##ration. 1 enter the c. o. procedure window. 2 when you see the message ready for new measurement, start the measurement by selecting the pop - up key start c. o. or pressing the start hardkey on the c. o. module, or pressing the remote start switch. if the measuring mode is set to auto the start c. o. key will also enable the automatic start of consecutive measurements. 3 when you hear the ready tone and see the message stable baseline, inject now!, inject the solution into the cvp catheter. at the end of the measurement the thermodilution curve, cardiac output, index values, itbv and evlw values and any curve alerts are displayed and a message will appear wait before starting new measurement or in auto mode prepare for next injection or press stop. 4 when you see the stable baseline, inject now! message, repeat the procedure until you have completed the measurements you want to perform. you can perform a maximum of 6 measurements before editing. if you perform more than 6 measurements without rejecting any, the oldest will automatically be deleted when a 7th curve is stored. editing picco c. o. measurements it is important to identify and reject erroneous trials, as the monitor uses all the measurement trial values you do not reject to calculate the averaged cardiac output. 1 review the trials. irregular trials or trials marked with a “? ” should be reviewed carefully. consider the similarity of the values and the shape of the c. o. curve. a normal c. o. curve has one smooth peak and returns to the temperature baseline level after the peak. 2 reject unsatisfactory trials : use the select trial pop - up key to move between trials, then select the accept reject pop - up key to accept or reject trials. if you are using a touch screen you can accept or reject trials directly @topic:17


is confirmed, the current state, the settings and the log from the ssc sepsis protocol will be transferred with the mms to the new monitor. should it be necessary, you can select the phase at the new monitor manually with main setup - > protocolwatch - > manual transition. the transfer of data and settings must be enabled in configuration mode. caution it is not possible to transfer ssc sepsis protocol data from a monitor with release f. o software to another monitor with release g. o software and vice versa. suspending the protocol for 24 hours to suspend the protocol for 24 hours : 1 select main setup - > protocolwatch - > suspend for 24 hours. 2 select confirm. the protocol will resume activity after 24 hours with severe sepsis screening. severe sepsis screening as soon as an adult patient is connected to the monitor, and heart rate or pulse is being measured, the ssc sepsis protocol begins to observe heart rate, temperature and respiration rate values in the background. if temperature or respiration rate is not being measured continuously, a pop - up window appears at 4 - hour intervals to ask for manually measured values. these values are all compared to the screening criteria : hr above 90, temp above 38. 3°c ( 100. 9°f ) or below 36. 0°c ( 96. 8°f ), rr above 20. if any one of the values fulfils the screening criteria, the first severe sepsis screening window appears : 311 25 protocolwatch ssc sepsis protocol hyperglycemia ( glucose > 6. 7 mmol / 1 or > 120mg / dl ) in absence of diabetes protocolwatch protocol log enter tl enter sprr confirm remind 15 min the measured value which has fulfilled the criteria is shown highlighted ( in the example shown above it is temperature ). there is a check box for the infection signs and symptoms listed, @topic:8


# # # issue - faulty slide rail - defective ssd - non - booting cpu # # # impact - impaired functionality of the medical cart - inability to use the keyboard - system failure and downtime # # # possible causes - * * slide rail : * * - improper installation - wear and tear over time - manufacturing defect - * * ssd : * * - hardware failure - firmware corruption - data corruption - * * cpu : * * - overheating - power supply issues - software incompatibility # # # recommendations * * slide rail : * * - inspect the rail for any damage or misalignment - ensure proper installation according to manufacturer's instructions - replace worn or defective rails * * ssd : * * - run diagnostic tests to identify the fault - replace the ssd if necessary - backup data regularly to prevent data loss * * cpu : * * - check for adequate cooling and ventilation - verify the power supply is providing sufficient voltage - update bios and firmware to resolve any compatibility issues @topic:13


* * issue : * * headboard of the electric bed is not adjustable. * * impact : * * patient discomfort, inability to adjust bed to desired position. * * possible causes : * * * * * mechanical failure : * * * faulty motor or drive system * broken gears or cables * obstruction in the adjustment mechanism * * * electrical failure : * * * faulty wiring or connections * power surge or outage * * * software glitch : * * * corrupted or outdated control software * communication error between components * * * user error : * * * incorrect operation or excessive force applied during adjustment * * recommendations : * * * * * inspect the mechanical components : * * check for loose connections, broken parts, or obstructions. * * * troubleshoot the electrical system : * * test the wiring, connections, and power supply. * * * update the software : * * install the latest software updates for the bed's control system. * * * train users : * * provide clear instructions and demonstrate proper operation of the bed. * * * consider environmental factors : * * ensure that the bed is not obstructed or exposed to extreme temperatures or humidity. * * * consult with the manufacturer : * * if the issue persists, contact the manufacturer for further technical assistance or replacement parts. @topic:1


# # # issue - excessive noise during adjustment of electric bed # # # impact - patient discomfort during bed adjustments - nurse / technician distraction - possible mechanical failure if the noise is caused by a physical problem # # # possible causes - loose or worn components in the bed adjustment mechanism - malfunctioning motor or gearbox - improper lubrication of moving parts # # # recommendations 1. * * inspect and tighten loose components : * * check all bolts, screws, and connections to ensure they are properly tightened. 2. * * lubricate moving parts : * * apply grease or oil to all joints, bearings, and gears to reduce friction and noise. 3. * * test the motor and gearbox : * * run the bed through several adjustment cycles to determine if the noise originates from these components. if the noise persists, the motor or gearbox may require replacement. 4. * * contact the manufacturer : * * if the noise cannot be resolved through the above steps, consult with the manufacturer for further troubleshooting and repair options. @topic:9


- tach hr limit 77 4 patient alarms and inops alarm message condition indication from * othermon alarm * * othermon alarm * * * othermon alar * pacer not capt another monitor used for the patient is in an alarm condition. check the detailed alarm information at the information center. another assigned monitor tone ecg / arrhythmia ( paced patients y ) no beat detected for > 1. 75 * ( the averaged r - r interval ) with detected pace pulse ( s ). ( for paced patients only ). numeric flashes, yellow alarm lamp, short yellow audible alarm * pacer not pacing ecg / arrhythmia ( paced patients only ) no beat and pace pulse detected for > 1. 75 * ( the averaged r - r interval ). ( for paced patients only ). numeric flashes, yellow alarm lamp, hort yellow audible alarm * pair pvcs numeric flashes, yellow alarm lampshort yellow audible alarm numeric flashes, yellow alarm lampshort yellow audible alarm numeric flashes, red alarm lamp, alarm tone ecg / arrhythmia two ventricular beats between two non - ventricular beats. pausecg / arrhythmia no beat detected for a period > the pause threshold. * * * < press labeldisconnect the pressure is non - pulsapressure is continuously less than 10 mmhg ( 1. 3 kpa ). this alarm occurs only with arterial pressures ( p, abp, art, ao, bap, fap, pap, ress * * * < press label > high press numeric flashes, high limit is highlighted, red alarm lamp, alarm tone the measured pressure value is above the alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed * * < press label @topic:8


# # # issue - * * equipment : * * medical cart - * * band : * * bdms - * * model : * * bdms 01 - * * description : * * the med admin drawer and solenoid coil were found to be stiff during bme inspection, preventing the drawer from opening. the drawer rails were cleaned and a rust inhibitor was applied, allowing the drawer to be opened normally. the device is now fully functional. # # # impact - inability to dispense medications from the med admin drawer. # # # possible causes - * * root cause : * * sticking of the med admin drawer rails. - * * contributing factors : * * - accumulation of dirt and debris on the drawer rails. - lack of lubrication on the drawer rails. - corrosion of the solenoid coil. # # # recommendations - regular cleaning and lubrication of the drawer rails to prevent sticking. - inspection of the solenoid coil for signs of corrosion and replacement if necessary. - training staff on proper use and maintenance of the medical cart to prevent damage to the drawer mechanism. @topic:21


select main setup - > wlan diagnostic to access the service window. proper installation of the intellivue 802. 11 bedside adapter is assured by connecting to an access point over the wireless link. place the monitor with the intellivue 802. 11 bedside adapter installed in close proximity to the access point ( e. g. if the access point is mounted on the ceiling, place the monitor directly below ). wait until the conn. status field in the service window shows authenticatd ( for rel. c. 0 monitors ) or connected ( for rel d. 0 or higher ). take the monitor approximately 5 m away from the access point. there should be no walls or other obstacles between the monitor and the access point. the following should apply : - observe the rssi ( received signal strength indicator ) value for at least 5 - 10 seconds. the rssi value wil fluctuate but should stay above 30 in a 5 m distance from the access point used. the wireless link should be active, 1. e. the conn. status field should be authenticatd ( for rel. c. 0 monitors ) or connected ( for rel d. o or higher ), and the other fields should contain values. if the rssi value is significantly lower, check the distance to the access point and the antenna orientation at the monitor. the antenna orientation should be vertical, but the physical placement of the monitor or other equipment within its vicinity as well as walls or other obstacles may influence the antenna orientation required to receive the best rssi value. 5. if this test fails, retry in a different physical area with a different access point. 6. perform the wireless switch test blocks as described in the philips intellivue 802. 11 a / g infrastructure installation and configuration guide. expected test results intellivue 802. 11 bedside adapter rssi @topic:10


# # # issue the patient transport monitor is missing necessary cables for nibp ( non - invasive blood pressure ) and spo2 ( pulse oximetry ) monitoring. # # # impact without these cables, the monitor cannot accurately measure blood pressure or oxygen saturation levels, which are essential parameters for patient monitoring. this lack of data could potentially delay or compromise patient care. # # # possible causes * the cables were not included with the original equipment. * the cables were lost or misplaced during transport or storage. * the cables are damaged and need to be replaced. # # # recommendations * check if the cables were included with the original equipment or if they need to be ordered separately. * search for the cables in the hospital or contact the manufacturer to request replacements. * inspect the cables for any damage and replace them if necessary. * train users on the proper handling and storage of the cables to prevent future loss or damage. @topic:4


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure readings # # # possible causes - normal wear and tear due to usage - lack of maintenance or proper storage # # # recommendations - regular preventive maintenance to inspect and replace worn - out parts - adhere to proper storage procedures to prolong cuff life - train staff on proper cuff handling techniques @topic:3


# # # issue - cuff failure # # # impact - inability to accurately measure vital signs, such as blood pressure and pulse oximetry. # # # possible causes - cuff wear and tear - exposure to harsh chemicals or environments - cuff inflation / deflation problems # # # recommendations - replace the cuff as soon as possible. - inspect cuffs regularly for signs of wear and tear. - protect cuffs from harsh chemicals and environments. - ensure that cuffs are inflated and deflated properly. @topic:5


remove the battery from the monitor when it is not used for a longer period of time, to avoid potential damage caused by battery leakage. batteries should be charged to a maximum of 50 % for storage. the battery will discharge over time if it is stored inside the monitor without ac power connection. the reported values for " remaining capacity " and " runtime " will become less accurate when the battery dispose of used batteries promptly and in an environmentally - responsible manner. discharge the batteries and insulate the terminals with tape before disposal. do not dispose of the battery in normal waste containers. consult your hospital administrator to find out about local arrangements. warning use only philips batteries specified in the chapter on " accessories ”. use of a different battery may • do not open batteries, heat above 60°c ( 140°f ), incinerate batteries, or cause them to short circuit. they may ignite, explode, leak or heat up, causing personal injury. • if battery leakage should occur, use caution in removing the battery. avoid contact with skin. refer to qualified service personnel. do not expose batteries to liquids. • do not crush, drop or puncture batteries - mechanical abuse can lead to internal damage and internal short circuits which may not be visible externally. • if a battery has been dropped or banged against a hard surface, whether damage is visible • iscontinue usdispose of the battery in accordance with the disposal instructions above. • keep batteries in their original package until you are ready to use them. • 409 10 37 are and cleaninuse only the philips - approved substances and methods listed in this chapter to clean or disinfect your equipment. warranty does not cover damage caused by using unapproved substances or methods. philips makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. consult your hospital's infection control officer or epide @topic:11


# # # issue - spo2 value is not displayed. # # # impact - inability to monitor patient's oxygen saturation levels. # # # possible causes - faulty spo2 sensor - loose connection between sensor and monitor - damaged cable - software glitch - hardware malfunction # # # recommendations - replace the spo2 sensor. - check the connection between the sensor and monitor. - inspect the cable for damage. - restart the monitor. - contact the manufacturer for technical support. @topic:4


# # # issue - equipment : monitors, telemetric, electrocardiography - manufacturer : philips - model : intellivue trx - problem : the device was not linking with the central monitor. # # # impact - the patient's vital signs could not be monitored remotely, which could have led to a delay in treatment or even a missed diagnosis. # # # possible causes - the most likely cause of the failure was the temporary power outage caused by the maintenance work on the electrical box. this could have caused the device to lose its connection to the central monitor. # # # recommendations - the following recommendations were made to prevent a similar failure from occurring in the future : - the hospital should ensure that all electrical work is properly coordinated with the biomedical engineering department to avoid any disruption to medical equipment. - the hospital should have a backup power source for all critical medical equipment in case of a power outage. @topic:2


# # # issue - cuff deterioration # # # impact - monitor may not be able to accurately measure blood pressure. # # # possible causes - cuff is old and worn. - cuff is not properly inflated. - cuff is not properly positioned on the patient's arm. # # # recommendations - replace the cuff if it is old or worn. - check the cuff for proper inflation and positioning. - refer to the manufacturer's instructions for proper cuff use. @topic:3


# # # issue * log in fail # # # impact * unable to use the medical cart * delay in patient care # # # possible causes * incorrect username or password * network connectivity issues * software glitch # # # recommendations * verify the username and password. * check the network connectivity. * restart the medical cart. * contact the it support team if the issue persists. @topic:13


# # # issue - remote control failure # # # impact - inability to adjust the bed's position # # # possible causes - damaged remote control cable # # # recommendations - replace the remote control cable @topic:7


# # # issue the cause of failure for the physiologic vital signs monitor, model 740, is that it is not charging. # # # impact this issue will prevent the monitor from being used to measure vital signs, which could have a negative impact on patient care. # # # possible causes * faulty ac power cord * damage to the charging port on the monitor * internal electrical issue # # # recommendations 1. check the ac power cord for any signs of damage. if the cord is damaged, replace it. 2. inspect the charging port on the monitor for any damage. if the port is damaged, contact the manufacturer for repair. 3. if the ac power cord and charging port appear to be in good condition, the issue may be due to an internal electrical problem. in this case, the monitor will need to be repaired by a qualified technician. @topic:2


# # # issue - cuff of vital signs monitor ( philips suresigns vs2 + ) is damaged. # # # impact - the vital signs monitor may provide inaccurate or unreliable readings. - this could lead to incorrect medical decisions and potentially compromise patient safety. # # # possible causes - * * aging : * * cuffs can deteriorate over time due to repeated use and exposure to elements. - * * improper storage : * * improper storage, such as in extreme temperatures or humidity, can weaken the material of the cuff. - * * over - inflation : * * inflating the cuff beyond the recommended pressure can damage the material. - * * physical damage : * * external factors, such as accidental impacts or pulling on the cuff, can cause tears or punctures. - * * defective materials : * * in rare cases, the cuff may have been manufactured with defects that make it more susceptible to damage. # # # recommendations - * * regular maintenance : * * inspect the cuff regularly for signs of damage, such as tears, punctures, or fraying. - * * proper storage : * * store the cuff in a cool, dry environment when not in use. avoid exposing it to extreme temperatures or humidity. - * * correct inflation : * * follow the manufacturer's recommendations for proper inflation pressure to avoid over - inflation. - * * handle with care : * * handle the cuff carefully to avoid accidental damage. - * * replace damaged cuffs : * * if the cuff exhibits any signs of damage, replace it promptly to ensure accurate readings. @topic:15


# # # issue - equipment malfunction or failure ( bed not responding to remote control commands ) # # # impact - patient discomfort or inconvenience - delayed or interrupted patient care - additional workload for healthcare staff # # # possible causes - faulty or damaged remote control - electrical issues with the bed or its components - software or firmware bugs - user error or improper operation # # # recommendations * * immediate actions : * * - replace the remote control with a known - working unit. - check the bed's power supply and electrical connections. - reset the bed's electrical system by unplugging it from the power source and plugging it back in. * * further investigation : * * - inspect the remote control for any physical damage, loose connections, or worn - out batteries. - check the bed's electrical components, including wiring, motors, and sensors. - consult with the bed manufacturer or a qualified technician for troubleshooting and potential repairs. * * preventive measures : * * - implement regular maintenance and calibration schedules for medical devices. - train healthcare staff on proper equipment operation and handling practices. - keep spare parts and accessories readily available to minimize downtime in case of failure. @topic:7


# # # issue - ecg ( electrocardiogram ) readings not obtainable from the bedside monitor. # # # impact - inability to accurately monitor the patient's heart activity. # # # possible causes - faulty ecg cable. # # # recommendations - * * replace the ecg cable. * * - * * inspect the ecg cable and connectors for any visible damage. * * - * * ensure proper connection between the ecg cable and the monitor. * * - * * conduct a test ecg to verify the functionality of the monitor and cable. * * @topic:18


# # # issue : broken remote button # # # impact : - inability to adjust or operate the bed electrically # # # possible causes : - physical damage to the remote - malfunctioning of the remote components - software or firmware issues # # # recommendations : - * * replace the remote : * * replace the broken remote with a new or refurbished one to restore functionality. - * * inspect remote contacts : * * ensure that the remote contacts are clean and properly aligned to prevent intermittent connections. - * * update firmware : * * if available, update the firmware of the remote to resolve any software or communication issues. - * * test other remote : * * try using a different remote that is compatible with the bed to eliminate the remote as the cause of the issue. - * * check bed electrical connections : * * inspect the electrical connections between the remote and the bed to ensure that they are secure and free of damage. - * * contact manufacturer support : * * reach out to the manufacturer or authorized service provider for assistance with troubleshooting and repair options. @topic:7


# # # issue * rails, side, unable to lower easily due to binding # # # impact * delay in patient care * risk of injury to patient or staff * increased risk of infection # # # possible causes * spring out of alignment * broken or damaged spring * obstruction in track * worn or damaged track # # # recommendations * * * inspect * * the rails for any visible damage or obstructions. * * * check * * the alignment of the springs and ensure they are properly seated in the track. * * * replace * * any broken or damaged springs. * * * clean * * the track and remove any debris or obstructions. * * * lubricate * * the track according to manufacturer's instructions. * * * test * * the rails to ensure they operate smoothly and easily. @topic:6


# # # issue - the bed cannot be locked. # # # impact - the patient may fall out of bed. # # # possible causes - the locking mechanism is broken. - the bed frame is bent. - the wooden barrier is loose. # # # recommendations - check the locking mechanism for damage. - check the bed frame for bending. - tighten the wooden barrier. @topic:6


# # # issue the central monitor is not turning on. # # # impact the patient's vital signs cannot be monitored. # # # possible causes - power supply failure - software error - hardware failure # # # recommendations 1. check the power supply to the monitor. 2. reset the monitor by pressing the reset button. 3. if the monitor still does not turn on, contact a qualified technician. @topic:2


* * issue : * * - cuff bp leak * * impact : * * - inaccurate blood pressure readings * * possible causes : * * - cuff bp is damaged or worn out * * recommendations : * * - replace the cuff bp with a new one - regularly inspect and replace the cuff bp as per the manufacturer's guidelines @topic:3


* * issue : * * monitor is displaying abnormal ekg readings. * * impact : * * incorrect ekg readings could lead to misdiagnosis and inappropriate treatment. * * possible causes : * * * broken or damaged ekg cable. * loose connection between the cable and the monitor. * malfunctioning ekg sensor in the monitor. * * recommendations : * * * inspect the ekg cable for any visible damage or breaks. * ensure that the cable is securely connected to both the monitor and the patient. * perform a test ekg with a known good cable to isolate the issue. * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:18


# # # issue - abnormally measured blood pressure values # # # impact - incorrect blood pressure readings, leading to inaccurate diagnoses and treatment plans. # # # possible causes - faulty sensor or transducer - loose connections or wiring issues - software glitches or calibration errors - interference from other electrical devices - patient movement or improper cuff placement # # # recommendations - perform thorough inspection and testing of the device, including sensor and transducer. - check all connections and wiring for any loose or damaged components. - update or reinstall software to resolve any potential glitches. - ensure proper calibration of the device according to manufacturer specifications. - minimize electrical interference by isolating the device from other electronic equipment. - instruct patients to remain still and ensure proper cuff placement during blood pressure measurements. @topic:14


* * issue : * * - time display on the philips intellivue mp40 ( m8003a ) patient transport monitor is incorrect. * * impact : * * - the accuracy of patient data and events recorded may be compromised. - delays in patient care due to incorrect timekeeping. * * possible causes : * * - incorrect time settings within the monitor - faulty battery causing time drift - internal clock malfunction * * recommendations : * * - * * check and adjust time settings : * * ensure that the monitor's time settings are correct. - * * replace battery : * * if the battery is found to be faulty, replace it with a new one. - * * inspect internal clock : * * if the time settings are correct but the time still does not match, inspect the internal clock for possible malfunctions. - * * calibrate monitor : * * perform a calibration procedure to ensure the time display is accurate. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for assistance and possible repair or replacement. @topic:29


if problem persists, proceed to the next step mib board defective replace mib board external touch defective replace external touch main board defective replace main board touch position invalid touch not calibrated perform touch calibration : 1. enter main setup menu 2. select monitor 3. select hardware 4. select touch driver 5. select calibrate general monitor inop messages inop message possible causes of failure failure isolation and remedy checkinternvoltage check monitor func problem with too low voltages ( 5v, 12v ) in the monitor. alarm lamps, display or interfaces may not function correctly. remove all i / o boards and put them back in one at a time to isolate any defective board. if this does not resolve the problem, replace the main board 84 troubleshooting guide 4 troubleshooting inop message possible causes of failure failure isolation and remedy check monitor temp the temperature inside the monitor is too high check the environment for possible causes monitor ventilation obstructed clean the monitor ventilation internally and then cool monitor down for 8 hours main board defective replace main board settings malfunction problem during cloning process. redone configuration file memory space in which the settings are stored has been corrupted redone configuration file. this will reload the memory space. main board defective replace main board internal comm. malf. problem with the i2c bus communication in the monitor disconnect the external display and try another one video board defective replace video board main board defective replace main board remote alarm device symptoms possible causes of failure failure isolation and remedy alarm leds illuminate, but no alarm sound is issued speaker defective replace remote alarm device remote device i / f defective replace i / o board alarm occurs on screen, but no led or alarm sound on the alarm device cabling not connected check cabling cabling defetive replace cable i / o board defective replace i / o board @topic:2


# # # issue * the battery of the ear thermometer does not charge properly. when removed from the charging dock, it does not turn on, but when placed back into the charging dock, it functions normally. # # # impact * inaccurate or unavailable temperature readings, leading to potential misdiagnosis or delayed treatment. # # # possible causes * faulty battery * damaged charging contacts on the battery or charging dock * software issue # # # recommendations * replace the battery with a new one that is compatible with the ear thermometer. * clean the charging contacts on both the battery and the charging dock. * reset the ear thermometer to its factory settings. * if the issue persists, contact the manufacturer for further troubleshooting and possible repair. @topic:20


isoelectriceeg no discernible eeg activity is detected for longer than one minute. check the patient. check that the electrodes are properly connected. is lead off one or more electrodes have no skin contact and therefore impedances cannot be measured. check s the electrode pads firmly. inop tone may sound if this inop persists, replace the sensor ( s ) in question, using correct skin preparation. bis overcurrennop tone unplug and replug the bis module or, for the mp20 / mp30, disconnect and reconnect the bisx from the interface board. if the inop persists, contact your service personnel. 98 4 patient alarms and inops what to do bis sensor disconnop tone the sensor is not properly connected to the patient interface cable ( pic ) and / or the pic is not properly connected to the dsc or bisx, or the sensor or pic or dsc or bisx may be faulty. check all the connections. disconnect and reconnect the sensor, pic, dsc, bisx. if the inop persists, replace the sensor. if the inop persists, replace pic. if inop persists, contact your service personnel. silencing this inop switches the measurement off. bis sensor incompnop tone unsupported sensor connected or sensor type unknown or not supported by your software revision. replace the sensor, using only philips supported sensors. bis sensor malfuninop tone malfunction in the sensor hardware, most often caused by liquids permeating into the connectors or patient interface cable ( pic ) or dsc or bisx may be faulty. replace the sensor. manually initiate a cyclic impedance check. make sure all electrodes pass the testmake sure that the both sides of the pic connector ( between pic and sensor @topic:22


# # # issue - remote control failure # # # impact - inability to operate the electric bed, potentially affecting patient care and comfort # # # possible causes - * * remote control wear and tear : * * over time, the remote control's components may degrade due to regular use, leading to malfunction. - * * battery issues : * * depleted or faulty batteries can prevent the remote control from sending signals to the bed. - * * circuit failure : * * internal circuitry within the remote control may have failed, disrupting communication with the bed. - * * software bugs : * * firmware issues or software glitches can cause the remote control to malfunction or become inoperable. # # # recommendations - * * replace remote control : * * if the cause of failure is identified as wear and tear or circuit failure, replacing the remote control with a new or refurbished unit is necessary. - * * check batteries : * * ensure that the batteries in the remote control are fresh and properly installed. if necessary, replace the batteries with new ones. - * * contact manufacturer : * * if the issue persists or the cause of failure is unclear, contact the manufacturer of the bed for further troubleshooting and potential repairs. - * * regular maintenance : * * implement a regular maintenance schedule for medical equipment, including remote controls, to prevent future failures and ensure optimal performance. @topic:7


# # # issue : - control box failure - broken bed railings # # # impact : - equipment malfunction - patient safety hazard # # # possible causes : - * * control box failure : * * - electrical malfunction or damage - power surge - age or wear and tear - * * broken bed railings : * * - excessive force or impact - corrosion or rust - defective latch # # # recommendations : - * * control box failure : * * - replace the control box - inspect electrical connections and cables - ensure proper power supply - * * broken bed railings : * * - repair or replace the broken railings - inspect all other railings for potential damage - ensure the latches are functioning properly - * * preventive measures : * * - regular maintenance and inspections to identify potential issues early on - proper training of staff on equipment usage and maintenance - use of surge protectors and power conditioners to protect equipment from power surges @topic:6


# # # issue broken carrying basket for medical equipment. # # # impact the broken basket prevents the safe and efficient transportation of medical equipment, which can lead to delays in patient care and increased risk of accidents. # # # possible causes * excessive weight placed on the basket * rough handling or dropping of the equipment * design flaws or defects in the basket's construction # # # recommendations * ensure that the basket is not overloaded and is handled with care. * inspect the basket regularly for any signs of damage or wear and tear. * report any damage or defects to the manufacturer or biomedical engineering department immediately. * consider using a different type of basket or carrying device that is more durable or suitable for the intended use. @topic:24


# # # issue - the electric bed is unable to adjust the head section downwards. # # # impact - patient positioning and comfort is compromised. - delays in patient care due to equipment malfunction. # # # possible causes * * 1. faulty control system : * * - malfunctioning control panel or wiring harness - damaged switches or sensors - software errors * * 2. mechanical issues : * * - binding or friction in the headrest mechanism - worn or broken gears - motor failure # # # recommendations * * 1. control system inspection : * * - verify the functionality of the control panel and wiring harness - check for any loose connections or damage - update software if necessary * * 2. mechanical evaluation : * * - inspect the headrest mechanism for any obstructions or binding - check the condition of gears and motors - lubricate or replace components as needed * * 3. troubleshooting : * * - disconnect and reconnect the control system - reset the bed to factory settings - contact the manufacturer for technical support @topic:1


# # # issue - non - functional or faulty sensor on the spo2 cable, resulting in inaccurate or no readings. # # # impact - incorrect or missing spo2 readings, affecting patient monitoring and timely medical intervention. # # # possible causes - damage to the sensor due to mishandling, wear and tear, or external factors. - loose or improper connection between the sensor and the monitor. - issues with the monitor's software or hardware, affecting communication with the sensor. # # # recommendations - replace the faulty spo2 cable with a new one to resolve the issue. - ensure proper handling and storage of spo2 cables to avoid damage. - regularly inspect and clean the sensor and connection points to maintain optimal performance. - if the issue persists after replacing the cable, consider troubleshooting the monitor or consulting with the manufacturer for further assistance. @topic:4


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs4 - description : unable to scan vsm # # # impact - limited patient monitoring capabilities - delays in diagnosis and treatment # # # possible causes - software bug in the device - loose connection between the device and the network - network connectivity issues # # # recommendations - check the software version of the device and update if necessary - inspect the network cable and ensure a secure connection - troubleshoot the network connectivity by pinging the host server from the device - contact the device manufacturer for technical support or file a support ticket with the it department @topic:22


# # # issue - cuff of the monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the cuff has been used for a long time and is no longer in good condition. - the cuff has been subjected to excessive wear and tear. - the cuff has been damaged by a sharp object. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not subject the cuff to excessive wear and tear. - store the cuff in a safe place when not in use. @topic:5


# # # issue - the keyboard on the medical cart is not working. # # # impact - the user cannot use the medical cart to input data or control the device. # # # possible causes - the keyboard is not properly connected to the medical cart. - the user has accidentally changed the keyboard mode to bluetooth, which is not compatible with the medical cart. - the keyboard is defective. # # # recommendations - check the connection between the keyboard and the medical cart. - change the keyboard mode back to usb. - if the problem persists, replace the keyboard. @topic:27


# # # issue - scanner problem # # # impact - scanner may not work reliably or consistently. # # # possible causes - the scanner may be malfunctioning due to a loose charging dock. # # # recommendations - ensure that the charging dock is securely in place. - if the issue persists, the scanner may need to be serviced or replaced. @topic:23


* * issue : * * barcode scanner malfunction on philips suresings vs4 vital signs monitor * * impact : * * inability to accurately identify and track patients, medication, and other critical information. * * possible causes : * * * * * hardware failure : * * barcode scanner may be damaged or malfunctioning. * * * software issues : * * scanner software may be corrupted or outdated. * * * environmental factors : * * excessive heat or humidity can affect scanner performance. * * * dirty lens : * * lens may be dirty or covered in smudges. * * * incorrect angle or alignment : * * barcode may not be scanned at the correct angle or too far away. * * * barcode quality : * * barcode may be faded, smudged, or damaged. * * recommendations : * * * * * inspect the barcode scanner : * * check for any visible damage, loose connections, or obstructions. * * * clean the lens : * * use a soft, lint - free cloth to gently clean the scanner lens. * * * update software : * * ensure that the scanner software is up to date. * * * adjust angle and alignment : * * hold the barcode at the correct angle and distance from the scanner. * * * reprint the barcode : * * if the existing barcode is damaged or faded, reprint a new one. * * * replace the scanner : * * if the issue persists, the scanner may need to be replaced. * * * contact the manufacturer : * * if none of the above steps resolve the issue, contact the manufacturer for technical support. @topic:23


midpoint of the st segment. 4 select the apply changes pop - up key to activate the new st measurement points and recalculate all st values. the most recent st points adjustment time is displayed in the adjust st points window. this information is cleared when a patient is discharged or when a new profile is loaded into the monitor. 5 to update the st snippet shown in the adjust st points window, select the update pop¬ up key. st alarms st alarms are yellow alarms. each st lead has its own alarm limit. st alarms are triggered when an st value exceeds its alarm limit for more than one minute. switching st alarms off switches off alarms for all st leads. if more than one st measurement is in alarm, the monitor only displays the alarm message of the st lead which is currently furthest from its set alarm limits. single - or multi - lead st alarming be aware that if multi - lead st alarming is switched on, only alarms involving more than one st lead will be announced. to choose individual or multi - lead st alarming, ♦ in the setup st analysis menu, select st alarm mode and select either single st or multi st. changing st alarm limits the monitor can detect alarms on each st lead separately, so you can set high and low st alarm limits individually for each st lead. you can also set separate alarm limits for single - lead and multi - lead st monitoring. set the high and low alarm limits based on your assessment of the patient's clinical condition, unit protocols, physician orders or medication specified limits. a good guideline is + 1. 0 mm or - 1. 0 mm from the patients's st, or follow your hospital protocol. 1 in the setup st analysis menu, select st alarm mode and select single st or multi st. 150 viewing st maps 6 ecg, arrhythmia, st and qt monitoring @topic:8


the ssc sepsis protocol in the mms to another monitor with the full version of the ssc sepsis protocol. the transfer of data and settings must be enabled in configuration mode. warning always consider the specific clinical context for your patient, before following ssc sepsis protocol treatment recommendations. the ssc sepsis protocol and this description are based on the ssc guidelines for management of severe sepsis and septic shock 2 from january 2008 and the ssc bundle definitions from january 2005. to check the version of the guidelines and bundle definitions on the monitor, ♦ select main setup - > revision - > protocolwatch - > ssc sepsis orientation on the screen at the top of each window there is an orientation line showing the phases available on your monitor, with the currently active phase highlighted. protocolwatch - sepsis resuscitation bundle inactive screening resuscitation management ssc standby 310 ssc sepsis protocol 25 protocolwatch you can also place the protocolwatch symbol, together with the currently active phase, on the main screen, in one of the numeric positions. this allows you to see at a glance which phase is currently active, even when no ssc sepsis protocol window is currently displayed. if you need to enter data or perform an action in an ssc sepsis protocol window, the symbol will turn into a smartkey. ssc screening transferring patients and moving manually between phases if a patient has already been diagnosed as having severe sepsis before connecting them to the monitor, you can select main setup - > protocolwatch - > manual transition to go directly to the sepsis resuscitation bundle to monitor treatment. direct entry to the sepsis management bundle is also possible using the manual transition function and the time into the selected bundle can be set. if a patient has been screened on arrival, for example in the emergency department, then transferred to intensive care when sepsis is @topic:8


# # # issue - equipment is not functioning as intended. # # # impact - may delay or prevent the use of the equipment for patient care. # # # possible causes - the control box is not properly functioning. # # # recommendations - replace the control box. - ensure the control box is properly installed and calibrated. @topic:12


# # # issue - the bed, electric, ob & gyn is not adjusting up and down. # # # impact - the patient may not be able to get into or out of the bed, or may not be able to get comfortable. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the fuse is blown. - the motor is not working. - the control panel is not working. # # # recommendations - check the power cord to make sure it is plugged in. - turn on the power switch. - check the fuse to see if it is blown. - if the fuse is blown, replace it with a new one of the same amperage. - if the motor is not working, it may need to be replaced. - if the control panel is not working, it may need to be repaired or replaced. @topic:9


# # # issue - cuff bp missing connector # # # impact - unable to measure blood pressure # # # possible causes - cuff bp connector was not properly attached - cuff bp connector was damaged # # # recommendations - ensure that the cuff bp connector is properly attached - replace the cuff bp connector if it is damaged @topic:14


* * issue : * * - the electric bed is unable to adjust the head downwards. * * impact : * * - the patient's mobility and comfort may be compromised. - the healthcare staff may experience difficulty providing care to the patient. * * possible causes : * * - * * electrical fault : * * a loose connection, damaged wire, or faulty electrical component may be preventing power from reaching the control box. - * * control box malfunction : * * the control box itself may be malfunctioning, preventing the motor from receiving signals to adjust the bed's position. - * * motor failure : * * the motor responsible for adjusting the bed's head may be faulty or damaged, preventing it from functioning correctly. - * * mechanical obstruction : * * something may be blocking the movement of the bed's head, preventing it from adjusting downwards. * * recommendations : * * - * * electrical inspection : * * check all electrical connections and wires for any loose, damaged, or disconnected components. - * * control box check : * * test the control box to ensure it is receiving power and sending signals to the motor. - * * motor inspection : * * inspect the motor for any burn marks, loose wires, or other signs of damage. - * * mechanical examination : * * examine the bed frame and mechanisms for any obstructions that may be preventing the bed's head from moving downwards. - * * replacement : * * if necessary, replace the faulty electrical components, control box, or motor. @topic:1


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care - increased risk of accidents # # # possible causes - broken power cord - faulty remote control - loose connections - mechanical failure # # # recommendations - check power cord for damage and replace if necessary - test remote control with a new battery - inspect connections for looseness and tighten if needed - contact manufacturer for support if mechanical failure is suspected @topic:1


# # # issue # # # impact the patient may not be able to call for help if they need it. # # # possible causes * the power cord is not plugged in. * the fuse is blown. * the battery is dead. * the electrical outlet is not working. * the bed alarm is not turned on. * the bed alarm is not set to the correct volume. * the bed alarm is not working properly. # # # recommendations * check the power cord and make sure it is plugged in. * check the fuse and replace it if it is blown. * replace the battery. * check the electrical outlet and make sure it is working. * turn on the bed alarm. * set the bed alarm to the correct volume. * contact a biomedical engineer to repair the bed alarm if it is not working properly. @topic:26


direct operation of a second independent display with the mp90, using standard input devices. • networked monitors can now show telemetry information for the “ own bed ” in an overview window or embedded in a screen. • overview bed information can be configured to display in the colors used at the information center ( with information center system g or higher ). • support for unit - based care group model for up to 64 beds ( with information center system g or higher ). • battery status information on the main screen now includes estimated monitoring time available during battery charging. • barcode reader support during patient admission. • direct entry to graphical trends when a limit alarm is selected in alarm review and to the event episode window when an event alarm is selected. • mp90 : screen trends can now also be viewed on the second display. trends • in graphical trends, a segment menu allows direct adjustment of trend scales, automatic scale optimization, expanded view for an individual segment. 51 2 what ’ s new? what ’ s new in release b. 1? • in graphical and horizon screen trends a cursor is available. • in the vital signs window, the values can be shown with the parameter color. events • events can be configured to be signaled as alarms ( advanced event surveillance only ). • deviation triggers can be set which trigger an event when measured values change by a defined amount over a set time ( advanced event surveillance only ). • up to six event groups can be active simultaneously ( advanced event surveillance only ). measurements • pulse pressure variation is a new derived measurement calculated from beat - to - beat arterial pressure values. • mac value calculations applications • improved drug calculator meeting jcaho requirements. • the st map application shows st changes over time in two multi - axis spider diagrams. • freeze and measure waves on the main screen. what ’ s new in release b. 1? intellivu @topic:10


# # # issue the bed's weight scale is not functioning properly. # # # impact the bed's weight scale is an important tool for monitoring the patient's weight and tracking their progress. without a functioning weight scale, the medical team may not be able to accurately assess the patient's condition or provide appropriate care. # # # possible causes * the weight scale may be malfunctioning due to a mechanical or electrical problem. * the weight scale may not be properly calibrated. * the bed may not be properly positioned on the weight scale. # # # recommendations * inspect the weight scale for any visible damage or loose connections. * calibrate the weight scale according to the manufacturer's instructions. * ensure that the bed is properly positioned on the weight scale. * if the problem persists, contact the manufacturer for further assistance. @topic:25


# # # issue - the monitor is not linking with the patient transport unit. # # # impact - the monitor cannot be used to display patient data. # # # possible causes - * * loose or damaged cable : * * the cable connecting the monitor to the patient transport unit may be loose or damaged. - * * faulty port : * * the port on the monitor or patient transport unit may be faulty. - * * software issue : * * there may be a software issue that is preventing the monitor from linking with the patient transport unit. - * * incompatible devices : * * the monitor and patient transport unit may not be compatible with each other. # # # recommendations - * * check the cable : * * inspect the cable connecting the monitor to the patient transport unit for any loose or damaged connections. replace the cable if necessary. - * * check the ports : * * inspect the ports on the monitor and patient transport unit for any damage or debris. clean the ports and ensure that they are properly connected. - * * restart the devices : * * restart both the monitor and the patient transport unit. this may resolve any software issues that are preventing them from linking. - * * update the software : * * check if there are any software updates available for the monitor or patient transport unit. install any available updates. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor or patient transport unit for further assistance. @topic:16


# # # cause of failure : unknown the provided input does not specify the cause of the failure, only the steps taken to resolve the issue. without more information, it is not possible to determine the root cause of the problem. # # # possible causes * hardware failure * software corruption * bios settings * power supply issues * environmental factors ( e. g., temperature, humidity ) # # # recommendations * gather more information about the failure, including any error messages or diagnostic codes. * check the device's hardware and connections for any damage or loose parts. * update the device's software and firmware to the latest versions. * reset the device's bios settings to the default values. * check the device's power supply and ensure that it is providing the correct voltage and amperage. * if the problem persists, contact the device manufacturer or a qualified biomedical engineer for further assistance. @topic:12


# # # issue - equipment : monitors lcd - band : beacon - model : s5583p - issue : bme ( biomedical engineer ) found that the display is distorted with horizontal lines in the case. # # # impact - the distorted display may affect the accuracy and clarity of the medical information being displayed, potentially leading to misdiagnosis or treatment errors. # # # possible causes - signal interference due to inadequate shielding of the signal cable. - the current hdmi cable is a braided type. - the cable used by the company kosin is a bnc 12g for 4k. # # # recommendations - replace the current hdmi cable with a properly shielded bnc 12g for 4k cable. - ensure that all connections are secure and free of loose or damaged wires. - test the equipment thoroughly after the cable replacement to verify proper functionality. @topic:2


# # # issue the philips suresings vs2 vital signs monitor detached from its base. # # # impact the monitor's detachment could lead to : - disruption of patient monitoring - inaccurate vital signs readings - patient safety risks # # # possible causes the most likely cause of the failure is : - * * loose screws : * * the screws that secure the monitor to its base loosened over time, allowing the monitor to detach. # # # recommendations to prevent similar failures in the future, the following recommendations are made : - * * regular maintenance : * * perform regular inspections and maintenance on all medical devices, including the philips suresings vs2 vital signs monitor. this should include checking the tightness of all screws and connections. - * * use of threadlocker : * * apply a threadlocker to the screws that secure the monitor to its base. this will help to prevent the screws from loosening over time. - * * proper handling : * * ensure that the monitor is handled carefully, avoiding any excessive force or impact that could loosen the screws. @topic:2


# # # issue - equipment : telemetric electrocardiography monitor - band : philips - model : intellivue trx - issue : no signal and alarm sound # # # impact - inability to monitor patient's electrocardiogram ( ecg ) - potential risk to patient safety # # # possible causes - * * loose or disconnected signal cable : * * the cable connecting the patient to the monitor may be loose or disconnected, resulting in no signal being transmitted. - * * faulty signal amplifier : * * the amplifier responsible for amplifying the ecg signal may be malfunctioning, causing a weak or no signal. - * * electrode malfunction : * * the electrodes attached to the patient's skin may be dirty, loose, or damaged, affecting signal quality. - * * software glitch : * * a software malfunction in the monitor may interfere with signal processing and display. # # # recommendations - * * check cable connections : * * ensure that the signal cable is securely connected to both the patient and the monitor. - * * inspect electrodes : * * clean and reposition the electrodes to ensure good contact with the patient's skin. - * * restart the monitor : * * turn off the monitor and unplug it for a few minutes. then, restart the monitor and check if the issue persists. - * * contact technical support : * * if the above steps do not resolve the issue, contact technical support for further assistance. @topic:18


# # # issue - telemetry cannot display 12 lead review # # # impact - inability to monitor and diagnose patient's cardiac activity # # # possible causes - misconnected lead telemetry wires in esi3 port # # # recommendations - reconnect the lead telemetry wires correctly in the esi3 port @topic:18


# # # issue - battery not charging # # # impact - inaccurate or intermittent monitoring of vital signs. - potential for patient harm if vital signs are not monitored accurately. # # # possible causes - loose or damaged battery connection. - defective battery. - faulty charging circuit. # # # recommendations - ensure that the battery connection is secure and free of damage. - replace the battery if it is defective. - test the charging circuit to ensure proper functionality. @topic:11


# # # issue the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is displaying incorrect values. # # # impact the incorrect values could lead to inaccurate patient monitoring and incorrect treatment decisions. # # # possible causes - sensor malfunction - faulty sensor connection - software glitch - defective co2 module # # # recommendations - clean and test the sensor again. - check the sensor connection for any damage or loose wires. - update the software to the latest version if available. - replace the co2 module if necessary. @topic:20


# # # issue - keypad on the right side is not functioning. - keypad is blinking constantly. # # # impact - patient cannot use the bed's functions. - nurse cannot adjust the bed's height or position. # # # possible causes - keypad is not connected properly. - keypad is damaged. - keypad control is not functioning. - internal wiring issue. # # # recommendations - check the keypad connection. - replace the keypad. - replace the keypad control. - contact the manufacturer for further assistance. @topic:25


maintenance options, accessing, 3 — 11 max error, 2 - 3 memory, clearing, 4 - 37 monitored temperature, theory of operation, a - 7 index - 2 suresigns vs4 service guide n navigation controls, 1 — 1 navigation wheel assembly, removing, 5 — 47 removing, 5 — 47 test, 4 - 32 theory of operation, a - 5 troubleshooting, 4 — 9 nbp accuracy performance verification test, 3 — 14 assembly, theory of operation, a — 6 filter, removing, 5 — 38 module, removing, 5 — 36 performance verification test, 3 — 14 troubleshooting, 4 — 6 nurse call contacts, theory of operation, a - 4 relay verification test, 3 — 21 troubleshooting, 4 — 10 o opening monitor, 5 - 12 operational checks, 2 - 1 o - ring, replacing, 5 — 24 p patient data, clearing all, 4 - 37 performance tests overview, 3 - 1 recommended frequency, 3 — 2 pneumatic leakage verification test, 3 — 17 power and start up sequences, 4 — 2 power cables, 6 - 6 power connector, removing, 5 — 39 power problems, troubleshooting, 4 — 4 power supply removing, 5 - 30 theory of operation, a - 5 power - on self test, 3 — 12 predictive temperature test, 3 - 18, 3 - 19 theory of operation, a - 7 printer, see recorder probe cover holder, temperature, removing, 5 — 6 r recorder installing, 5 - 16 removing, 5 - 16 testing, 4 - 31 theory of operation, a — 6 troubleshooting, 4 — 9, 4 - 10 recording test results, 3 — 3 related documents, 1 — 1 relative charge, 2 - 3 repairing monitors ac power connector, removing, 5 — 39 antenna, removing, 5 — 52 battery connector board, removing, 5 — 42 communications @topic:19


# # # issue - the bed's knee motor is not adjustable. # # # impact - the bed cannot be used to position the patient's knees. # # # possible causes - the motor is faulty. - the motor is not receiving power. - the motor is not properly connected to the bed. # # # recommendations - replace the motor. - check the power supply to the motor. - inspect the connections between the motor and the bed. @topic:9


# # # issue - lack of information on the actual cause of failure # # # impact - unable to determine the root cause of the failure, leading to potential recurring issues and reduced reliability. # # # possible causes - incomplete inspection or documentation - miscommunication between technicians and engineers # # # recommendations - conduct a thorough inspection to identify the true cause of failure. - document the findings clearly, including any observations, tests conducted, and results. - communicate the findings effectively to ensure a shared understanding of the issue. @topic:12


# # # issue - motor failure in an electric bed # # # impact - inability to adjust the bed height or position - discomfort or pain for the patient - potential safety hazard # # # possible causes - worn or damaged motor components - electrical fault - overloading of the bed - improper use or maintenance # # # recommendations - replace the motor - inspect and repair any damaged electrical components - ensure the bed is not overloaded - train staff on proper use and maintenance of the bed @topic:9


the cart, perform necessary repairs, and replace worn or damaged components to maintain optimal functionality and prevent unexpected failures. @topic:12


# # # issue - wooden bed rails are not functional. # # # impact - patient safety may be compromised due to the inability to prevent falls. # # # possible causes - wear and tear over time - improper use of the bed rails - manufacturing defects # # # recommendations - inspect the bed rails regularly for any signs of damage or wear. - train staff on the proper use of bed rails. - contact the manufacturer if any defects are suspected. - replace the bed rails if they are damaged or no longer functional. @topic:6


: * * perform regular preventive maintenance checks to identify and address potential problems early on. @topic:12


# # # issue cuff does not hold # # # impact patient's vital signs cannot be accurately monitored. # # # possible causes * cuff is not properly sized for patient. * cuff is damaged or torn. * cuff is not attached to monitor properly. # # # recommendations * verify that the cuff is the correct size for the patient. * inspect the cuff for any damage or tears. * ensure that the cuff is attached to the monitor properly. @topic:5


# # # issue the mouse for the hewlett packard m3150a physiologic central station monitor is not working. # # # impact # # # possible causes - the mouse may be defective. - the mouse cable may be damaged. - the mouse driver may be outdated or corrupted. - the mouse settings may be incorrect. - there may be a problem with the usb port. - there may be a problem with the motherboard. # # # recommendations - try a different mouse. - check the mouse cable for damage. - update or reinstall the mouse driver. - adjust the mouse settings. - try a different usb port. - contact the manufacturer for support. @topic:30


# # # issue : cuff bp deterioration # # # impact : vital signs monitoring equipment malfunction # # # possible causes : - normal wear and tear over time - improper handling or storage - exposure to excessive heat or moisture - cuff size mismatch # # # recommendations : - regular maintenance and inspection of equipment - proper handling and storage of equipment - use of appropriate cuff size - replacement of old or damaged cuffs @topic:5


# # # issue - the ekg cable failed. # # # impact - the patient's ekg readings will not be accurate. # # # possible causes - the ekg cable is old and has become brittle. - the ekg cable was damaged when it was being replaced. - there is a loose connection between the ekg cable and the monitor. # # # recommendations - replace the ekg cable with a new one. - inspect the ekg cable for any damage. - make sure that the ekg cable is properly connected to the monitor. @topic:18


# # # issue - * * equipment : * * monitor, patient transport - * * band : * * philips - * * model : * * intellivue mp5 ( m8105a ) - * * description : * * the biomedical engineer ( bme ) found that the device was unable to measure blood pressure due to a deteriorated cuff. the engineer replaced the cuff and tested the device, which then functioned normally. # # # impact - patients may not receive accurate blood pressure readings. - this could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been damaged due to overuse or improper storage. - the cuff may have been incorrectly attached to the patient. # # # recommendations - inspect the cuff regularly for signs of damage. - replace the cuff if it is damaged or worn. - ensure that the cuff is correctly attached to the patient. @topic:14


# # # issue - motor for adjusting up and down is broken. - there is no remote control. # # # impact - the bed cannot be adjusted to the desired height. - the patient may not be able to get in or out of bed easily. # # # possible causes - the motor may have burned out. - the remote control may have been lost or broken. - the wiring may be damaged. # # # recommendations - replace the motor. - replace the remote control. - inspect the wiring and repair any damage. @topic:1


# # # issue - spo2 monitor is not displaying a graph or value. # # # impact - clinicians cannot accurately monitor patient's oxygen saturation levels. - this can lead to delayed or incorrect treatment decisions. # # # possible causes - faulty reusable spo2 sensor - problem with the monitor itself - loose connection between the sensor and the monitor - software glitch # # # recommendations - replace the reusable spo2 sensor with a new one. - check the connections between the sensor and the monitor. - restart the monitor. - if the problem persists, contact the manufacturer for technical support. @topic:4


# # # issue * * defective temperature sensor * * # # # impact * * inaccurate vital signs monitoring * * # # # possible causes * * * malfunction of the temperature sensor : * * the temperature sensor may be faulty or damaged, resulting in incorrect temperature measurements. * * * loose connections : * * the temperature sensor may not be securely connected to the monitor, leading to intermittent readings or complete failure. * * * calibration issues : * * the temperature sensor may need to be recalibrated to ensure accurate measurements. # # # recommendations * * * replace the temperature sensor : * * if the sensor is faulty, it should be replaced with a new one. * * * check connections : * * ensure that all electrical connections between the temperature sensor and the monitor are secure and not loose. * * * calibrate the sensor : * * calibrate the temperature sensor according to the manufacturer's instructions to ensure accurate measurements. @topic:20


# # # issue - failed remote control # # # impact - inability to operate the electric bed # # # possible causes - * * defective remote control : * * the remote control may have a manufacturing defect or may have been damaged during use. - * * battery failure : * * if the remote control is battery - operated, the batteries may be weak or dead. - * * connection problems : * * there may be a loose connection between the remote control and the electric bed. # # # recommendations - * * replace the remote control : * * if the remote control is defective, it should be replaced with a new one. - * * check the batteries : * * if the remote control is battery - operated, check the batteries and replace them if necessary. - * * check the connections : * * ensure that the connection between the remote control and the electric bed is secure. @topic:7


# # # issue : battery failure in philips suresigns vm4 vital signs monitor # # # impact : - interruption of patient monitoring - delay in diagnosis and treatment - risk to patient safety # # # possible causes : - * * battery life exceeded : * * batteries have a finite lifespan and need to be replaced periodically. - * * battery storage : * * improper storage conditions ( e. g., extreme temperatures, high humidity ) can shorten battery life. - * * device usage : * * frequent or intensive use of the monitor can accelerate battery degradation. - * * defective battery : * * manufacturing defects or damage during installation can cause battery failure. - * * charger malfunction : * * faulty chargers may fail to properly charge or maintain battery health. # # # recommendations : - * * monitor battery life : * * track the age and usage of batteries to determine when replacement is necessary. - * * store batteries properly : * * store batteries in a cool, dry environment within recommended temperature and humidity ranges. - * * optimize device usage : * * avoid excessive or unnecessary use of the monitor, especially when battery power is low. - * * inspect batteries regularly : * * check batteries for physical damage, leakage, or corrosion. - * * use original or certified batteries : * * ensure that replacement batteries are compatible with the device and meet safety standards. - * * maintain chargers : * * regularly inspect and test chargers to ensure proper functionality. - * * train staff on battery care : * * educate personnel on proper handling, storage, and disposal of batteries. @topic:11


* * issue : * * unable to determine cause of failure from given input * * impact : * * inability to accurately diagnose and repair medical device, potentially delaying or affecting patient care * * possible causes : * * - insufficient information provided in input - lack of technical knowledge or training of the technician - misinterpretation or miscommunication of findings * * recommendations : * * - request more detailed information from the technician or perform additional tests to determine the cause of failure - ensure proper training and technical expertise of technicians - establish clear communication protocols and documentation procedures to prevent misunderstandings @topic:12


with exposed electrical components may cause electrical shock. refer servicing to qualified service personnel. leakage currents : if multiple instruments are connected to a patient, the sum of the leakage currents may exceed the limits given in iec / en 60601 - 1, iec 60601 - 1 - 1, ul 60601 - 1. consult your service radio frequency interference : the monitor generates, uses and radiates radio - frequency energy, if it is not installed and used in accordance with its accompanying documentation, may cause nd interference to radio communications. use environment warning explosion hazard : do not use in the presence of flammable anesthetics or gases, such as a flammable anesthetic mixture with air, oxygen or nitrous oxide. use of the devices in such an environment may present an explosion hazard. positioning equipment : the monitor should not be used next to or stacked with other equipment. if you must stack the monitor, check that normal operation is possible in the necessary configuration ou start monitoring patients. before efore environmental specifications : the performance specifications for the monitors, measurements and accessories apply only for use within the temperature, humidity and altitude ranges specified in " environmental specifications " on page 458. liquid ingress : if you spill liquid on the equipment, battery, or accessories, or they are accidentally immersed in liquid, contact your service personnel or philips service engineer. do not operate the equipment before it has been tested and approved for further use. prohibited environments : the monitors are not intended for use in an mri environment or in an oxygen - enriched environment ( for example, hyperbaric chambers ). 14 1 introduction alarms warning do not rely exclusively on the audible alarm system for patient monitoring. adjustment of alarm volume to a low level or off during patient monitoring may result in patient danger. remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment @topic:10


# # # issue - equipment failure due to damage to the rear storage compartment. # # # impact - compromised functionality of the medical cart, affecting its ability to store and transport medical supplies and equipment. # # # possible causes - * * external impact : * * the medical cart may have been subjected to a physical impact, such as a collision or a fall, causing the rear storage compartment to crack or break. - * * overloading : * * the storage compartment may have been overloaded, exceeding its weight capacity and leading to structural damage. - * * material defect : * * there may have been a defect in the material used to construct the rear storage compartment, making it susceptible to cracking or breakage. # # # recommendations - * * regular inspections : * * conduct regular inspections of all medical equipment, including the medical cart, to identify any potential damage or wear and tear. - * * proper handling : * * ensure that the medical cart is handled with care to avoid accidental impacts and overloading. - * * manufacturer's guidelines : * * follow the manufacturer's guidelines for proper use and maintenance of the medical cart. - * * prompt repairs : * * if any damage is identified, promptly contact a qualified biomedical engineer ( bme ) for assessment and repair to prevent further issues. - * * consider reinforcement : * * explore options for reinforcing the rear storage compartment to prevent future damage, such as adding additional support or using more durable materials. @topic:31


pump, ♦ in the setup c0 2 menu, select pump on. changing c0 2 alarms this refers to c0 2 specific alarms. see the alarms section for general alarm information. 1 in the setup c0 2 menu, select etc0 2 high or imc0 2 high and choose the high alarm limit. 2 select etc0 2 low and choose the low alarm limit. changing the apnea alarm delay this determines the time limit after which the monitor alarms if the patient stops breathing. 1 in the setup c0 2 menu, select awrr. 2 in setup awrr menu, select apnea time. 3 choose the apnea alarm delay time. warning safety and effectiveness of the respiration measurement method in the detection of apnea, particularly the apnea of prematurity and apnea of infancy, has not been established. prolonged delay : the selected apnea alarm delay may be prolonged by up to 17 seconds, if an apnea occurs during the automatic zero process. this applies to the microstream ( m3015a ) measurement only. deriving alarms from awrr 1 in the setup c0 2 menu, select awrr. 2 in the setup awrr menu, select alarms. 3 choose on to derive alarms from the airway respiration signal or off to disable them. changing awrr alarm limits 1 in the setup c0 2 menu, select awrr. 2 select high limit to set the upper alarm limit. select low limit to set the lower alarm limit. 3 select the appropriate setting. 224 15 monitoring airway flow, volume and pressure the m1014a spirometry module is designed to be used in combination with philips - branded airway flow sensors and combined c0 2 / airway flow sensors. it produces a real time wave for flow, volume and pressure of respiratory gases together with numerics for analysis of ventilatory mechanics. the measurement @topic:17


# # # issue - cuff bp failure # # # impact - inaccurate blood pressure measurements - misdiagnosis or delayed treatment - patient safety risk # # # possible causes - aging and wear and tear - overinflation or underinflation of the cuff - exposure to moisture or solvents - improper storage or handling - use of incompatible equipment or accessories # # # recommendations - regularly inspect and calibrate the equipment according to manufacturer's instructions - replace worn or damaged components as needed - handle and store the equipment properly - use compatible equipment and accessories - train staff on the proper use and maintenance of the equipment - establish a preventative maintenance program to identify and address potential issues early on @topic:3


event trigger. 1min 37549201 23 jan 02 10 : 43 ner standard : hr ( pulse ) tachy 130 > 120 spo2 44 26 event surveillance the second section ( 2 below ) shows the waveforms recorded during the episode. the trigger moment is marked with a triangle and divides the episode into the pre / post time. any calibration marks and grid marks on the screen are automatically printed on the recording. if there are four measurements in the event group being recorded, two waveforms will be recorded in eforms 2 3 r 130 bpspo2 98 % r 80 rpm * resp hig + 10sec - 5sec 6. 25 mm / sec [UNK] 8 : 51 hr 130 bpm pulse 130 bpm cvp ( -? - ) mmhg p02 98 % ii no perf 4. 9 letintervention rr 80 rpm * * tachy * * resp high * * tachy nbp equip malf wwwwwwwwwwwww esthe third section ( 3 above ) shows the most important vital signs information, including numerics, active alarms, and any annotations made on the event episode. the fourth section ( 4 above ) shows the numerics for all the currently monitored vital signs and alarm conditions or inops active at the time the event was triggered. any vent reportevent reports can be printed on a4 and letter size paper on a printer connected locally or centrally to 345 26 event surveillance event review reports the event review report documents all the events stored in the event database for a selected group. bob jones 12345678 event surveillance : review 5 stored events : combi : 4 anual 1 standard hr ( pulse } 260 [ bpm ] 180 tachy 120 brady 40 pulse ( hr ) 260 [ bpm ] 180 tachy 120 40 @topic:8


* * issue : * * the cause of failure for the monitors lcd equipment is not specified. * * impact : * * the equipment may not be functioning properly, which could lead to patient safety hazards or delays in patient care. * * possible causes : * * - the equipment may have been damaged during transportation or handling. - there may be a manufacturing defect in the equipment. - the equipment may not have been properly calibrated or maintained. - the equipment may be incompatible with other medical devices in the or. * * recommendations : * * - conduct a thorough inspection of the equipment to identify any damage or defects. - calibrate and maintain the equipment according to the manufacturer's specifications. - verify that the equipment is compatible with other medical devices in the or. - document the cause of failure and any corrective actions taken. @topic:2


# # # issue - the bed, electric, huntleigh, contoura 390 is not able to adjust. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned correctly for treatment. - the patient may be uncomfortable. # # # possible causes - the power supply to the bed may be interrupted. - the electrical controls for the bed may be malfunctioning. - the mechanical components of the bed may be damaged. - the bed may be overloaded. # # # recommendations - check the power supply to the bed and make sure that it is working properly. - inspect the electrical controls for the bed and look for any signs of damage. - inspect the mechanical components of the bed and look for any signs of damage. - make sure that the bed is not overloaded. - if the problem cannot be resolved, contact the manufacturer of the bed for assistance. @topic:1


# # # issue - battery failure in a ge healthcare dinamap pro 1000 bedside blood pressure monitor. # # # impact - the monitor may not be able to accurately measure blood pressure, which could lead to incorrect treatment decisions. # # # possible causes - battery degradation over time. - battery damage due to mishandling or improper storage. # # # recommendations - regularly inspect and replace batteries according to the manufacturer's recommendations. - train staff on proper handling and storage of batteries. - consider using rechargeable batteries to reduce the frequency of battery replacements. - implement a battery maintenance program to monitor battery health and replace them before they fail. @topic:11


# # issue - scanner is not working. # # impact - the medical cart cannot be used to scan patients or medical records. # # possible causes - scanner is not properly connected to the medical cart. - scanner is not receiving power. - scanner is not properly configured. - scanner is faulty. # # recommendations - check that the scanner is properly connected to the medical cart. - check that the scanner is receiving power. - check that the scanner is properly configured. - if the scanner is still not working, contact the manufacturer for assistance. @topic:23


set the episode pre / post time. 3 set the event trigger for each measurement. select each trigger name and select, if available, either an alarm trigger, or a user - defined trigger from the pop - up trigger list. if you select a user - defined trigger, set the required threshold level and delay time. 4 set the trigger status to activated to start event triggering. if the status is deactivated event surveillance is effectively switched off. 5 select confirm to confirm your changes. 296 event triggers 24 event surveillance setting triggers and notification for advanced event surveillance 1 select the group name to enter the event setup < group name > window. 2 set the trigger status to activated, to have this event group trigger events, or deactivated. 3 set the episode type. select the name of the current episode type and select an episode type from list. the pre / post episode time for the selected episode type is displayed. 4 set the trigger for each measurement. select each trigger name and select either an alarm trigger or a user - defined trigger from the pop - up trigger list. if you select a user - defined trigger, set the required threshold level and delay time. if a deviation trigger is configured, set the deviation and duration. 5 select confirm to confirm your changes. triggering events manually ♦ to manually trigger an event, select the smartkey manual event and ( for advanced event surveillance ) select the group in which the event will be triggered. for manually - triggered events, patient information for the time leading up to the trigger moment is stored using the settings of the assigned event group. running a car seat assessment record in the ner group you can run a car seat assessment record ( car ). this is a special period of event surveillance using the current setup of the ner group. to start a car period : 1 select the start car pop - up key or smartkey. 2 select the required time period @topic:8


# # # issue the legs of the electric bed are difficult to insert into the designated slots, requiring excessive force from the user. # # # impact this issue can hinder the proper use of the bed, potentially causing delays in patient care or discomfort for the patient. # # # possible causes * * * misalignment of the legs : * * the legs may not be properly aligned with the slots, making it difficult to insert them. * * * bent or deformed legs : * * the legs may have become bent or deformed, which could obstruct their insertion. * * * obstructions in the slots : * * obstructions, such as dirt or debris, may be present in the slots, preventing the legs from being inserted smoothly. * * * tight or misaligned bolts : * * the bolts connecting the legs to the bed frame may be too tight or misaligned, causing the legs to bind during insertion. # # # recommendations * * * inspect and align the legs : * * ensure that the legs are properly aligned with the slots and that they are not bent or deformed. * * * clean the slots : * * remove any obstructions or debris from the slots to ensure smooth insertion of the legs. * * * adjust bolt tightness : * * check the tightness of the bolts connecting the legs to the bed frame and adjust them as necessary to prevent binding during insertion. * * * lubricate the legs : * * apply a small amount of lubricant to the legs to facilitate their insertion into the slots. * * * consult the manufacturer's instructions : * * refer to the manufacturer's instructions for specific guidance on inserting the legs and troubleshooting any issues encountered. @topic:1


# # # issue - the welch allyn connex spot monitor is not displaying a functional button for measuring blood pressure on the screen. - the device intermittently shuts off. # # # impact - inability to accurately measure blood pressure. - interruptions to patient monitoring and care. # # # possible causes - malfunctioning display screen - software error - hardware issue with the blood pressure measurement module - loose or damaged cables or connections # # # recommendations * * 1. troubleshooting : * * - check the display screen for any visible damage or loose connections. - restart the device to clear any software errors. - inspect the blood pressure measurement module for any signs of damage or loose components. - ensure that all cables and connections are secure. * * 2. firmware update : * * - check if there is a firmware update available for the device. installing the latest firmware can resolve software - related issues. * * 3. contact manufacturer : * * - if the issue persists after troubleshooting, contact the manufacturer ( welch allyn ) for further assistance. they may provide additional diagnostic tools or repair options. * * 4. calibrate the device : * * - once the issue has been resolved, calibrate the blood pressure measurement module according to the manufacturer's instructions to ensure accurate readings. * * 5. preventive maintenance : * * - implement a regular preventive maintenance schedule to inspect and service the device to prevent future failures. @topic:15


# # # issue * cuff bp leak # # # impact * inaccurate blood pressure readings * patient discomfort # # # possible causes * cuff damage * cuff connector leak * air leak in the tubing # # # recommendations * replace the cuff * inspect and tighten the cuff connector * check the tubing for leaks and replace if necessary * calibrate the monitor according to the manufacturer's instructions @topic:3


# # # issue - bp not releasing air # # # impact - incorrect blood pressure measurements # # # possible causes - cuff leak - faulty air release valve - kinked air hose - obstruction in the air pathway # # # recommendations - check cuff for leaks and replace if necessary - inspect air release valve and replace if faulty - check air hose for kinks or obstructions and clear any blockages - ensure air pathway is clear and not obstructed by any objects or debris @topic:3


# # # issue - oximeter readings are lower than 90 % o2 sat. # # # impact - may lead to inaccurate readings and delayed or incorrect treatment decisions. # # # possible causes - bad probe oximeter. # # # recommendations - replace the oximeter probe. - test the oximeter to ensure it is working properly. - calibrate the oximeter if necessary. @topic:4


inflates the expansion chamber and displays the following message : starting nbp calibration... 3 wait until the following message appears : ready for calibration pressure point... 4 select the set pressure value field. 5 scroll through the list until the value matches the value displayed on the manometer and select it to confirm the change. 6 select cal point to save the calibration point. 7 wait until the following message appears : nbp calibration successful. if the test fails, select the stop button to stop the test. 8 select the return button to exit the test. performance verification testing suresigns vs2 * and vsi service guide 3 - 15 temperature test to verify calibration, check the accuracy of the nbp. see “ nbp accuracy ” on page 3 - 14. if you do not get the expected results after several attempts, see “ nbp problems ” on page 4 - 8. pneumatic leakage test to check the pneumatic system and valve : step 1 in the nbp test menu, select the start static pressure test button. 2 squeeze the manometer pump to apply a pressure of 280 mmhg. wait 10 seconds for the pressure to stabilize. note the pressure value in the nbp test menu. note — philips employees record this value as p1. wait 60 seconds for the pressure to stabilize. note the pressure value in the nbp test menu. note — philips employees record this value as p2. calculate and document the leakage test value. the expected leakage test value is < 6 mmhg. note — philips employees record this value as x3 ( where x3 = p1 - p2 ). select the stop static pressure test button to stop the process. if the leakage test value exceeds 6 mmhg, check the test setup cuff and tubing @topic:17


# # # issue - remote control malfunction # # # impact - inability to operate the bed's electrical functions, such as adjusting the height, backrest, and footrest. # # # possible causes - * * remote control damage : * * physical damage to the remote control, such as a cracked case or loose buttons, can cause it to malfunction. - * * electrical issues : * * faulty wiring or a loose connection between the remote control and the bed can disrupt communication and prevent the bed from responding to commands. - * * battery problems : * * depleted or malfunctioning batteries in the remote control can prevent it from powering up and communicating with the bed. - * * software glitches : * * software errors or bugs within the remote control's firmware can cause it to malfunction or freeze. # # # recommendations - * * inspect the remote control : * * check for any physical damage, loose buttons, or corroded terminals. if any damage is found, replace the remote control. - * * verify electrical connections : * * ensure that the cables connecting the remote control to the bed are securely plugged in and free from damage. if necessary, tighten loose connections or replace damaged cables. - * * replace batteries : * * if the remote control uses batteries, replace them with fresh alkaline batteries. ensure proper polarity when inserting the batteries. - * * consider a software update : * * if the remote control has available firmware updates, install them to address potential software bugs or glitches. - * * contact the manufacturer : * * if the issue persists, consult the manufacturer of the bed or remote control for further troubleshooting and repair options. @topic:7


replaceable units welch [UNK] connex® spot monitor 90 note welch allyn may limit availability of certain parts to authorized service personnel only. these limitations are required to maintain product safety, or maintain current regulations. after the end of manufacturing ( eom ) date, repair and service parts will be provided for 5 years or until parts are no longer available. the expected service life, per iec60601 - 1 3rd edition sub - clause 4. 4, is defined as period of 5 years. 3 4 18 ( 19a 19b ) ( 20 ( 21 ) 2426 service manual field replaceable units 91 device serial number and model label the model number and serial number can be found on a label on the back housing. serial number and format code mmmxxxxwwserial number mmmm xxxx week of manufacture ww year of manufacture yy about 4th edition service kits the table describes the components of the device and apm and the associated service kits for replaceable parts for devices manufactured per iec60601 - 1 4th edition from 2019 and later. to determine which year your device was manufactured in, refer to the serial number. the year of manufacture is listed as the last two digits of the serial number. future revisions of a part might not always be backwards compatible with a legacy part. list of 4th edition service kits to determine the correct replacement part for your unit, always provide the serial number and model when ordering. escription service kit number material number 105945 srv kit csm, battery door 1 srv kit 2 cell lithium - ion battery batt22 2 srv kit csm, back housing * 3 105923 srv kit csm, end cap 105939 4 srv kit csm, speaker 5 105942 srv kit csm, nibp pump assembly 105920 6 srv kit csm, nonin spo2 @topic:19


# # # issue - the bed's safety bar ( wood block ) falls off on its own. # # # impact - the patient could fall out of bed and get injured. # # # possible causes - the lock for the safety bar is malfunctioning. - the safety bar is not properly installed. - the safety bar is made of a defective material. # # # recommendations - the technician should replace the lock for the safety bar. - the technician should ensure that the safety bar is properly installed. - the technician should inspect the safety bar for any defects. - if the safety bar is made of a defective material, the technician should replace it with a new one. @topic:6


placed on the bed does not exceed its specified capacity. - * * preventive maintenance : * * regularly perform preventive maintenance on the bed, including lubrication, cleaning, and periodic inspections, to minimize the risk of future failures. @topic:9


# # # issue : - malfunctioning control box # # # impact : - the electric bed is rendered inoperable, hindering patient care and comfort. # # # possible causes : - electrical component failure - loose connections - damage to the control box housing # # # recommendations : - replace the damaged control box with a new one. - inspect the wiring and connections for any loose or damaged components. - ensure proper handling and storage of the equipment to prevent further damage. @topic:9


# # # issue - equipment : bedside physiologic monitor - band : philips - model : intellivue mp70 ( m8007a ) - description : device fails to power on in icu 5, room 7 # # # impact - inability to monitor patient's physiologic parameters, potentially compromising patient care # # # possible causes - power supply issues - internal hardware failure - software malfunction - user error # # # recommendations 1. verify power supply by checking the power cord, wall outlet, and any surge protectors. ensure that the device is properly plugged into a grounded outlet. 2. inspect the device for any visible damage or loose connections. check the battery and make sure it is properly seated. 3. reset the device by unplugging it from the power source, waiting a few minutes, and then plugging it back in. 4. contact the manufacturer's technical support for further troubleshooting and repair options. 5. document the issue, including the date, time, and any troubleshooting steps taken. 6. notify the appropriate medical staff and supervisor about the device failure. 7. arrange for a replacement or loaner device if necessary to ensure continuity of patient care. @topic:2


# # # issue - the nibp monitor is displaying an error message and is not providing accurate blood pressure readings. # # # impact - patients may not be receiving accurate blood pressure readings, which could lead to incorrect treatment decisions. # # # possible causes - the cuff or tubing may be damaged or leaking. - the sensor may be malfunctioning. - the monitor may not be properly calibrated. - there may be a software issue with the monitor. # # # recommendations - inspect the cuff and tubing for any damage or leaks. replace if necessary. - clean the sensor with a soft cloth. - calibrate the monitor according to the manufacturer's instructions. - contact the manufacturer for software updates or to troubleshoot the issue further. @topic:15


##rhythmia, st and qt monitoring because of the different algorithm approaches, a qt / qtc measurement from a diagnostic 12 - lead asurement on the monitor. where can i find more information? see the application note on qt / qtc interval monitoring and the qt interval monitoring quick guide supplied on your documentation dvd for detailed information on the qt algorithm and performance. indications for use of qt interval monitoring of special concern for qt monitoring is the administration of qt prolonging drugs to patients identified with risk factors for torsade de pointe. females, older patients and patients with bradycardia, impaired left ventricular function ( ischemia, left ventricular hypertrophy ), hypokalemia and hypomagnesemia are in this increased risk category. limitations for use of qt interval monitoring some conditions may make it difficult to achieve reliable qt monitoring, for example : the t - wave is very flat • t - waves are not well defined due to atrial flutter or atrial fibrillation • the end of the t - wave is difficult to define because of the presence of u - waves • a high heart rate causes the p - wave to encroach on the end of the previous t - wave •. for these cases you should select a lead with a good t - wave amplitude and no visible flutter activity, and without a predominant u - wave or p - wave. some conditions such as left or right bundle branch block or hypertrophy can lead to a widened qrs complex. if a long qtc is observed you should verify it to ensure that it is not caused by qrs widening. because normal beats followed by ventricular beats are not included in the analysis, no qt measurement will be generated in the presence of a bigeminy rhythm. if the heart rate is extremely high ( @topic:8


# # # issue bedside physiological monitor did not display blood pressure ( bp ) readings. # # # impact inability to monitor bp, which is a critical parameter for patient assessment and care. # # # possible causes - * * bp cuff defect : * * malfunction of the cuff, tubing, or connectors. - * * calibration issue : * * monitor's bp sensor may require calibration. - * * software glitch : * * a software error or bug in the monitor's operating system. - * * interface problem : * * loose or damaged connection between the monitor and the bp cuff. # # # recommendations - * * inspect bp cuff and tubing : * * verify that the cuff is not torn, frayed, or leaking. replace if necessary. - * * calibrate monitor : * * perform routine calibration according to manufacturer's instructions. - * * check software : * * ensure that the monitor's firmware is up to date and there are no reported software issues. - * * examine interface : * * inspect the cable and connectors for any damage or loose connections. tighten or replace if needed. - * * consider other causes : * * check if there are any obstructions in the tubing or if the patient has a non - compliant bp waveform. @topic:15