# # # issue - signal from room 305 is not displayed on the central monitoring system. # # # impact - the medical staff will not be able to monitor the patient's vital signs from room 305 remotely. # # # possible causes - the sensor in room 305 is not connected properly. - the cable connecting the sensor to the central monitoring system is damaged. - the central monitoring system is not receiving the signal from room 305 due to a software or hardware issue. # # # recommendations - check the connection of the sensor in room 305. - inspect the cable connecting the sensor to the central monitoring system for any damage. - troubleshoot the central monitoring system to identify any software or hardware issues. @topic:16


admin admin ogin : 31 - 07 - 2563 15 : 51 : 36 name name : dob : ward 7d1 dob hn hn keyboard light room no. room no : name : namedob dob hn hn room no : room no : name : dob : name : ob hn : hn oom no : room no : logout 10 dms bangkok dusit medical services [UNK] [UNK]'[UNK] medcart [UNK]. 1. 7 medcat 1003 80 % admin admin med cart 1. 0. 0. 3 x ogin : 31 - 07 - 2563 15 : 51 : 36 ward 7d1 name boe : ward 701 anonymous anonymous hn 0110013936 hn : en 101200005572 dob : 03 - 07 - 1982 keyboard light room no : anonymous hn 0104041619 umidity : 50. 00 % en 101200005460 dob : 19 - 06 - 1975 room 0715 name mr anonymous anonymous ob hn 0120013927 n en 101200003560 room no. dus 04 - 05 - 1985 oom 0716 wyn test middle name ng n 0193400086 en 101200000000 name dob : dob hn hn room no : room no : logout 4. 1. 8 ลก ok confirmation are you sure you want to add anonymous anonymous? ok cancel 114 11 dms bangkok duelt medical services [UNK] 4. 1. 9 hted cert 1. 0. 0. 9 0 % admin admin ogin : 31 - 07 - 2563 15 : 51 : 36 name name : dob : ard 7d1 dob hn keyboard light room no room no temperatu % nameoh hn name dob hn room net @topic:19


# # # issue - bed, electric unable to adjust # # # impact - patient discomfort - difficulty providing care - delays in treatment # # # possible causes - equipment malfunction - power outage - loose electrical connections - faulty wiring # # # recommendations - perform a thorough inspection of the malfunctioning equipment, checking for any visible damage or loose connections - ensure that the power supply is functioning properly and that the equipment is plugged into a working outlet - tighten any loose electrical connections and replace any faulty wiring as needed - if the issue persists, consult with a qualified biomedical engineer for further troubleshooting and repair @topic:9


# # # issue the electric bed is not adjustable. # # # impact patients may not be able to get into or out of bed, or may be uncomfortable in bed. # # # possible causes * the bed is not properly plugged in. * the bed's power cord is damaged. * the bed's motor is not working. * the bed's control panel is not working. * the bed's software is not working. # # # recommendations * check that the bed is properly plugged in. * inspect the bed's power cord for damage. * test the bed's motor. * test the bed's control panel. * update the bed's software. * if the problem persists, contact the manufacturer for assistance. @topic:1


year of manufacture yy monitor circuit board and internal options label circuit board and internal option labels 250 identifying the monitor and subsystems welch [UNK] connex® spot monitor cba identifier xxxxxx bom y dwg z xxxxxx welch allyn material number bill of material ( bom ) revision y assembly drawing version from current z circuit board and internal option labels serial number xxxxwwyyid xxxx eek of manufacture ww ear of manufacture id model number format and code model configurationote some model numbers and product features described in this publication might not be available in your country. for the latest information about products and features, please contact hillrom customer care. note for more configuration options, including approved accessories, see the accessories list in the instructions for use on the user documentation cd or https : / / direct. hill - rom. com / hillrom us / en. l - - - note if options have been added to the device, the actual configuration will not match the model description. the device has multiple configurations. use the following table to determine 7100, 7300, 7400, and 7500 model configurations. not all configurations may be available. model numbers include one item from each column. examples : 75ce - b ( north america ), 71xe - 4 ( united kingdom ) model parameter power cord po2 temperature e braun thermoscan pro 6000 ir t = suretemp plus 717100 value series a = denmark w = nonin x blank / none b north america c = china g = argentinx blank / none service manual identifying the monitor and subsystems 251 odel parameter power cord spo2 temperature c covidien / nellcor m = masimo 73 7300 bluetooth c e braun thermoscan pro 6000 ir k south korea erien p = thailand r = masimo spo2 / rrp w = @topic:19


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the display shows a key icon. # # # impact - the medical cart cannot be used. # # # possible causes - the key switch is not properly connected. - the key switch is defective. - the software is not properly installed. # # # recommendations - check the connection of the key switch. - replace the key switch if it is defective. - reinstall the software if necessary. @topic:27


# # # issue - the touchscreen on the philips expression mr200 multipurpose physiologic monitor is not responding to touch. # # # impact - the monitor cannot be used for its intended purpose of displaying and monitoring patient data. - the hospital is unable to provide adequate patient care without a functioning monitor. - the hospital is losing revenue due to the downtime of the monitor. # # # possible causes - the touchscreen may have been damaged by physical impact. - the touchscreen may have failed due to a manufacturing defect. - the touchscreen may have become disconnected from the monitor. - the monitor's software may have become corrupted. # # # recommendations - the hospital should contact philips to have the monitor repaired or replaced. - the hospital should purchase a spare monitor to have on hand in case of future failures. - the hospital should implement a regular maintenance schedule for all of its medical devices to prevent future failures. @topic:2


# # # issue - faulty control box leading to power supply failure in the bed. # # # impact - the bed is rendered inoperable, impacting patient care and hospital operations. # # # possible causes - electrical malfunction within the control box. - damage to the control box due to improper handling or wear and tear. # # # recommendations - replace the faulty control box with a new one. - inspect and maintain the bed regularly to prevent future malfunctions. - ensure proper training for healthcare staff on handling and using the bed. @topic:9


# # # issue - remote control not functioning properly # # # impact - inability to operate the electric bed - patient discomfort and inconvenience # # # possible causes - faulty remote control - loose or damaged wires - software or firmware issues - malfunctioning receiver unit in the bed # # # recommendations - inspect the remote control for any physical damage or loose connections - ensure that the wires connecting the remote control to the bed are secure and intact - check the software or firmware version of the bed and remote control and update if necessary - test the receiver unit in the bed using a different remote control to isolate the issue - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair @topic:7


# # # issue * * * equipment : * * bed, electric * * * band : * * huntleigh * * * model : * * contoura 390 * * * failure : * * bed cannot adjust head # # # impact * patients may not be able to be positioned comfortably or safely * nursing staff may have difficulty accessing patients in bed * bed may not be able to be used for procedures requiring head elevation # # # possible causes * * * mechanical failure : * * broken motor, loose wiring, damaged gears * * * electrical failure : * * faulty power supply, short circuit, blown fuse * * * software bug : * * glitch in the software that controls the bed's movement # # # recommendations * * * inspect the bed thoroughly : * * look for any obvious signs of damage, such as broken wires or loose connections. * * * test the bed's electrical components : * * use a multimeter to check the power supply, fuses, and other electrical components for proper function. * * * run a software diagnostic : * * if the bed is equipped with a computer or software - based control system, run a diagnostic test to check for any software bugs. * * * consult the manufacturer's documentation : * * refer to the manufacturer's manual for troubleshooting advice specific to the contoura 390 bed. * * * contact a qualified technician : * * if you are unable to diagnose or repair the bed yourself, contact a qualified technician for assistance. @topic:1


. 050617 internal malfunction. if the problem persists, replace the odule. rror invalid nibp target pressurnibp not functional. 050618 internal malfunction. if the problem persists, replace the module. cuff inflation target waoverridden due to max pressure being too low check cuff inflation settings. information change cuff inflation target or maximum pressure so that the cuff inflation target is at least 20 mmhg lower than maximum ressure. change tube type to dual lumen informator change the algorithm configuration to step bp switching to step bp tube type does not match device configuration. nibp not functional. 05ff01 unrecd from internal malfunction. if the problem persists, replace the sensor nibp not functional. 05ff02 timeout waiting for sensor response internal malfunction. if the problem persists, replace the module. nibp not functional. 05ff03 error deserializing message received from the internal malfunction. if the problem persists, replace the odule. wacp stack send messagfailure internal malfunction. if the problem persists, replace the module. nibp not functional. 05ff04 nibp not functional. 05ff05 timeout waiting for asynchronous sensor message internal malfunction. if the problem persists, replace the odule. one or more undetermined numerics when reading status indicates ok nibp not functional. check connections. restrict patient movement. very low service manual troubleshooting 175 possible causlarm prioritessage nibp not functional. unrecognized sensor reaproblem persists, replace the module. ensor power up failure nibp not functional. internal malfunction. if the problem persists, replace the @topic:15


# # # issue - the electric hospital bed is experiencing a head drop issue. # # # impact - the head drop issue can pose a safety risk to patients, as it can cause them to fall out of bed. # # # possible causes - the motor that controls the bed's head elevation may have failed. - the control panel that operates the bed may be malfunctioning. - there may be a problem with the bed's wiring or electrical connections. # # # recommendations - inspect the motor and control panel for any signs of damage or malfunction. - check the bed's wiring and electrical connections for any loose or damaged components. - if the problem cannot be identified or resolved, the bed should be taken out of service and replaced with a working unit. @topic:1


# # # issue - slow descent of bed rails # # # impact - patient safety hazard # # # possible causes - loose spring in the bed rail adjustment mechanism # # # recommendations - replace the spring in the bed rail adjustment mechanism - test the bed rail adjustment mechanism to ensure proper function @topic:6


# # # issue - failed vital signs monitor due to cuff degradation. # # # impact - inability to accurately measure patient vital signs. - potential for incorrect treatment decisions. # # # possible causes - normal wear and tear over time. - cuff not properly cleaned or maintained. - cuff exposed to extreme temperatures or humidity. - cuff damaged during use. # # # recommendations - regularly inspect cuffs for signs of degradation, such as cracks, fraying, or loose stitching. - clean and disinfect cuffs according to manufacturer's instructions. - store cuffs in a cool, dry place when not in use. - handle cuffs with care during use to avoid damage. - replace cuffs as needed to ensure accurate vital sign measurements. @topic:5


# # # issue bme has checked and found that the computer used to enter the program to extract data from the holter machine is unable to boot into windows. # # # impact unable to extract data from the holter machine. # # # possible causes - computer hardware failure - operating system failure - virus or malware infection - incorrect bios settings - faulty power supply - insufficient memory # # # recommendations 1. check the computer hardware for any loose connections or damaged components. 2. try booting the computer in safe mode or using a bootable usb drive to isolate the issue. 3. scan the computer for viruses or malware using an antivirus software. 4. check the bios settings and make sure they are correct. 5. replace the power supply if necessary. 6. install additional memory if the computer has insufficient memory. 7. update the operating system and drivers. 8. contact the equipment manufacturer for support. @topic:13


# # # issue - the bed cannot be adjusted downward. # # # impact - patients may not be able to use the bed comfortably or safely. - hospital staff may have difficulty moving patients in and out of bed. # # # possible causes - the remote control may be malfunctioning. - the wiring between the remote control and the bed may be damaged. - the motor that adjusts the bed may be defective. - the control board that regulates the motor may be faulty. # # # recommendations - replace the remote control. - inspect the wiring between the remote control and the bed for damage and repair or replace as needed. - test the motor that adjusts the bed for proper operation and replace if necessary. - inspect the control board that regulates the motor for damage and replace if necessary. @topic:1


* * issue : * * - inconsistent sat measurement readings on propaq lt patient transport monitor * * impact : * * - compromised patient monitoring and accurate oxygen saturation measurements * * possible causes : * * - faulty sat probe or cable connection - technical malfunction within the monitor - environmental interference or electromagnetic noise * * recommendations : * * - replace the sat probe and cable to eliminate possible connection issues. - consult with the manufacturer or a qualified biomedical engineer to identify potential technical problems. - ensure the monitor is used away from sources of electromagnetic interference, following the manufacturer's guidelines. - monitor the device's performance and verify accurate sat readings. @topic:4


* * issue : * * device is not functioning properly * * impact : * * * patients may not receive accurate vital signs monitoring. * delays in patient care. * * possible causes : * * * * * cuff malfunction : * * the cuff may be damaged or not properly attached to the device. * * * sensor failure : * * the sensor that measures vital signs ( e. g., blood pressure, heart rate ) may be malfunctioning. * * * electrical issues : * * there may be a problem with the power supply or internal wiring of the device. * * * software errors : * * the device's software may contain bugs that are causing it to malfunction. * * * operator error : * * the device may not have been properly configured or used by the operator. * * recommendations : * * * * * inspect the cuff : * * make sure that the cuff is intact and properly attached to the device. * * * calibrate the sensor : * * follow the manufacturer's instructions to calibrate the sensor to ensure accuracy. * * * check electrical connections : * * ensure that the device is properly connected to a power source and that all cables are secure. * * * update software : * * if available, check for software updates that may address known issues. * * * consult with the manufacturer : * * if the problem persists, contact the manufacturer for technical support or replacement parts. @topic:20


# # # issue - negative battery reading on medical cart bdms 01 # # # impact - intermittent power supply to medical device, potentially affecting patient care # # # possible causes - battery failure - battery connection issue - electrical fault in the device # # # recommendations - replace or recharge battery - inspect battery connections and ensure they are clean and tight - contact the device manufacturer for further troubleshooting and repair if necessary @topic:13


( display / monitor settings / measurement settings ) to change a subset of a profile. changes you make to any element within the settings blocks are not saved when you discharge the patient, unless you save them in configuration mode. you might find it helpful to think of the three categories in terms of a restaurant menu. the screens are like the first course, offering you a choice of “ starters ” ( many different screen configurations from which you can choose the one that best suits your requirements ). the monitor settings category is like the main course, offering a choice of different “ main dishes ” from which you can pick one. the measurement settings are like the dessert course. from these you build your meal. you can choose one from the “ starters ”, one from the main course, then one from the dessert or simply pick one or two courses without having a full meal. depending on your monitor configuration, when you switch on or discharge a patient the monitor either continues with the previous profile, or resets to the default profile configured for that monitor. 31 1 basic operation understanding settings warning if you switch to a different profile, the patient category and paced status normally change to the setting specified in the new profile. however some profiles may be setup to leave the patient category and paced status unchanged. always check the patient category, paced status, and all alarms and settings, when you change profiles. when you leave demonstration mode, the monitor uses the default profile. swapping a complete profile 1 select profiles in the monitor info line, or select the profiles smartkey. 2 in the profiles menu, select profile. 3 chose a profile from the pop - up list. 4 confirm your selection. swapping a settings block 1 select profiles in the monitor info line, or select the profiles smartkey. 2 in the profiles menu, select display or measmnt. settings or monitor settings to call up a list of the settings blocks in @topic:10


shock hazard : the potential for electrical shock exists with electrical equipment. failure to follow facility protocol could cause death or serious injury. shock hazard : failure to unplug the bed from its power source before you clean or disinfect the bed could cause personal injury or equipment damage. shock hazard : do not expose the unit to excessive moisture. personal injury or equipment damage could occur. caution : do not steam clean or power wash the bed or mattress. pressure and excessive moisture can damage the mattress and the protective surfaces of the bed and its electrical components. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 1 clean and disinfect chapter 6 : general procedures caution : do not use harsh cleaners, solvents, or detergents. equipment damage could occur. caution : make sure the bed frame is dry before you put the mattress on the bed. failure to do so could cause equipment damage. note : clean and disinfect surfaces with nano ag + ™ technology as you would other surfaces. this product is not intended to protect users or others against bacteria, viruses, germs, or other disease organisms. always disinfect hill - rom surfaces throroughly after each use according to facility protocol. refer to “ clean ” and disinfect ” below. clean 1. unplug the bed. 2. remove all linens. 3. use these to clean the bed : • a soft cloth soaked with wann water and a facility - approved general cleaning soap / detergent solution. make sure the cloth is not so wet as to cause the cleaning solution to pool or flood on the mattress or other bed components. • a soft brush to remove stains and resistant soil. do not use harsh or abrasive cleansers, solvents, or scouring pads. page 6 - 2 careassist® and careass @topic:9


the cable strain on the sensor. 94 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do < sp0 2 label > non - pulsat. numeric is replaced by -? - inop tone. sp0 2 check the perfusion at measurement site. if necessary, stimulate circulation or change measurement site. if the inop is due to nbp measurement on the same limb, wait until the nbp measurement is finished. < sp0 2 label > no sensor numeric is replaced by -? - inop tone. sp0 2 make sure the sp0 2 sensor is connected. if the inop persists, try another adapter cable and sensor. if you silence this inop, the measurement will be switched off. < sp0 2 label > poor signal label is displayed with a -? - ( questionable numeric ) sp0 2 the signal condition of the sp0 2 measurement is poor and measurement accuracy may be compromised. < sp0 2 label > pulse? numeric is replaced by -? - inop tone sp0 2 the detectable pulsations of the sp0 2 signal are outside the specified pulse rate range. < sp0 2 label > searching numeric unavailable sp0 2 sp0 2 is analyzing the patient signal to derive pulse, sp0 2 and perf values. please wait until the search analysis is complete. < sp0 2 label > sensor malf numeric is replaced by -? - inop tone. sp0 2 the sp0 2 sensor or adapter cable is faulty. try another adapter cable and sensor. if the inop persists, contact your service personnel. < sp0 2 label > sensor off numeric is replaced by -? - inop tone sp0 2 the sp0 2 sensor is not properly applied to the patient. apply the sensor following @topic:17


seconds until their data is displayed at the information center. pairing of a host monitor and a telemetry device, with all the related functionality, is only possible when the host monitor is using a wired lan connection or a wireless lan interface ( but not using the intellivue instrument telemetry interface ). the x2 or mp5 can also be manually paired to a host monitor without a direct connection, as described in “ indirect connection - manual pairing ” on page 265. refer also to “ use models with telemetry ” on page 270 for further related use modes. unpairing the monitor and telemetry device if the patient will no longer be monitored with the telemetry device, or only with the telemetry device and no longer with the monitor, you need to end the device pairing. after unpairing, the information center will receive data exclusively from the monitor or from the telemetry device : ♦ select the unpair to mon. smartkey to end pairing and have the information center receive the measurement data from the monitor ♦ select the unpair to tele smartkey to end pairing and have the information center receive the measurement data from the telemetry device or ♦ use the unpair function at the information center. note the unpair smartkeys and pop - up keys appear only on the monitor which is directly involved in pairing. functions available when the telemetry data window is displayed controlling the telemetry device from the bedside you can change settings for a paired telemetry device at the monitor : 1 select the telemetry data screen element 2 select the setup tele pop - up key 267 20 assigning two devices to one patient general telemetry - related functions the setup telemetry menu will appear with the settings available for the telemetry device. these will normally include : adjusting heart rate alarms, ecg size control @topic:10


* * issue : * * filter trap moisture depletion * * impact : * * capnograph device malfunction * * possible causes : * * - filter trap moisture usage exceeded its lifespan. * * recommendations : * * - replace the filter trap moisture as soon as possible to restore device functionality. - establish a regular maintenance schedule to monitor and replace the filter trap moisture before depletion. @topic:20


patient vicinity mains functional patient vicirlity i mains medically used room i i non - medically used room if you combine a medical device with a medical or non - medical device to form a medical electrical system according to lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16 using two separate protective earth connections and one of the devices is located in a non - medicauy used room creating a potential voltage difference, additional protective measures are required, e. g. usage of a separation device or additional protective earth connection. the medical electrical devices or it equipment may be located in or outside the patient vicinity. after system installation incl. protective measures, a system test is required to ensure that the resulting equipment leakage current does not exceed the limits of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + al ed. 3 clause 16. me device me device ( lec 60601 - 1 ) ( lec 60601 - 1 ) device inside or outside of patient vicinity functional connection equipfieni outside of patie ( it vicinity pe device inside or outside of patient vicinity separation dfevice, if hecessdry ■ 7'pe mains mains proctective earth protective earth, with different potential voltage medically used room non - medically used room 61 [ 3 testing and maintenance ] device inside or outside of patient vicinity me device ( lec 60601 - 1 ) it equipment ( lec 60950 ) device inside or outside of patient vicinity proctective earth protective earth, with different potential voltage medically used room non - medically used room system test procedure if the medical electrical device has already been tested as a standalone device e. g. during factory safety testing, an equipment leakage current test @topic:10


# # # issue - the blood pressure ( bp ) cuff on the vital signs monitor is faulty. # # # impact - the monitor is unable to accurately measure bp. # # # possible causes - the cuff may be punctured or torn. - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. - the cuff may be connected to the monitor incorrectly. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - inflate the cuff properly. - connect the cuff to the monitor correctly. @topic:3


# # # issue battery failure in philips suresigns vs2 patient monitor. # # # impact the failure of the battery prevents the monitor from functioning properly, which could lead to inaccurate patient data or even a loss of patient data. # # # possible causes the battery failure could be caused by a number of factors, including : - * * overcharging : * * the battery may have been overcharged, which can damage the battery cells. - * * undercharging : * * the battery may not have been charged properly, which can also damage the battery cells. - * * age : * * the battery may simply be old and have reached the end of its lifespan. - * * manufacturing defect : * * the battery may have been defective from the factory. # # # recommendations to prevent battery failure, it is important to follow the manufacturer's instructions for charging and using the battery. it is also important to replace the battery when it reaches the end of its lifespan. @topic:11


# # # issue the control panel on the hill - rom care assist es electric bed is not functioning properly. specifically, one side of the control panel is not responding to button presses. # # # impact the inability to adjust the bed using the control panel can make it difficult for patients to get in and out of bed, as well as to position themselves comfortably. this can lead to discomfort, pain, and even injury. # # # possible causes * * * electrical fault : * * there may be a loose connection or a faulty wire in the control panel. * * * mechanical failure : * * the buttons on the control panel may be sticking or jammed. * * * software glitch : * * the software that controls the bed's functions may have experienced a glitch. # # # recommendations * * * inspect the control panel : * * look for any loose connections or damaged wires. * * * test the buttons : * * press each button on the control panel to see if it is responding properly. * * * reset the bed : * * unplug the bed from the power outlet and then plug it back in. this will reset the bed's software. * * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the bed for further assistance. @topic:1


# # # issue - broken display screen of the philips intellivue x2 ( m3002a ) patient transport monitor. # # # impact - the monitor is unable to operate, affecting patient monitoring capabilities. # # # possible causes - the provided information states that the monitor was dropped, resulting in a cracked display screen. this physical damage is the most likely cause of the failure. # # # recommendations - replace the damaged display screen with a new one. - ensure the monitor is handled with care to prevent future damage. - consider training staff on proper handling and storage of medical equipment to minimize the risk of accidents. @topic:2


# # # issue - loose nut # # # impact - equipment malfunction # # # possible causes - loose nut # # # recommendations - tighten the nut securely @topic:24


# # issue the cause of failure is not clearly stated in the given input. # # impact the impact of the failure is not known. # # possible causes the possible causes of the failure could be : - the equipment was not properly tested before being sent to the hospital. - the equipment was damaged during shipping. - the equipment was not properly installed or used at the hospital. # # recommendations to prevent this type of failure from happening in the future, the following recommendations should be followed : - equipment should be properly tested before being sent to the hospital. - equipment should be properly packaged and shipped to prevent damage. - equipment should be properly installed and used at the hospital. @topic:12


##hg or + 12 % of the reading, whichever is greater. numeric : 1. 0 mmhg ( 0. 1 kpa ) resolution wave : 0. 1 mmhg ( 0. 01 kpa ) included in accuracy specifications stabilitrange to 150 rpawrr to 40 rpm + 1 accuracy rpm 41 to 70 rpm : + 2 rpm 71 to 100 rpm : ±3 rpm > 100 rpm : ±5 % of reading ipi range 1 to 10 resolution 1 5 minutes for full accuracy specification 485 40 specifications m3015a microstream co2 performance specifications rise time 190 ms for neonatal mode ( measured with filterline h for neonatal ) 240 ms for adult mode ( measured with filterline h for adult ) 50 + 15 / - 7. 5 ml / minute gas sampling delaime maximum : 3 seconds ( 2m sample lines ) 6 seconds ( 4m sample linessound pressure acoustic noise : < 45 dba total system responsime the total system response time is the sum of the delay time and the rise time. microstream co2 humidity correction factor either btps or atpd can be selected as the humidity correction factor for the microstream co2 rection calculation is : where : = = pbtps partial pressure at body temperature and pressure, saturated = patpd partial pressure at ambient temperature and pressure, dry = m3014a mainstream co2 performance specifications co2 range accuracy 0 to 150 mmhg ( 0 to 20. 0 kpa ) fter 2 minutes warmupfor values between 0 and 40 mmhg : ±2. 0 mmhg ( ±0. 29 kpa ) for values from 41 to 70 mmhg : ±5 % of reading for values from 71 to 100 mmhg : ±8 % of reading the specifications are valid for standard gas mixtures, balance air, fully hydrated numeric : 1. 0 mmhg @topic:17


# # # issue - equipment not linking to central monitor # # # impact - inability to monitor patient's vital signs remotely, potentially leading to delays in detecting and responding to critical events. # # # possible causes - faulty wifi signal or receiver - issues with the central monitor - poor wiring or power supply # # # recommendations - check the wifi connection and ensure that the signal is strong and stable. - inspect the wifi receiver on the device for any damage or loose connections. - verify the functionality of the central monitor and ensure that it is properly configured to receive data from the device. - examine the wiring and power supply to the device and central monitor, checking for any breaks or loose connections. - contact the manufacturer or qualified biomedical engineer for further troubleshooting and repairs. @topic:16


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care - potential for further damage to bed # # # possible causes - broken remote control cord - faulty electrical connection - problem with bed motor # # # recommendations - inspect remote control cord for damage and repair or replace as needed. - check electrical connections and tighten any loose connections. - test bed motor by manually adjusting bed and listening for any unusual noises or vibrations. if motor is faulty, replace motor. @topic:1


# # # issue : - air leak in the blood pressure cuff of casmed 740 monitor # # # impact : - inaccurate blood pressure readings - intermittent or unreliable monitoring - potential patient safety concerns # # # possible causes : - * * defective or loose cuff connector : * * the connection between the cuff and the monitor may be damaged or not properly tightened, allowing air to leak. - * * torn or punctured cuff : * * the cuff itself may have been torn or punctured, creating a pathway for air to escape. - * * defective pressure transducer : * * the pressure transducer responsible for measuring the patient's blood pressure may be malfunctioning, leading to inaccurate readings and air leaks. - * * improper cuff application : * * the cuff may not have been properly applied to the patient's arm, resulting in an imperfect seal and air leakage. - * * damaged air hose : * * the hose connecting the cuff to the monitor may be crushed or kinked, restricting airflow and causing an air leak. # # # recommendations : - * * inspect and tighten cuff connector : * * check the connection between the cuff and the monitor for any damage or loose fittings. tighten the connector securely. - * * examine and replace cuff : * * inspect the cuff for any tears or punctures. if damage is found, replace the cuff with a new one. - * * test pressure transducer : * * perform a diagnostic test to assess the functionality of the pressure transducer. replace the transducer if found defective. - * * review cuff application technique : * * ensure that the cuff is properly placed on the patient's arm, with the indicator mark aligned with the brachial artery. - * * replace air hose : * * if the air hose shows signs of damage, replace it with a new one. @topic:3


# # # possible causes - the monitors, physiologic, multipurpose, mri safe / conditional equipment may have a problem that is not yet known. - the band may not be compatible with the equipment. - the model may not be compatible with the equipment. - the description may not be accurate. - the cause of failure may not be known. # # # recommendations - the technician should troubleshoot the equipment to find the problem. - the technician should contact the manufacturer for support. - the technician should review the documentation for the equipment. - the technician should try to reproduce the problem. - the technician should try to fix the problem. @topic:2


adjuster bracket ( k ) ( see figure 4 - 10 on page 4 - 21 ). figure 4 - 10. cpr cable adjustment 12. foosen the jam nuts ( l ) securing the cpr cable ( d ) to the adjuster bracket ( k ). 13. disconnect the cpr cable ( d ) from the release mechanism ( m ). careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 21 4. 6 cpr cable chapter 4 : removal, replacement, and adjustment procedures 14. count the number of threads ( o ) on the cpr cable ( d ) at the cpr cable mount ( p ). 15. loosen the jam nut ( q ) on the cpr cable ( d ) on the cpr cable mount ( p ). 16. unscrew the cpr cable ( d ) from the cpr cable mount ( p ). 17. remove the cpr cable ( d ) from the bed. replacement warning : make sure the cpr cable is routed through the head section guide bracket correctly : right side to right handle, left side to left handle. failure to do so could cause patient injury or equipment damage. 1. perform the removal procedure in reverse order. 2. make sure to route through the head section guide bracket correctly, right side to right handle, left side to left handle. adjustment 1. to add tension in the cable, loosen the two jam nuts ( l ) and move the cable sheath ( r ) toward the foot end of the bed to the point where the release mechanism on the head motor begins to move from the neutral position ( see figure 4 - 10 on page 4 - 21 ). 2. to relieve tension in the cable, loosen the two jam nuts ( l ) and move the cable sheath ( r ) toward the head end of the bed to the point @topic:26


and disassembly exchanging the backlight tubes 1 open the backlight tube cable holders by sticking a screwdriver in the small hole at the top of the holder and pushing it backwards. reassembly note : cables must be re - inserted into the plastic cable holder with a slight strain on them towards the backlight tube. the cable holder functions as a strain relief. 2 unplug the cables from the backlight inverter board new version ( backwards compatible ) please note that due to its dimensions, the new version of the backlight inverter board is not fixed in a straight position. 113 5 repair and disassembly exchanging the backlight tubes 3 unscrew the screws securing the backlight tubes and slide out the backlight tubes. 114 removing the flex panel adapter 5 repair and disassembly removing the flex panel adapter 1 separate the front and back half of the monitor as described above. 2 unplug the connector to the backlight inverter board. 3 remove the two screws securing the power switch and the led board and pull out this part of the flex panel adapter cable. note the screws securing this board are self - cutting - turn in opposite direction first when re - inserting them 115 5 repair and disassembly removing the flex panel adapter 4 remove one screw and then remove the touch controller board. 5 unscrew the screw holding the metal sheet under touch controller board and remove the metal sheet. 6 slip a screwdriver under the end of the flex panel adapter cable and lift upwards to remove the connector to the display. 116 removing the flex panel adapter 5 repair and disassembly 7 unscrew the three screws and remove the flex panel adapter cable. 117 5 repair and disassembly removing the touchscreen removing the touchscreen 1 separate @topic:19


# # # issue - cuff bp measurement is not possible. # # # impact - inability to obtain accurate blood pressure readings. # # # possible causes - * * cuff defect : * * the cuff may be torn or damaged, preventing it from inflating and deflating properly. - * * cuff connection issue : * * the cuff may not be properly connected to the monitor or the connecting tubing may be damaged. - * * monitor malfunction : * * the monitor itself may be experiencing a technical issue affecting its ability to process and display blood pressure readings. # # # recommendations - * * inspect the cuff : * * check the cuff for tears, punctures, or other damage. if damage is found, replace the cuff. - * * check connections : * * ensure that the cuff is securely connected to the monitor and the connecting tubing is intact. - * * troubleshoot the monitor : * * if the cuff and connections appear to be in good condition, troubleshoot the monitor according to the manufacturer's instructions. - * * contact technical support : * * if the issue persists after following the recommended troubleshooting steps, contact the manufacturer's technical support team for further assistance. @topic:14


label > high press the measured pressure value is above the high numeric flashes, high limit is alarm limit. highlighted, yellow alarm lamp, alarm tone s, d, or m after the label indicates whether the s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed he limit. * * * < press label > low press the measured pressure value is below the w alarm limit. numeric flashes and low limit is highlighted, red alarm lamp, alarm s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed he limit. * * < press label > low ress the measured pressure value is below the low larm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed. * pulse higress, sponumeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone the pulse rate has exce * pulse lonumeric flashes and low limit ihighlighted, yellow alarm lamp, alarm tone press, spothe pulse rate has dropped below the low alarm limit. * pvcs / min high numeric flashes, yellow alarm lamp, short yellow audible alarm limit * qtc higqtc value has exceeded the qtc high limit for numeric flashes, yellow alarm lamp, more than 5 minutes alarm tone ecg / q * aqtc higaqtc value has exceeded the aqtc high limit numeric flashes, yellow alarm lamp, for more than 5 minutes alarm tone ecg / qt 78 4 patient alarms and inops alarm message indication frocondition ecg / arrhythmi * - on - t pvcs for hr < 100, a pvc with r @topic:17


# # # issue - * * broken ac cord connection on the circuit board * * # # # impact - * * bed cannot be adjusted * * in room 521 # # # possible causes - * * loose connection or damage to the ac cord * * during previous use or maintenance # # # recommendations - * * inspect ac cord for damage * * and replace if necessary. - * * tighten all connections * * on the circuit board. - * * check for any other potential issues * * that may have caused the failure. - * * document the repair and test * * the bed to ensure proper functionality. @topic:9


# # # issue - bed, electric ( huntleigh enterprise 8000 ) is not able to adjust. # # # impact - inability to use the bed for patient care. # # # possible causes - faulty electrical outlet - damaged power cord - malfunctioning bed control unit # # # recommendations 1. * * inspect the electrical outlet. * * ensure that the outlet is providing power and that the bed is properly plugged in. 2. * * examine the power cord. * * check for any damage or fraying to the cord. replace the cord if necessary. 3. * * test the bed control unit. * * follow the manufacturer's instructions to test the control unit for proper functionality. replace the unit if it is found to be faulty. 4. * * request a service call from the manufacturer. * * if the issue cannot be resolved by following the above steps, contact the manufacturer for further assistance. @topic:1


# # # issue - equipment failure due to battery supply degradation. # # # impact - inability to monitor physiological parameters ( respiration / exhaled carbon dioxide / pulse oximetry ) accurately. # # # possible causes - battery supply has reached the end of its service life. - battery supply not properly connected or installed. - battery supply damaged due to mishandling or environmental factors. # # # recommendations - replace the battery supply with a new one. - ensure that the battery supply is properly connected and installed. - handle and store the battery supply according to manufacturer's instructions. - monitor the battery supply regularly and replace it before it degrades significantly. @topic:11


# # # issue - cuff bp deterioration # # # impact - vital signs monitoring accuracy compromised # # # possible causes - cuff wear and tear - blocked or damaged air lines - improper cuff placement # # # recommendations - replace the deteriorated cuff bp - ensure proper cuff placement - inspect and clean air lines regularly @topic:5


# # # issue - the ob & gyn electric bed cannot be adjusted. # # # impact - the bed cannot be used for patient care. # # # possible causes - the control knob on the remote is not securely attached. # # # recommendations - the bme technician has already resolved the issue by reattaching the control knob. the bed has been tested and is now working properly. @topic:1


# # # issue - monitor not providing accurate readings # # # impact - delayed or incorrect medical care - patient safety concerns # # # possible causes - equipment malfunction - faulty sensor or cable - incorrect equipment setup - air leak in tubing - electrical interference # # # recommendations - * * equipment malfunction : * * test the monitor with a known good patient simulator. if the issue persists, replace the monitor. - * * faulty sensor or cable : * * inspect the sensor and cable for damage or loose connections. replace faulty components as needed. - * * incorrect equipment setup : * * ensure the monitor is properly calibrated and connected. follow manufacturer's instructions for setup. - * * air leak in tubing : * * check the tubing for kinks, tears, or leaks. replace the tubing if necessary. - * * electrical interference : * * move the monitor away from potential sources of electrical interference, such as x - ray machines or other medical devices. @topic:22


the main board ” on page 5 - 22. 1042 system error failed to start up network driver. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1043 system error front end software error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1044 system error front end software error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1045 system error printing software error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1047 system error monitoring software error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. suresigns vs2 * and vsi service guide troubleshooting 4 - 27 error codes code error message possible cause action 1048 system error an exception was detected in the alarming software. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1050 system error failed to stop work thread. shut down ( see “ shutting down the system @topic:22


# # # issue - duplicate work order created with repair order number 148488. # # # impact - unnecessary work and potential for errors. # # # possible causes - user error when creating the work order. - system issue that allowed duplicate work orders to be created. # # # recommendations - investigate the cause of the duplicate work order and implement measures to prevent it from happening again. - train users on the correct procedure for creating work orders. - review system settings to ensure that duplicate work orders are not allowed. @topic:12


# # # issue - solenoid sticking in the closed position - drawer unable to close properly # # # impact - inability to use the medical cart effectively - potential for items to fall out of the drawer - risk of injury to the user # # # possible causes - solenoid not receiving power - solenoid damaged - obstruction in the drawer preventing it from closing - misalignment of the drawer or solenoid # # # recommendations - check if the solenoid is receiving power - inspect the solenoid for damage - remove any obstructions from the drawer - realign the drawer or solenoid as necessary - replace the solenoid if necessary @topic:21


##ered. when the thigh section is fully raised, the foot section is inclined at an angle of from the sleep surface. electric autocontour [UNK] autocontour feature is available when both the adjustable head section and the adjustable thigh section functions are enabled. + the autocontour simultaneously raises the head section and the thigh section. this function prevents patients from slipping. trendelenburg / reverse trendelenburg * the sleep surface can be titled in two ways :. reverse trendelenburg ( the foot end in low position ). • fixed head version * mobile head version * the maximum reverse trendelenburg movement is obtained when the sleep surface is positioned between mid - height ( ~ 615 mm ) and the raised position. the complete trendelenburg function is available at all sleep surface. a spirit level * near the lockout unit * or the foot half - siderail * can be used to check that the sleep surface is horizontal. - 15° 10° - 5° ° 5° 10° 15° a [UNK] the bed frame extension is securely locked in one of the notches and that nothing ( e. g., objects, accessories, power cables, tubes ) and no persons ( especially children ) are under the sleep surface, [UNK] the patient's limbs are within the sleep surface, [UNK] there is enough space between the head of the bed and the partition, especially for trendelenburg, [UNK] no accessories ( iv pole in particular ) may come into contact with the fittings, [UNK] check that the drainage devices do not come into contact with the floor. trendelenburg / reverse trendelenburg the electrical trendelenburg / reverse trendelenburg is operated using the control pendant * or the control unit on a flexible arm * or the foot control pendant * or the caregiver half - siderail controls *. before using this function, check that it is enabled. b c to tilt the sleep surface @topic:9


# # # issue battery failure in physiologic monitor, model propaq lt from welch allyn # # # impact the device may not be able to operate properly or may shut down unexpectedly, potentially leading to disruption of patient care. # # # possible causes - battery degradation over time due to usage and age - battery not properly installed or connected # # # recommendations - replace the battery with a new one. - check the battery terminals and ensure they are clean and properly connected. - if the issue persists, contact the manufacturer for further technical support. @topic:11


# # # issue - cuff of the vital signs monitor is deteriorated. # # # impact - the accuracy of the vital signs measurements may be compromised. # # # possible causes - prolonged use of the cuff - exposure to extreme temperatures or humidity - improper storage or handling of the cuff # # # recommendations - regularly inspect the cuff for signs of wear and tear. - replace the cuff if it shows signs of deterioration. - store and handle the cuff according to the manufacturer's instructions. @topic:5


# # # issue the issue is that the medical cart's screen is displaying an incorrect location for the patient, which is causing the cart's drawers to be unable to be opened. # # # impact the impact of this issue is that the medical cart cannot be used to transport patients or to provide care to patients. this could lead to delays in patient care and could potentially put patients at risk. # # # possible causes the possible causes of this issue include : - a software error - a hardware error - a communication error between the medical cart and the hospital's network # # # recommendations the following recommendations are made to address this issue : - the bme should check the medical cart's software for any updates or patches that could resolve the issue. - the bme should check the medical cart's hardware for any loose connections or damaged components. - the bme should check the communication between the medical cart and the hospital's network to ensure that there are no issues. - if the bme is unable to resolve the issue, they should contact the manufacturer of the medical cart for assistance. @topic:13


# # # issue - cuff of the vital signs monitor is damaged. # # # impact - inability to accurately monitor patient's vital signs. # # # possible causes - wear and tear - physical damage - manufacturing defect # # # recommendations - regular inspection and maintenance of the equipment. - careful handling and storage of the equipment. - replacement of damaged parts as necessary. @topic:5


# # # issue the electric bed, model seta by stiegelmeyer, is not able to adjust up and down. # # # impact the patient may not be able to get into or out of the bed, and the bed may not be able to be used for its intended purpose. # # # possible causes - the remote control is not properly connected to the bed. - the remote control is not functioning properly. - the bed is not receiving power. - the bed's motor is not functioning properly. # # # recommendations - check the connection between the remote control and the bed. - test the remote control to make sure it is functioning properly. - check the bed's power supply. - contact the manufacturer of the bed for assistance. @topic:1


# # # issue the touch screen on the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is not working. # # # impact the monitor cannot be used to display patient vital signs, which can delay or interfere with patient care. # # # possible causes - hardware failure in the touch screen - software issue - damaged cables or connections - power supply issue # # # recommendations - * * verify connections : * * ensure that the touch screen cable is securely connected to the monitor and there are no loose or damaged cables. - * * restart the monitor : * * unplug the monitor, wait a few seconds and plug it back in to reset the system. - * * check for software updates : * * verify if there are any available software updates for the monitor and install them if necessary. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact philips for technical support and repair services. @topic:2


# # # issue the cuff of the bedside physiologic monitor was found to be defective. # # # impact the defective cuff could lead to inaccurate readings or failure of the monitor to provide accurate patient data. this could have serious consequences for the patient's safety and well - being. # # # possible causes - the cuff may have been damaged during use or storage. - the cuff may have been made of poor - quality materials. - the cuff may have been improperly fitted or used. # # # recommendations - the cuff should be replaced with a new one. - the new cuff should be checked for proper fit and function before use. - the user should be trained on proper use of the monitor and cuff. @topic:5


p. c. board. replace the board. page 2 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) function checks chapter 2 : troubleshooting procedures function checks 1. the " initial actions " have been perfonned. yes no ■i — > go to “ initial actions ” on page 2 - 2. 2. set the brakes, raise and lock the siderails in the high position. plug in the power cord into an appropriate power source. 3. operate the trendelenburg function. this function works. yes no i go to rap 2. 1. 4. lock at least one bed function ( such as the head section ). the corresponding indicator is illuminated. yes no i go to rap 2. 2. 5. lock out all bed functions. all of the lock out indicators illuminate ( except the bed not down indicator ). yes no i go to rap 2. 2. 6. unlock all of the functions. all of the lock out indicators go off ( except the bed not down indicator ). yes no i go to rap 2. 2. 7. press the bed up control. the bed rises to the high position without stopping or an audible alann sounding. yes no i go to rap 2. 3. 8. press the bed down control. the bed goes down to the low position without stopping or the audible alann sounding. in addition, the " bed not down " indicator goes off when the bed reaches the lowest position. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 5 function checks chapter 2 : troubleshooting procedures yes no i - > go to rap 2. 3. 9. press the knee up control. the knee section rises to the high position without stopping or the audible alann sounding. yes no i @topic:9


# # # issue - cuff deterioration # # # impact - inaccurate vital signs monitoring - potential patient harm due to incorrect treatment decisions # # # possible causes - cuff age and wear - and - tear - improper cleaning and disinfection - excessive inflation pressure - cuff oversizing or undersizing # # # recommendations - regular cuff inspection and replacement as needed - proper cleaning and disinfection procedures - use of appropriate inflation pressure - ensure correct cuff size for the patient - training of staff on proper cuff usage and maintenance @topic:5


% by part weighinside the battery for electronic devices with data storage that can still have treatment and patient data on them, this data should be deleted before disposal of the device, as a matter of cybersecurity procedure the bed is designed for easy dismantling so that it can be destroyed or reused in accordance with the applicable recycling regulations ( e. g., electric parts, plastics etal ). at the end of the bed's life, hill - rom recommends that you contact a specialist in the dismantling of beds or, if the bed can still be used, to donate the bed to a charitable organization so that it can be used again. always clean and disinfect the bed before shipment for dismantling or donation. decontaminating / servicing the combined accella therapy the information specific to the accella therapy mattress ( cleaning and disinfection methods, recommended products, etc. ) can be found in the user manual, reference 199253. warranty and after sales service conditions the warranty for our beds will be rendered null and void, in part or in total, in the event of : unauthorized interference with or incorrect maintenance of :. actuators, electrical drives and components, echanical systemsny abnormal uscontact your country hill - rom representative or go to hillrom. com to find the after - sales service contact details. compliance ce conformity mark the ce conformity mark applicable to class i medical devices was applied to the l1900b4 bed for the first time in 2016. ce ce the ce conformity mark applicable to class im medical devices with measuring function was applied to the l1900b4 bed with weight st time in 2019. 0459 the ce conformity mark applicable to class iii non automatic weighing instrument was applied to the l1900b4 beds with t time in 2016. • em zz 007the ce @topic:9


# # # issue - medical cart equipment is not able to boot to the main screen due to a bios error, caused by a faulty ssd. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - faulty ssd # # # recommendations - replace the ssd and reinstall the operating system. @topic:13


# # # issue the medical cart is displaying patient information from other wards. # # # impact this could lead to patient safety concerns, as the medical staff may not have access to the correct patient information. # # # possible causes * the medical cart is not properly configured to only display patient information from the current ward. * the medical cart is using an incorrect location code. * the medical cart is not communicating properly with the hospital's electronic health record system. # # # recommendations * verify that the medical cart is properly configured to only display patient information from the current ward. * check that the medical cart is using the correct location code. * ensure that the medical cart is communicating properly with the hospital's electronic health record system. * if the issue persists, contact the medical cart manufacturer for support. @topic:13


# # # issue monitor link failure to central monitor # # # impact physiological data may not be displayed on the central monitor, affecting patient monitoring. # # # possible causes - faulty network connectivity between the monitor and the central monitor - software or firmware issues on the monitor or central monitor - physical damage to the network cable or ports - configuration errors in the network settings of the monitor or central monitor # # # recommendations - check network connectivity by ensuring that the network cable is securely connected to both the monitor and the central monitor. - restart both the monitor and the central monitor to reset any software or firmware issues. - inspect the network cable for any damage and replace it if necessary. - verify the network settings on both the monitor and the central monitor to ensure that they are correct. - if the issue persists, contact the manufacturer for technical support. @topic:16


# # # issue - battery failure # # # impact - the monitor may not be able to function properly if the battery is not working. this could lead to a delay in patient care or even a dangerous situation. # # # possible causes - the battery may be old and need to be replaced. - the battery may have been damaged. - the battery may not be properly connected. # # # recommendations - the battery should be replaced with a new one. - the battery should be inspected for any damage. - the battery should be properly connected. @topic:11


# # # issue - the vital signs monitor is not functioning properly due to a battery issue. # # # impact - the monitor cannot be used to accurately measure and display vital signs, which can delay or compromise patient care. # # # possible causes - the battery is dead or faulty. - the battery contacts are dirty or corroded. - the battery is not properly installed. # # # recommendations - replace the battery with a new one. - clean the battery contacts and ensure that the battery is properly installed. - if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue the spo2 cable is faulty. # # # impact the patient's vital signs cannot be accurately monitored. # # # possible causes - the cable may be damaged or frayed. - the cable may be loose or disconnected. - the cable may be incompatible with the monitor. # # # recommendations - inspect the cable for any damage or fraying. - ensure that the cable is securely connected to the monitor and the patient. - check that the cable is compatible with the monitor. - replace the cable if necessary. @topic:4


# # # issue - a medical cart's wheels are jammed due to hair getting stuck inside. # # # impact - the medical cart cannot be moved easily, which can hinder the delivery of medical supplies and equipment to patients. # # # possible causes - the wheels were not cleaned regularly, allowing hair and other debris to accumulate. - the wheels were not properly lubricated, increasing friction and making them more prone to jamming. # # # recommendations - the wheels should be cleaned regularly to remove any hair or debris that may get stuck. - the wheels should be lubricated regularly to reduce friction and prevent jamming. @topic:24


# # # issue - unable to adjust the knee up and down # # # impact - patient discomfort - difficulty in performing medical procedures - delay in treatment # # # possible causes - motor failure - electrical fault - mechanical obstruction # # # recommendations - replace or repair the motor - check and troubleshoot the electrical system - inspect and clear any mechanical obstructions - refer the device to the manufacturer for further evaluation and repair if necessary @topic:9


# # # issue : * * bed frame is rusted. * * # # # impact : the bed is no longer safe or sanitary for patient use. # # # possible causes : - * * exposure to moisture. * * the bed may have been exposed to water or other liquids, which can cause the metal frame to rust. - * * lack of maintenance. * * the bed may not have been properly cleaned and maintained, which can allow rust to develop. - * * defective coating. * * the bed frame may have had a defective coating that allowed moisture to penetrate and cause rust. # # # recommendations : - * * inspect the bed frame for rust regularly. * * if rust is found, it should be removed immediately to prevent further damage. - * * clean and maintain the bed regularly. * * the bed should be cleaned with a mild detergent and water, and then dried thoroughly. - * * apply a protective coating to the bed frame. * * this will help to prevent moisture from penetrating and causing rust. - * * replace the bed frame if it is badly rusted. * * if the bed frame is badly rusted, it should be replaced to ensure patient safety. @topic:6


# # # issue - equipment malfunction due to improper installation of new bp cuff. # # # impact - inaccurate blood pressure readings - delay in patient care - patient discomfort # # # possible causes - incorrect cuff size or type for the patient - cuff not properly secured to the patient's arm - cuff tubing not properly connected to the monitor - defective cuff or tubing # # # recommendations - ensure that the correct cuff size and type is used for the patient. - secure the cuff snugly around the patient's arm, without occluding blood flow. - ensure that the cuff tubing is properly connected to the monitor. - inspect the cuff and tubing for any signs of damage or wear. @topic:3


# # # issue : - cuff connector lost # # # impact : - inability to measure blood pressure # # # possible causes : - the cuff connector was not properly attached. - the cuff connector was damaged. - the cuff connector was stolen. # # # recommendations : - ensure that the cuff connector is properly attached before using the device. - inspect the cuff connector for damage before each use. - report any missing cuff connectors to the appropriate personnel. @topic:14


# # # issue - * * broken * * blood pressure ( bp ) module pump. # # # impact - the bedside physiologic monitor is unable to take accurate blood pressure readings. this can lead to delayed or incorrect treatment for patients. # # # possible causes - * * mechanical failure : this can be due to wear and tear, a manufacturing defect, or damage caused by improper use or storage. * * - * * electrical failure : this can be due to a power surge, a faulty electrical connection, or a damaged component within the pump. * * - * * software error : this can cause the pump to malfunction or stop working altogether. * * # # # recommendations - * * replace the bp module pump. * * - * * inspect the monitor for any other damage. * * - * * test the monitor to ensure that it is working properly. * * - * * train staff on proper use and maintenance of the monitor. * * @topic:15


# # # issue - vital signs monitor is not charging # # # impact - inability to accurately monitor patient vitals - increased risk of patient complications - disruption of patient care # # # possible causes - faulty battery - damaged charging port - software glitch - hardware malfunction # # # recommendations - replace the battery - inspect the charging port for damage - update the software - contact the manufacturer for further troubleshooting or repair @topic:11


# # # issue - equipment malfunction due to damaged bp code6534 basket. # # # impact - interruption of vital sign monitoring for patients. # # # possible causes - physical damage to the basket caused by mishandling or improper use. - failure of the basket design to withstand the demands of clinical use. # # # recommendations - ensure proper training and handling of equipment to prevent damage. - evaluate the durability of the basket design and consider modifications to improve its longevity. - consider alternative equipment options with more robust designs. * * additional notes : * * * the " cause of failure " in the input merely indicates the reason why the device was removed for repair, which is unrelated to the root cause of the malfunction. * the provided information is limited, making it difficult to pinpoint the exact cause of failure. further investigation and analysis may be required to determine the underlying issue. @topic:15


# # # issue : - bed is not adjustable up or down. # # # impact : - patients may not be able to get in or out of bed safely. - patients may be unable to reposition themselves in bed, which can lead to pressure sores. - staff may be unable to move patients around the room or to other areas of the hospital. # # # possible causes : - power cord is damaged or loose. - control panel is not working. - motor is not working. - gearbox is damaged. - bed frame is damaged. # # # recommendations : - check the power cord for damage and make sure it is plugged in securely. - check the control panel for damage and make sure all buttons are working properly. - test the motor by pressing the up and down buttons. - inspect the gearbox for damage. - inspect the bed frame for damage. # # # additional information : - if the bed is still not working, call a qualified biomedical engineer to repair it. - preventive maintenance can help to prevent bed failures. - regular inspection of the bed can help to identify potential problems early on. @topic:1


# # # issue - vital signs monitor oxygen saturation probe failure # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - damaged oxygen saturation probe spring # # # recommendations - replace oxygen saturation probe @topic:4


# # # issue the monitors, physiologic, vital signs equipment with the philips brand and suresigns vs4 model experienced a failure. # # # impact the failure caused the system to enter vsm mode. # # # possible causes - the technician may have accidentally entered vsm mode during the reset process. - there could be an issue with the software or firmware of the device. - a hardware component, such as the power supply or display, may have failed. # # # recommendations - the technician should check the settings and ensure that the device is not in vsm mode. - if the issue persists, the technician should contact the manufacturer for support. - the technician should also check the device's maintenance history to see if there have been any recent repairs or updates that could have caused the failure. @topic:22


# # # issue - no graphs displayed on the monitor screen # # # impact - inability to monitor patient vital signs accurately, potentially leading to delayed or incorrect treatment decisions # # # possible causes - * * hardware failure : * * malfunctioning display module or graphics card - * * software issue : * * corrupted firmware or software glitches - * * loose or damaged connections : * * intermittent contact between the pc and monitor or between the telemetry link and central monitor - * * power supply problems : * * insufficient voltage or fluctuations in power supply - * * electromagnetic interference : * * interference from other devices or sources affecting the monitor's display # # # recommendations - * * check hardware connections : * * ensure all cables and connectors are securely plugged in and not loose or damaged. - * * test the display : * * connect the pc to a different monitor or use an external graphics card to isolate the issue. - * * update software : * * install the latest firmware and software updates from the manufacturer. - * * rule out electromagnetic interference : * * move the monitor away from potential sources of interference or use shielded cables. - * * check power supply : * * verify that the power supply is providing adequate voltage and is not experiencing fluctuations. if necessary, replace the power supply. - * * contact the manufacturer : * * if all troubleshooting steps fail, contact the manufacturer for technical support and potential repair or replacement. @topic:2


# # # issue - lead not showing on the monitor # # # impact - inability to monitor patient's vital signs # # # possible causes - loose or disconnected lead wires - faulty lead wires - faulty monitor input port - software glitch # # # recommendations - check the lead wires for loose connections or damage - replace the lead wires if necessary - check the monitor input port for damage or debris - restart the monitor - contact the manufacturer for technical support @topic:18


# # # issue the bed makes a noise and jerks when lowering. # # # impact the noise and jerking can be a nuisance to patients and staff, and could potentially cause discomfort to patients. # # # possible causes - * * insufficient lubrication : * * the bed's moving parts may not be properly lubricated, causing friction and noise. - * * misaligned components : * * the bed's components may not be properly aligned, causing them to bind and jerk. - * * damaged components : * * the bed's components may be damaged, causing them to malfunction and produce noise and jerking. # # # recommendations - * * lubricate the bed : * * lubricate the bed's moving parts with an appropriate lubricant. - * * align the components : * * check the alignment of the bed's components and adjust them as necessary. - * * inspect for damage : * * inspect the bed's components for damage and replace any damaged parts. @topic:9


# # # issue - monitor, bedside, physiologic does not connect # # # impact - unable to use the device to monitor the patient's physiological status. # # # possible causes - incorrect configuration - loose or disconnected cables - faulty hardware # # # recommendations - check the device's configuration and ensure that it is set up correctly. - inspect the cables and ensure that they are securely connected to the device and the patient. - if the issue persists, contact the manufacturer for further assistance. @topic:16


# # # issue the central monitor is not displaying patient data. # # # impact the clinicians are unable to access patient data, which could lead to delays in diagnosis and treatment. # # # possible causes - the lan cable is not properly connected. - the central monitor is not turned on. - the software on the central monitor is not functioning properly. # # # recommendations - check the lan cables and make sure they are securely connected. - turn off the central monitor and then turn it back on. - contact the vendor to troubleshoot the software issue. @topic:16


# # # issue - the control box of the electric bed is faulty. # # # impact - the bed cannot be adjusted. # # # possible causes - the control box may be damaged due to : - power surge - liquid spill - physical impact - the control box may be malfunctioning due to : - software bug - hardware failure # # # recommendations - inspect the control box for any visible damage. - test the control box with a known - good power supply. - if the control box is damaged, replace it. - if the control box is malfunctioning, contact the manufacturer for troubleshooting assistance. @topic:1


# # # issue - battery not charging # # # impact - inability to use the physiologic monitor for extended periods without external power source # # # possible causes - faulty battery - faulty charging port - damage to the charging cable - software issue # # # recommendations - replace the battery - inspect the charging port for damage and clean if necessary - try a different charging cable - update the software on the physiologic monitor @topic:11


# # # issue : the status light for the battery of the bedside physiologic monitor is red despite being charged. # # # impact : the medical staff cannot accurately monitor the patient's physiological parameters if the battery is not functioning correctly. # # # possible causes : - loose battery - faulty battery - faulty charging system # # # recommendations : 1. check if the battery is loose and secure it if necessary. 2. replace the battery if it is faulty. 3. inspect the charging system for any damage or loose connections. @topic:11


# # # issue - noise during measurement - intermittent measurements # # # impact - inaccurate fetal monitoring - potential harm to the fetus # # # possible causes - defective cable - damaged connector - internal component failure # # # recommendations - replace the defective cable and connector - inspect and test the internal components for any damage or malfunction - calibrate the fetal monitor after repairs are complete - perform regular maintenance and inspections to prevent future failures @topic:22


can be in the form of a calibration bar, like the 1 mv calibration bar for ecg, or calibration steps before the waveform starts. maintaining recording strips recording ink sometimes fades when covered with transparent tape. avoid covering any part of a recording that is clinically relevant ( annotation or waveforms ) when taping a recording strip to a patient record or other patient documentation. 363 28 recording reloading paper m1116b ( mx500 / 550 / 600 / 700 / 800 ) use the latch on the right side of the recorder door to pull the door 1 open. emove the empty core2 insert a new roll so that it fits snugly into its housing and the paper end is feeding from the top. recommended paper : 40477a and 3 40477b. pull out some paper and fold along the front edge at a 45° angle. this makes it easier to feed the paper under the roller as shown. 4 feed the paper through and pull some paper out from the top roller. of the 5 close the recorder door. 6 to test if paper is loaded correctly, start a recording. if no printing e loaded backwards. try reloading the paper. 7 m1116c ( mx500 / 550 / 600 / 700 / 800 ) and integrated recorder ( mx400 / 450 ) press the latch on the right side of the recorder door to open the door. 1 emove the empty core2 insert a new roll and secure it in place on the paper holder. the paper feeds from the bottom of the roll and over the top of the recorder door. 3 recommended m4816a and m4817a. paper : with at least one inch of paper extending beyond the edge of the door, swing the recorder door 4 up to test if paper is loaded correctly, start a recording. if no printing appears, paper may be load @topic:8


if there is artifact in the signal, it may take longer for an st snippet and an salue to appear. the first baseline is stored automatically after st monitoring is started, or when a new patient is admitted. to update st baselines, 1 in the st view window, select update baseline to store all current snippets as baselines. this deletes all previously - stored baselines. 2 an st baseline copy is also stored in the mms, for transport purposes. recording st segments to record all currently available st snippets and baselines, in the st view window, select the pop - up about the st measurement points the st value for each beat complex is the vertical difference between the iso point and the st point, as shown in the diagram below. 68 6 ecg, arrhythmia, st and qt monitoring the isoelectric ( iso ) point provides the baseline, the st point is at the midpoint of the st segment. the j point is where the qrs complex changes its slope ; as it is a fixed distance away from the st point, it can be useful to help you position the st point correctly. r - wave peak at 0 msec 1 j point, for example, 48 msec 2 difference st value 3 st measurement point, for 4 example, j + 60 msec 2 isoelectric point set to - 80 msec 56789 p 6 t t 8 caution if using st analysis, the st measurement points need to be adjusted when you start monitoring, and if the patient's heart rate or ecg morphology changes significantly, as this may affect the size of the qt interval and thus the placement of the st point. artifactual st segment depression or elevation may occur if the isoelectric point or the st point is incorrectly set. always ensure that st measurement points are appropriate for your patient @topic:8


# # # issue - masterkey sensor failure # # # impact - inability to access the medical cart, potentially delaying patient care. # # # possible causes - defective sensor - damage to the sensor or its wiring - electrical malfunction - software glitch # # # recommendations - * * immediate action : * * - replace the defective sensor. - check the wiring and electrical connections for damage and repair if necessary. - * * preventative measures : * * - regular maintenance and inspection of the medical cart, including the masterkey sensor. - training of staff on proper use and handling of the cart. - consider redundant systems to minimize the impact of future sensor failures. @topic:27


# # # issue : electric bed not adjusting # # # impact : patient discomfort and mobility limitations # # # possible causes : - electrical issues with the remote control - mechanical issues with the bed's motors or actuators - damage to the electrical wiring or connections - software or firmware issues with the bed's control unit # # # recommendations : - * * electrical troubleshooting : * * check for loose or damaged wires, connectors, or fuses. test the remote control with a voltmeter or multimeter to ensure it is receiving power. - * * mechanical inspection : * * examine the motors and actuators for signs of damage, wear, or misalignment. check for obstructions that may hinder the bed's movement. - * * software / firmware update : * * if there are known software or firmware updates available for the bed, consider updating it to resolve any bugs or improve functionality. - * * contact manufacturer or qualified technician : * * if the issue cannot be resolved through troubleshooting and inspection, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:1


# # # issue - equipment malfunction due to broken remote control cable. # # # impact - inability to adjust the bed, potentially affecting patient comfort and treatment. # # # possible causes - wear and tear of the remote control cable over time. - accidental damage to the cable during use or transport. # # # recommendations - * * preventative maintenance : * * conduct regular inspections of the remote control cable for signs of wear or damage. - * * training : * * ensure staff are trained on proper handling and storage of the equipment to minimize accidental damage. - * * spare parts : * * maintain a stock of replacement remote control cables to facilitate prompt repair. - * * quality control : * * source high - quality remote control cables from reputable manufacturers to ensure durability and reliability. @topic:7


# # # issue - the equipment cannot be adjusted up or down. # # # impact - the equipment cannot be used for patient care. # # # possible causes - the motor that drives the adjustment mechanism is not working. - the control panel that operates the motor is not working. - the limit switches that stop the adjustment mechanism at the end of its range are not working. - the mechanical linkage between the motor and the adjustment mechanism is broken. # # # recommendations - check the power supply to the equipment. - check the motor for continuity and proper operation. - check the control panel for continuity and proper operation. - check the limit switches for continuity and proper operation. - check the mechanical linkage between the motor and the adjustment mechanism for damage or obstruction. @topic:24


# # # issue - broken extension spo2 cable # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - wear and tear due to prolonged use - accidental damage - improper handling or storage # # # recommendations - regularly inspect and replace extension spo2 cables as per the manufacturer's recommended intervals - handle and store cables with care to avoid damage - ensure proper training and handling procedures are followed by staff using these cables @topic:4


# # # issue * remote control not working # # # impact * inability to operate the bed # # # possible causes * damaged electrical cord # # # recommendations * replace the electrical cord @topic:7


# # # issue - bed not adjusting # # # impact - patient discomfort - delays in patient care # # # possible causes - remote malfunction - motor failure - faulty wiring # # # recommendations - verify remote functionality - check motor connections and power supply - inspect wiring for damage or loose connections @topic:1


# # # issue - cuff of physiologic bedside monitor is deteriorated. # # # impact - inaccurate vital sign measurement ( e. g., blood pressure ), reduced patient safety. # # # possible causes - general wear - and - tear over time. - improper use / handling of cuff. - material degradation due to age or exposure to extreme temperatures or chemicals. # # # recommendations - replace the cuff with a new one. - schedule regular maintenance and inspection of the equipment. - ensure proper training for staff on handling and use of medical devices. - establish guidelines for cuff maintenance and replacement. - consider using cuff covers or protectors to extend the life of the cuff. @topic:5


# # # issue electric hospital bed is malfunctioning. # # # impact - patient safety concerns - discomfort for patients - increased workload for healthcare staff - potential for injury to patients or staff # # # possible causes - hi - low column wear and tear - electrical system failure - control panel malfunction - power supply issues # # # recommendations - replace or repair the hi - low column - inspect and test the electrical system - check the control panel for proper operation - ensure that the power supply is adequate and stable @topic:9


# # # cause of failure : cuff bp hose rupture # # # possible causes : - age and wear - over - inflation - improper storage - damage during handling or cleaning - manufacturing defect # # # recommendations : - regularly inspect and replace cuff bp hoses as per the manufacturer's recommended intervals. - avoid over - inflation to prevent hose rupture. - store hoses properly to avoid damage caused by exposure to extreme temperatures, moisture, or physical stress. - handle hoses with care during transportation, installation, and maintenance procedures. - investigate and address potential manufacturing defects by contacting the manufacturer or authorized service provider. @topic:3


# # # issue cuff leak in the vital signs physiologic monitor. # # # impact the cuff leak may result in inaccurate blood pressure measurements, potentially leading to improper diagnosis and treatment decisions. # # # possible causes 1. * * damaged cuff bladder : * * the cuff bladder may have been punctured or torn during use or storage, causing a leak in the bladder. 2. * * loose or disconnected tubing : * * the tubing connecting the cuff to the monitor may be loose or disconnected, allowing air to leak and compromising the seal of the cuff. 3. * * faulty pressure sensor : * * the pressure sensor in the cuff may be malfunctioning, leading to incorrect pressure readings and potential cuff leaks. 4. * * incorrect cuff size : * * using a cuff that is too small or too large for the patient can result in a poor seal and subsequent cuff leaks. 5. * * patient movement : * * excessive patient movement during blood pressure measurement can cause the cuff to slip or move, affecting the seal and causing a leak. # # # recommendations 1. * * replace the cuff : * * if the cuff bladder is damaged, it should be replaced with a new one to ensure an accurate seal and reliable blood pressure measurements. 2. * * check and tighten tubing : * * inspect the tubing for any loose connections or damage. tighten or replace any loose connections to prevent air leaks. 3. * * calibrate the pressure sensor : * * have the pressure sensor calibrated by a qualified technician to ensure accurate readings and prevent false leak indications. 4. * * use appropriate cuff size : * * select the appropriate cuff size based on the patient's arm circumference to achieve a proper seal and accurate measurements. 5. * * minimize patient movement : * * instruct the patient to remain still during blood pressure measurement @topic:3


# # # issue equipment failure # # # impact downtime of the equipment, affecting patient care and hospital operations. # # # possible causes * * * pm not performed properly : * * the pm performed in october 2018 may not have been comprehensive or effective, leading to the failure. * * * equipment malfunction : * * failure of a component within the equipment can also cause it to fail. * * * operator error : * * improper use of the equipment can lead to damage or malfunction. * * * environmental factors : * * extreme temperatures, humidity, or other environmental conditions can affect the equipment's performance and cause it to fail. # # # recommendations * ensure that pms are performed thoroughly and in accordance with the manufacturer's guidelines. * inspect and maintain the equipment regularly to identify and correct any potential issues. * train staff on the proper use and handling of the equipment. * monitor the equipment's performance and investigate any anomalies promptly. * consider investing in redundant equipment to minimize downtime in the event of a failure. @topic:12


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 - description : the signal cable from the remote control has a problem. # # # impact - the bed cannot be used. # # # possible causes - the signal cable is disconnected. - the signal cable is damaged. - the remote control is not working properly. # # # recommendations - check the signal cable connections. - replace the signal cable if it is damaged. - replace the remote control if it is not working properly. @topic:7


# # # issue - faulty medical cart shelf # # # impact - reduced functionality of the medical cart - potential safety hazard if equipment is not properly secured # # # possible causes - age and wear and tear - improper use or handling of the medical cart - manufacturing defect # # # recommendations - inspect the medical cart regularly for any signs of damage or wear and tear. - ensure that the medical cart is used and handled properly according to the manufacturer's instructions. - report any damage or issues with the medical cart to the appropriate maintenance personnel immediately. - if the damage is severe, consider replacing the medical cart to ensure patient safety and proper functioning of the equipment. @topic:31


# # # issue - monitor is not displaying vital signs. # # # impact - clinicians are unable to monitor the patient's vital signs, which could lead to delayed or incorrect treatment. # # # possible causes - switching power supply failure : the switching power supply is responsible for converting ac power to dc power, which is used to power the monitor. if the switching power supply fails, the monitor will not be able to power on. - loose connections : loose connections between the switching power supply and the monitor can also cause the monitor to not power on. - defective monitor : in rare cases, the monitor itself may be defective and unable to power on. # # # recommendations - troubleshooting the switching power supply : ensure that the switching power supply is receiving power and that the connections between the switching power supply and the monitor are secure. if the switching power supply is not receiving power, replace it. - inspecting the connections : inspect the connections between the switching power supply and the monitor for any loose or damaged connections. tighten any loose connections and replace any damaged connections. - testing the monitor : if the switching power supply and connections are both secure, test the monitor to ensure that it is functioning properly. if the monitor is still not powering on, replace it. @topic:2


# # # issue - equipment : monitors, physiologic, central station - brand : hp - model : rp5700 - description : device is not powering on # # # impact - the device is not able to be used to monitor patient vital signs. # # # possible causes - the power cord is not properly connected. - the power supply is not functioning properly. - the internal components of the device are damaged. # # # recommendations - check the power cord to ensure that it is securely connected to the device and the power outlet. - if the power cord is securely connected, replace the power supply. - if the power supply replacement does not resolve the issue, the device will need to be sent to a qualified technician for repair. @topic:2


# # # issue - medical cart alarm is constantly indicating that a drawer is open. # # # impact - nursing staff may be unable to use the cart efficiently. - patient safety may be compromised if drawers are not properly secured. # # # possible causes - loose drawer sensor - bent sensor bracket - faulty sensor # # # recommendations - tighten the drawer sensor. - inspect the sensor bracket for any damage. - replace the sensor if necessary. @topic:21


# # # issue the physiological central station monitor's screen is black. # # # impact the medical staff cannot monitor the patient's vital signs accurately, which could lead to delayed or inaccurate diagnosis and treatment. # # # possible causes - * * loose pc cable : * * the cable connecting the central station monitor to the computer may be loose, causing the monitor to lose power or display a black screen. - * * expired license : * * the central station monitor's software license may have expired, causing the monitor to display a pop - up notification and restrict its functionality. # # # recommendations - * * check pc cable connection : * * inspect the pc cable and ensure it is securely connected to both the central station monitor and the computer. - * * update software license : * * if the software license has expired, contact the manufacturer or a qualified technician to obtain a new license and update the monitor's software. - * * restart central monitor : * * if the above steps do not resolve the issue, restart the central station monitor by turning it off and on again. - * * contact manufacturer : * * if the issue persists after trying these recommendations, contact the manufacturer of the central station monitor for further troubleshooting and repair. @topic:2


# # # issue - the beds, electric, hill - rom, care assist es is emitting an alarm continuously. # # # impact - the continuous alarm can be disruptive to patients and staff. - it may also indicate a problem with the bed that needs to be addressed. # # # possible causes - * * limit switch malfunction. * * the limit switch is a safety device that prevents the bed from moving too far in either direction. if the limit switch is malfunctioning, it may not be able to cut off the power to the bed, causing it to continue to move and trigger the alarm. # # # recommendations - * * adjust the limit switch. * * the technician has already adjusted the limit switch to its normal position. this should resolve the issue. - * * test the bed. * * the technician has tested the bed and found that it is now working normally. - * * monitor the bed. * * the technician should monitor the bed for any further problems. @topic:26


# # # issue - machine trouble following battery replacement # # # impact - the machine has non - functioning # # # possible causes - technician error during battery replacement - uncalibrated or malfunctioning sensors - electrical issues - software glitches - battery compatibility issues # # # recommendations - ensure correct battery type and installation - calibrate and test sensors regularly - inspect electrical connections and wiring - update software as needed - contact manufacturer for technical support @topic:11


# # # issue - the nibp monitor is unable to measure nibd ( non - invasive blood pressure ). # # # impact - patients may not receive accurate blood pressure readings, which could lead to incorrect diagnosis and treatment. # # # possible causes - faulty sensor or transducer - loose or damaged cable connections - software or calibration issues - electrical interference - patient factors ( e. g., irregular heartbeat ) # # # recommendations - inspect the sensor and transducer for damage or debris. - ensure that all cable connections are secure. - check the software and calibration of the monitor. - eliminate sources of electrical interference, such as nearby equipment or loose power cords. - consider patient factors that may affect blood pressure readings, such as arrhythmias or hypertension. @topic:15


# # # issue - the electric bed is not able to lower the head section. # # # impact - the patient may not be able to be positioned comfortably or safely. # # # possible causes - the control box may be loose. - the control box may be faulty. - the motor that controls the head section may be faulty. - the wiring to the motor may be faulty. # # # recommendations - check if the control box is loose and tighten it if necessary. - test the control box to see if it is working properly. - test the motor to see if it is working properly. - check the wiring to the motor to see if it is loose or damaged. @topic:1


# # # issue - malfunctioning bedside physiologic monitor. # # # impact - inability to accurately monitor patient's vital signs, including oxygen saturation levels. # # # possible causes - * * defective spo2 cable : * * the spo2 cable, which connects the monitor to the patient's fingertip, may be damaged or faulty, leading to inaccurate or absent readings. # # # recommendations - * * replace spo2 cable : * * replace the damaged spo2 cable with a new, functional one to restore accurate monitoring capabilities. - * * inspect spo2 cable regularly : * * regularly inspect the spo2 cable for any visible damage or wear and tear to prevent future failures. - * * proper handling and storage : * * ensure proper handling and storage of the spo2 cable to avoid damage during use or storage. - * * consider using a different brand or model of spo2 cable : * * if the issue persists with the same brand or model of spo2 cable, consider using an alternative option to eliminate potential compatibility issues. @topic:4