:16


# # # issue - * * monitor not turning on * * - * * damaged blood pressure cuff * * # # # impact - inability to monitor patient's vital signs - inaccurate blood pressure measurements # # # possible causes # # # # monitor not turning on - power supply issues - faulty internal components - software malfunction # # # # damaged blood pressure cuff - physical damage ( e. g., tears, punctures ) - wear and tear over time - improper use or storage # # # recommendations # # # # monitor not turning on - check power supply and connections - inspect for any visible damage - contact manufacturer for troubleshooting or repair # # # # damaged blood pressure cuff - replace damaged cuff with a new one - ensure proper storage and handling - train staff on correct cuff usage and maintenance @topic:14