# # # issue : bed adjusting itself unexpectedly # # # impact : patient safety hazard, potential for injury or discomfort # # # possible causes : - * * malfunctioning control unit : * * the control unit responsible for adjusting the bed may be faulty, causing it to malfunction. - * * faulty wiring : * * loose or damaged wiring can create electrical shorts or interfere with the proper functioning of the bed's control system. - * * software glitch : * * if the bed is equipped with software, a bug or glitch in the code could cause it to malfunction. - * * faulty sensors : * * sensors that detect the bed's position may be malfunctioning, providing incorrect information to the control unit. # # # recommendations : - * * inspect the control unit : * * examine the control unit for any visible damage, loose connections, or other signs of malfunction. - * * check the wiring : * * inspect the wiring for any loose connections, damage, or corrosion. - * * update software : * * if the bed has software, ensure it is up to date with the latest version. - * * test the sensors : * * use diagnostic tools to test the sensors and ensure they are providing accurate information to the control unit. - * * replace faulty components : * * if any faulty components are identified, replace them with genuine parts to restore proper functionality. @topic:1


“ removing the communications board ” on page 5 - 31. troubleshooting suresigns vs2 * and vsi service guide 4 - 11 error codes error codes alarm silence key when the monitor detects an error condition ( depending on the type of error ) an error message appears on the screen or an error code is written to the error log. an error code is an indication that the monitor has detected an error in operation and service might be required. an error code is a hexadecimal number that indicates the nature of the error. if an error occurs during monitoring, an audible alarm also sounds. press the alarm silence key to end the audible alarm. the following table lists the error codes that correspond to monitor malfunctions and actions to take when the error occurs. these errors are written to the error log. to access the error code log, see “ viewing, exporting, and printing ( vs2 * monitor only ) the error log ” on page 4 - 36. code error message possible cause action 23 system error battery charger power failure. if the problem persists, replace the battery. see “ removing the battery ” on page 5 - 3. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. if the problem persists, replace the ac power supply module. see “ removing the power supply ” on page 5 - 17. system error battery is overcharged. run the monitor without ac power. if the problem persists, replace the battery. see “ to remove the battery : ” on page 5 - 3. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 264 temp value system error battery over temperature. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem @topic:22


# # # issue the provided input indicates that the electric bed is not adjustable. # # # impact # # # possible causes - * * hydraulic system failure : * * this can occur due to leaks, blockages, or faulty components in the hydraulic system. - * * electrical system failure : * * issues with wiring, switches, or control circuits can prevent the bed from responding to adjustment controls. - * * mechanical failure : * * worn gears, broken springs, or other mechanical components can cause the bed to malfunction. # # # recommendations - * * inspect the hydraulic system : * * check for leaks, blockages, or faulty components. repair or replace as necessary. - * * examine the electrical system : * * inspect wiring, switches, and control circuits for damage or loose connections. - * * inspect the mechanical components : * * look for worn gears, broken springs, or other mechanical issues. - * * lubricate moving parts : * * ensure that all moving components are properly lubricated to reduce friction and wear. - * * consult the manufacturer's guidelines : * * refer to the user manual or service documentation for specific maintenance and troubleshooting instructions. @topic:1


# # # issue - cuff damage # # # impact - inaccurate blood pressure measurements - patient discomfort # # # possible causes - normal wear and tear - improper storage or handling - manufacturing defect # # # recommendations - regularly inspect cuffs for damage - store cuffs properly in a cool, dry place - replace cuffs when they show signs of wear or damage - calibrate the monitor after replacing the cuff @topic:3


##od low c. o. the blood temperature value has fallen below the low alarm limit. numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone. * * tcp0 2 high / * * tcpc0 2 high tcgas the tcp02 or tcpc02 value has exceeded the high alarm limit. numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone. * * tcp0 2 low / * * tcpc0 2 low tcgas the tcp0 2 or tcpc0 2 value has fallen below the low alarm limit. numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone. 75 4 patient alarms and inops patient alarm messages alarm message from condition indication ★ / * * / * * * tele alarm telemetry this is a generic alarm from the telemetry system. the specific alarm cause is indicated in the alarm message in the telemetry data window. yellow or red alarm lamp and alarm tone * * < temperature label > high temp the temperature has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * < temperature label > low temp the temperature has fallen below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * / * * vent bigeminy ecg / arrhythmia a dominant rhythm of n, v, n, v ( n = supraventricular beat, v = ventricular beat ) was detected. numeric flashes, yellow alarm lamp, short yellow audible alarm. * * * vent fib / tach ecg a fibrillatory waveform for 4 consecutive seconds was detected. numeric flashes, red alarm lamp, alarm tone. * / * * vent rhythm ecg / arrh @topic:8


# # # issue : equipment not turning on ( opening no power ) # # # impact : - inaccurate or unavailable patient monitoring data - delay in patient care - increased workload for healthcare professionals - potential safety hazards # # # possible causes : * * 1. power supply failure * * - faulty power cord or outlet - loose connections between the power cord and the device - internal power supply malfunction * * 2. battery failure * * - depleted battery - faulty battery connection - battery charging issues * * 3. circuit board failure * * - damaged or loose components on the circuit board - power surge or electrical fault - manufacturing defect * * 4. software issue * * - corrupted software - firmware update failure - virus or malware infection # # # recommendations : * * 1. check power supply * * - inspect the power cord and outlet for any damage or loose connections. - ensure the power cord is securely plugged into the device and the outlet. - if possible, try using a different power outlet. * * 2. check battery * * - verify if the battery is properly installed and connected. - charge the battery fully if it is depleted. - replace the battery if it is faulty or not holding a charge. * * 3. inspect circuit board * * - contact a qualified biomedical engineer or manufacturer for further diagnostics and repair. - they can inspect the circuit board for any loose or damaged components, power surges, or manufacturing defects. * * 4. troubleshoot software issues * * - restart the device to clear any temporary software glitches. - check for any firmware updates available and apply them as needed. - if the software issue persists, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:11


# # # issue - scanner malfunction # # # impact - inability to use the medical cart # # # possible causes - moisture accumulation on the scanner board # # # recommendations - clean and dry the scanner board to remove moisture. - inspect the scanner for any other damage or defects. - if the issue persists, replace the scanner. @topic:23


# # # issue the bed cannot be adjusted. # # # impact the patient may not be able to get into or out of bed, and the bed may not be able to be positioned for proper care. # # # possible causes - the bed is not properly plugged in. - the bed's remote control is not working. - the bed's motor is not working. - the bed's frame is damaged. # # # recommendations 1. check that the bed is properly plugged in. 2. try using a different remote control. 3. if the motor is not working, try resetting it by turning the bed off and then back on. 4. if the bed's frame is damaged, contact the manufacturer for repairs. @topic:1


careassist® and careassist® es bed service manual ( man330 rev 4 ) model identification chapter 1 : introduction model identification table 1 - 10. model identification model number description p1170a the careassist® bed p1170b the careassist® bed, scale added p1170c the careassist® bed, 3 - mode bed exit alarm system p1170d the careassist® es bed, 500 lb ( 227 kg ) safe working load p1170e the careassist® es bed, 500 lb ( 227 kg ) safe working load and scale display range p1170f the careassist® bed, safeview™ alerts and navicare® patient safety module options careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 9 safety tips chapter 1 : introduction safety tips warning : only facility - authorized personnel should service the careassist® and careassist® es bed. servicing performed by unauthorized personnel could cause personal injury or equipment damage. warning : obey all applicable infection control policies and procedures. failure to do so could cause the spread of infection warning : failure to wear protective gloves may cause injury. warning : failure to wear eye protection may cause eye injury. warning : do not work under an unsupported load. install applicable temporary supports. failure to do so could cause personal injury or equipment damage. shock hazard : failure to disconnect the unit from its power source could cause injury or equipment damage. shock hazard : do not expose the unit to excessive moisture. personal injury or equipment damage could occur. caution : do not use harsh cleaners, solvents, or detergents. equipment damage could occur. page 1 - 10 careassist® and careassist® es bed service manual ( man330 rev 4 ) safety tips chapter 1 : introduction @topic:9


# # # issue - broken plastic component of the bed # # # impact - reduced functionality of the bed - potential safety hazard for patients and staff # # # possible causes - * * defective or weak plastic material : * * the plastic component may have been improperly manufactured or may have become brittle over time. - * * excessive force or impact : * * the plastic component may have been subjected to excessive force or impact, causing it to break. - * * improper assembly or maintenance : * * the plastic component may not have been properly assembled or maintained, leading to its failure. # # # recommendations - * * inspect plastic components regularly : * * regularly inspect plastic components for signs of wear and tear or defects. - * * handle the bed carefully : * * avoid applying excessive force or impact to the bed. - * * follow assembly and maintenance instructions : * * ensure that the bed is assembled and maintained according to the manufacturer's instructions. - * * use appropriate cleaning agents : * * avoid using abrasive or corrosive cleaning agents on plastic components. - * * replace defective components : * * if a plastic component is found to be defective, it should be replaced promptly. @topic:6


# # # issue - cuff failure on philips intellivue mp5 ( m8105a ) monitor, patient transport # # # impact - inability to take patient's blood pressure # # # possible causes - cuff is damaged or worn out - cuff is not properly attached to the device - device is not properly calibrated # # # recommendations - replace the cuff - ensure that the cuff is properly attached to the device - calibrate the device @topic:14


# # # issue : missing bolt on hospital bed headboards # # # impact : safety and mobility of patients and equipment # # # possible causes : * inadequate maintenance and inspection procedures. * high patient turnover and frequent bed adjustments. * corrosion or damage to bolts due to cleaning or disinfection agents. * improper assembly or reassembly of beds. # # # recommendations : * establish regular and thorough inspection schedules for all hospital beds. * enhance maintenance training for technicians to ensure proper assembly and repair techniques. * use anti - corrosive bolts or coatings to reduce the risk of damage. * provide clear instructions for bed assembly and handling to prevent improper use. * encourage proper cleaning and disinfection procedures to minimize damage to bolts. * consider using alternative bed designs or materials that reduce the risk of bolt failure. * implement a system for tracking and replacing missing or damaged bolts promptly. @topic:6


# # # issue * electric bed rail does not lock # # # impact * patient safety hazard * inconvenience for patient and staff # # # possible causes * mechanical failure of the locking mechanism * electrical fault in the control system # # # recommendations 1. * * inspect the locking mechanism. * * check for any visible damage or wear and tear. 2. * * test the electrical system. * * use a multimeter to measure the voltage and continuity of the circuit. 3. * * lubricate the locking mechanism. * * apply a small amount of lubricant to the moving parts of the mechanism. 4. * * if the problem persists, contact the manufacturer for further assistance. * * @topic:6


# # # issue * * - equipment unable to adjust up or down. # # # impact - patient discomfort. - inability to use bed for intended purpose. # # # possible causes - motor failure. - power supply issue. - control panel malfunction. - obstruction in the bed frame or mattress. # # # recommendations - inspect the equipment for any visible damage or obstructions. - check the power supply to ensure it is properly connected and receiving power. - test the control panel to determine if it is functioning properly. - if the issue persists, contact a qualified technician for further diagnosis and repair. @topic:1


# # # issue : scanner failure in medical cart ( bdms 01 ) # # # impact : compromised functionality # # # possible causes : - defective scanner component : the scanner itself may be faulty, resulting in its inability to function properly. - connection issues : loose or damaged connections between the scanner and the medical cart can disrupt its functionality. - software malfunction : software problems within the medical cart or the scanner's interface can lead to scanner failure. - power supply issues : inadequate or unstable power supply to the medical cart can affect the operation of the scanner. - physical damage : accidental damage or impact to the scanner or its components can cause functional problems. # # # recommendations : - * * inspect the scanner : * * visually examine the scanner for any obvious damage or defects. - * * check connections : * * ensure that all cables and connectors between the scanner and the medical cart are secure and undamaged. - * * update software : * * verify if any software updates are available for the medical cart or the scanner's interface and install them if necessary. - * * troubleshoot power supply : * * check the power source and ensure that the medical cart is receiving adequate and stable power. - * * consider repair or replacement : * * if the issue persists, it may be necessary to repair or replace the scanner or other affected components. @topic:23


# # # issue - the bed, electric, hill - rom, 900b is not adjusting. # # # impact - the patient may not be able to be positioned properly for care. # # # possible causes - the remote control may not be working properly. - the bed may not be properly plugged in. - the bed may have a mechanical issue. # # # recommendations - reset the remote control. - ensure that the bed is properly plugged in. - inspect the bed for any mechanical issues. * * additional information * * - the bme ( biomedical engineer ) was able to reset the remote control and the bed is now working properly. - the cause of the failure is likely due to a loose connection between the remote control and the bed. @topic:1


# # # issue the electric bed, care assist es, is not able to adjust its position. # # # impact patients may not be able to get into or out of bed safely or comfortably. the bed may not be able to be positioned properly for medical procedures. # # # possible causes - the bed's power cord is not plugged in. - the bed's control panel is not functioning properly. - the bed's motors are not working properly. - the bed's frame is damaged. - the bed's hydraulic system is not functioning properly. - the bed's lock is engaged. # # # recommendations - check the bed's power cord to make sure it is plugged in. - check the bed's control panel to make sure it is functioning properly. - check the bed's motors to make sure they are working properly. - check the bed's frame for damage. - check the bed's hydraulic system to make sure it is functioning properly. - check the bed's lock to make sure it is disengaged. @topic:9


for c. o. may not be accurate. irregular curve any combination of curve alert messages. delayed injection injection is given more than 15 seconds after start c. o. is selected. calculated value for c. o. may not be accurate. if you have followed all of these guidelines, your measurement values should be valid, even if you still see a curve alert message. ensure that at least three subsequent measurements within the current series do no differ by more than 15 %. if the difference exceeds 15 %, use your clinical judgement to determine the appropriate intervention. c. o. / cco prompt messages prompt messages appear in the c. o. procedure window if a c. o. measurement trial must be terminated. c. o. / cco prompt messages possible causes curve below baseline, measurement terminated may be caused by thermal baseline drift. no c. o. value calculated. excessive curve height, measurement terminated the curve exceeds the upper limit. this may be caused by an injectate that was too cold. no c. o. value calculated. unstable baseline, injection not recommended the baseline is unstable. wait until the baseline is stable before injecting. if this does not occur within a reasonable time, injection is possible but the accuracy of the measured values may be reduced. excessive baseline drift, don't inject now no measurement is possible. measured values are incorrect. 211 13 monitoring cardiac output c. o. / cco warning messages c. o. / cco warning messages warning messages contain important information about the c. o. measurement. c. o. / cco warning messages possible causes next measurement erases older curve six curves are stored, this is the maximum possible. if another measurement is stored, the oldest thermodilution curve will be erased. previous c. o. setup data replaced a c. o. module or measurement extension module has been plugged in with @topic:17


# # # issue - the bed, electric is not functioning properly. # # # impact - the patient cannot be moved or positioned properly. - the healthcare provider cannot perform the necessary procedures. # # # possible causes - the equipment is not properly plugged in. - the power cord is damaged. - the battery is not charged. - the control panel is not functioning properly. - the motor is not working. # # # recommendations - check the power cord and make sure it is properly plugged in. - check the battery and make sure it is charged. - check the control panel and make sure it is functioning properly. - check the motor and make sure it is working. - if the problem cannot be resolved, replace the equipment. @topic:9


# # # issue - broken vga cable sheath # # # impact - possible electrical hazard to patients and staff - intermittent or unreliable display of patient data # # # possible causes - physical damage to the cable, such as bending or crushing - wear and tear over time - improper handling or storage # # # recommendations - inspect the cable regularly for damage and replace it if necessary. - handle and store the cable with care to prevent damage. - use a cable management system to keep the cable organized and protected. - consult with the manufacturer or a qualified technician for proper installation and maintenance of the cable. @topic:2


create third party ad cs certificate authority certificates third party certificates ( ad server & ca root ) need to be requested from the third party certificate authority with the required active directory server information. ad cs certificates ( ad server & ca root ) are auto - generated during the ac cs role installation and configuration on the ad server. no specific process is required after the installation and configuration of the ad cs role on the ad server to generate these certificates. 240 connex direct welch [UNK] connex® spot monitor hl7 ( direct emr connection ) setup access the advanced settings. 1. touch the settings tab. a. b. touch the advanced tab. c. he general tab appearstouch the network tab. 2. touch the server tab. 3. select host ip from the drop - down list of the network connectivity method. 4. 5. select the direct emr connection radio button in the server connectivity panel. advanced settings. server connectivity network connectivity method ost ip adio welch allyn host security data encryption direct emr connection server server authentication host address bluetooth® 172. 21. 5. 38 evice ihost port test network connection 6201 active directory parameters service general network xiselect data encryption to turn the security on or off in the network connectivity method panel. 6. if data encryption is enabled, then server authentication can be turned on or off. data encryption is intended to keep data secure while the data is transferred over a network. note check or uncheck data encryption per the intended secure ure connection. select server authentication to turn the server authentication on or off in the network 7. note server authentication is the process of confirming the identity of the emr server by receiving a server certificate from the server and checking it against the installed ca root certificates on if checked, confirm that ca root certificate is loaded on the device and that the server certificate is loaded on the emr @topic:18


# # # issue : cuff adhesion failure # # # impact : compromised patient monitoring quality, discomfort # # # possible causes : - * * natural wear and tear : * * cuff material wears out over time, losing its adhesive properties. - * * improper cleaning or disinfection : * * harsh chemicals or methods can damage the cuff. - * * patient factors : * * skin conditions or excessive movement can weaken the cuff's adhesion. - * * environmental factors : * * heat, humidity, or direct sunlight can deteriorate the cuff's material. - * * equipment malfunction : * * a malfunctioning device may not inflate the cuff properly, causing it to lose adhesion. # # # recommendations : - * * regular inspection and maintenance : * * inspect cuffs periodically and replace them when necessary. - * * proper cleaning and disinfection : * * follow manufacturer's instructions for cleaning and disinfection to preserve cuff integrity. - * * patient education : * * inform patients about proper cuff application and usage to minimize damage. - * * environmental optimization : * * control temperature, humidity, and exposure to sunlight to extend cuff life. - * * equipment troubleshooting : * * ensure devices are functioning properly and not contributing to cuff failure. @topic:5


# # # issue - inability to adjust the bed's feet up and down. # # # impact - the patient may be unable to get into or out of the bed safely or comfortably. - the patient may be unable to reach items or objects on the floor or bedside table. # # # possible causes - the comtorl camera is faulty. - the comtorl camera is not properly connected. - the bed's motor is not functioning properly. - the bed's wiring is damaged. # # # recommendations - replace the comtorl camera. - check the comtorl camera's connections. - inspect the bed's motor for any damage or wear. - check the bed's wiring for any damage or loose connections. @topic:1


# # # issue - equipment failure due to worn - out components. # # # impact - interruption of patient care - delays in diagnosis and treatment - increased risk of patient harm - loss of revenue for the hospital # # # possible causes - normal wear and tear - lack of proper maintenance - improper use - design defects # # # recommendations - regular preventive maintenance checks - proper training for users - use of high - quality components - monitoring of device usage - adherence to manufacturer's guidelines - immediate reporting of any issues with the equipment @topic:12


# # # issue - * * monitor not taking blood pressure * * # # # impact - * * inability to monitor patient's blood pressure accurately * * # # # possible causes - * * connector not properly connected * * # # # recommendations - * * securely connect the connector * * @topic:15


# # # issue - cuff failure in propaq lt bedside physiologic monitor. # # # impact - the monitor cannot display accurate blood pressure readings. # # # possible causes - age and wear of the cuff material - improper handling or storage of the cuff - exposure to extreme temperatures or humidity - physical damage to the cuff # # # recommendations - replace the cuff with a new one. - follow manufacturer's instructions for proper handling and storage of the cuff. - avoid exposing the cuff to extreme temperatures or humidity. - inspect the cuff regularly for any signs of damage and replace it if necessary. @topic:3


entanglement or potential strangulation. flexible module rack ( m8048a ) mp60 / 70 / 80 the flexible module rack ( fms ) lets you use up to eight plug - in physiological measurement modules. 90 on | y with the mp60 / 70 / 80 you can connect only one fms. with the mp90 ( m8010a ) you can connect two fmss to use up to 10 measurement modules. for individual modules, the maximum that can be used simultaneously in an fms is : five pressure modules, four temperature modules, four vuelink or intellibridge modules ( any combination ). connect the fms to the monitor via the measurement link cable ( msl ). use the msl connector on the left - hand side to connect an additional mms. use the connector on the right to connect to the monitor. 1 xi multi - measurement module 2 multi - measurement module mount 3 flexible module rack 4 power on led 5 interruption indicator 9 1 basic operation devices for acquiring measurements measurement modules you can use up to eight measurement modules with the flexible module rack ( m8048a ), two additional modules in the integrated module slots in the mp60 / mp70, and up to four in the integrated slots in the mp40 / mp50. available modules are : • invasive blood pressure ( m1006b ) • temperature ( m1029a ) • oxygen saturation of arterial blood ( sp0 2 ) ( m1020b ) • cardiac output ( m1012a ), and continuous cardiac output with m1012a option # c10 • transcutaneous gas ( m1018a ) • mixed venous oxygen saturation - sv0 2 ( ml021 a ) • intravascular oxygen saturation - scv0 2 or sv0 2 ( m1011a ) • recorder ( m1116b ) • vuelin @topic:10


m8023a external power supply ( for m3002a ) performance specifications power specifications power consumption < 12 w average < 30 w peak line voltage 100 to 240 v - current 1. 3 to 0. 7 a frequency 50 / 60 hz - indicators power green led mms m3001a performance specifications trends trend data buffered memory if powered by monitor mains connection via msl : infinite without power applied : at least 6 hours contents trend data, patient identification and all active settings d80 intelligent display performance specifications power specifications power consumption < 145 w line voltage 100 to 240 v - current 1. 6 to 0. 7 a frequency 50 / 60 hz - docking station m8043a performance specifications power line voltage 100 - 240 v frequency 50 / 60 hz power consumption negligible ( for power on led ) current to attached patient monitor max. 3. 5 a monitor interface specifications network standard ieee 802. 3 10 - base - t connector rj45 ( 8 pin ) isolation 1. 5 kv parallel printer port standard ieee 1284 - 1 connector db - 25 signals level 1 and level 2 ( switchable ) isolation 1. 5 kv communication modes compatibility ( for example centronics ), nibble, ecp, epp dual ps / 2 inputs input voltage 5 v ±5 % output current 250 ma ( comb, max ) to connected ps / 2 devices 423 38 installation and specifications monitor performance specifications monitor interface specifications dual mib / rs232 standard ieee 1073 - 3. 2 - 2000 connectors rj45 ( 8 pin ) mode software - controllable bcc ( rxd / txd cross over ) or dcc ( rxd / txd straight through ) power 5 v + 1 - 5 %, 100 ma ( max. ) isolation 1. 5 kv usb interface ( 4 ports ) standard usb 2. 0 full - speed ( embedded host ) connector @topic:10


# # # issue - the beds, electric equipment, model ka - 64000 from paramount bed is not working. # # # impact - the equipment cannot be used for patient care. # # # possible causes - the equipment is not properly connected to power. - the equipment is damaged. - there is a problem with the electrical system in the hospital. # # # recommendations - check the power connection to the equipment. - inspect the equipment for damage. - call a qualified electrician to inspect the electrical system in the hospital. @topic:9


# # # issue - knee adjustment failure # # # impact - inability to properly position the patient for medical procedures # # # possible causes - faulty motor - mechanical obstruction - electrical malfunction # # # recommendations - replace the motor with a new one ( s / n : 102633 - 0034 ) - inspect for any mechanical obstructions and remove them - check electrical connections and ensure they are secure and functioning properly @topic:9


# # # issue - the electric hospital bed's leg is unable to be adjusted. # # # impact - the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed, or for medical staff to perform procedures. # # # possible causes - the motor that adjusts the leg is worn out or damaged. - the motor is not receiving power. - the control panel is not functioning properly. - the leg is damaged or obstructed. # # # recommendations - replace the worn out or damaged motor. - check the power supply to the motor. - test the control panel to make sure it is functioning properly. - inspect the leg for any damage or obstructions. @topic:1


# # # issue - tele not displaying on central monitor # # # impact - inability to monitor patient's ecg remotely # # # possible causes - loose or disconnected lead wires - faulty telemetric unit - central monitor is not properly receiving or displaying data # # # recommendations - ensure all lead wires are securely connected - check the functionality of the telemetric unit - verify the central monitor is set to receive and display data correctly @topic:16


# # # issue - bp cuff not squeezing - unable to measure blood pressure # # # impact - inaccurate or delayed blood pressure readings - potential patient safety risk # # # possible causes - faulty bp cuff - damaged air hose - loose connections - software malfunction # # # recommendations - replace the bp cuff - inspect and replace the air hose if necessary - check connections and ensure they are secure - contact the manufacturer for software updates or troubleshooting @topic:3


# # # issue - electric hospital bed not functioning properly # # # impact - patients may not be able to receive proper medical care if the bed cannot be adjusted to the appropriate position. - nurses and other medical staff may have difficulty moving patients and providing care. # # # possible causes - * * power outage : * * the bed may not be receiving power. check the power cord and outlet to ensure they are connected properly. - * * loose connections : * * the wires and cables connecting the bed to the power source may be loose. tighten any loose connections. - * * faulty remote control : * * the remote control may not be functioning properly. try using a different remote control or test the remote control on another bed. - * * malfunctioning bed motor : * * the motor that powers the bed may be malfunctioning. this is a more serious issue that will require a technician to repair. # # # recommendations - check the power cord and outlet to ensure they are connected properly. - tighten any loose connections. - try using a different remote control or test the remote control on another bed. - if the above steps do not resolve the issue, contact a technician to repair the bed. @topic:32


# # # issue ekg cable not functioning correctly. # # # impact patient monitoring may be compromised due to inaccurate or incomplete ekg readings. # # # possible causes - damaged or faulty ekg cable - loose connection between the ekg cable and the monitor - incorrect placement of the ekg electrodes on the patient # # # recommendations - * * inspect the ekg cable for any visible damage or defects. * * if any damage is found, replace the cable immediately. - * * ensure that the ekg cable is securely connected to the monitor and the patient. * * tighten any loose connections and check that the cable is not kinked or twisted. - * * verify that the ekg electrodes are properly placed on the patient. * * the electrodes should be clean and dry, and they should be placed on the correct locations on the body. - * * if the issue persists, contact the manufacturer or a qualified biomedical engineer. * * @topic:18


# # # issue - the spo2 sensor has failed. # # # impact - the nibp monitor is unable to measure spo2 levels. # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable - malfunctioning nibp monitor # # # recommendations - replace the spo2 sensor ( done ) - inspect and tighten the spo2 cable connections - test the nibp monitor with a known - good spo2 sensor @topic:4


* * possible cause of failure : * * * * 1. loose electrical connections : * * - the loose plug connection could have caused an interruption in the electrical circuit, preventing the bed from receiving power and adjusting properly. * * recommendations : * * - ensure that all electrical connections, including plugs and wires, are securely fastened and free from damage. - inspect the wiring harness for any breaks or loose connections. - tighten all electrical connections and replace any damaged wires or plugs. * * 2. control system malfunction : * * - the control system responsible for adjusting the bed may have malfunctioned due to a loose connection or an internal fault. * * recommendations : * * - check for any loose connections within the control system, including buttons, switches, and cables. - test the control system to verify its functionality and identify any potential issues. - if necessary, replace the control system or repair any internal faults. * * 3. mechanical failure : * * - the bed's mechanical components may have been damaged or worn out, preventing it from adjusting properly. * * recommendations : * * - inspect the bed for any visible signs of damage or wear and tear. - lubricate all moving parts to reduce friction and ensure smooth operation. - replace any damaged or worn - out components as necessary. @topic:1


# # # issue - the cuff of the bedside physiologic monitor is worn out. # # # impact - the monitor may not be able to accurately measure blood pressure. - the patient may not receive adequate medical care. # # # possible causes - the cuff may have been used for an extended period of time. - the cuff may have been exposed to harsh chemicals or cleaning agents. - the cuff may have been damaged during use. # # # recommendations - the cuff should be replaced with a new one. - the monitor should be inspected regularly for any signs of wear or damage. - the cuff should be cleaned according to the manufacturer's instructions. @topic:5


# # # issue - oxygen saturation ( o2 sat ) probe cable deterioration # # # impact - inability to accurately measure patient's oxygen saturation levels # # # possible causes - wear and tear from frequent usage - physical damage to the cable - exposure to harsh chemicals or environmental conditions # # # recommendations - replace the deteriorated cable with a new one - inspect other cables and probes regularly for signs of wear or damage - handle cables and probes with care to prevent damage - train staff on proper handling and maintenance of medical devices - consider using wireless or reusable o2 sat probes to reduce cable wear @topic:4


# # # issue - faulty bed alarm # # # impact - compromised patient safety - inability to monitor patient's condition effectively - increased risk of falls and other incidents # # # possible causes - wear and tear of electrical components - improper maintenance or calibration - manufacturer defect # # # recommendations - * * immediate repair or replacement : * * replace the faulty bed alarm with a new or refurbished unit. ensure proper installation and calibration. - * * enhanced maintenance : * * implement a regular maintenance schedule to inspect and test the bed alarm function. - * * staff training : * * educate staff on the importance of proper equipment operation and reporting any issues promptly. - * * monitor usage : * * track bed alarm usage and identify any patterns or trends that may indicate potential failures. - * * vendor collaboration : * * work with the manufacturer or supplier to determine the root cause of the failure and implement corrective actions. @topic:26


# # # issue - remote control error # # # impact - bed cannot be adjusted # # # possible causes - faulty remote control - loose battery connections - damaged battery # # # recommendations - replace the remote control - check and tighten the battery connections - replace the battery @topic:7


# # # issue - bed cannot move up or down # # # impact - patient cannot be positioned comfortably or safely - staff cannot access patient for care or treatment - delays in patient care # # # possible causes - malfunctioning control panel - faulty wiring or connections - damaged motor or actuator # # # recommendations - check the control panel for any loose or damaged connections - inspect the wiring and connections for any breaks or shorts - test the motor or actuator for proper function @topic:1


# # # issue - misconfiguration of telemetry equipment. # # # impact - potential for incorrect or delayed patient monitoring. # # # possible causes - the technician incorrectly set the telemetry equipment to the wrong frequency. - the telemetry equipment was not properly calibrated before use. - there is a problem with the telemetry equipment itself. # # # recommendations - ensure that the telemetry equipment is set to the correct frequency. - calibrate the telemetry equipment before use. - inspect the telemetry equipment for any damage or defects. @topic:16


# # # issue - clamp lock on the bis vista eeg monitor is damaged and cannot be locked. # # # impact - the monitor cannot be used to monitor a patient's level of consciousness during surgery. # # # possible causes - the clamp lock may have been damaged due to excessive force being applied when locking or unlocking it. - the clamp lock may have been damaged due to wear and tear over time. # # # recommendations - replace the damaged clamp lock with a new one. - inspect the clamp lock regularly for signs of damage and replace it if necessary. - use caution when locking and unlocking the clamp lock to avoid damaging it. @topic:2


# # # issue - electric bed cannot be adjusted up or down. # # # impact - patient cannot be positioned comfortably. - staff cannot access patient for care. # # # possible causes - faulty control box. # # # recommendations - replace the control box. - ensure that the new control box is compatible with the bed. - test the bed thoroughly after replacing the control box. @topic:1


# # # issue - equipment malfunction - troubleshooting steps ineffective # # # impact - patient discomfort and immobility - reduced efficiency in patient care # # # possible causes - loose electrical connection - faulty electrical component - software malfunction # # # recommendations - ensure all electrical connections are secure - check for and replace any damaged electrical components - update or troubleshoot software @topic:12


which you are viewing the window. 5 wired connection 4 the top part of the window contains the patient data, with the assigned caregiver and the status of the connection to the information center, and the bed label. in the lower part of the window, all equipment for this patient is shown, with the corresponding assignments and connections. the the device you are currently viewing the window on is shown with a dark background ( in the above example, the monitor with the label wm3 ). changing caregiver assignment when a caregiver is assigned, the caregiver name appears next to the caregiver symbol in the equipment window. when you select this area of the window, a menu opens offering the following piic ix select caregiver - you can select a different caregiver from a list. when a new caregiver is assigned, the patient will be automatically added to that caregiver's care group. the availability of • the function and the caregiver list depends on the information center configuration. - my patients opens the my patients window showing all patients in your care group. • - 2 5 managing patients and equipment the patient name, patient category and paced status are normally shown in the equipment window. when a patient has been prepared for transfer, the transfer symbol will be shown : when you select this area in the equipment window, a menu opens giving access to the enter patient demographics window, the transfer function ( see " transferring patients " on page 111 ) and the end if the monitor is currently assigned to a bed, but the patient is in another department for treatment or a diagnostic procedure, you can show a temporary location for the patient. select the information center area on the equipment window. 1 select the current location from the list. 2 or alternatively use the select location pop - up key. the temporary location is then shown in the equipment window, on the standby @topic:10


* * issue * * the central station physiologic monitor ( m3150a ) manufactured by hewlett packard cannot connect to a wi - fi network. * * impact * * the inability to connect to a wi - fi network may hinder remote monitoring and data transfer capabilities of the monitor, affecting patient care and data management. * * possible causes * * * * 1. hardware failure : * * - malfunctioning wi - fi module or antenna - damaged network interface card ( nic ) - loose connections within the device * * 2. software issues : * * - outdated device firmware or software - corrupted software settings preventing wi - fi connectivity * * 3. network configuration problems : * * - incorrect network settings or security protocols - firewall or antivirus software blocking wi - fi access - interference from other wi - fi devices in the vicinity * * 4. external factors : * * - weak wi - fi signal strength - physical obstructions or distance from access point * * recommendations * * * * 1. hardware troubleshooting : * * - check for loose connections or physical damage to the wi - fi module or antenna. - update or replace the network interface card if necessary. * * 2. software maintenance : * * - verify and update the device firmware and software to ensure compatibility with the wi - fi network. - reset the device to factory settings to eliminate corrupted settings. * * 3. network configuration : * * - ensure correct network settings, including ssid, password, and security protocol. - disable firewall or antivirus software temporarily to check if they are blocking wi - fi connectivity. - optimize wi - fi signal strength by adjusting the location or using a signal booster. * * 4. diagnostics and support : * * - utilize diagnostic tools provided by the device manufacturer to identify specific hardware or software issues. - contact the manufacturer or a @topic:16


##1009411 m3014a front bezel ( c. o., c02, press / temp ), greek not shown m3014 - 44147 451261009421 m3014a front bezel ( c. o., c02, press / temp ), russian not shown m3014 - 44149 451261009431 m3014a front bezel ( c. o., c02, press / temp ), czech not shown m3014 - 44150 451261009441 m3014a front bezel ( c. o., c02, press / temp ), polish not shown m3014a # c07 - mainstream c0 2, pressure & press / temp m3014 - 64161 451261009471 m3014a front bezel ( c02, press, press / temp ), english ( also for danish, french, italian, simplified chinese, traditional chinese, japanese ) not shown m3014 - 64163 451261009481 m3014a front bezel ( c02, press, press / temp ), german not shown m3014 - 64164 451261009491 m3014a front bezel ( c02, press, press / temp ), dutch not shown m3014 - 64165 451261009501 m3014a front bezel ( c02, press, press / temp ), spanish not shown m3014 - 64167 451261009511 m3014a front bezel ( c02, press, press / temp ), norwegian not shown m3014 - 64168 451261009521 m3014a front bezel ( c0 @topic:19


# # # issue - failed vital signs monitor # # # impact - inability to monitor patient's vital signs - potential patient harm # # # possible causes - faulty cuff # # # recommendations - replace the cuff with a new one - test the monitor once again before reusing @topic:15


# # # issue - failure to correctly diagnose the cause of the equipment failure - lack of communication between the technician and the user - insufficient training # # # impact - wasted time and resources - delays in patient care - loss of patient confidence # # # possible causes - the technician did not have access to the necessary information - the technician did not have the necessary training or experience - the user did not provide clear information about the problem # # # recommendations - ensure that technicians have access to the necessary information - provide technicians with the necessary training and experience - improve communication between technicians and users @topic:12


# # # issue - error code e83 is displayed on the blood pressure monitor. # # # impact - the blood pressure monitor is not functioning properly and cannot provide accurate readings. # # # possible causes - faulty sst cable. # # # recommendations - replace the sst cable. - test the monitor to ensure that it is functioning properly. @topic:15


# # # issue - the electric bed cannot be adjusted. # # # impact - the patient may be uncomfortable or unable to use the bed safely. # # # possible causes - the remote control is not working correctly. - the bed's motor or other electrical components have failed. - the bed's software is not functioning properly. # # # recommendations - check the remote control batteries and replace them if necessary. - inspect the bed's electrical cords and connections for any damage. - contact the manufacturer of the bed for troubleshooting assistance. - if the bed is under warranty, file a warranty claim with the manufacturer. @topic:1


# # # issue : wifi connection failure on a medical cart # # # impact : - inability to use the medical cart for patient care - loss of data or patient information # # # possible causes : - wifi network issues ( e. g., poor signal, incorrect password ) - medical cart configuration issues ( e. g., incorrect network settings, outdated software ) - hardware problems ( e. g., faulty wireless adapter ) # # # recommendations : * * troubleshooting steps : * * 1. * * verify wifi network : * * check if the wifi network is operational and has a strong signal. 2. * * restart medical cart : * * power cycle the medical cart to reset its network settings. 3. * * update software : * * install the latest software updates for the medical cart, which may include bug fixes or patches related to network connectivity. 4. * * check network settings : * * ensure that the medical cart is configured to connect to the correct wifi network with the proper password. 5. * * contact it support : * * if the issue persists, contact the it support team for further assistance. they can investigate network issues, reset passwords, or troubleshoot other technical problems. * * preventive measures : * * 1. * * regular maintenance : * * perform scheduled maintenance checks to identify and resolve potential network connectivity issues. 2. * * use wired connection : * * when possible, connect the medical cart to ethernet for a more stable and reliable internet connection. 3. * * monitor network status : * * regularly monitor the network status to detect any outages or performance issues. 4. * * train staff : * * provide training for medical staff on how to troubleshoot and resolve common network connectivity problems. @topic:13


# # # issue equipment malfunction : beds, electric, hill - rom, care assist es100 is not able to adjust the foot section. # # # impact patients may experience discomfort and limited mobility due to the inability to adjust the bed's foot section. # # # possible causes - * * mechanical failure : * * failure of the hilow column, which is responsible for raising and lowering the foot section of the bed. - * * electrical failure : * * faulty wiring or connections within the bed's electrical system, preventing the proper functioning of the hilow column. - * * software issue : * * malfunction in the bed's software, causing incorrect or no response to commands for foot section adjustment. - * * user error : * * improper operation or mishandling of the bed, leading to damage or malfunction of the hilow column. # # # recommendations - inspect the hilow column for any visible damage or loose connections. - test the electrical system, including wiring and connections, to ensure proper power supply to the hilow column. - check the bed's software version and update if necessary. - train users on proper operation and handling of the bed to prevent future issues. - consider replacing the hilow column if it is found to be faulty or irreparable. @topic:9


# # # issue - time is not synchronized with the console room # # # impact - the device may provide inaccurate time - based measurements, which could affect patient care and safety. # # # possible causes - the device's internal clock is not set correctly. - the console room clock is not set correctly. - there is a communication issue between the device and the console room. # # # recommendations - bme set the device's internal clock to match the console room clock. - test the device to ensure that the time is synchronized and accurate. - check the communication between the device and the console room to ensure that there are no issues. @topic:29


# # # issue - equipment : drug dispensing cart - brand : bdms - model : bdms 01 # # # impact - the equipment cannot dispense medication. # # # possible causes - * * windows system corruption : * * the equipment's windows system may have become corrupted due to an incorrect attempt to install updates or drivers. # # # recommendations - * * restored original windows system : * * reinstalled the original windows system and reconfigured the device's settings to restore functionality. @topic:13


* * issue : * * bed, electric ( hill - rom model 900b ) not adjustable * * impact : * * patient discomfort and immobility, potential for pressure sores * * possible causes : * * - broken or malfunctioning remote control - electrical issues within the bed frame or motors - mechanical failure in the adjustable mechanisms - software glitches or firmware errors * * recommendations : * * 1. * * inspect the remote control : * * check for physical damage, broken buttons, or loose wires. if the remote is damaged, replace it. 2. * * examine electrical connections : * * verify that all power cables and connections are secure and free of damage. check for loose wires or blown fuses. 3. * * troubleshoot mechanical components : * * manually test the bed's adjustable mechanisms to identify any binding or resistance. check for any broken gears, cables, or pulleys. 4. * * update software or firmware : * * if applicable, consult the manufacturer's guidelines for any available software or firmware updates to resolve potential software glitches. 5. * * seek professional assistance : * * if the issue cannot be resolved by the biomedical engineer on - site, contact the manufacturer or a qualified medical equipment repair specialist. @topic:1


# # # issue - keyboard is not working # # # impact - the device cannot be used to monitor patient's vital signs. # # # possible causes - broken connector on the keyboard # # # recommendations - replace the connector on the keyboard @topic:27


##ble wipes sani - cloth® plus wipes germicidal disposable wipes sani - cloth® hb germicidal < 0. 15 % ipegermicidal disposable wipes clorox® hydrogen peroxide disinfecting wipes 1 15 % hydrogen peroxide ipe1 1 do not use clorox ® hydrogen peroxide disinfecting wipes for snap fits ( for example the battery cover ) or hinges. remove all residues with water after the residence time. for repeated or prolonged use, wear rubber or nitrile gloves to protect your hands. sterilizing the equipment sterilization is not allowed for this monitor, related products, accessories or supplies unless otherwise indicated in the instructions for use that accompany the accessories and supplies. cleaning, sterilizing and disinfecting monitoring accessories to clean, disinfect and sterilize reusable transducers, sensors, cables, leads, and so forth, refer to the instructions delivered with the accessory. if no instructions are delivered with the accessory, the instructions given in this chapter for cleaning, disinfecting and sterilizing the monitor are applicable. cleaning the so2 optical module the outside of the optical module can be cleaned as described under " cleaning the equipment ” on page 412. the compartment with the fiber - optic connection can only be cleaned with a dry cloth. do not introduce any moisture into this compartment. cleaning the recorder printhead ( m1116b only ) if you run recordings at low speed ( 1 or 2cm / min ) for extended periods, deposits of paper debris may collect on the print head making recordings unevenly fainter in horizontal stripes. 1 emove the re2 open the recorder door and un - thread the paper from behind the rubber roller. 3 tear off or roll up the excess paper into the roll chamber to get @topic:10


# # # issue - missing sling / strap for waist support # # # impact - patient safety hazard during transfers - reduced patient comfort and stability - potential for injury to patient or staff # # # possible causes - lost during transport between departments - misplaced or stolen - equipment was not properly inspected before use # # # recommendations - improve communication and tracking system for equipment during transport - establish clear protocols for equipment maintenance and inspection - provide training to staff on the importance of proper equipment handling and maintenance - consider using equipment with built - in safety features, such as anti - slip mats or locking mechanisms - implement regular audits to ensure compliance with equipment maintenance and safety protocols @topic:12


# # # issue - faulty remote control on an electric bed # # # impact - difficulty in operating the bed - increased workload for caregivers - potential discomfort or risk to patients # # # possible causes - remote control hardware failure - software malfunction - physical damage to the remote control - batteries worn out or not making proper contact # # # recommendations - replace the faulty remote control with a new or refurbished one - inspect the remote control for any physical damage or loose connections - ensure that the batteries are properly installed and have sufficient power - consider using a universal remote control that is compatible with multiple medical devices @topic:7


# # # issue the probe used to measure temperature in the ear is giving incorrect readings. # # # impact this could lead to incorrect diagnosis and treatment decisions. # # # possible causes * the probe is not properly cleaned. * the probe is damaged. * the probe is not calibrated correctly. * there is a problem with the monitor. # # # recommendations * clean the probe with a soft cloth and alcohol. * inspect the probe for any damage. * calibrate the probe according to the manufacturer's instructions. * if the problem persists, contact the manufacturer for technical assistance. @topic:20


# # # issue - cuff not squeezing # # # impact - inaccurate blood pressure readings - delays in patient care - increased risk of patient harm # # # possible causes - damaged cuff - loose or disconnected cuff - improper cuff size - obstruction in the cuff line - malfunctioning monitor # # # recommendations - replace the cuff with a new one - ensure the cuff is properly connected and tightened - select the appropriate cuff size for the patient - inspect the cuff line for any obstructions - troubleshoot the monitor to identify any potential malfunctions @topic:3


# # # issue - battery degradation # # # impact - inability to measure vital signs accurately - intermittent or complete device failure # # # possible causes - battery reaching the end of its lifespan - excessive use or charging - battery not properly maintained # # # recommendations - replace battery as per manufacturer's recommendations - use and charge battery according to manufacturer's instructions - store battery in a cool, dry place when not in use - regularly inspect battery for signs of damage or degradation @topic:11


# # # issue : - o2 sat sensor cable not detected # # # impact : - inability to monitor oxygen saturation levels # # # possible causes : - * * defective o2 sat sensor cable : * * faulty wiring or damaged connectors can prevent the cable from transmitting data. - * * improper connection : * * loose or misaligned connections between the cable and the monitor or sensor can cause signal loss. - * * hardware failure in the monitor or sensor : * * internal component malfunction within the monitor or sensor can prevent the detection of the o2 sat cable. # # # recommendations : - * * inspect the o2 sat sensor cable : * * check for any visible damage or loose connections. - * * re - seat the connections : * * disconnect and reconnect the cable to the monitor and sensor, ensuring secure connections. - * * test the cable using a simulator : * * connect the cable to a compatible simulator to verify its functionality. - * * contact technical support : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:4


the connector marked " display side " to the panel adapter board as shown below. note when replacing the panel adapter board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the panel adapter board ( mx450 / mx500 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 disconnect ah cables from the panel adapter board ( the number of cables depends on the options installed ). 153 [ 5 repair and disassembly ] 3 remove the four screws from the panel adapter board and remove the board. 4 reassemble the monitor by performing the above steps in reverse order. when reconnecting the cables to the panel adapter board, make sure that the main board cable is connected with the connector marked " display side " to the panel adapter board as shown below. note when replacing the panel adapter board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the panel adapter board ( mx550 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 disconnect ah cables from the panel adapter board ( the number of cables depends on the options installed ). 154 5 repair and disassembly ) 3 remove the four screws from the panel adapter board and remove the board. 4 reassemble the monitor by performing the above steps in reverse order. when reconnecting the cables to the panel adapter board, make sure that the main board cable is connected with the connector marked " @topic:19


# # # issue - equipment malfunction : the physiologic monitor is not displaying readings when the cuff is inflated. # # # impact - inability to accurately monitor vital signs, such as blood pressure, potentially leading to patient harm. # # # possible causes - * * cuff failure : * * the cuff may be damaged or punctured, preventing it from inflating properly and generating accurate readings. - * * air leak : * * there may be a leak in the cuff or tubing, allowing air to escape and preventing the cuff from fully inflating. - * * sensor malfunction : * * the pressure sensor within the cuff may be faulty, unable to detect the changes in pressure during inflation. - * * electrical malfunction : * * there may be an issue with the electrical connections between the cuff and the monitor, preventing the pressure readings from being transmitted correctly. # # # recommendations - * * inspect the cuff : * * check for any visible damage or punctures that could cause air leakage. - * * check for air leaks : * * inflate the cuff and listen for any hissing sounds that indicate air escaping. if a leak is detected, replace the cuff or identify and seal the leak. - * * test the sensor : * * inflate the cuff and monitor the pressure readings on the display. if the readings are unstable or inaccurate, the sensor may need to be replaced. - * * inspect electrical connections : * * ensure that all cables and connectors are securely plugged in and free from damage. tighten any loose connections and replace any damaged components. - * * calibrate the monitor : * * regularly calibrate the monitor according to the manufacturer's specifications to ensure accurate readings. - * * consider cuff size : * * the cuff should be appropriately sized for the patient's arm circumference @topic:3


# # # issue - telemetric electrocardiography ( ecg ) monitor is not receiving signals. # # # impact - inability to monitor patient's heart activity accurately. - delay in diagnosis and treatment of potential heart conditions. # # # possible causes - damaged or loose cables or connections between the monitor and the patient's electrodes. - malfunctioning electrodes due to improper placement or wear and tear. - interference from other electrical devices or magnetic fields. - faulty signal receiver within the monitor. - software or hardware issues with the monitor. # # # recommendations * * 1. check cables and connections : * * - inspect all cables and connections for damage or loose contacts. - ensure that the cables are properly plugged into the monitor and the patient's electrodes. - tighten any loose connections and replace any damaged cables. * * 2. inspect electrodes : * * - check the placement of the electrodes and ensure they are making good contact with the patient's skin. - replace old or worn electrodes. - clean the electrode sites with alcohol wipes to remove any skin oils or debris. * * 3. eliminate interference : * * - identify and remove sources of electrical or magnetic interference, such as power cords or cell phones. - use shielded cables to minimize interference from external sources. * * 4. test signal receiver : * * - if the above steps do not resolve the issue, test the signal receiver within the monitor by using a signal generator or another ecg device. - if the receiver is not functioning properly, it may need to be repaired or replaced. * * 5. troubleshooting software or hardware : * * - check the monitor's software and firmware for updates or any known issues. - perform a factory reset on the monitor, if necessary. - if the problem persists, contact the manufacturer or a qualified biomedical engineer for further troubles @topic:18


and maintenance of the device to prevent damage or premature wear and tear. @topic:12


# # # issue - physiological monitor not displaying values # # # impact - inability to monitor patient's vital signs ( e. g., heart rate, blood pressure, oxygen saturation ) during procedures or emergencies # # # possible causes - faulty tray unit - loose connections - software malfunction - sensor failure # # # recommendations - verify if the issue persists with a different tray unit. - check all connections and cables for any loose or damaged components. - if the issue persists with different tray units and cables, consider contacting the manufacturer for technical support or further troubleshooting. @topic:2


# # # issue - wood slat barrier not locking # # # impact - patient safety hazard - falls and other injuries # # # possible causes - broken or worn locking mechanism - misalignment of wood slat barrier or guide rails - loose or damaged hardware # # # recommendations - inspect the locking mechanism for damage or wear. replace if necessary. - ensure proper alignment of wood slat barrier and guide rails. adjust or replace as needed. - tighten or replace any loose or damaged hardware. - lubricate moving parts to ensure smooth operation. - test the locking mechanism thoroughly before returning the bed to service. - document all repairs and inspections for future reference. @topic:6


# # # issue - the cause of failure was identified as loose screw, which caused the device to become detached from its base. # # # impact - the device was unable to function properly, which could have led to delays or errors in patient care. # # # possible causes - the screw may have become loose due to : - improper installation - wear and tear - vibration # # # recommendations - to prevent this issue from recurring, the following recommendations are made : - ensure that the screw is properly tightened during installation. - regularly inspect the device for any signs of loose screws. - replace any loose screws immediately. @topic:12


display. ^ sfee e ga ur | — 15m wur | 2 feet 1. 5m p equipment location in the patient vicinity note the site planning requirements, with the exception of the cabling, must be provided by the device manufacturer, 1f the remote device is not purchased from philips. philips medical lan for information refer to the intellivue information center documentation. 230 mp2 / x2 product structure the following tables show the product option structure for the mp2. standard base unit user interface touch full customization waves measurements 231 232 - li waves a04 [ general / intensive care software — — — — — | h10 | | [ neonatal software — — — — 1 1 0 — | h0 | | anesthesia software o mo 2. [ fast [ ao [ [ nelleoroximaxcompatibie | an ) | | masimo set technology | a03 ) orice orimax technology aoe = lan & video output | — [ lan & battery operation | i 1 ] advanced system interface | [ nb bo |. | spq. nbp — cb | | spo2. nbpp tem — — | bilj | — jspo2. nbp. microstream co? — | bm — [ eeg resp. sbp. sp0 } e = tecg, eo nep. spo? + ibp & temp — ecg. resp, nbp, spo2 + co? — ken res ; " nbp. spo2, ur naa co2 me |. | ecg. resp. nbp, spo2. 2x p / t + microstream co2 |. j | bp & tep. — ^ ) 1 ol |. [ 2ledecg cc | — @topic:8


# # # issue inability to adjust the footrest. # # # impact inability to position the patient comfortably and / or safely. # # # possible causes - failure of the footrest motor or control circuitry. - mechanical obstruction within the footrest mechanism. - damage to the footrest control switch or cable. # # # recommendations 1. * * inspect the footrest motor and control circuitry. * * check for any loose connections, damaged wires, or blown fuses. 2. * * check for mechanical obstructions. * * ensure that there is no debris or foreign objects blocking the footrest mechanism. 3. * * test the footrest control switch and cable. * * use a multimeter to check for continuity in the switch and cable. 4. * * if the above steps do not resolve the issue, refer to the manufacturer's service manual for further troubleshooting instructions. * * @topic:1


# # # issue - bme found that the nibp monitor wheels were making noise when rolled. # # # impact - the noise could be annoying and disruptive to patients and staff. - the noise could also be a sign of a more serious problem with the monitor. # # # possible causes - the wheels may not be lubricated properly. - the wheels may be worn or damaged. # # # recommendations - check the wheels for lubrication and add lubricant if necessary. - inspect the wheels for wear or damage and replace them if necessary. @topic:24


# # # * * issue : * * monitor not powering on # # # * * impact : * * patient monitoring is interrupted # # # * * possible causes : * * - battery is depleted - battery is not properly connected - charging system is faulty - power supply is not connected or faulty # # # * * recommendations : * * - replace the battery - ensure that the battery is properly connected - check the charging system and power supply - contact the manufacturer for further troubleshooting assistance @topic:11


# # # issue oxygen saturation ( spo2 ) measurement not available. # # # impact - inability to monitor patient's oxygen levels, which can lead to delayed or inappropriate interventions. - increased risk of adverse events, such as hypoxia or hyperoxia. # # # possible causes * * hardware * * - malfunctioning oxygen saturation sensor - broken or loose sensor cable - defective monitor unit * * software * * - corrupted or outdated software on the monitor - sensor calibration issues * * environmental * * - excessive motion or vibration near the patient - inadequate ambient lighting - interference from other medical devices * * human error * * - incorrect sensor placement or application - failure to properly maintain the sensor - misinterpretation of spo2 readings # # # recommendations * * hardware * * - inspect the oxygen saturation sensor for damage or defects. - check the sensor cable for continuity and connections. - calibrate the sensor according to the manufacturer's instructions. * * software * * - update the software on the monitor to the latest version. - reset the sensor settings to factory defaults. * * environmental * * - ensure that the patient is in a stable position with minimal movement. - provide adequate ambient lighting in the area. - identify and eliminate potential sources of electromagnetic interference. * * human error * * - review proper sensor placement and application techniques. - train staff on the correct use and maintenance of the monitor. - implement regular quality checks to ensure accuracy of spo2 readings. @topic:4


cannot be used with this monitor. replace with the correct battery ( m4605a ). batt low inop tone the estimated battery - powered operating time remaining is less than 20 minutes. recharge the battery 125 [ 4 troubleshooting ] symptoms causes of failure failure isolation and remedy battery malfunct inop tone, battery led flashes during this inop, alarms cannot be paused or switched off if the monitor is not connected to ac power. the monitor cannot determine the battery status or there is a communication problem between the battery and the standard system interface board. replace the faulty battery. if the condition persists and the monitor is not connected to ac power, this inop is re¬ issued two minutes after you acknowledge it. check the battery in a different monitor or in a battery charger. if the inop persists the battery is faulty. check the standard system interface board with known good batteries. if the inop persists, replace standard system interface board. if the problem persists, replace main board. charger malfunct inop tone, battery led may flash there is a problem with the battery charger in the monitor. switch the monitor off and back on again. if the problem persists replace battery with known good battery. if the inop is shown again replace the standard system interface board. if the problem persists replace the main board. check batt temp inop tone the temperature of the battery is too high. check that monitor is not exposed to heat. alarm lamps symptoms possible causes of failure failure isolation and remedy inop message check alarm lamps is issued alarm led board cable disconnected ( mx450 / 500 / 550 only ) reconnect alarm led board to panel adapter board alarm led board defective ( mx450 / 500 / 550 only ) replace alarm led board cable between panel adapter and main board not connected correctly or defective @topic:16


* * issue : * * the bed's weigh scale is not functioning correctly and is displaying an error message. * * impact : * * this issue prevents the bed from accurately measuring patient weight, which can affect patient assessment and treatment. * * possible causes : * * - faulty weight scale sensor - damaged electrical connections - software malfunction - calibration issues - mechanical obstruction * * recommendations : * * * * 1. inspection : * * - check the weight scale sensor for damage or loose connections. - inspect the electrical connections for any breaks or shorts. * * 2. software diagnosis : * * - verify that the software is up - to - date and free from any bugs. - run diagnostic tests to identify any software errors. * * 3. calibration : * * - check if the scale needs to be calibrated. - follow the manufacturer's instructions for calibration. * * 4. mechanical inspection : * * - remove any obstructions or objects that may be interfering with the scale's operation. - check for any mechanical damage to the scale itself. * * 5. repair or replacement : * * - if the issue cannot be resolved through the above steps, the scale may need to be repaired or replaced. - contact the manufacturer or a qualified technician for assistance. @topic:25


# # # issue : bed height adjustment issue # # # impact : patient comfort and safety # # # possible causes : - * * mechanical failure : * * the bed's adjustment mechanism, such as the motor or gears, may have malfunctioned. this could be due to wear and tear, damage, or a manufacturing defect. - * * electrical fault : * * there may be a problem with the electrical connections or the control panel, preventing the bed from adjusting. this could be due to a loose wire, a blown fuse, or a faulty switch. - * * power supply issue : * * the bed may not be receiving proper power, either from the mains or the battery backup. this could be due to a tripped circuit breaker, a loose connection, or a faulty power cord. - * * software error : * * if the bed is controlled by software, there may be a glitch or bug that is preventing it from adjusting. this could be due to a corrupted file, a software update issue, or a hardware - software incompatibility. # # # recommendations : - * * inspect the bed : * * visually inspect the bed for any visible signs of damage or malfunction. check the wheels, gears, motor, and control panel. - * * test the electrical system : * * use a multimeter to test the voltage and continuity of the electrical connections. check the fuses, switches, and power cord. - * * check the power supply : * * ensure that the bed is receiving power from the mains or battery backup. check the circuit breaker panel, power outlets, and power cord. - * * update the software : * * if the bed is controlled by software, check for any available software updates. install the updates and restart the bed. - * * contact the manufacturer : * * if the issue cannot be resolved through troubleshoot @topic:1


# # # issue - medical cart battery is at - 1 % # # # impact - the medical cart may not be able to function properly. - the medical cart battery may die, which may cause the medical cart to lose power. - the medical cart may not be able to charge properly. # # # possible causes - the medical cart battery is not properly connected. - the medical cart battery is damaged. - the medical cart battery is not charging properly. - the medical cart is not properly plugged into an outlet. # # # recommendations - check the connection between the medical cart battery and the medical cart. - inspect the medical cart battery for any damage. - test the medical cart battery to see if it is charging properly. - make sure that the medical cart is properly plugged into an outlet. - wait for the firmware update for the com port to be released and installed. @topic:13


* * issue : * * - monitor display may show incomplete or inaccurate patient data. - alarm signals may not be generated or may be delayed. * * impact : * * - delays in patient assessment and treatment. - potential for misdiagnosis or incorrect treatment decisions. - reduced patient safety. * * possible causes : * * - * * defective ekg lead cable : * * broken wires or loose connections within the cable can disrupt the transmission of electrical signals from the patient to the monitor. - * * missing cable lock : * * the cable lock helps secure the lead cables to the patient, preventing accidental disconnections and ensuring proper electrical contact. the absence of a cable lock can lead to intermittent signal loss or disconnection. * * recommendations : * * - * * replace the damaged ekg lead cable : * * the defective cable should be replaced with a new, functional cable to ensure reliable signal transmission. - * * install a cable lock : * * to prevent cable disconnections and maintain secure electrical contact, install a cable lock to hold the lead cables firmly in place. @topic:18


# # # issue - loose signal cable # # # impact - equipment malfunction - interruption of patient monitoring # # # possible causes - wear and tear - improper handling - loose connections # # # recommendations - regularly inspect signal cables for damage or loose connections. - handle cables carefully to avoid damage. - ensure proper connections by locking or securing them in place. - utilize cable ties or other securement devices to prevent cables from becoming loose. - replace damaged or worn signal cables as needed to maintain optimal performance and patient safety. @topic:2


# # # issue - the time on the central station monitor is inaccurate. # # # impact - the inaccurate time could lead to incorrect patient data being recorded. this could have serious consequences, such as incorrect medication being given or incorrect treatment decisions being made. # # # possible causes - the monitor's internal clock may be malfunctioning. - the monitor may not be properly synchronized with the hospital's timekeeping system. - the monitor may have been reset recently and the time has not been set correctly. # # # recommendations - the monitor should be inspected by a qualified technician to determine the cause of the problem. - the monitor should be synchronized with the hospital's timekeeping system. - the monitor's time should be checked regularly to ensure that it is accurate. @topic:29


# # # issue - equipment not measuring accurately # # # impact - inaccurate readings could lead to incorrect medical decisions # # # possible causes - faulty o - ring in hose - loose connections in hose assembly - damaged or clogged tubing - faulty sensor or transducer - software calibration issue # # # recommendations - replace o - ring in hose with a new one - check hose assembly for loose connections and tighten as necessary - inspect tubing for damage or blockages and replace if needed - test sensor or transducer to verify functionality - calibrate software according to manufacturer's instructions @topic:15


# # # issue - faulty remote control for an electric bed. # # # impact - inability to adjust bed height, position, and other functions remotely. - inconvenience and potential discomfort for patients. - delayed medical procedures or examinations. # # # possible causes - physical damage to the remote control due to mishandling, accidental drops, or excessive wear and tear. - electrical or mechanical malfunctions within the remote control or its components. - software bugs or firmware issues that interfere with communication between the remote control and the bed. - misconfiguration or incorrect setup of the remote control or bed system. - battery depletion or power supply issues, causing the remote control to lose functionality. # # # recommendations - thoroughly inspect the remote control for any visible signs of damage or loose connections. - test the remote control with different batteries or power sources to eliminate any power - related issues. - check the bed system configuration and ensure the remote control is correctly paired and synchronized with the bed. - consult the manufacturer's user manual or technical support for any specific troubleshooting instructions. - if the problem persists, the remote control may need to be replaced or repaired by a qualified biomedical engineer or technician. @topic:7


# # # issue - the bed is not adjusting properly. # # # impact - the patient may not be able to get into or out of bed safely or comfortably. - the bed may not be able to be used for its intended purpose. # # # possible causes 1 - electrical issue : - faulty wiring in the bed or in the electrical outlet - loose connection or broken wires - power supply issue : 2 - mechanical issue : - broken or loose gears or belts - worn - out motor - obstruction in the moving parts - damaged electrical components : 3 - software issue : - corrupted software or firmware - misconfiguration of the software # # # recommendations 1 - check if power is reaching the bed. make sure the bed is plugged into a working electrical outlet or power strip. 2 - check if there are any loose connections or damaged wires. 3 - try to reset the bed by unplugging it from the power outlet and then plugging it back in. 4 - contact the manufacturer of the bed if the problem persists. @topic:1


# # # * * issue * * - medical cart shows a reboot alert and has loose board. # # # * * impact * * - the medical cart may not be able to function properly. # # # * * possible causes * * - loose connection between the board and the cart. - faulty board. - software issue. # # # * * recommendations * * - tighten the connection between the board and the cart. - replace the board if necessary. - update the software if available. @topic:13


# # # issue - the nut on the cpr handle of the hill - rom care assist es electric bed has become loose and fallen off. # # # impact - the bed's cpr handle may not be able to be used in an emergency, which could delay or prevent life - saving treatment. # # # possible causes - the nut may have been overtightened, causing it to strip the threads. - the nut may not have been properly tightened in the first place. - the nut may have been damaged, preventing it from being tightened properly. # # # recommendations - inspect the cpr handle and nut for any damage. - replace the nut if it is damaged. - tighten the nut properly using a torque wrench. - regularly inspect the cpr handle and nut for any signs of damage or loosening. @topic:6


* * issue : * * - equipment malfunction due to improper handling or misuse * * impact : * * - patient care may be compromised due to lack of functioning equipment - increased workload for clinical staff * * possible causes : * * - equipment was not handled according to manufacturer's instructions - equipment was subjected to excessive force or improper use - equipment was not regularly maintained or serviced * * recommendations : * * - train staff on proper equipment handling and maintenance procedures - establish clear protocols for equipment use - conduct regular inspections and maintenance on equipment - ensure that equipment is borrowed and returned according to established procedures - consider investing in equipment tracking systems to monitor equipment usage and prevent unauthorized use or mishandling @topic:12


* * issue : * * * the base mount of the monitor is loose, causing the monitor to fall. * * impact : * * * patient safety is compromised due to potential injury or discomfort. * interruption of patient monitoring and treatment. * damage to the monitor or equipment. * * possible causes : * * * improper assembly or installation of the base mount. * worn or damaged components within the base mount. * excessive force applied to the monitor arm, causing stress on the mount. * corrosion or rust due to exposure to moisture or chemicals. * * recommendations : * * * * * immediate actions : * * * secure the monitor to prevent further movement. * isolate the monitor from use until repairs are completed. * * * troubleshooting : * * * inspect the base mount for any visible signs of damage or loose connections. * check the tightness of all bolts and screws securing the mount to the floor or other support. * examine the monitor arm for any signs of deformation or damage. * * * repairs : * * * if the mount is damaged, it should be replaced with a new one. * tighten all connections according to the manufacturer's specifications. * lubricate any moving parts to reduce friction and wear. * * * preventive maintenance : * * * conduct regular inspections of the monitor and its mount. * follow proper handling and installation procedures to avoid damage. * clean and lubricate the mount periodically to prevent corrosion and ensure smooth operation. @topic:12


# # # issue the medical device is unable to charge, as the port has been damaged and is no longer making contact with the charging cable. # # # impact the device will not be able to function properly if it cannot be charged. # # # possible causes - the device was dropped or knocked over, damaging the port. - the charging cable was forced into the port, bending the pins. - the port has become loose over time due to repeated use. # # # recommendations - inspect the port for any damage. if the pins are bent, they will need to be replaced. - clean the port and the charging cable with a cotton swab and rubbing alcohol. - reinsert the charging cable into the port and ensure that it is making a secure connection. - if the problem persists, the port may need to be replaced. @topic:11


, adhering to all warnings and cautions. 2 remove colored nail polish from the application site. 171 9 monitoring sp0 2 connecting sp0 2 cables 3 apply the sensor to the patient. the application site should match the sensor size so that the sensor can neither fall off, nor apply excessive pressure. when using the ml 195a infant finger sensor, select a finger or toe with a diameter of between 7 and 8 mm ( 0. 27 ” and 0. 31 ” ). when applying a ml 193a neonatal sensor do not overtighten the strap. 4 check that the light emitter and the photodetector are directly opposite each other. all light from the emitter must pass through the patients tissue. warning loose sensor : if a sensor is too loose, it might compromise the optical alignment or fall off. if it is too tight, for example because the application site is too large or becomes too large due to edema, excessive pressure may be applied. this can result in venous congestion distal from the application site, leading to interstitial edema, hypoxemia and tissue malnutrition. skin irritations or lacerations may occur as a result of the sensor being attached to one location for too long. to avoid skin irritations and lacerations, periodically inspect the sensor application site and change the application site at least every four hours. venous pulsation : do not apply sensor too tightly as this results in venous pulsation which may severely obstruct circulation and lead to inaccurate measurements. ambient temperature : at elevated ambient temperatures be careful with measurement sites that are not well perfused, because this can cause severe burns after prolonged application. all listed sensors operate without risk of exceeding 41 °c on the skin if the initial skin temperature does not exceed 35°c. extremities to avoid : avoid placing the sensor on extremities @topic:17


# # # issue - the front right wheel of the medical cart has come off. # # # impact - the cart may be unstable or difficult to move, which could pose a safety hazard for patients or staff. # # # possible causes - the wheel may have been improperly attached or secured. - the wheel may have been damaged or worn, causing it to detach from the cart. - the cart may have been overloaded, putting excessive stress on the wheels. # # # recommendations - inspect the wheel and the cart frame for any damage or wear. - ensure that the wheel is properly attached and secured to the cart. - avoid overloading the cart. - regularly inspect and maintain the cart to prevent similar issues from occurring in the future. @topic:24


# # # issue the medical cart is not able to scan. # # # impact the medical cart is an essential piece of equipment for the hospital staff. without it, the staff will not be able to provide the necessary care to patients. # # # possible causes * the scanner is not properly connected to the medical cart. * the scanner is not receiving power. * the scanner is not functioning properly. * the software on the medical cart is not up to date. # # # recommendations * check the connection between the scanner and the medical cart. * check the power supply to the scanner. * test the scanner with a known - good device. * update the software on the medical cart. # # additional notes it is important to note that this is just a list of possible causes. the actual cause of the failure may vary depending on the specific circumstances. @topic:23


# # # issue the issue is that the biomedical engineer ( bme ) tested the bed in the ward and found that it was not functioning properly. # # # impact the impact of this issue is that the bed cannot be used by patients, which could lead to delays in patient care. # # # possible causes the possible causes of this issue include : * the bed was not properly assembled. * the bed was damaged during transport. * the bed is not compatible with the electrical system in the ward. * the bed is not properly calibrated. * water spill from patient use # # # recommendations the recommendations to resolve this issue include : * verify that the bed was assembled correctly. * inspect the bed for any damage. * ensure that the bed is compatible with the electrical system in the ward. * calibrate the bed according to the manufacturer's instructions. * clean the bed with water and desinfectant @topic:9


# # # issue - equipment : bed, electric - band : hill - rom - model : basic care, p1440a - description : bed is not adjustable. # # # impact - the patient may not be able to get in or out of bed. - the patient may not be able to be positioned comfortably. - the patient may be at risk for falls. # # # possible causes - plugged not connected. ( confirmed ) - loose electrical connection - damaged electrical cord - faulty control panel - faulty motor # # # recommendations - check the electrical connections. - replace the electrical cord if it is damaged. - replace the control panel if it is faulty. - replace the motor if it is faulty. - train staff on how to properly use and maintain the bed. @topic:9


# # # issue - remote control cable loose # # # impact - bed height cannot be adjusted # # # possible causes - the remote control cable may have become loose due to : - wear and tear - accidental disconnection - improper handling # # # recommendations - ensure that the remote control cable is properly connected and secured. - inspect the cable for any damage or wear. - if the cable is damaged, replace it with a new one. - train staff on proper handling and maintenance of the bed. @topic:7


# # # issue - the medical cart's drawer cannot be opened. # # # impact - the medical cart cannot be used to transport or store medical supplies. - this can delay or prevent patient care. # # # possible causes - the drawer is jammed. - the drawer's latch is broken. - the drawer's rails are bent. - the drawer's motor is not working. # # # recommendations - inspect the drawer to identify the cause of the failure. - if the drawer is jammed, try to gently pry it open. - if the drawer's latch is broken, replace it. - if the drawer's rails are bent, straighten them. - if the drawer's motor is not working, replace it. @topic:21


# # # issue central monitor is turned off # # # impact the central monitor is not able to display patient data, which can lead to delays in diagnosis and treatment. # # # possible causes * the power switch on the surge protector is turned off. * the power cord is not securely connected to the central monitor. * the central monitor is not receiving power from the outlet. * the central monitor is defective. # # # recommendations * check that the power switch on the surge protector is turned on. * ensure that the power cord is securely connected to the central monitor. * test the power outlet by plugging in another device. * if the central monitor is still not receiving power, contact a biomedical engineer for further troubleshooting. @topic:2


# # # issue - equipment not linking with central monitor # # # impact - inability to monitor patient's vital signs and provide timely treatment # # # possible causes - loose lan cable connection # # # recommendations - ensure that the lan cable is securely connected to both the patient transport monitor and the central monitor. - verify the integrity of the lan cable and replace it if necessary. - update the software on the patient transport monitor if applicable. - contact the manufacturer's technical support for further assistance if the issue persists. @topic:16


# # # issue equipment : central monitor band : hewlett packard model : m3150a description : relocation of monitor site cause of failure : relocation of monitor unit # # # impact - disruption of patient monitoring - delays in patient care - increased risk of errors # # # possible causes - physical damage to equipment during relocation - improper setup or configuration of equipment at new location - compatibility issues between equipment and new location - inadequate training or supervision of personnel involved in relocation # # # recommendations - ensure proper handling and transportation of equipment during relocation. - verify compatibility of equipment with new location and network before relocation. - provide adequate training and supervision to personnel responsible for relocation. - conduct thorough testing and validation of equipment after relocation to ensure proper functionality. - establish clear procedures and protocols for equipment relocation to minimize errors and downtime. @topic:2


# # # issue - cannot lower the bed rails # # # impact - patient safety hazard - inconvenience for patient and caregiver # # # possible causes - broken or loose cable - faulty switch - mechanical obstruction - software glitch # # # recommendations - inspect the cable for damage or loose connections. - check the switch for proper operation. - remove any obstructions that may be preventing the rails from lowering. - update the software if necessary. @topic:6


# # # issue - broken power cord plug. # # # impact - the bed cannot be used because it cannot be plugged into an electrical outlet. # # # possible causes - the cord may have been damaged by being pinched or cut. - the plug may have been pulled out of the outlet by accident. - the plug may have been damaged by a power surge. # # # recommendations - inspect the cord for damage. if the cord is damaged, it should be replaced. - make sure that the plug is securely plugged into the outlet. - use a surge protector to protect the bed from power surges. @topic:9


# # # issue - defective cuff bp ( blood pressure ) # # # impact - inability to accurately measure vital signs ( blood pressure ) # # # possible causes - cuff bp hose rupture # # # recommendations - replace cuff bp with a new one ( u1880s ) - replace bp connector ( bp12 ) @topic:3


# # # issue - drawer cannot be closed # # # impact - the medical cart cannot be used effectively, which can delay patient care or compromise patient safety. # # # possible causes - loose or missing screws holding the drawer track in place. - damaged drawer track. - misaligned drawer. - obstruction in the drawer track. # # # recommendations 1. * * inspect the drawer track for loose or missing screws. * * if any screws are loose, tighten them using the appropriate screwdriver. if any screws are missing, replace them with new ones of the same size and type. 2. * * inspect the drawer track for damage. * * if the track is damaged, it will need to be replaced. 3. * * ensure that the drawer is aligned properly. * * if the drawer is misaligned, it will not be able to close properly. adjust the drawer as necessary to ensure that it is aligned correctly. 4. * * check for any obstructions in the drawer track. * * if there are any obstructions, remove them and test the drawer to ensure that it can close properly. @topic:21


# # # issue - equipment error # # # impact - inaccurate blood pressure measurements - potential patient harm # # # possible causes - faulty equipment - software malfunction - calibration issues - battery issues # # # recommendations - thoroughly inspect the equipment for any visible signs of damage or wear. - check the software version and ensure it is up - to - date. - calibrate the equipment according to manufacturer's instructions. - replace batteries if necessary. - if the problem persists, consult with the manufacturer for further troubleshooting. - document all maintenance and troubleshooting steps taken. @topic:15


* * there is no information about the cause of failure in the given input. * * * * possible causes ( based on the context ) : * * * * * the bed was not properly maintained or serviced. * * * * * the bed was used in a way that it was not designed for. * * * * * there was a manufacturing defect in the bed. * * * * recommendations : * * * * * properly maintain and service the bed according to the manufacturer's instructions. * * * * * use the bed only in the way that it was designed for. * * * * * inspect the bed regularly for any signs of damage or wear and tear. * * * * * if the bed is damaged, do not use it until it has been repaired by a qualified technician. * * @topic:9


# # # issue - the provided input does not specify any issue or failure for the biomedical engineer to fix. # # # impact - unable to determine the impact of the reported incident. # # # possible causes - not enough information provided to determine the possible cause of failure. # # # recommendations - the technician should gather more information about the issue and possible cause of failure before proceeding with any troubleshooting or repairs. @topic:12