# # # issue the medical cart is not displaying the percentage of battery life correctly. # # # impact - unable to accurately track battery life, which could lead to power outages while in use - reduced ability to plan for charging and maintenance # # # possible causes - error in the power board - connection issues between battery and power board - battery malfunction # # # recommendations - replace the power board - check the connection between the battery and power board - replace the battery @topic:13


# # # issue - the philips intellivue trx telemetric electrocardiography monitor is not connecting to the system. # # # impact - the monitor cannot be used to collect patient data, which can delay diagnosis and treatment. # # # possible causes - the monitor is not properly connected to the system. - the monitor is not compatible with the system. - the system is not properly configured. - the monitor is defective. # # # recommendations - check the connections between the monitor and the system. - verify that the monitor is compatible with the system. - configure the system according to the manufacturer's instructions. - replace the monitor if it is defective. @topic:16


# # # issue - bed rail is not locking into place. # # # impact - patient safety hazard. the bed rail should be locked in place to prevent the patient from falling out of bed. # # # possible causes - missing spring lock - broken spring lock - bent or damaged bed rail # # # recommendations - replace the missing or broken spring lock - repair or replace the bent or damaged bed rail - ensure that the bed rail is properly aligned and locked into place before use @topic:6


# # # issue - cuff bp ( blood pressure ) deterioration # # # impact - unable to obtain accurate blood pressure measurements # # # possible causes - cuff bp is worn or damaged due to : - normal wear and tear - improper use or handling - environmental factors ( e. g., humidity, temperature ) # # # recommendations - replace the worn or damaged cuff bp with a new one. - ensure proper use and handling of the device according to manufacturer's instructions. - store the device in a suitable environment ( e. g., dry, cool ) to prevent deterioration. @topic:3


in the monitor info line. 1 select the profile details pop - up key2 in the profile details menu, select display or measmnt. settings or monitor settings to call up a list of the settings blocks in each category. 3 choose a settings block from the pop - up list. 4 confirm r selection. 5 default profile your monitor has a default profile that it uses when you leave demonstration mode, or when you discharge a patient. this profile is indicated by a diamond shaped symbol. locked profiles some profiles are locked, so that you cannot change them, even in configuration mode. these are indicated by this lock symbol. 40 40 1 introduction understanding settings each aspect of how the monitor works and looks is defined by a setting. there are a number of different categories of settings, including, screen settings, to define the selection and appearance of elements on each individual screen measurement settings, to define settings unique to each measurement, for example, high and low alarm limits monitor settings, including settings that affect more than one measurement or screen and define general aspects of how the monitor works, for example, alarm volume, reports and recordings, and display brightness. you must be aware that, although many settings can be changed in monitoring mode, permanent changes to settings can only be done in the monitor's configuration mode. all settings are reset to the when • when you load a profile when the monitor is switched off for more than one minute ( if automat. default is set to yes ). • changing measurement settings each measurement has a setup menu in which you can adjust all of its settings. you can enter a setup menu : via the measurement numeric - select the measurement numeric to enter its setup menu. for example, to enter the setup ecg menu, select the hr ( heart rate ) numeric. • via the setup hardkey ( on plug - in modules ) - press the setup hardkey on the @topic:10


* * issue : * * electrical bed with venaflow tubing damage * * impact : * * patient safety * * possible causes : * * * * * equipment failure : * * the bed may have malfunctioned, causing it to move in an unexpected way and compress the tubing. * * * improper use : * * the bed may have been operated incorrectly, causing pressure to be applied to the tubing. * * * obstruction : * * an object may have become lodged under the bed, causing it to compress the tubing when adjusted. * * recommendations : * * * * * inspect the bed for any damage or defects : * * ensure all components are functioning correctly. * * * review operating procedures : * * verify that the bed is being used correctly according to manufacturer instructions. * * * remove any obstructions : * * check the area under the bed for any foreign objects that may impede its movement. * * * monitor the patient for any signs of injury : * * observe the patient for any redness, swelling, or discomfort around the area where the tubing was compressed. @topic:9


# # # issue monitor failure # # # impact - inability to monitor vital signs - potential for patient harm # # # possible causes - equipment malfunction - human error - environmental factors # # # recommendations - replace the monitor - investigate the cause of the failure - implement measures to prevent future failures @topic:2


# # # issue - error patient interface module cannot connect to eclc # # # impact - the bedside monitor cannot function properly, which could lead to a loss of monitoring for the patient. # # # possible causes - loose or damaged connection between the patient interface module and the main board - faulty patient interface module - faulty main board # # # recommendations - check the connection between the patient interface module and the main board. if loose, tighten the connection. if damaged, replace the connection. - if the connection is secure, replace the patient interface module. - if replacing the patient interface module does not resolve the issue, replace the main board. @topic:16


, the expected test result needs to be adapted accordingly. e. g for an expansion chamber of 500ml, the leakage test value should be less than 3 mmhg. all other nbp performance tests are independent of the expansion chamber size. nbp linearity test 1 reduce the manometer pressure to 150 mmhg. 2 wait 10 seconds for the measurement to stabilize. 3 after these 10 seconds, compare the manometer value with the displayed value. 4 document the value displayed by the monitor ( x3 ) 5 if the difference is greater than 3 mmhg, calibrate the mms or x2 ( see steps 9 to 10 in the accuracy test procedure ). valve test 1 raise the pressure again to 280 mmhg. 2 select close valves : off. 3 wait five seconds and then document the value displayed. the value should be less than 10 mmhg. 4 document the value displayed by the monitor ( x4 ). test expected test results accuracy test xl = 280 ± 3mmhg difference < 3mmhg leakage test x2 = leakage test value x2 < 6 mmhg ( with 250ml expansion chamber ) linearity test x3 = 150 ± 3mmhg difference < 3mmhg valve test x4 = value < 10 mmhg invasive pressure performance test this test checks the performance of the invasive pressure measurement. tools required : patient simulator. 1 connect the patient simulator to the pressure connector. 2 set the patient simulator to 0 pressure. 3 make a zero calibration. 68 3 testing and maintenance ] 4 configure the patient simulator as p ( static ) = 200 mmhg. 5 wait for the display. 6 the value should be 200 mmhg ± 5 mmhg. if the value is outside these tolerances, calibrate the invasive pressure measurement. if the measurement was calibrated with a dedicated reusable catheter, check @topic:17


# # # issue : - motor on bed knee is not adjustable. # # # impact : - patient may not be able to get into or out of bed comfortably. - patient may not be able to position bed for optimal comfort or medical treatment. # # # possible causes : - motor failure - control board failure - wiring issue - software issue # # # recommendations : - troubleshoot the motor and control board to determine the source of the failure. - check the wiring for any loose connections or damage. - inspect the software for any potential issues. - replace the failed component as necessary. - test the bed to ensure that the motor is functioning properly and the knee is adjustable. @topic:9


# # # issue - premature failure of the monitor after battery replacement # # # impact - inability to monitor vital signs of patients - potential delay in diagnosis and treatment # # # possible causes - * * improper battery handling : * * - using an incorrect battery type or size - not following proper battery installation or removal procedures - * * battery quality issues : * * - defective battery - counterfeit battery - * * hardware malfunction : * * - circuit board damage during battery replacement - loose connections - * * software errors : * * - battery calibration issue - firmware malfunction # # # recommendations - * * use only authorized batteries : * * check the manufacturer's specifications for the correct battery type and capacity. - * * follow proper handling procedures : * * refer to the device manual for detailed instructions on battery replacement. - * * inspect the battery and connections : * * ensure the battery is in good condition and the connections are securely fastened. - * * perform battery calibration : * * after replacing the battery, follow the manufacturer's instructions to calibrate the battery for accurate readings. - * * update software : * * regularly check for software updates from the manufacturer that could resolve battery - related issues. - * * train technicians : * * provide comprehensive training on proper battery handling and device maintenance to minimize the risk of premature failure. @topic:11


: 16 1 c. o. procedure report - right heart thermodilution measurement eight : weight : kg bsa : # 1 6. 28 1 / # 2 6. 24 1 / c. 6. apx 02 5. 21. o02 101 1 / c. 1. falood 35. ompt. 1 / in / 1blood tinj ode 0. 670 6. 25 1 / min c. o. # 4 c. o. 6. 25 1 / 1 / apr 02 10. 58 apr 5 10 : 27 1 / min / ma c. i. blood lood tinj 7145 1. 3 c confict c. o. tinj compet c. 1. 3 / min 1 / min / al trial 32 0. 670 8 apr 02 9 : 21 6. 28 # 2 # apr 02 20 : 263 6. 24 $ 3 8 apr 02 20 : 27 6. 25 1. 0. 670 48 apr 02 106. 29 6. 26 1. 0. 670 average hilips page 1 ( last ) patient information 1 2 numbered trial curves 3 trial information in tabular form 378 29 printing patient reports cg report12345678 bed 1 bob jones 1 15 mar 02 15 : 15 : 10 12 lead ecg report t : i avl v5 - 0. 1 v6 - 0. 1 2 ii avf v1 v3 v4 0. 0 iii avr v2 hr pvc 0. 0 - 0. 1 0. 1 - 0. 1 0. 0 0. 0 0. 0 0. 0 0. 0 80 27 3. is ve 25mm / a andwidth 0. 05 - 150 paced 10mphilips general hospital page 1 ( last ) patient information 1 numeric block 2 ave are3 below the header on ecg reports, @topic:8


the front panel up and over the handle, and while holding the two parts close together, disconnect the cables in the following order : 1. temperature module cable 2. communications board cable 3. spo, board cable spo, board cable repairing the monitor 5 - 12 suresigns vs2 * and vsi service guide removing the front panel on the opposite side of the monitor, disconnect the speaker cable and the power supply module cable.'r y power supply \ module cable ) speaker cable disconnect the nbp tubing from the bottom left connector on the nbp module. ™ carefully and slowly pull the front panel away from the rear case. repairing the monitor suresigns vs2 * and vsi service guide removing the front panel reassembling the monitor 5 - 14 to reassemble the monitor : step 1 if you are replacing the front panel on a monitor with the wireless option, you must first remove the antenna hole cover from the replacement front panel by doing the following : + remove the torx t10 screw from the cover. e remove the cover from the antenna hole and reinstall the antenna. reconnect the cables that run between the front panel and rear case. snap the front panel and rear case together and install the two torx t20 screws in the handle. install and hand - tighten the two nylon screws in the bottom of the case. warning be sure to install the nylon screws in the bottom of the case. installing metal screws in the bottom of the case can cause an electrical hazard. caution only hand - tighten the nylon screws. replace the power cord and turn on the monitor. if the monitor starts up properly, perform the required performance tests. see chapter 3, “ performance verification testing. ” repairing the monitor suresigns vs2 * and vsi service guide replacing the speaker replacing the @topic:19


# # # issue - cuff leak # # # impact - accurate blood pressure measurement may not be obtained, leading to incorrect diagnosis or treatment. # # # possible causes - damage or puncture to the cuff - loose or worn connections between the cuff and the monitor - cuff size not appropriate for the patient's arm circumference # # # recommendations - ensure that the cuff is not damaged or punctured. - check the connections between the cuff and the monitor for any looseness or wear. - select the appropriate cuff size for the patient's arm circumference, as an undersized or oversized cuff can affect the accuracy of the measurement. @topic:3


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - description : the error message " error of push button " is displayed. resetting the device by unplugging and replugging the power cord resolves the issue temporarily. - cause of failure : push button adjustment failure # # # impact - the device may not be able to be adjusted properly, which could affect patient comfort and safety. # # # possible causes - faulty push button assembly - loose connections in the button assembly - software glitch # # # recommendations - inspect the push button assembly for any visible damage or loose connections. - clean the button assembly with a soft, dry cloth to remove any debris or dirt that may be causing the issue. - update the device software to the latest version, if available. - if the problem persists, contact a qualified technician for further troubleshooting and repair. @topic:7


# # # issue - the beds, electric, hill - rom, care assist es220 cannot be used for weighing patients. # # # impact - the hospital cannot accurately weigh patients, which can lead to inaccurate medication dosing, incorrect treatment plans, and other adverse outcomes. # # # possible causes - the most likely cause of the failure is a loose signal cable. other possible causes include : - a faulty load cell - a damaged circuit board - a software glitch # # # recommendations - tighten the signal cable and retest the bed. - if the bed still does not weigh patients correctly, replace the load cell. - if the bed still does not weigh patients correctly, replace the circuit board. - if the bed still does not weigh patients correctly, contact the manufacturer for assistance. @topic:25


# # # issue - broken bp cuff connector on the physiologic monitor # # # impact - inability to accurately measure patient's blood pressure # # # possible causes - physical damage to the connector due to excessive force or improper handling - wear and tear from frequent use or extended storage - manufacturing defect or faulty materials # # # recommendations - inspect the connector for any visible damage or wear - ensure proper handling and storage techniques to minimize stress on the connector - regularly calibrate and maintain the equipment according to manufacturer's guidelines - replace the faulty connector with a new one to restore functionality - consider using a protective case or cover to prevent damage during transportation or storage @topic:14


* * issue : * * equipment malfunction - battery charger not working * * impact : * * inability to charge batteries for medical devices, potentially leading to device failure during critical procedures. * * possible cause : * * * * * loose electrical connection : * * the input text mentions that the technician found the plug and cord of the battery charger detached, indicating a loose electrical connection. this could have disrupted the power supply to the charger and prevented it from charging the batteries. * * recommendations : * * * * * inspect electrical connections : * * thoroughly examine all electrical connections associated with the battery charger, including the power cord, plug, and any internal wiring. ensure that all connections are secure and free of corrosion or damage. * * * secure connections : * * if any loose connections are identified, tighten them securely to establish proper electrical contact. * * * test functionality : * * once the electrical connections are secured, test the functionality of the battery charger by connecting it to a known - good battery and verifying that it charges successfully. * * * monitor usage : * * regularly monitor the battery charger's performance and ensure that it continues to function properly. if any issues arise, troubleshoot and resolve them promptly to prevent further malfunctions. @topic:11


# # # issue - monitor screen not turning on # # # impact - inability to monitor patient's vital signs - delays in patient care # # # possible causes - power supply issues - loose connections - faulty display panel # # # recommendations - ensure that the power cord is securely connected to the monitor and the wall outlet. - check for loose connections in the cables between the monitor and the central station. - contact the manufacturer for further troubleshooting and repairs if necessary. @topic:2


# # # issue - alarm mls power overload - unable to resolve issue after swapping modules and racks - main board malfunction # # # impact - inability to monitor patient's physiological parameters accurately - disruption of patient care # # # possible causes - faulty main board - overload or surge in electrical system - compatibility issues with other devices # # # recommendations - replace the main board with a new one - ensure proper calibration and testing of the device after repair - check the electrical system for any potential issues - verify compatibility with other connected devices - implement preventive maintenance measures to minimize future failures @topic:2


# # # issue central station clock is not accurate. # # # impact incorrect patient monitoring data. # # # possible causes - incorrect time zone setting - faulty internal clock battery - network synchronization issue # # # recommendations - check time zone settings and make sure they are correct. - replace internal clock battery if necessary. - ensure network synchronization is working properly. @topic:29


# # # issue the bed is not locking. # # # impact the patient could fall out of the bed, which could lead to serious injury or death. # # # possible causes * the locking mechanism is broken. * the locking mechanism is not engaged. * the bed is not level. * the patient is too heavy for the bed. # # # recommendations * inspect the locking mechanism for damage. * ensure that the locking mechanism is engaged. * level the bed. * if the patient is too heavy for the bed, use a heavier bed. @topic:6


# # # issue - broken lock module # # # impact - inability to lock the device, potentially leading to damage or loss. # # # possible causes - excessive force applied to the lock - wear and tear over time - manufacturing defect # # # recommendations - handle the device with care, avoiding excessive force on the lock. - inspect the lock regularly for any signs of damage or wear. - consider using a more robust or durable lock mechanism if necessary. - contact the manufacturer if the problem persists or for any further assistance. @topic:26


space : for your report. job on < printer name > failed ( data unavailable ) a report cannot be started on the requested printer. one of three reasons is shown in the status message : job on < printer available ) data unavailable - the connected x2 has been removed before the data for job on < printer name ( data requisition error ) printer unavailable - make sure the printer is plugged in, switched on, and has paper loaded. data requisition error - an internal error has caused data required for the report to be unavailable, try starting the report again. as been printedprint job on < printer name > done the report each report header contains the patient's bed label, last name and first name, middle name ( if there is enough space ) the patient id, the date and time, and the name of the report. the report footer contains the hospital label and page number, and the last page contains a note to mark the report end. 76 29 printing patient reports the monitor may be configured to leave a space on the top left or right of the report printout to enable you to stick a patient address label on it. this setting is called the addressograph and it can only be changed in the monitor's configuration mode. alarm limits report 123456789 - p1 alarm limits 8 apr 03 12 : 39 : 44 60 37 120 10 hr rapo 50 0 [UNK] 0. 1 st - i 52. 0 pulse 120 - 2. 0 50 -. 1 st - ii cpp 0 - 0. 0 sv02 st - iii 36 st - avr 0. 1 st - avl imc02 12 0. 0 0 st - avf 2. 0 0. 1 st - v1 apnea time 20 sec 2. 0. 3 32 00 st - v2 in02 1b 0. 3 20. @topic:28


# # # issue - cuff on bedside physiologic monitor is torn. # # # impact - monitor is unable to measure patient's blood pressure accurately. # # # possible causes - cuff is old and worn. - cuff has been damaged by improper handling or storage. - cuff has been punctured by a sharp object. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear or damage. - handle and store the cuff carefully to prevent damage. - train staff on proper cuff handling and storage procedures. @topic:5


* * issue : * * noisy bed upon adjustment * * impact : * * discomfort for patients or disruption during medical procedures * * possible causes : * * - * * lack of lubrication : * * insufficient lubrication can cause friction and noise in the bed's moving parts. - * * malfunctioning motor : * * a faulty or damaged motor may produce unusual noises during operation. - * * loose or worn components : * * wear and tear or loose screws and bolts can lead to rattling or squeaking sounds. - * * misalignment : * * improper alignment of components can create friction and noise during movement. - * * foreign objects : * * objects stuck in the bed's moving parts can cause noise and impede proper operation. * * recommendations : * * - * * lubricate the bed : * * apply appropriate lubricant to all moving parts as per manufacturer's instructions. - * * inspect and test the motor : * * check the motor for any damage or wear. test its functionality to ensure proper operation. - * * tighten loose screws or bolts : * * use the appropriate tools to tighten any loose screws or bolts that may be causing noise. - * * check alignment : * * ensure that all components of the bed are aligned correctly. adjust as necessary to minimize friction and noise. - * * remove foreign objects : * * if any foreign objects are present in the moving parts, remove them carefully to eliminate noise and potential damage. @topic:9


# # # issue - cuff defect # # # impact - inaccurate blood pressure measurements - patient discomfort - device downtime # # # possible causes - normal wear and tear - cuff not properly stored or maintained - improper cuff size or placement # # # recommendations - regular cuff inspection and replacement as needed - proper cuff storage and maintenance - proper cuff size and placement instruction for patients @topic:3


# # # issue : - large, damaged cuff # # # impact : - incorrect blood pressure readings - patient discomfort - equipment downtime # # # possible causes : - incorrect cuff size selection - damage to cuff during handling or storage - cuff connector issues # # # recommendations : - replace cuff with appropriate size - inspect cuff for damage and replace if necessary - ensure proper handling and storage of cuffs and connectors @topic:3


# # # issue - remote control not adjusting # # # impact - patient discomfort - inability to adjust bed to appropriate position # # # possible causes - faulty remote control - damaged wiring in remote control - loose connections between remote control and bed # # # recommendations - replace the remote control - inspect and repair or replace any damaged wiring - tighten any loose connections @topic:7


# # # issue - stiff wheel # # # impact - device may not be able to move freely, which could affect patient care. # # # possible causes - hair or other debris blocking the wheels # # # recommendations - clean the wheels regularly to prevent debris from building up. @topic:24


# # # issue - cuff defect # # # impact - inaccurate blood pressure measurements - potential patient harm # # # possible causes - cuff age and wear - improper cuff inflation - damage to the cuff bladder # # # recommendations - replace the cuff with a new one - ensure proper cuff inflation techniques are followed - inspect the cuff for damage on a regular basis @topic:3


# # # issue - the electric bed is not adjustable. # # # impact - the patient cannot be positioned comfortably. - the nursing staff cannot perform procedures that require the bed to be adjusted. # # # possible causes - the control box is faulty. - the bed is locked. # # # recommendations - replace the control box. - unlock the bed. @topic:1


# # # issue - the cuff of the vital signs monitor in the mri room is not able to measure blood pressure. # # # impact - patients may not be able to have their blood pressure monitored accurately, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may be the wrong size for the patient. - the cuff may be damaged. - the cuff may not be properly connected to the monitor. - the monitor may be malfunctioning. # # # recommendations - check the cuff size and make sure it is the correct size for the patient. - inspect the cuff for any damage. - make sure the cuff is properly connected to the monitor. - test the monitor to make sure it is functioning properly. - if the problem persists, contact the manufacturer for assistance. @topic:5


# # # issue - bp is not measured # # # impact - the patient's blood pressure cannot be monitored accurately. # # # possible causes - the nibp monitor is not properly calibrated. - the blood pressure cuff is not properly inflated. - there is a leak in the blood pressure tubing. - the sensor in the blood pressure cuff is not working properly. - the electrical connections in the nibp monitor are not secure. # # # recommendations - calibrate the nibp monitor according to the manufacturer's instructions. - check the blood pressure cuff for leaks and replace it if necessary. - inspect the blood pressure tubing for leaks and replace it if necessary. - check the sensor in the blood pressure cuff and replace it if necessary. - check the electrical connections in the nibp monitor and tighten any loose connections. @topic:15


# # # issue - bedside electric bed rail fell off # # # impact - potential patient fall risk # # # possible causes - loose screws or bolts - worn or damaged components - improper assembly - overuse # # # recommendations - regularly check and tighten screws and bolts - inspect bed rails for wear and damage - ensure proper assembly of bed rails - avoid overloading bed rails @topic:6


# # # issue the electrical beds manufactured by hill - rom, specifically the care assist es220 model, is malfunctioning due to an inability to measure weight. # # # impact the inoperable weight measuring function restricts accurate patient monitoring and assessment, potentially compromising patient care and treatment decisions. # # # possible causes the provided information indicates that the cause of failure has been identified as the need for calibration before use. this suggests that the device's internal sensors or measuring mechanism may have become misaligned or affected by external factors. # # # recommendations * * immediate action : * * * ensure the device is properly calibrated according to the manufacturer's instructions to restore its functionality. * * preventive measures : * * * establish a regular maintenance schedule for the device to ensure optimal performance and early detection of potential issues. * train staff on proper calibration procedures and the importance of performing regular checks. * monitor the device's performance closely and promptly address any observed deviations from normal operation. * consider using a different measuring device as a backup in case of future malfunctions. @topic:25


# # # issue - remote control is not functioning properly. # # # impact - inability to adjust the bed's position, which can impact patient comfort and care. # # # possible causes - malfunctioning remote control - damaged wiring or connections - internal component failure # # # recommendations - inspect the remote control for any physical damage or loose connections. - check the wiring and connections between the remote control, bed, and power source. - contact the manufacturer's technical support for troubleshooting or repair instructions. @topic:7


# # # issue - oxygen analyzer not measuring oxygen levels accurately # # # impact - inaccurate oxygen readings can lead to incorrect treatment decisions and patient harm # # # possible causes - faulty oxygen sensor - damaged or loose cable connections - malfunctioning display unit - software issues # # # recommendations - inspect the oxygen sensor for any damage or contamination. clean or replace the sensor as necessary. - check all cable connections for tightness and security. replace any damaged or loose cables. - test the display unit to ensure it is functioning properly and providing accurate readings. - update the software to the latest version if available. - calibrate the device according to the manufacturer's specifications. - consult with the manufacturer or a qualified technician for further troubleshooting and repair. @topic:4


# # # issue - wifi connectivity issues in a medical cart manufactured by bdms ( model : bdms 01 ) # # # impact - the device's ability to receive and transmit data wirelessly is compromised, which can hinder its functionality and affect the quality of patient care. # # # possible causes - * * insufficient wifi antenna : * * the device only has one wifi antenna, resulting in limited signal reception. - * * obstruction in signal path : * * the medical cart may be positioned in a location with obstacles or interference that blocks the wifi signal. # # # recommendations - * * upgrade wifi module : * * install a wifi module with multiple antennas to enhance signal reception. - * * check signal obstructions : * * ensure the medical cart is placed in areas with clear line - of - sight to access points. - * * consider signal boosters : * * implement signal boosters to extend the reach of the wifi network and improve connectivity. - * * optimize network settings : * * adjust network settings, such as channel selection and power levels, to maximize signal strength. @topic:13


# # # issue - equipment malfunction due to sticky wheels # # # impact - disruption of patient monitoring and diagnosis - delays in patient care - potential safety hazards # # # possible causes - accumulation of dirt and debris on the wheels - wear and tear over time - misalignment of the wheels - obstruction in the wheel housing # # # recommendations - * * regular cleaning and maintenance : * * thoroughly clean and lubricate the wheels to prevent dirt buildup. - * * periodic inspection : * * regularly inspect the wheels for any signs of damage or misalignment. - * * wheel replacement or repair : * * replace worn or damaged wheels promptly to maintain optimal performance. - * * proper handling and storage : * * handle and store the equipment in a clean and dry environment to prevent contamination. - * * training : * * educate staff on proper equipment handling and cleaning procedures to reduce the risk of malfunction. @topic:24


# # # issue - monitor screen is black. # # # impact - inability to monitor patient's vital signs. - delay in diagnosis and treatment. # # # possible causes - loose ac plug connection. - faulty monitor. - power supply issue. # # # recommendations - ensure that the ac plug is securely connected to both the monitor and the power outlet. - inspect the monitor for any physical damage or loose connections. - check the power supply to the monitor to ensure that it is functioning properly. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


must be next to the msl connector. 2. make sure that after it is plugged into the power board, the cover is parallel to the power board and that the msl connector and the cover form a line. 3. insert the power board into the guiding rail on the housing and make sure the connection to the main board is established correctly. 154 4. when the power board is connected to the main board, insert the name plate into the guiding of the power board. note - sometimes the name plate does not slide correctly into the dovetail locking mechanism. make sure that the msl power board is pressed down completely. - make sure the appropriate option is set with the support tool when reloading software. for further details, please refer to the support tool instructions for use. removing the ecg sync pulse out connector 1. remove the battery as described above. remove the handle as described above. remove the display as described above. remove the nbp pump assembly as described above. remove the power board as described above. remove the nbp airguide / instrument telemetry ( iit ) assembly a exe dv e. ci unplug the ecg pulse out connector. tre eras, alpe ru tlt hthhehititit. siji 155 8. position the screwdriver in between the spring and the connector and turn the screwdriver counterclockwise to remove the spring. make sure the blade of the screwdriver fits into the hole of the spring. hold on to the spring so it does not fall into the instrument. 10. for reassembly, push the connector from the outside to the inside of the main chassis. the connector is mechanically coded. make sure that is fitted correctly into its slot. insert the spring and press it down. 156 removing the main board when replacing the main board, the monitor must be reloaded @topic:19


# # # issue - remote for the electric bed is malfunctioning. - bed is not fully operational due to missing remote. # # # impact - inability to use the bed for patient care. - potential inconvenience or discomfort for patients. # # # possible causes - damage to the remote. - loss of the remote. - electrical issues with the remote or the bed. - software or firmware issues with the remote or the bed. # # # recommendations - * * immediate : * * - check if the remote is properly connected to the bed and try to reset it. - if the remote is damaged, replace it with a new one. - if the remote is missing, contact the manufacturer or a medical equipment supplier to obtain a replacement. - * * long - term : * * - ensure regular maintenance and inspection of the bed and remote to prevent future failures. - consider upgrading the bed or remote to a newer model with improved reliability and functionality. - train staff on proper handling and use of the bed and remote to minimize the risk of damage. @topic:7


# # # issue - monitor displays inaccurate vital signs. # # # impact - clinicians may make incorrect treatment decisions based on inaccurate vital signs. # # # possible causes - faulty cuff - loose cuff - damaged air hose - malfunctioning monitor # # # recommendations - replace the cuff - tighten the cuff - inspect the air hose for damage and replace if necessary - perform a thorough inspection of the monitor to identify any other potential issues @topic:5


# # # issue - broken bed locking mechanism # # # impact - patient safety concerns as the bed cannot be securely locked in place. # # # possible causes - worn or damaged locking mechanism - improper handling or maintenance of the bed - manufacturing defect # # # recommendations - inspect and replace the locking mechanism as necessary. - ensure proper handling and maintenance of the bed, including regular lubrication. - report any manufacturing defects to the manufacturer. - train staff on proper operation and maintenance of the bed. @topic:6


anywhere to end the test. performance verification testing suresigns vs4 service guide 3 - 23 calibrating the touch screen performance verification testing 3 - 24 suresigns vs4 service guide 4 troubleshooting use the information in this chapter to diagnose and correct monitor problems. this chapter describes how to troubleshoot a monitor that is not operating correctly. chapter 5, “ repairing the monitor, ” describes how to perform the recommended repairs. you can repair the monitor in either of two ways : e bench repair, where you return the monitor to a philips authorized service center for repair. e spare parts, where you order replacement parts and you repair the monitor. the tools required to repair the monitor are listed in “ tools required for service ” on page 5 - 2. if you open the case for a repair, you then must perform specific tests after reassembly. for detailed information about these tests, see chapter 3, “ performance verification testing. ” the philips parts center stocks board level assemblies and mechanical parts. chapter 6, “ replacement parts and assembly drawings, ” lists these parts and assemblies. service notes announce the availability of additional spare parts. when you cannot correct a problem the information in this chapter is intended to help you resolve most problems that may occur with your monitor. if you still cannot isolate a problem after using the information in this chapter, call the philips customer care center or your local representative. viewing system information before you troubleshoot the monitor, identify important information about the monitor, such as the hardware version and the software version, which are displayed in the system menu. to view the system menu : e select the system button. the system menu appears. diagnosing a problem before you begin to troubleshoot a problem or open the monitor for repair, check the following basics : is the power switch turned on? is the battery adequately charged? is the ac power cord connected to the @topic:22


# # # issue - cuff failure # # # impact - inability to accurately monitor patient's vital signs # # # possible causes - cuff is too old - cuff is not compatible with the monitor - cuff is not properly inflated - cuff is not properly connected to the monitor # # # recommendations - replace the cuff with a new one - ensure the cuff is compatible with the monitor - ensure the cuff is properly inflated - ensure the cuff is properly connected to the monitor @topic:5


status overview bar may contain my patients ( your own care group ), my unit ( all beds from the unit ) or it may not display at all. warning with piic ix, the alarm status overview bar is independent from the configured alarm pop - up behavior. alarm status symbols ( four alternative display possibilities depending on space available ) no data from this bed. the alarms are on but there are no currently active alarms from this bed. bed 8 ed 8 bed 5 the highest priority alarm from this bed is a standard inop ed ed 14 the highest pri * 127 5 managing patients and equipment alarm status symbols ( four alternative display possibilities depending on space available ) bed 11 * bed the highest priority * * bed 9 the highest priority ala * * *! bed bed 7 the highest prio!!! ed 6 the highest priority alarm from this bed is a the alarms at this bed are suspended. the same symbols in yellow indicate that yellow alarms are suspended ( piic ix only ). [UNK] bed 4 di demo emo demo equipment at this bed is in dembed 3 bed 3 he current bed connection symbols ( used in the alarm status overview bar and the my patients window ) this is a telemetry bed. this bed is on a wireless network. this bed is on a wired network. piic ix only : patient has multiple devices assigned. piic only : this is a " paired " bed, with a bedside monitor and a telemetry transmitter assigned. 12 5 managing patients and equipment this window shows the alarm status, bed name, and patient name for every bed in the care group. the window for the unit group shows first the beds of the information center this bed is connected to. by selecting the information center name at the top of the list, you can display a list of all information centers associated with the unit group, and select another information center to view. to enter the my patients window, @topic:10


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : machine cannot be turned on # # # impact - the medical cart cannot be used, which could lead to delays in patient care. # # # possible causes - loose wire connection between the power switch and the motherboard # # # recommendations - check the wire connection between the power switch and the motherboard and tighten it if necessary. - test the machine to ensure that it is working properly. @topic:13


contact the manufacturer for technical support and guidance on appropriate repair measures. @topic:12


# # # issue bedside not able to get down # # # impact patient may be unable to access the bed or may be at risk of falling. # # # possible causes - incorrectly installed or damaged locking mechanism - defective electrical system - obstruction preventing the bedside from moving # # # recommendations - check the locking mechanism for proper installation and damage. - inspect the electrical system for any loose connections or damage. - remove any obstructions that may be preventing the bedside from moving. - contact the manufacturer or a qualified biomedical engineer for further assistance if the issue cannot be resolved. @topic:6


# # # issue - keyboard does not function properly. # # # impact - the medical cart may not be able to be used effectively. # # # possible causes - the keyboard may be damaged. - the keyboard may not be properly connected to the medical cart. - the keyboard driver may not be installed or may be corrupted. # # # recommendations - inspect the keyboard for any damage. - ensure that the keyboard is properly connected to the medical cart. - reinstall the keyboard driver. @topic:27


# # # issue - the right side bed rail is unable to be raised or lowered. # # # impact - the patient is unable to use the bed rail for safety or support. # # # possible causes - the bed rail motor is faulty. - the bed rail tracks are damaged or obstructed. - the bed rail is not properly attached to the bed frame. - the wood block under the guardrail is broken # # # recommendations - check the bed rail motor to ensure that it is functioning properly. - inspect the bed rail tracks for any damage or obstructions. - check that the bed rail is properly attached to the bed frame. - replace the wood block if it is broken. @topic:6


# # # issue - monitor is reading higher than actual values. # # # impact - incorrect patient monitoring, leading to potential misdiagnosis and treatment errors. # # # possible causes - malfunctioning sensor - calibration error - electrical interference - software glitch # # # recommendations - * * verify calibration : * * ensure that the monitor is properly calibrated and meets manufacturer specifications. - * * inspect sensor : * * inspect the sensor for any physical damage, contamination, or loose connections. clean or replace the sensor if necessary. - * * check for interference : * * identify potential sources of electrical interference ( e. g., power lines, other medical equipment ) and relocate the monitor or implement shielding measures. - * * update software : * * check for any available software updates that may address known issues with the monitor. - * * consult with manufacturer : * * if the issue persists, contact the manufacturer for further technical support or repair. @topic:20


# # # issue - battery failure # # # impact - the device may not be able to power on or function properly. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged. - the battery may not be properly connected. # # # recommendations - replace the battery with a new one. - inspect the battery for any damage. - ensure that the battery is properly connected. @topic:11


# # # issue battery change on philips suresigns vs4 vital signs monitor # # # impact the monitor may not be able to power on or function properly. # # # possible causes * batteries may be depleted. * batteries may not be making good contact with the battery terminals. * battery terminals may be corroded or damaged. # # # recommendations * replace the batteries with new ones. * ensure that the batteries are making good contact with the battery terminals. * clean or replace the battery terminals if they are corroded or damaged. @topic:11


# # # issue - the bed's weight scale is not functioning. # # # impact - the patient's weight cannot be accurately measured. this could lead to incorrect medication doses or treatment plans. # # # possible causes - the weight scale may be damaged. - the bed may not be properly calibrated. - the bed's electrical system may be malfunctioning. # # # recommendations - inspect the weight scale for damage. - calibrate the bed according to the manufacturer's instructions. - check the bed's electrical system for loose connections or other problems. @topic:25


# # # issue - equipment is not functioning as intended. # # # impact - inability to monitor patient's vital signs accurately. - potential patient harm in the event of an emergency. # # # possible causes - malfunctioning charger - damaged charging port on the device - loose connection between the charger and the device - battery failure # # # recommendations - replace the charger. - inspect the charging port on the device for damage. - ensure that the charger is properly connected to the device. - test the battery to verify its functionality. @topic:11


# # # issue - equipment : central monitor - brand : hewlett packard - model : m3153a - description : sdn card failure, leading to lack of data display in certain rooms. # # # impact - inability to monitor patient data accurately in affected rooms. # # # possible causes - sdn card malfunction or damage. # # # recommendations - replace the faulty sdn card. - consider regular maintenance and inspection of equipment to prevent similar failures in the future. @topic:16


* * issue : * * blood pressure cuff deterioration * * impact : * * inaccurate blood pressure readings, leading to potential health risks for patients. * * possible causes : * * * * * age and usage : * * over time, the fabric of the blood pressure cuff can weaken and deteriorate due to repeated use. * * * environmental factors : * * exposure to high temperatures, humidity, or chemical cleaning agents can accelerate cuff degradation. * * * patient factors : * * certain patient conditions, such as excessive sweating or edema, can contribute to cuff wear and tear. * * * improper storage : * * storing the cuff in a damp or contaminated environment can lead to mold growth or other damage. * * * manufacturing defects : * * in rare cases, the cuff may have been manufactured with suboptimal materials or workmanship, leading to premature failure. * * recommendations : * * * * * regular inspections : * * technicians should routinely inspect blood pressure cuffs for signs of deterioration, such as cracks, tears, or stiffness. * * * preventive maintenance : * * as per manufacturer guidelines, cuffs should be replaced regularly based on recommended usage cycles or inspection intervals. * * * proper storage : * * store cuffs in a clean, dry, and temperature - controlled environment when not in use. * * * patient education : * * instruct patients to handle the cuff with care and avoid excessive force during inflation to minimize wear and tear. * * * supplier monitoring : * * biomedical engineers should establish partnerships with reliable suppliers who provide high - quality cuffs that meet industry standards. @topic:3


# # # issue - bed alarm cable is broken # # # impact - bed alarm is not functioning, which could put patients at risk of injury or harm # # # possible causes - physical damage to the cable, such as cuts or tears - electrical failure in the cable, such as a short circuit or loose connection - manufacturing defect # # # recommendations - replace the bed alarm cable with a new one from the manufacturer. - inspect the bed alarm system regularly for any signs of damage or wear and tear. - establish a preventive maintenance program to ensure that all bed alarm systems are functioning properly. @topic:26


# # # issue - the bedside monitor was moved to a new location by bme. # # # impact - the bedside monitor is now non - functional. # # # possible causes - the bedside monitor was not properly reconnected after being moved. - the bedside monitor was damaged during the move. # # # recommendations - check the connections of the bedside monitor to ensure that they are secure. - if the connections are secure, then the bedside monitor may need to be repaired or replaced. @topic:2


# # # issue the bed's remote control is not responding to adjustments. # # # impact patients may be unable to adjust the bed to a comfortable position, which can impact their comfort and recovery. # # # possible causes 1. * * electrical fault : * * there may be a loose or damaged electrical connection between the remote control and the bed. 2. * * mechanical failure : * * the buttons or mechanisms inside the remote control may be jammed or broken, preventing it from sending signals to the bed. 3. * * battery issue : * * the remote control's batteries may be dead or may not be making proper contact with the terminals. 4. * * software glitch : * * the remote control or the bed's software may have encountered a temporary glitch that is preventing them from communicating properly. # # # recommendations 1. * * electrical check : * * inspect all electrical connections between the remote control and the bed. tighten any loose connections and replace damaged cables as necessary. 2. * * mechanical repair : * * open the remote control and inspect the buttons and mechanisms for any damage or obstruction. clean or replace any affected components as needed. 3. * * battery check : * * replace the batteries in the remote control with new ones. ensure that the batteries are correctly inserted and making good contact with the terminals. 4. * * software update : * * if the issue persists after the above steps, contact the manufacturer to inquire about any software updates that may resolve the problem. @topic:7


# # # issue - inability to adjust the hospital bed. # # # impact - patient discomfort and delayed care due to restricted movement. - increased workload for healthcare staff to manually adjust the bed, leading to potential errors and injuries. # # # possible causes - * * remote control cable damage : * * the remote control cable, which transmits signals from the handset to the bed controls, could be damaged or severed. - * * internal electrical failure : * * the bed's electrical components, such as the motor or control board, may have malfunctioned due to power surges or other factors. - * * software glitch : * * a software issue in the bed's operating system could prevent it from responding to input from the remote control. # # # recommendations - * * inspect the remote control cable : * * check for any visible damage to the cable, such as cuts or fraying. replace the cable if necessary. - * * examine the electrical components : * * inspect the bed's motor, control board, and other electrical components for any signs of damage or loose connections. reseat any loose connections or replace malfunctioning components. - * * update software : * * check for any available software updates and install them on the bed if necessary. - * * run diagnostic tests : * * use appropriate diagnostic tools to identify any specific errors or faulty components within the bed system. - * * seek professional assistance : * * if the bed remains unresponsive after troubleshooting, contact a qualified biomedical engineer or technical support team for further assistance. @topic:7


# # # issue the sticker on the remote control of the hill - rom basic care p1440a bed has been replaced and needs to be replaced with a new one. # # # impact the replacement of the sticker may have caused damage to the remote control or the bed, which could lead to operational issues. # # # possible causes * the sticker may have been replaced incorrectly, causing damage to the remote control or the bed. * the sticker may have been damaged during the replacement process, causing damage to the remote control or the bed. * the new sticker may not be compatible with the remote control or the bed, causing damage to the remote control or the bed. # # # recommendations * inspect the remote control and the bed for any damage. * if damage is found, contact the manufacturer for repair or replacement. * ensure that the new sticker is compatible with the remote control and the bed before replacing it. * follow the manufacturer's instructions for replacing the sticker. @topic:7


##6 srl connect cable - 10. 0 m sc? srl connect cable - 15. 0 m sc9 srl connect cable - 25. 0 m lcacc. bundle icu - aami 3 - ld lc ace bundle icu - iec 3 - 1d lc ace bundle icu - a ami 5 - ld lcacc. bundle icu - iec 5 - 1d ja ee e lei lic ounle 5 lead accessories bundle icu - a ami 5 lead accessories bundle icu - iec 5 lead accessories bundle or - a ami 5 lead accessories bundle or - iec nell stile lu accessories bundle neonatal - aami accessories bundle neonatal - iec 3 lead accessories bundle icu - aami 3 lead accessories bundle icu - iec 3 lead accessories bundle or - aami 3 lead accessories bundle or - iec h20 near patient co2 mainstream sensor reusable adult airway adaptor ( msco2 ) reusable infant airway adaptor ( msco2 ) single use adult airway adaptor ( msco2 ) single use infant airway ada | non - intubated adult ( ssco? ) non - intubated pediatric ( ssco2 ) intubated adult ( ssco2 ) |. [ nen - intubated pediatric | — jitubated adult ck | | — | iatubated infant neonatal ( r3 ) | [ adult non - invas. ventilat. | [ sure wi | | suretemp rectal with 25 probe covers | t0? | m8102a intellivue mp2 product structure 233 the following tables show the product option structure for the x2. tandard base unit touch multiple profiles and screen layouts full customization measurements emetry - interface patient data management standard database size for trends tabular and graphical trends screen trends record print ready reports @topic:8


monitoring 2 select the alarm to be adjusted. 3 select the appropriate setting. viewing st maps the monitor can derive a multi - axis portrait ( map ) from the st analysis to help you detect changes in st values. it displays two planes obtained from a multilead ecg in a multi - axis diagram, where each axis represents a lead. the st value at the j point is given. the position of the axes within the diagram correspond to the placement of the ecg leads. each st value is assigned to either a limb lead, or to a chest lead. every axis shows the polarity of the lead it represents. by joining adjacent st values, the monitor obtains the st map. the contour line, and the map shading, is shown in the same color as the ecg parameter. current view in current view, the monitor displays an st map that corresponds to the current st values. three or more leads per plane are necessary to display a map. the left of the following diagram shows leads i, ii, iii, avr, avl, and avf on the limb leads. on the right, the v - leads ( vi, v2, v3, v4, v5, and v6 ) are on the chest leads. alarm status indicator 12 - lead easi indicator st index ( for easi ) st map st label, value and polarity of corresponding lead 151 6 ecg, arrhythmia, st and qt monitoring viewing st maps if an st lead is switched off, its axis is not shown in the map. ♦2 - 2 / t r 1 + + iii ii if a lead is in inop ( the value is being measured but is invalid or unavailable because, for example, the corresponding ecg electrode is unplugged ), the area formed by the remaining st leads is left open. if there is insufficient information @topic:8


# # # issue - remote control malfunction # # # impact - inability to adjust the bed's head position # # # possible causes - faulty remote control circuit - damaged wiring or connectors - software issues or firmware bugs - battery depletion or malfunction # # # recommendations - * * replace the remote control : * * install a new, functioning remote control compatible with the bed model. - * * inspect wiring and connectors : * * ensure all connections between the remote, bed, and power source are secure and undamaged. - * * update firmware : * * if the bed has software or firmware capabilities, check for updates and install them if necessary. - * * battery troubleshooting : * * replace batteries in the remote control to ensure adequate power supply. if the issue persists, consider checking battery contacts for corrosion. @topic:7


# # issue monitor, telemetric, electrocardiography ( ecg ) device from philips ( model : intellivue trx ) is experiencing intermittent connection issues. # # impact device is unable to provide accurate ecg readings, potentially impacting patient care. # # possible causes # # # recommendations - * * loose connections : * * check all cables and connections to ensure they are secure. - * * software errors : * * update the device's software to the latest version, which may include bug fixes for connection issues. - * * hardware [UNK] [UNK] : * * inspect the device for any physical damage or broken components. contact the equipment vendor for repair or replacement. - * * network interference : * * ensure the device is connected to a stable, high - speed network without any interference. - * * [UNK] 三 方 [UNK] [UNK] [UNK] [UNK] : * * disconnect other devices connected to the network to eliminate potential interference. - * * environmental factors : * * check for extreme temperatures or humidity that may affect device performance. - * * training : * * ensure technicians have received adequate training on the device's operation and troubleshooting. - * * equipment setup : * * verify that the device is properly set up according to the manufacturer's guidelines. @topic:16


# # # issue - monitor cannot measure vital signs accurately # # # impact - patients may not receive accurate monitoring of vital signs - clinicians may not have accurate information to make treatment decisions # # # possible causes - cuff is damaged or worn out - cuff is not properly connected to the monitor - monitor is not properly calibrated # # # recommendations - replace the cuff if it is damaged or worn out - ensure that the cuff is properly connected to the monitor - calibrate the monitor according to the manufacturer's instructions @topic:14


# # # issue - wood barrier on the bed came off # # # impact - the bed is unable to be used safely. # # # possible causes - the nut connecting the wood barrier to the bed frame came loose. - the nut was not tightened properly during assembly. - the nut is too small for the bolt and has become loose. # # # recommendations - replace the nut with a new one of the correct size. - ensure that the nut is properly tightened during assembly. - regularly inspect the nut for signs of wear or loosening. @topic:6


the patient type ( adult, pediatric or neonatal ), • the ventilation situation ( including humidification ) • • the duration - short term use, up to 24 hours ( typically or ), or long term use ( typically icu ). all accessories are for single patient use only. • the microstream measurement can be operated with the special microstream accessories only. refer to the instructions for use provided with the accessory. for intubated patient with non - humidified ventilation, you can use a microstream filterline set. for humidified ventilation, use a filterline h set. for non - intubated patients, the gas sample is taken through a nasal filterline, or a smart capnoline ( which is a combined oral - nasal filterline ). in parallel to the measurement of the co2, oxygen ( o2 ) be delivered to the patient to support gas exchange. this is done by using an o2 / co2 filterline, or a smart capnoline o2 ( a combined oral - nasal o2 / co2 filterline ). may may using the filterline and airway adapter warning make sure that you do not accidentally connect the luer connector of the gas sample line to an infusion link or any other links in the patient vicinity. 1 attach the female luer connector to the co2 inlet connector by pushing the socket cover aside and screwing the connector clockwise into the co2 inlet until it can no longer be turned. this will assure that there is no leak of gases at the connection point during measurement and that measurement accuracy is not compromised. following connection of the co2 sampling line, check check that the filterline is not kinked. 2 3 change the filterline if a co2 occlusion inop appears on the monitor or if the readings become disconnect the filterline during suctioning and nebulizing therapies @topic:17


# # # issue : cuff failure in nibp monitor # # # impact : - inaccurate blood pressure readings - patient discomfort - delays in patient care # # # possible causes : - * * cuff deterioration : * * over time, cuffs can become stretched, cracked, or damaged, leading to air leaks and inaccurate readings. - * * incorrect cuff selection : * * using a cuff that is too large or too small can affect the accuracy of blood pressure measurements. - * * mishandling : * * rough handling of the cuff, such as folding or twisting, can weaken the material and cause failure. - * * age and use : * * cuffs have a limited lifespan and may need to be replaced after prolonged use. # # # recommendations : - * * regular inspection and maintenance : * * regularly inspect cuffs for any signs of damage or wear and replace them as needed. - * * proper cuff selection : * * use the appropriate cuff size for the patient based on their arm circumference. - * * careful handling : * * handle cuffs with care to prevent damage. - * * scheduled replacement : * * establish a schedule for replacing cuffs based on their expected lifespan and usage frequency. @topic:14


# # # issue medical cart cannot be turned on. # # # impact medical staff cannot use the medical cart to transport and monitor patients, which can delay or hinder medical treatment. # # # possible causes - computer inside the medical cart is not turned on. - bios settings are not configured correctly. - power supply to the medical cart is not working. - faulty electrical components in the medical cart. # # # recommendations - check if the computer inside the medical cart is turned on. if not, turn it on. - check the bios settings and ensure that the computer is set to turn on when power is supplied to the medical cart. - inspect the power supply to the medical cart and ensure that it is working properly. - if the issue persists, contact a qualified technician to further troubleshoot and repair the medical cart. @topic:13


# # # issue - broken spo2 cable. # # # impact - the patient's spo2 levels cannot be accurately monitored. - this could lead to a delay in diagnosis and treatment of any potential respiratory issues. # # # possible causes - the cable may have been damaged during use. - the cable may have been frayed or cut. - the cable may have been pulled or stretched too far. # # # recommendations - replace the spo2 cable with a new one. - inspect the cable for any damage before using it. - handle the cable carefully to avoid damaging it. - train staff on the proper use and care of the spo2 cable. @topic:4


# # # issue - bp monitor not measuring blood pressure # # # impact - accurate blood pressure measurements are critical for patient care. without a working bp monitor, clinicians may not be able to obtain accurate blood pressure readings, which could lead to delayed or incorrect treatment decisions. # # # possible causes - faulty sensor - damaged tubing - software glitch # # # recommendations - replace the faulty sensor. - inspect the tubing for damage and replace if necessary. - update the software to the latest version. - calibrate the bp monitor according to the manufacturer's instructions. @topic:14


# # # issue : - discolored spots on the laparoscopic monitor screen # # # impact : - impaired visualization during surgical procedures, potentially leading to patient harm or delayed diagnosis. # # # possible causes : - malfunctioning or damaged pixels on the monitor - electrical interference from nearby devices - pressure or impact on the screen - contamination or dirt on the screen surface - software or firmware issues # # # recommendations : - * * check the monitor's connections : * * ensure that all cables are securely plugged in and that there is no damage to the wires. - * * inspect the monitor's screen : * * clean the screen using a soft, lint - free cloth to remove any dust or debris. if the spots persist, the monitor may need to be replaced. - * * update the monitor's software or firmware : * * if available, install the latest updates to ensure that the monitor is functioning properly. - * * isolate the monitor : * * turn off all other devices in the vicinity and observe if the spots disappear. this will help determine if electrical interference is the cause. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for further assistance or to arrange for a repair or replacement. @topic:2


# # # issue - faulty ekg cable # # # impact - inability to monitor patient's electrocardiogram ( ecg ) - potential for missed or delayed diagnosis - increased risk of adverse events # # # possible causes - physical damage to the cable, such as cuts, breaks, or kinks - loose connections at either end of the cable - water or moisture damage - age or wear and tear - manufacturing defects # # # recommendations - regularly inspect the ekg cable for any visible damage or wear. - ensure that the cable is securely connected at both ends. - keep the cable away from water or other liquids. - replace the cable if it is damaged or if it is suspected to be malfunctioning. - follow the manufacturer's instructions for proper use and maintenance of the ekg cable. @topic:18


##2 / tcpco2 calibration is finished. numeric displays first -? -, then numeric is displayed with a? < tcgas label > calrequired calibration is required before applying the transducer to the patient. insert a membraned transducer into the calibration chamber on the module, connect the calibration unit to the calibration chamber, open the gas valve and start the calibration. if this inop occurs during a calibration, there may be a module or transducer malfunction : contact your service personnel. numeric is replaced by -? inop tone 96 4 patient alarms and inops what to do < tcgas label > change site site timer has timed out. change the application site to avoid skin burns. to reset the site timer, either calibrate and change the measurement site, or change the measurement site and reset the site timer manually by selecting the appropriate site time from the setup tcgas menu. if heat switch off is nop ton < tcgas label > check time site timer due to time out in 15 minutes or less. < tcgas label > equip malnumeric is replaced by -? - inop tone there is a malfunction in the transducer or module. connect another transducer. if this inop persists, contact your service personnel. < tcgas no transducer is connected to the tcpo2 / tcpco2 module. silencing the alarm switches off the label notransducer numeric is replaced by -? inop tone measurement. the transducer has not yet reached the selected temperature and / or skin hyperemization is not yet finished. this inop will disappear within three minutes. < tcgas label > stabilizing a? appears next to the label < tcgas label > unpl @topic:17


# # # issue - cuff failure # # # impact - inaccurate blood pressure readings - inability to monitor patient's vital signs # # # possible causes - cuff is not the correct size for the patient - cuff is damaged or worn - cuff is not properly inflated or deflated # # # recommendations - ensure that the cuff is the correct size for the patient - inspect the cuff for any damage or wear - properly inflate and deflate the cuff according to the manufacturer's instructions @topic:3


# # # issue the bed is not adjustable. # # # impact the patient cannot be properly positioned in the bed. this can lead to discomfort, pain, and pressure sores. # # # possible causes - the power cord is not properly connected. - the bed is not properly assembled. - the bed is damaged. # # # recommendations - check the power cord to ensure that it is properly connected. - check the bed to ensure that it is properly assembled. - if the bed is damaged, contact the manufacturer for repairs. @topic:1


# # # issue * * equipment malfunction : * * the electric bed experienced increased resistance and generated excessive noise during adjustment. # # # impact * * patient discomfort and safety : * * the malfunctioning bed could potentially cause discomfort or injury to patients during adjustments. # # # possible causes * * insufficient lubrication : * * the wd40 lubricant applied by the technician may not have provided adequate lubrication, resulting in increased friction and resistance. * * worn or damaged motor : * * the motor responsible for bed adjustment may have become worn or damaged, leading to reduced power and increased noise. * * electrical connection issues : * * loose or faulty electrical connections could disrupt the power supply to the motor, causing it to operate erratically. * * mechanical misalignment : * * components within the bed's adjustment mechanism may have become misaligned, causing friction and noise. # # # recommendations * * thorough lubrication : * * disassemble the motor and lubricate all moving parts thoroughly using the recommended lubricant. * * motor inspection and repair : * * inspect the motor for signs of wear or damage. replace or repair the motor if necessary. * * electrical inspection and repair : * * check all electrical connections and wiring for loose or damaged components. tighten or replace connections as needed. * * mechanical alignment : * * inspect and align all mechanical components within the bed's adjustment mechanism to ensure proper operation. @topic:9


# # # issue * the bed is adjusting up and down on its own. # # # impact * this could be a safety hazard for patients. it also might affect the result of the surgical intervention. * the bed may not be able to be used for its intended purpose. * it could cause damage to the bed or other equipment. # # # possible causes * the remote control is faulty. * the bed's control panel is malfunctioning. * there is a loose wire or connection. * the bed's motor is faulty. # # # recommendations * a biomedical engineer ( bme ) should inspect the equipment to identify and repair the fault. * check the remote control for any signs of damage or wear and tear. * ensure that the bed's control panel is functioning properly. * inspect the wiring and connections for any loose or damaged components. * if the motor is faulty, it should be replaced. @topic:1


# # # issue * remote control failure # # # impact * inability to operate the electric bed remotely # # # possible causes * broken or damaged remote control * loose or disconnected wires * electrical failure within the remote control * software malfunction in the remote control # # # recommendations * replace the damaged remote control with a new or repaired one. * inspect and tighten any loose or disconnected wires. * contact the manufacturer for troubleshooting and repair instructions. * update the software or firmware of the remote control if available. @topic:7


the information center is in flexible monitoring mode ). • egg cable colors • height and weight units • setup network • setup wlan • setup iit checking country - specific default settings some settings are made in the factory to match the typical requirements in a specific country. line frequency, units for weight and height, and egg cable colors ( aami or leg ) have been set to appropriate values. if you suspect that these settings may not match your institution ’ s requirements, check the settings and change them if necessary as described in the configuration guide. warning before starting monitoring, check that the configuration meets your requirements, especially patient category, alarm limits and paced setting. if you need to enter configuration mode : 1 in the main setup menu, select operating modes. 2 select config and enter the passcode. the passcode for configuration mode is given in the monitor ’ s service guide. the monitor displays config at the right hand side of the status line and in the center of the screen while you are in configuration mode. before you leave configuration mode, always be sure to store any changes you made. you must store changes made to each settings block and to each profile, individually. as it may be difficult to remember whether the settings you changed belong to a monitor settings block or a measurement settings block, we recommend that you store each block before you leave configuration mode. 272 7 installation instructions ] to leave configuration mode : ♦ in the main setup menu, select operating modes and then select monitoring. setting altitude, line frequency, ecg cable colors and height & weight units you require a local barometric pressure rating from a reliable source ( such as airport, regional weather station, or hospital weather station ) that is located at the same altitude as the institution. 1 from the main setup menu, select global setting. select altitude and enter the altitude. 2 from the main setup menu, select global setting. select line @topic:10


# # # issue cuff connector does not fit properly, preventing the device from being connected to the patient for vital signs monitoring. # # # impact patients may not receive accurate and timely vital signs monitoring, which can compromise their safety and treatment outcomes. # # # possible causes - incorrect cuff connector type or size - damaged or misaligned cuff connector - faulty equipment port # # # recommendations - verify the correct cuff connector type and size for the specific equipment model. - inspect the cuff connector for damage or misalignment and replace if necessary. - ensure the equipment port is clean and free of debris. - if the issue persists, contact the manufacturer for technical support. @topic:5


# # # issue oxygen saturation ( spo2 ) sensor is not displaying the reading when plugged in. # # # impact - inability to accurately monitor patient's vital signs, specifically oxygen levels. - delayed or inaccurate diagnosis and treatment decisions. - potential for adverse patient outcomes. # # # possible causes - defective spo2 sensor or cable. - loose or damaged connection between the sensor and the monitor. - software or firmware issue within the monitor. - faulty oxygen probe or sensor holder. - improper calibration or maintenance of the monitor. # # # recommendations - * * verify the spo2 sensor and cable : * * inspect the sensor and cable for any visible damage or defects. ensure that the cable is firmly connected at both ends, and that there is no loose or exposed wiring. - * * restart the monitor : * * power down the monitor completely and unplug it from the power source. wait a few minutes, then plug it back in and power it on. this may reset any software or firmware issues that could be causing the problem. - * * contact manufacturer support : * * if the above steps do not resolve the issue, contact the manufacturer of the monitor or the spo2 sensor for technical support. they may be able to provide additional troubleshooting guidance or send a replacement sensor or component. - * * consider environmental factors : * * ensure that the monitor and sensor are operating within specified temperature and humidity ranges, as extreme conditions may affect their performance. @topic:4


the data, and to access the pop - up keys. select the map view on screen to activate its task window. once you activate it, you can perform the tasks detailed here. switching between st map views to switch between views, ♦ select current view or trend view to toggle between views. if your trend view is empty, you need to adjust the priority of this measurement in the trending priority list. see “ trend priority ” on page 276. 153 6 ecg, arrhythmia, st and qt monitoring viewing st maps displaying an st reference baseline you can display an st reference baseline for the current view, or for the trended view. the baseline is shown in yellow. however, if the ecg color is yellow, the baseline is shown in green. use this baseline to detect st changes. the baseline is derived automatically whenever the monitor relearns arrhythmia and also on user request. ♦ select show baseline / hide baseline to toggle between baseline display on and off. updating an st map reference baseline to update the baseline, ♦ in the setup st analysis menu, select st baseline - > update baseline. changing the scale of the st map to change scale, ♦ select size up or size down to alter the size at which monitor displays the map. changing the trending interval to determine how frequently the monitor displays a trended sample, 1 in trend view, select select interval. 2 select the required interval from the menu. the interval ranges between 12 seconds to 30 minutes. printing an st map report to print the most recently viewed ( current or trend ) window, 1 select main setup - > reports. 2 select st map. 3 press print. 154 about qt / qtc interval monitoring 6 ecg, arrhythmia, st and qt monitoring about qt / qtc interval monitoring the qt interval is defined as the @topic:8


separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 remove the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 4 remove two torx t10 screws and washers from the metal bracket holding the nbp module assembly to the bottom of the main board. repairing the monitor 5 - 36 suresigns vs4 service guide removing the nbp module lift the nbp module and gently pull it free from the pressure sensor tube connectors on the main board. connector 4 a \ < repairing the monitor suresigns vs4 service guide 5 - 37 removing the nbp module removing the nbp filter to remove the nbp filter : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 remove the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 4 remove the nbp module. see “ removing the nbp module ” on page 5 - 36. 5 use wire - cutters to cut the plastic zip tie securing the filter to the module, and disconnect the filter from the nbp filter tube. plastic zip tie caution when you reassemble the nbp filter, secure it to the nbp module with a new plastic zip tie. repairing the monitor 5 - 38 suresigns vs4 service guide removing the ac power connector removing the ac power connector to remove the ac power connector : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove @topic:19


# # # issue - remote control for electric bed is faulty. # # # impact - patients may be unable to adjust the bed to a comfortable position. - nurses and other medical staff may have difficulty operating the bed. # # # possible causes - physical damage to the remote control. - electrical failure. - software glitch. # # # recommendations - inspect the remote control for any visible damage. - test the remote control with a different bed. - if the remote control is still not functioning properly, replace it. @topic:7


# # # issue the electric bed is unable to adjust. # # # impact the patient may not be able to get into or out of bed safely. the bed may not be able to be positioned properly for medical procedures. # # # possible causes * the power cord is not plugged in. * the fuse is blown. * the motor is damaged. * the control panel is not working. * the bed frame is damaged. # # # recommendations * check the power cord to make sure it is plugged in. * check the fuse to see if it is blown. * inspect the motor for any damage. * check the control panel to make sure it is working. * inspect the bed frame for any damage. if the problem is not resolved, contact the manufacturer for further assistance. @topic:9


detection is deactivated. 3. hen an alert sounds when the adjustable head section detection is on and it detects an alert condition, an alert signal sounds, an alert essage appears on the gci and the night light comes on. 40 % press the appropriate button to switch off the night light ( see " night light " page 68 ). lert < 45° suspend alert for 30 sec raise the section to an angle greater than 30° or 45°. or, press suspend alert for 30 sec on the touch screen, then select the alert deactivation mode ( see " selecting alert suspension mode " page 40 ). alert suspension mode when a detection function is activated, it can be suspended using the suspend alert for 30 sec command on the home screen, then suspended again for 5 to 10 minutes, without te the detection function. to activate the alert suspension mode select suspend alert for 30 sec on the touch ii hillrom....... a14 screen. suspend alert for 30 sec the patient can now move and follow procedures without any alerts sounding. 19 : 15 02 / 07 / 2020 ( ) ) bed _ mb _ 3 _ c / 1 a screen opens where you can select : resume, suspend 5 min or suspend 10 min and disarm. if nothing is selected on this screen, the systems waits for 30 seconds, then attempts to activate itself in the previously activated this operation is performed when a patient is present on the bed. if the head section is not raised to the required angle, an alert sounds. if the bed does not detect a patient, it switches to " awaiting patient " mode. • duration of the suspension is too short, all alerts are suspended for : suspend for a further 5 to 10 minutes before the bed attempts to switch the detection function on again. if the bed does not detect a patient, it switches to " awaiting patient " @topic:26


. • if any significant change in light intensity occurs that the monitor cannot correct automatically. setting up the in - vivo calibration check for : • proper positioning of the probe / catheter in the patient. • relatively stable oxygen saturation in patient. • that the light intensity indicator is indicating a stable medium to high level. depending on the probe / catheter in use you may need to enter a catheter correction factor. this will be indicated in the table in the accessories chapter or in the catheter documentation. 1 in the setup s0 2 menu, select catheter factor. 2 enter the correction factor. making the in - vivo calibration 1 be prepared to draw a blood sample from the patient. 2 in the setup s0 2 menu, select start in - vivocal. 3 to clear the distal lumen, draw off and discard at least 2 ml of blood before taking the sample. 4 draw a blood sample from the distal port of the catheter and flush the line according to standard hospital practice. 5 obtain laboratory analysis of the sample using direct measurements. 6 select calibrationvalue and select from the list the value received from the lab. 7 select hct ( or hb depending on the set up ) and enter the corresponding value from the laboratory analysis. to change the setup for hb / hct entry, see changing the lab value required for entry below. 8 complete the calibration by selecting store in - vivocal ( even if the stored calibration value did not change ) and select confirm. this updates the data stored in the optical module. selecting recall last cal recalls the previously stored calibration value. if the calibration fails, check that the light intensity indicator is indicating a stable medium to high level. repeat the calibration. changing the lab value required for entry you can change the lab value required @topic:17


# # # issue - oxygen saturation monitor ( sat ) failure # # # impact - unable to monitor patient's oxygen saturation levels - delay in diagnosis and treatment # # # possible causes - malfunctioning oxygen sensor - faulty wiring or connections - software error - power supply interruption - incorrect calibration # # # recommendations - inspect oxygen sensor for damage or debris - check wiring and connections for loose or broken wires - update software if necessary - ensure power supply is stable - calibrate the monitor according to manufacturer's instructions @topic:4


* * issue : * * * failed bedside physiologic monitor * * impact : * * * inaccurate patient vital sign monitoring * potential patient safety risk * * possible causes : * * * * * faulty spo2 cable : * * the spo2 cable connects the monitor to the patient's finger or earlobe to measure oxygen saturation levels. a break in the cable can prevent accurate measurement of oxygen saturation. * * recommendations : * * * * * replace spo2 cable : * * replace the damaged cable with a new one that is compatible with the monitor and patient monitoring equipment. * * * test monitor : * * after replacing the cable, test the monitor's functionality to ensure that it is working properly. * * * regular maintenance : * * perform regular inspections and maintenance on the monitor and cables to prevent future failures. * * * monitor training : * * ensure that healthcare professionals are adequately trained on the use and maintenance of the monitor, including how to identify and replace faulty cables. * * * documentation : * * document the failure, repair, and testing of the monitor in the appropriate maintenance records. @topic:4


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 the medical cart cannot connect to the hardware. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the hardware is not properly connected to the cart. - the hardware is defective. - the cart's software is not up to date. - the cart's power supply is not working properly. # # # recommendations - check that the hardware is properly connected to the cart. - if the hardware is properly connected, try restarting the cart. - if the cart still cannot connect to the hardware, try updating the cart's software. - if the cart still cannot connect to the hardware, contact a qualified technician. @topic:13


# # # issue - the cause of failure in the given input is not clear. # # # impact - the impact of the failure is not known. # # # possible causes - the failure could be due to a problem with the equipment, the band, the model, or the description. - the failure could also be due to a problem with the way the equipment was being used. # # # recommendations - the technician should investigate the failure further to determine the cause. - the technician should then take steps to correct the problem and prevent it from happening again. @topic:12


# # # issue - cuff attachment failure # # # impact - inability to monitor vital signs accurately # # # possible causes - deterioration of cuff velcro # # # recommendations - replace the existing cuff with a new one to ensure proper attachment and accurate monitoring. @topic:5


# # # issue - loose nuts # # # impact - malfunction of the ob & gyn electric bed - potential patient safety hazard # # # possible causes - wear and tear - improper maintenance - incorrect assembly # # # recommendations - tighten all loose nuts - regularly inspect the bed for any signs of damage or loose components - ensure proper assembly and maintenance of the bed according to the manufacturer's instructions @topic:6


# # # issue the physiologic vital signs monitor is not powering on after being unplugged. # # # impact the monitor is unable to be used to monitor patient vital signs. # # # possible causes - the battery is not charged. - the power cord is not properly connected. - the power supply is not functioning properly. - the monitor is defective. # # # recommendations 1. check the battery level and charge the battery if necessary. 2. ensure that the power cord is properly connected to both the monitor and the power outlet. 3. try using a different power cord. 4. contact the manufacturer for further troubleshooting assistance. @topic:2


# # # issue battery failure in the philips suresigns vsi vital signs monitor. # # # impact the monitor will not be able to function properly, potentially leading to inaccurate or missed readings. this could have serious consequences for patient care. # # # possible causes the most likely cause of battery failure is simply age. batteries have a limited lifespan, and they will eventually need to be replaced. other possible causes include : * overcharging the battery * draining the battery completely * exposing the battery to extreme temperatures * physical damage to the battery # # # 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 store the battery in a cool, dry place. if the battery does fail, it should be replaced immediately. @topic:11


label, brake / steer position, lh 71788 1 label, brake / steer position, rh 5 ca0011 1 foot end brake cover 6 s30528k 4 caster support 7 r00110a 1 caster, brake / steer 8 r00108a 3 caster, brake, anti - static 9 vi0326 8 screw 10 vi0361 4 nut 11 vi0020 4 bolt 12 135216 1 brake / steer pedal 13 s30527k 2 plastic bushing 14 f11203a 1 brake bar 15 vi0616a 16 washer 16 133167 1 power cord, nema5 - 15p, 10a / 250v 133168 1 power cord, 2073 : 2000, 10a / 250v 133169 1 power cord, bs1363 / a, 10a / 250v 133170 1 power cord, cee 7 / 7, 10a / 250v 133171 1 power cord, as3112 ( clear ), 10a / 250v 133172 1 power cord, gb2099. 1 - ’ 96, 10a / 250v 133173 1 power cord, bs546, 10a / 250v 133174 1 power cord, ce1, 23 - 16 - v11, 10a / 250v 133175 1 power cord, nema5 - 15p, 13a / 100v 133176 1 power cord, nema5 - 15p, 13a / 110v 134752 1 power cord, sb107 - 2 - d1 - 10a, 10a / 250v 17 vi0093 2 screw 18 qd0663 2 washer 19 71082 2 bumper 20 s30526k 2 base plate careassist® and careassist® es bed @topic:26


in the upper left corner next to the bed label. to see details about the care group, the monitoring equipment, and technical information about the network, select the bed label in the monitor info line. be aware that some network - based functions may be limited for monitors on wireless networks in printout functionality and data export are not guaranteed when using a standard hospital network. mx600 if your monitor has the optional integrated pc ( ipc ), you can run applications on the ipc. the mx700 / applications display data on the monitor's display ( or on a second independent display ) that is mx800 generated on and retrieved from the ipc or externally. for details about applications, refer to the intellivue xds application instructions for use. the monitor runs independently of the ipc, and vice versa. warning some clinical applications may show data from another patient. be aware that some of the data on your patient monitor display may not always be from your patient. • applications running on the ipc cannot act as a primary alarming device and cannot be relied for alarm notification. there may be no audible or visible indications apart from what is shown on the screen and any data shown may be delayed. upon upon 50 1 introduction caution when you install any software on the ipc you are responsible for ensuring that the resulting system complies with all relevant local regulations. your monitor may be configured to have the ipc start up automatically when the monitor is switched select main setup then internal pc. 1 in the internal pc menu, select switch pc on to start the ipc. 2 viewing the ipc desktop on the monitor display if the desktop is not displayed on the monitor display : ipc select the ipc ke1 2 select main setup, internal pc, then show pc window. to hide the desktop again, select main screen. there are special ipc screens available that use the full @topic:10


# # # issue the central monitor is not printing. # # # impact the lack of printing capabilities affects the ability to monitor and document patient data, which can lead to delays in diagnosis and treatment. # # # possible causes the cause of failure for the central monitor's printing capabilities could be : - * * hardware failure : * * the printer mechanism or other hardware components may be faulty, resulting in the inability to print. - * * software issues : * * software errors or corrupted files can interfere with the printing process. - * * paper or ink depletion : * * the printer may not be able to print if the paper tray is empty or if the ink cartridges are depleted. - * * communication problems : * * if the central monitor is connected to a printer via a network or cable, issues with the connection could prevent printing. # # # recommendations to resolve the issue, the biomedical engineer should perform the following steps : - * * check the paper and ink : * * ensure that the paper tray is loaded with paper and that the ink cartridges have sufficient ink. - * * restart the equipment : * * sometimes, simply restarting the central monitor and printer can resolve printing issues. - * * check the software : * * verify that the software drivers for the printer are up - to - date and that there are no conflicts with other software. - * * inspect the hardware : * * examine the printer mechanism for any visible damage or blockages. if necessary, clean the printer heads or replace faulty components. - * * test the connection : * * if the printer is connected via a network or cable, check the connections and ensure that the devices are communicating properly. - * * consult the manufacturer's manual : * * refer to the manufacturer's documentation for specific troubleshooting steps and error codes that may provide additional insights into the cause of failure. @topic:28


# # # issue - cuff of the monitor is damaged. # # # impact - patient transport monitor cannot measure blood pressure accurately # # # possible causes - cuff is damaged due to wear and tear - cuff is not properly connected to the monitor # # # recommendations - replace damaged cuff with a new one - ensure that the cuff is properly connected to the monitor @topic:3


# # # issue the bed cannot be adjusted. # # # impact the patient cannot be comfortably positioned in the bed. # # # possible causes - the bed's power cord is not plugged in. - the bed's power switch is not turned on. - the bed's control panel is not working properly. - the bed's motor is not working properly. - the bed's frame is damaged. - the bed's springs are broken. - the bed's mattress is too heavy. - the bed's patient is too heavy. - the bed's linen is too restrictive. - the bed's side rails are too high. - the bed's footboard is too long. - the bed's headboard is too tall. - the bed's frame is too narrow. - the bed's frame is too wide. - the bed's frame is too long. - the bed's frame is too short. - the bed's frame is too high. - the bed's frame is too low. # # # recommendations - verify the bed's power cord is securely plugged in. - verify the bed's power switch is in the " on " position. - check the bed's control panel for any loose connections or damaged components. - contact the manufacturer's technical support for assistance if the bed's motor is not working properly. - inspect the bed's frame for any damage or defects. - replace the bed's springs if they are broken. - replace the bed's mattress if it is too heavy. - reposition the patient on the bed to ensure they are not too heavy for the bed to support. - adjust the bed's linen to ensure it is not too restrictive. - lower the bed's side rails to ensure they are not too high. - shorten the bed @topic:1


# # # issue - the patient cannot be accurately positioned # # # impact - delays in treatment - risk of harm to the patient # # # possible causes - electrical fault - mechanical fault - user error # # # recommendations - troubleshooting the electrical system - inspecting the mechanical components - providing training for users @topic:12


# # # issue - equipment : monitor, bedside, physiologic - manufacturer : philips - model : intellivue mp70 ( m8007a ) - description : cuff leakage # # # impact - the cuff leakage prevents the device from accurately measuring patient vital signs. # # # possible causes - cuff wear and tear - cuff damage due to improper handling or cleaning - cuff compatibility issues with the device - cuff size mismatch # # # recommendations - inspect the cuff for signs of wear or damage and replace it if necessary. - handle and clean the cuff according to the manufacturer's instructions. - ensure that the cuff is compatible with the device model. - select an appropriately sized cuff for the patient. - train staff on proper cuff maintenance and handling procedures. @topic:3


# # # issue - equipment : bed, electric - make : hill - rom - model : basic care, p1440a # # # impact - the bed is not able to be adjusted. # # # possible causes - the locking mechanism has failed. # # # recommendations - the locking mechanism should be repaired or replaced. # # # additional notes - the technician has already repaired the locking mechanism and the bed is now working properly. @topic:1