# # # issue - bed alarm is malfunctioning and not usable. # # # impact - patient safety may be compromised due to the inability to monitor the patient's position and movement. # # # possible causes - damage to the bed alarm system, such as a broken wire or loose connection. - malfunction of the bed alarm sensor. - software glitch or bug. # # # recommendations - replace the bed alarm system with a new one. - test the new bed alarm system thoroughly before putting it into use. - regularly inspect and maintain the bed alarm system to prevent future failures. @topic:26


# # # issue - control box malfunction # # # impact - inability to operate the bed's leg adjustment feature # # # possible causes - defective relay in the control box # # # recommendations - replace the faulty relay with a new one - verify proper functioning of the bed's leg adjustment mechanism @topic:1


# # issue monitor cannot link to the central system. # # impact the monitor cannot be monitored and controlled remotely, which can lead to delays in patient care. # # possible causes - central monitor is not working properly. - the ip address of the monitor is not set correctly. - the network connection between the monitor and the central system is not working properly. # # recommendations - check the central monitor to make sure that it is working properly. - check the ip address of the monitor and make sure that it is set correctly. - check the network connection between the monitor and the central system to make sure that it is working properly. @topic:16


# # # issue - leak in the cuff of the vital signs monitor. # # # impact - the monitor may not be able to accurately measure vital signs, such as blood pressure or oxygen saturation. - this could lead to incorrect treatment decisions or delays in care. # # # possible causes - the cuff may be damaged or defective. - the cuff may not be properly attached to the monitor. - the cuff may be too loose or too tight. - the patient may have a condition that is causing the cuff to leak. # # # recommendations - inspect the cuff for any damage or defects. - ensure that the cuff is properly attached to the monitor. - adjust the cuff to a snug fit on the patient's arm. - if the cuff continues to leak, consider replacing it. @topic:3


# # possible cause of failure : # # # user lockout - the user's account may have been locked after multiple failed login attempts. - the user may have entered the wrong password too many times. - the user's account may have been manually locked by an administrator. # # # credential error - the user may have entered an incorrect username or password. - the user's password may have expired. - the user's account may have been disabled or deleted. # # # software or hardware issue - there may be an issue with the equipment's software that is preventing the user from logging in. - there may be a hardware problem with the equipment that is preventing it from communicating with the user's authentication system. # # # network issue - the equipment may not be connected to the network properly. - the user's authentication server may be unavailable. - there may be a network outage or firewall issue that is preventing the user from logging in. # # # other - the user may be using an outdated version of the equipment's software. - the user may not have the necessary permissions to log in to the equipment. - there may be a configuration issue with the equipment or its authentication system. @topic:13


# # # issue - the vital signs monitor's battery has failed. # # # impact - the vital signs monitor cannot be used to monitor patients'vital signs. # # # possible causes - the battery is old and has reached the end of its lifespan. - the battery has been damaged. # # # recommendations - replace the battery. @topic:11


# # # issue - broken black wire # # # impact - device cannot function properly # # # possible causes - external damage to the wire ( e. g., from pulling or pinching ) - internal damage to the wire ( e. g., from a manufacturing defect ) - aging or wear and tear # # # recommendations - replace the broken wire with a new one - inspect the device for any other damaged wires and repair or replace them as necessary - ensure that the device is handled with care to avoid future damage to the wires @topic:12


# # # issue - unable to submit maintenance record due to system error. # # # impact - maintenance record is not updated in the system, which could lead to inaccurate or incomplete maintenance history. # # # possible causes - * * system error : * * the system may have encountered a technical issue that prevented the submission of the maintenance record. - * * incorrect or missing data : * * the technician may have entered incorrect or incomplete data into the system, which triggered the error. - * * network issues : * * the technician may have been experiencing network connectivity problems that prevented the system from receiving the maintenance record. # # # recommendations - * * troubleshoot the system : * * check the system for any known errors or outages. if necessary, contact the system administrator for assistance. - * * verify the data : * * review the data entered into the system to ensure that it is correct and complete. if any errors are found, correct them and try to submit the maintenance record again. - * * check the network connection : * * ensure that the technician has a stable network connection before attempting to submit the maintenance record. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the equipment for technical support. - * * log the issue : * * document the issue in the maintenance log, including the date, time, and any error messages received. this will help with troubleshooting and future reference. @topic:12


# # # issue - medical cart drawer is unable to close. # # # impact - inability to secure medical supplies and equipment within the medical cart. # # # possible causes - solenoid latch, responsible for locking the drawer in place, has become loose or detached. # # # recommendations - tighten the solenoid latch securely using appropriate tools. - replace the solenoid latch if it is damaged or defective. - regularly inspect and maintain the medical cart to prevent similar issues in the future. @topic:21


, lnop neopt - l, lncs neo ( neonate ), lncs neo - 3 ( neonate ), lncs neopt, lncs neopt - 3 = 3 % ( 70 % to 100 % ) option m1193an 3 % ( 70 % to 100 % ) m1901b ( adult ), m1902b, m1903b, m1904b = 2 % ( 70 % to 100 % ) m1901b ( neonate ) = 3 % nellcor sensors with m1943nl : maxfast, maxa, maxal, maxp, maxi, maxn ( adult ) = 2 % ( 70 % t100 % ) 2. 5 % ( 70 % to 100 % ) sc - a, oxicliq a, p, i, n ( adult ) = maxn ( neonate ), dura - y d - ys ( infant to adult ), ds - 100a - 1, oxiband oxi - a / n ( adult ), oxi - p / i = 3 % ( 70 % to 100 % ) maxr, oxicliq n ( neonate ), scneo - i ( neonate ), sc - pr - i ( neonate ), dura - yd - ys with d - yse or d - yspd clip = 3. 5 % ( 70 % to 100 % ) dura - y d - ys ( neonate ), oxiband oxi - a / n ( neonate ) = 4 % ( 70 % to 100 % % resolution raging tim5, 10 or 20 seconds ( user adjustable ) 0 to 300 bpange pulse + 2 % or 1 bpm, whichever is greater accuracy bpresolution sensors emitted light energy : ≤15 mw information about the wavelength range can be especially @topic:8


##score symbol ( color coded according to the risk level ) 04 21 guardian early warning scoring 2 • c bpm hr / pls irwamews date time 30 apr 10 : 33 spo concrn temp < - 36. 0 95 o 60 vv 1 peks - 2 17. 51 2 25 jul 15 : 00 16 : 00 17. 00 the following symbols can appear in the trend views : symbol indicates sps spotcheck record - normal range sps spotcheck record - outside of normal range manual spotcheck record mews spotcheck record mews score ( color depends on the risk level ) spotcheck record from an automatic vital signs measurement making recordings the trend data can be sent to a recorder using the recording pop - up keys. record selected makes a recording for the selected spotcheck record. • record 8 h makes a recording for the last 8 hours of data. • record all makes a recording of all available spotcheck records. • at the beginning of the recording, the title, the type of recording and the time will be printed. if available, the patient's name, date of birth, id and the type of scoring ( protocol name ) currently activill also be printed. using different types of scoring if your department has more than one type of scoring configured, for example one type for patients receiving oxygen and one for patients not, you can switch from one type to another. to switch to a different scoring protocol, depending on which screen is currently displayed, either1 select the symbol. 305 21 guardian early warning scoring 2 select protocol. select the required protocol from the list. 3 or 1 select main setup. select protocolwatch. 2 select protocol. 3 select the required protocol from the list. 4 06 22 using a telemetry device and a monitor ( piic only ) it is possible to assign a monitor and a tel @topic:8


# # # issue - bed is not adjustable due to a detached backboard and a supporting bar obstructing the head adjustment function. # # # impact - inability to adjust the bed's position, which can affect patient comfort and safety. # # # possible causes - malfunction or damage to the backboard attachment mechanism. - obstruction or damage to the supporting bar. - improper handling or maintenance of the bed. # # # recommendations - * * immediate action : * * - repair or replace the detached backboard. - remove the obstruction from the supporting bar. - * * preventive measures : * * - regular inspection and maintenance of the bed, including the backboard and supporting bars. - proper training for staff on handling and maintaining the bed correctly. - reporting any issues or malfunctions promptly for timely repairs. @topic:1


# # # issue - the bed alarm is not working properly. # # # impact - the patient may not be able to call for help if they need it. - the staff may not be able to hear the bed alarm if the patient is in another room. - the bed may not be able to be used if the alarm is not working. # # # possible causes - the jack is worn out. - the bed alarm is defective. - the bed alarm is not connected properly. # # # recommendations - replace the jack. - replace the bed alarm. - check the connections to the bed alarm. @topic:26


# # # issue - cuff failure # # # impact - inaccurate or unreliable patient monitoring - potential for patient harm due to incorrect or delayed treatment # # # possible causes - cuff wear and tear due to prolonged use - cuff damage during patient transfer or handling - cuff tube bending or kinking - cuff improper storage - cuff connection issues # # # recommendations - regularly inspect and maintain cuffs according to manufacturer's recommendations - handle cuffs with care to prevent damage - avoid bending or kinking the cuff tube - store cuffs properly when not in use - ensure proper cuff connection to the monitor - train staff on proper cuff handling and maintenance procedures @topic:5


# # # issue - printer is printing continuously # # # impact - wastage of paper and ink - interruption in work - can lead to system failure # # # possible causes - faulty printer driver - problem with the printer hardware - communication issue between the printer and the central monitor - setting of the printer not set properly. # # # recommendations - check the printer driver and update it if necessary. - inspect the printer hardware for any damage or loose connections. - verify the communication between the printer and the central monitor. - check the setting of the printer and make sure it is set properly. @topic:28


# # # issue - failure to identify the root cause of the equipment malfunction. # # # impact - potential patient harm or death due to incorrect or delayed diagnosis or treatment. - wasted time and resources troubleshooting the issue. - damage to the equipment or other parts of the healthcare system. # # # possible causes - * * lack of training or experience of technician testing the equipment. * * the technician may not have had the necessary training or experience to identify the root cause of the malfunction. - * * incomplete or inaccurate testing. * * the technician may not have conducted thorough or accurate testing to identify the root cause of the malfunction. - * * equipment malfunction. * * the equipment may have a malfunction that is not easily identified or diagnosed. - * * user error. * * the user may have incorrectly used or maintained the equipment, leading to the malfunction. # # # recommendations - ensure that technicians are properly trained and experienced in troubleshooting the specific equipment they are working on. - provide technicians with clear and concise instructions on how to troubleshoot the equipment. - use the appropriate test equipment and follow the manufacturer's recommended procedures for troubleshooting the equipment. - document all testing and troubleshooting procedures, including the results of the tests. - if the root cause of the malfunction cannot be identified, consult with the manufacturer or a qualified expert for assistance. - regularly maintain and inspect the equipment to prevent failures and identify potential problems early on. @topic:12


# # # issue - the philips intellivue mp70 bedside physiologic monitor cannot be connected to the blood pressure ( bp ) cuff due to incompatible parts. # # # impact - the monitor cannot accurately measure and display the patient's blood pressure. # # # possible causes - the monitor and cuff are not compatible with each other. - the cuff is not properly connected to the monitor. - the cuff is defective. # # # recommendations - ensure that the monitor and cuff are compatible with each other. - check the connections between the cuff and the monitor. - replace the cuff if it is defective. @topic:14


# # # issue battery not charging # # # impact monitor cannot be used for patient transport. # # # possible causes - battery not properly connected - battery not correctly seated - battery not making good contact with terminals - battery is dead - battery charger is not functioning properly - circuit board issue # # # recommendations - check battery connection. - reseat battery. - clean battery terminals. - replace battery. - check battery charger. - contact philips technical support. @topic:11


* * issue : * * bed electric not power on * * impact : * * patient cannot use the bed for treatment or recovery. * * possible causes : * * * * * power outage : * * check if there is a power outage in the hospital or the specific area where the bed is located. * * * faulty power cord : * * inspect the power cord for any damage or loose connections. * * * defective power supply : * * if the power cord is intact, the power supply unit within the bed may be malfunctioning. * * * loose electrical connections : * * check for any loose electrical connections within the bed's wiring or control panel. * * * failed electrical component : * * a specific electrical component within the bed, such as a relay or switch, may have failed. * * recommendations : * * * * * check the power source : * * ensure that the bed is plugged into a working power outlet and that the power switch is turned on. * * * inspect the power cord : * * look for any visible damage or loose connections in the power cord. replace the cord if necessary. * * * reset the power supply : * * if the power cord is intact, try resetting the power supply by unplugging the bed from the outlet for a few seconds and then plugging it back in. * * * contact biomedical engineering : * * if the issue persists after checking the power source, power cord, and power supply, contact biomedical engineering for further troubleshooting and repair. @topic:9


# # # issue - * * equipment : * * monitors, physiologic, vital signs - * * band : * * ge healthcare - * * model : * * carescape v100 - * * cause of failure : * * cuff connector failure # # # impact - inability to accurately monitor vital signs - delay in patient care - potential patient harm # # # possible causes - * * normal wear and tear : * * cuff connectors are subject to repeated stress during use, which can lead to eventual failure. - * * improper handling : * * rough handling or mishandling of the equipment can damage the cuff connector. - * * defective manufacturing : * * in rare cases, a cuff connector may be defective from the manufacturer. # # # recommendations - * * regular maintenance : * * regularly inspect cuff connectors for signs of wear and tear and replace them as needed. - * * proper handling : * * handle equipment with care, avoiding rough treatment or mishandling. - * * training : * * ensure that staff is properly trained on the correct use and handling of vital signs monitors. - * * consider backup equipment : * * have a backup vital signs monitor available in case of failure, to minimize disruption to patient care. @topic:5


measures - for example, ensuring that patients are discharged after eir data from the monitor. • procedural security measures - for example, assigning only staff with a specific role the right to • in addition, any security concept must consider the requirements of local country laws and regulations. always consider data security aspects of the network topology and configuration when connecting patient monitors to shared networks. your medical facility is responsible for the security of the network, where sensitive patient data from the monitor may be transferred. note : log files generated by the monitors and measurement modules are used for system troubleshooting and do not contain patient data. about hipaa rules if applicable, your facility's security strategy should include the standards set forth in the health insurance portability and accountability act of 1996 ( hipaa ), introduced by the united states department of health and human services. you should consider both the security and the privacy rules and the hitech act when designing policies and procedures. for more information, please visit http : / / www. hhs. gov / ocr / privacy /. about the eu directives if applicable, your facility's security strategy should include the practices set forth in the directive on the protection of individuals with regard to the processing of personal data and on the free movement of such data ( directive 95 / 46 / ec of the european parliament and of the council of 24 october 1995 ). in addition, your facility should also take into account any additional, more stringent standards put forward by any individual eu countries ; that is, germany, france, and so on. for more information, please visit http : / / eur - lex. europa. eu / en / dossier / dossier _ 27. htm. philips product security policy statement additional security and privacy information can be found on the philips product security web site at http : / / www. healthcare. philips. com / main / support / equipment @topic:10


# # # issue battery degradation resulting in loss of battery storage capacity. # # # impact loss of battery storage capacity may compromise the device's ability to operate during power outages or emergency situations, leading to potential patient safety risks. # # # possible causes - battery aging and natural degradation over time - excessive charging and discharging cycles - exposure to extreme temperatures or humidity - battery manufacturing defects # # # recommendations - regularly monitor battery health and replace batteries proactively before they reach the end of their lifespan. - implement proper battery charging and maintenance practices, such as using recommended chargers and avoiding overcharging. - store batteries in optimal conditions to minimize degradation. - consider investing in advanced battery monitoring systems to track battery health and predict failures. - establish a robust preventative maintenance program to identify and address battery issues early on. - ensure that spare batteries are readily available to minimize downtime during battery replacements. @topic:11


* * issue : * * * leaking cuffbp x2 in the cpr room * * impact : * * * inaccurate blood pressure readings * potential delays in patient monitoring and treatment * * possible causes : * * * damaged or loose cuffbp cables * faulty cuffbp sensor * excessive use or improper handling of the equipment * * recommendations : * * * inspect and replace damaged or loose cuffbp cables. * calibrate and test the cuffbp sensor. * provide training on proper handling and use of the equipment. * monitor the usage and condition of the equipment regularly. * consider utilizing a redundant monitoring system to minimize the impact of equipment failure. @topic:3


# # # issue - unable to charge the battery. # # # impact - the device cannot be used without a battery. # # # possible causes - the battery is not properly seated in the device. - the battery is damaged. - the battery charger is not functioning properly. # # # recommendations - check that the battery is properly seated in the device. - if the battery is not damaged, try charging it again. - if the battery is damaged, replace it with a new one. - if the battery charger is not functioning properly, replace it with a new one. @topic:11


# # # issue : - faulty oxygen saturation ( o2 sat ) cable. # # # impact : - intermittent or inaccurate o2 sat readings. - potential for compromised patient care due to unreliable monitoring data. # # # possible causes : - * * physical damage : * * wear and tear, kinks, or cuts in the cable can disrupt signal transmission. - * * electrical malfunction : * * corrosion, faulty connectors, or internal damage can cause signal interference. - * * mri interference : * * non - mri - safe cables can be susceptible to electromagnetic interference in mri environments. - * * improper handling : * * incorrect storage, mishandling, or excessive tension on the cable can cause damage. # # # recommendations : - * * routine inspection : * * regularly inspect the o2 sat cable for physical damage and ensure proper handling. - * * testing and calibration : * * perform periodic testing and calibration of the o2 sat monitor and cable to ensure accuracy and reliability. - * * use mri - safe cables : * * utilize mri - safe cables specifically designed for use in mri environments. - * * handle with care : * * avoid kinking, twisting, or placing excessive tension on the cable. store it in a protected and dry location. - * * replace damaged cables : * * if physical damage or electrical malfunction is suspected, replace the o2 sat cable promptly with a new one from the manufacturer or an authorized reseller. - * * train staff : * * provide proper training to staff on the correct handling, storage, and inspection of o2 sat cables. @topic:4


# # # issue : - the hospital bed is not adjusting. # # # impact : - patients may not be able to be positioned properly for procedures or treatments. - nurses and other staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes : - the remote control is not working. - the bed's electrical system is not functioning properly. - the bed's mechanical components are damaged. # # # recommendations : - check the remote control for any signs of damage. if the remote is damaged, it will need to be replaced. - inspect the bed's electrical system for any loose connections or damaged wires. if any electrical problems are found, they will need to be repaired. - check the bed's mechanical components for any signs of damage or wear. if any mechanical problems are found, they will need to be repaired or replaced. @topic:1


# # # issue - component connecting cuff to machine is missing. # # # impact - patient monitoring may be affected due to loss of cuff connection. # # # possible causes - cuff may have been disconnected accidentally during transport or storage. - cuff or cable connection may have become damaged. - cuff or cable connection may be incompatible with the machine. # # # recommendations - check if the cuff is properly connected to the machine. - inspect the cuff and cable for any damage or loose connections. - ensure that the cuff and cable are compatible with the machine. - replace the cuff or cable if necessary. - train staff on proper handling and storage of medical devices. @topic:5


| issue | impact | possible causes | recommendations | | - - - | - - - | - - - | - - - | | monitor not moving and not charging | reduced patient monitoring capabilities | * * 1. battery not connected properly * * | * ensure battery is securely connected to monitor. * replace battery if necessary. | | | | * * 2. loose or damaged charging cable * * | * inspect charging cable for damage. * replace cable if necessary. | | | | * * 3. problem with monitor's internal charging circuitry * * | * contact manufacturer for repair or replacement. * consider having a spare monitor available for backup. | @topic:11


# # # issue - broken oxygen saturation ( spo2 ) probe cable # # # impact - inaccurate or unavailable spo2 monitoring - potential patient safety risk # # # possible causes - cable damage during use or storage - repeated bending or twisting of the cable - exposure to extreme temperatures or moisture # # # recommendations - inspect the spo2 probe cable regularly for signs of damage - handle the cable with care to avoid bending or twisting - store the probe and cable in a dry and temperature - controlled environment - replace the cable if any damage is detected - train staff on proper use and maintenance of the spo2 probe and cable @topic:4


# # # issue - the battery in the philips suresigns vs4 vital signs patient monitor is failing. # # # impact - the device may not be able to operate without a power source. - incorrect readings may be displayed. - the device may shut down unexpectedly. # # # possible causes - * * battery is old and needs to be replaced. * * - * * battery is not seated properly. * * - * * battery is damaged. * * # # # recommendations - replace the battery with a new one. - ensure that the battery is seated properly. - inspect the battery for damage. if the battery is damaged, do not use it and contact the manufacturer for a replacement. @topic:11


# # # issue - electric bed cannot adjust up or down. # # # impact - patient may be unable to get in or out of bed. - patient may be uncomfortable or in pain. - staff may be unable to care for patient effectively. # # # possible causes * * equipment - related causes : * * - electrical issue - mechanical problem - faulty remote control * * other causes : * * - improper user training - physical obstruction # # # recommendations * * equipment - related causes : * * - check electrical connections and power supply. - inspect mechanical components for damage or wear. - test remote control for functionality. * * other causes : * * - train staff on proper use of equipment. - remove any physical obstructions that may be preventing the bed from adjusting. - consult with biomedical engineering department for further assistance. @topic:1


# # # issue - the bed cannot be adjusted to raise the head. # # # impact - the patient may not be able to be positioned comfortably. - the patient may not be able to be moved safely. # # # possible causes - the control box is faulty. - the motor is faulty. - the wiring is faulty. # # # recommendations - replace the control box. - replace the motor. - inspect the wiring and replace any damaged wires. @topic:1


* * issue : * * module gas is not reading values. * * impact : * * the patient's vital signs cannot be accurately monitored. * * possible causes : * * * the lan cable is connected to the wrong port. * the module gas is not properly seated in its connector. * the module gas is defective. * * recommendations : * * * check that the lan cable is connected to the correct port. * reseat the module gas in its connector. * if the above steps do not resolve the issue, the module gas may need to be replaced. @topic:22


##op abbreviations may differ slightly depending on the device category. vuelnk equip malf inop tone. vuelink malfunction in the vuelink module. if this message appears repeatedly, the module must be replaced. contact your service personnel. vuelink inop abbreviations may differ slightly depending on the device category. vuelnk no config inop tone. vuelink the vuelink module has not been configured during installation. the installation process should be completed by either your biomedical engineering department or the philips service engineer. vuelink inop abbreviations may differ slightly depending on the device category. vuelnk unplugged inop tone. vuelink the vuelink module has been unplugged from the rack, or the whole rack has been disconnected. the measurement automatically disappears from the display. silencing this inop switches off the measurement. vuelink inop abbreviations may differ slightly depending on the device category. 99 4 patient alarms and inops technical alarm messages ( inops ) 100 5 managing patients use the patient demographics window and its associated pop - up keys to admit, discharge, and transfer ( adt ) patients. all patient demographic and adt information is shared between the patient monitor and the information center, for example, patients admitted to the monitor are automatically admitted to a connected information center. note that when an x2 or mp5 monitor is connected to a host monitor, its ability to admit or discharge a patient is disabled, and the host monitor controls patient demographic and adt information. admitting a patient the monitor displays physiological data and stores it in the trends as soon as a patient is connected. this lets you monitor a patient who is not yet admitted. it is however important to admit patients properly so that you can identify your patient on recordings, reports, and networked devices. during admission you enter data @topic:10


# # # issue - the physiological monitor's blood pressure ( bp ) cuff is not functioning properly. # # # impact - the monitor cannot accurately measure bp, which can lead to incorrect treatment decisions. # # # possible causes - the bp cuff is worn out or damaged. - the cuff is not the correct size for the patient. - the cuff is not properly attached to the patient. - there is a problem with the monitor's bp sensor. # # # recommendations - replace the bp cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly attach the cuff to the patient. - check the monitor's bp sensor for any problems. @topic:14


# # # issue - telemetric ecg monitor is not able to obtain waveform. # # # impact - patient monitoring is compromised. # # # possible causes - damaged lead wires - loose connections - faulty sensor # # # recommendations - replace damaged lead wires. - ensure secure connections. - calibrate the sensor. - contact the manufacturer for further troubleshooting. @topic:18


# # # issue monitor does not turn on. # # # impact patient monitoring is disrupted. # # # possible causes - ac plug is damaged, preventing power from entering the monitor. - internal electrical fault in the monitor's power supply. - loose or disconnected wires within the monitor. - monitor's power switch is faulty. # # # recommendations - verify that the ac plug is securely connected to a power outlet and that the plug is not damaged. - check the monitor's power cord for any visible damage or loose connections. - open the monitor's casing and inspect the internal electrical components for any signs of damage or loose connections. - test the monitor's power switch to ensure that it is functioning properly. - if the issue persists after following these steps, contact the manufacturer's technical support for further assistance. @topic:2


# # # issue - broken electrical cord # # # impact - the device cannot be used. # # # possible causes - the cord may have been cut or damaged. - the cord may have been pulled too tightly. - the cord may have been exposed to excessive heat or cold. # # # recommendations - inspect the cord for any damage. - if the cord is damaged, it should be replaced. - avoid pulling on the cord. - protect the cord from heat and cold. @topic:12


# # # issue - faulty ekg cable # # # impact - intermittent or inaccurate ekg readings - potential for patient harm if ekg data is not accurate # # # possible causes - physical damage to the cable, such as cuts or crimps - loose connections at either end of the cable - manufacturing defect # # # recommendations - inspect the ekg cable for any visible damage. - ensure that the connectors are securely fastened at both ends. - if the cable is damaged, replace it with a new one. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:18


# # # issue - battery is at - 1 % # # # impact - medical cart may not be able to function properly due to low battery power # # # possible causes - battery is not charging properly # # # recommendations - check the battery and ensure it is charging properly - replace the battery if necessary @topic:13


# # # issue the blood pressure ( bp ) cuff on the suresings vs4 patient monitor is malfunctioning. # # # impact the malfunctioning bp cuff will result in inaccurate blood pressure measurements. this could lead to incorrect treatment decisions and potentially harm the patient. # # # possible causes * cuff bladder leak. * air leak from the air hose. * damaged transducer. # # # recommendations 1. * * inspect the cuff for leaks * *. check the integrity of the cuff and tubing for signs of damage or wear. replace if necessary. 2. * * check the air hose for leaks * *. listen for any audible leaks or use a stethoscope to detect air leaks. replace if necessary. 3. * * check the transducer * *. use a blood pressure simulator and a manometer to verify the accuracy of the transducer. replace if necessary. 4. * * calibrate the monitor * *. use a blood pressure simulator to calibrate the monitor according to the manufacturer's instructions. 5. * * retest the monitor * *. once the monitor has been calibrated, test it with a patient to verify that it is functioning properly. @topic:14


# # # issue - unable to operate the electric bed using the remote control. # # # impact - limited or impaired patient mobility and comfort. - difficulty for healthcare providers to adjust the bed position. # # # possible causes - * * mistaken diagnosis * * : the technician initially suspected that the remote control was faulty, when in reality, it was a software issue. # # # recommendations - * * thorough inspection * * : before concluding that the remote control is faulty, perform a comprehensive inspection of the entire system, including the bed's electrical connections, software, and mechanical components. - * * software troubleshooting * * : if the initial inspection does not reveal any hardware issues, check for software updates or glitches that may be preventing the remote control from functioning properly. - * * calibration and reset * * : if software troubleshooting fails, attempt to calibrate or reset the remote control according to the manufacturer's instructions. - * * replacement * * : if all troubleshooting steps fail, consider replacing the remote control with a new one. @topic:7


# # # issue - faulty cuff # # # impact - inability to obtain accurate vital sign measurements - potential delays in patient care - increased risk of patient harm # # # possible causes - wear and tear from repeated use - improper storage or handling - exposure to moisture or extreme temperatures - manufacturing defects # # # recommendations - regular inspection and maintenance of cuffs - replacement of cuffs when they become damaged or worn - proper storage and handling of cuffs - use of cuffs that are designed for the specific patient population and monitoring application @topic:5


that all plugs are well connected ( control and lockout units, electric motors on the power supply unit ). • never clean the bed by pouring water on it, nor with high - pressure hoses nor in tunnel washes. • never use water at a temperature of more than 60°c. • avoid excess water on the connectors. • refer to the recommendations of the cleaning product manufacturer. • thoroughly dry before reusing. • failure to implement one or more of these recommendations may lead to damage or deterioration, preventing use of the bed and rendering the warranty void. recommendations for cleaning and disinfection the following recommendations are not designed to replace existing cleaning protocols drawn up by the hygiene officer or by other bodies for your hospital. the disinfecting method described below applies specifically to the bed and its accessories and is designed to save time and to help combat nosocomial infection more effectively. clean the bed with a lightly dampened cloth and ordinary disinfectant. do not usexcessive liquid. this bed is designed for easy cleaning and optimal hygiene. recommended cleaning and disinfection clean and disinfect every day. clean and disinfect after patient departure or before patient transfer. clean and disinfect thoroughly ( after the departure of an infected patient or recommended every two months ). + + econtamination reca decontamination record should be kept for each bed, mentioning : month, ward and room number, bed reference number. • cleaning frequency, materials and products used. • lick recommended materials and products note : a list of recommended cleaning products for all types of cleaning requirements is available on your request along with a special maintenance advice leaflet. single - use tissues or recyclable textile wipers... one pair of household gloves. • detergent - disinfectant solution diluted according to hospital guidelines ( and taking into @topic:9


# # # issue cuff leak in monitor, bedside, blood pressure, ge healthcare, carescape v100 # # # impact inaccurate blood pressure measurements, potentially leading to incorrect treatment decisions. # # # possible causes - damage to the cuff material - loose connections between the cuff and the monitor - malfunctioning of the inflation / deflation mechanism # # # recommendations - replace the damaged cuff. - inspect and tighten the connections between the cuff and the monitor. - perform a thorough check of the inflation / deflation mechanism to identify any issues. - regularly calibrate the monitor to ensure accurate readings. - train staff on proper use and maintenance of the device. @topic:3


beds ) chapter 3 : theory of operation management of the motors the motor control signals are supplied by the motor control p. c. board. their extreme positions are detected in series by upper and lower internal end - of - travel ( eot ) devices. these devices directly cut off the power supply for the head section, knee section, and foot section actuators. in addition, the knee section and foot section motors have intermediate internal microswitches to control the automatic contour and dining chair® position. the two hilow columns also have upper and lower internal eot devices. for safety reasons, they are both backed up at each end. if one of these safety devices is activated, the column cannot be used ; however, the other functions remain operational. complementing these eot devices, the overload limiting function of the power supply unit provides protection in the event of mechanical failures, obstacles, or overload. detection of bed not in low position this type of detection is obtained by taking into account the state of the low eot of the hilow columns. the motor control p. c. board controls the corresponding indicator as soon as one of the two eots is released. automatic contour the motor control p. c. board, upon receiving a command from the control unit, controls the automatic contour ( head section and knee section ) operation of the bed. this function is carried out through an intennediate switch of the knee section actuator. when the head up function is activated while in the horizontal position, the head section and knee section rise until the intennediate internal microswitch of the knee section actuator cuts its power at approximately 20°. the head section actuator continues to operate until it reaches its upper eot or its control is released. when the head down function is activated and the head section reaches the low position, the knee section @topic:9


select screen elements by pressing them directly on the monitor ’ s screen. disabling touchscreen operation ♦ to temporarily disable touchscreen operation of the monitor, press and hold the main screen permanent key. a padlock will appear on the main screen permanent key. ♦ press and hold the main screen permanent key again to re - enable the touchscreen operation. 20 operating and navigating 1 basic operation using the speedpoint integrated speedpoint ( mp60 / mp70 only ) and remote speedpoint ( all monitors ) 1 silence - acknowledges all active alarms by switching off audible alarm indicators and lamps. behavior follows the silence permanent key configuration. 2 alarms off / pause alarms - pauses alarm indicators. behavior follows the pause alarms permanent key configuration. 3 main screen - close all open menus and windows and return to the main screen. 4 back - go back one step to the previous menu. 5 speedpoint knob - rotate and tilt to highlight elements. press to select. 6 function keys on remote speedpoint - each key can be configured to the function of any smartkey. 7 on / standby key rotate the speedpoint knob left or right. with each click, the highlight jumps to the neighboring screen element. alternatively, tilt the knob to move it in the direction of a screen element. a cursor moves across the screen, following the direction of the knob. any screen element under the cursor is highlighted. when you reach the screen element you want, press the knob to select the element. using the remote speedpoint, you can operate the monitor from a distant location such as at the foot of the bed. the remote speedpoint can be used with all monitors. 21 1 basic operation operating and navigating using the navigation point mp20 / mp30 / mp40 / mp50 only silence - acknowledges all active alarms by switching off audible alarm indicators and lamps. exact behavior depends on permanent key @topic:10


# # # issue - equipment : monitors, physiologic, multipurpose, mri safe / conditional - band : mipm - model : tesla m3 # # # impact - the cause of failure was not identified. - the equipment was not working properly. # # # possible causes - the equipment may have been damaged. - the equipment may have been used incorrectly. - the equipment may have been defective. # # # recommendations - the equipment should be inspected by a qualified technician. - the equipment should be used in accordance with the manufacturer's instructions. - the equipment should be replaced if it is defective. @topic:2


# # # issue - cuff on physiologic monitor ( bedside ) by philips ( model : intellivue mp40 ) has deteriorated. # # # impact - unable to accurately measure patient's vital signs, such as blood pressure and oxygen saturation. # # # possible causes - normal wear and tear over time - prolonged use in harsh environments - exposure to extreme temperatures or humidity - improper storage or handling # # # recommendations - regularly inspect and replace cuffs as needed - follow manufacturer's guidelines for proper use and storage - train staff on the importance of cuff maintenance - consider using durable, high - quality cuffs that are less prone to deterioration @topic:5


lead placement, it is important to correctly place electrodes and to label all 12 - lead ecg reports with the correct lead placement. 142 6 ecg, arrhythmia, st and qt monitoring conventional 12 - lead ecg v1 - v6 1 la 2 ra 3 4 rl ll 5 2 eft armleft arm, in conventional 12 - lead ecg using 10 electrodes, an electrode is placed on the right arm, right leg, and left leg. six v - electrodes are placed on the chest. the right leg electrode is the reference electrode. limb electrodes : place arm electrodes on the inside of each arm, between the wrist and the elbow. place leg electrodes inside of each calf, between the knee and the ankle. - chest electrodes : - on the 4th intercostal space at the right sternal border v2 on the 4th intercostal space at the left sternal border v3 - midway between the v2 and v4 electrode positions v4 on the 5th intercostal space at the left midclavicular line v5 on the left anterior axillary line, horizontal with the v4 electrode position v6 on the left midaxillary line, horizontal with the v4 electrode position 43 6 ecg, arrhythmia, st and qt monitoring modified 12 - lead ecg la 1 v1 - v6 2 5 ll 3 rl 4 ra 5 2 6 if your institution uses modified 10 - lead ecg electrode placement ( the mason - likar lead system ), place the four limb electrodes close to the shoulders and lower abdomen. the six v electrodes are placed on the chest in the same position as the conventional 12 - lead placement. choosing standard or modified electrode placement if your institution uses modified 10 lead ecg electrode placement ( the mason - likar lead system ), nt to on in @topic:8


# # # issue - physiologic monitor is not deflating # # # impact - patients may not be able to receive accurate vital sign measurements. # # # possible causes - * * faulty sensor : * * the sensor that detects the patient's blood pressure may be malfunctioning. - * * obstructed tubing : * * the tubing that connects the sensor to the monitor may be obstructed, preventing the cuff from deflating. - * * software glitch : * * the monitor's software may be experiencing a glitch that is preventing the cuff from deflating. # # # recommendations - * * inspect the sensor : * * check the sensor for any damage or debris that may be obstructing its operation. - * * clear the tubing : * * disconnect the tubing from the sensor and the monitor and blow through it to clear any obstructions. - * * restart the monitor : * * unplug the monitor from the power source and wait for a few minutes before plugging it back in. this may resolve any software glitches. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the monitor for further assistance. @topic:14


reprogramming the control system. @topic:12


# # # issue - medical cart is not connecting to the software and displaying a " can't connect to hardware " error message. # # # impact - the medical cart cannot be used, which may disrupt patient care. # # # possible causes - the com port 7 of the medical cart is not connected to the software. - the com port 7 of the medical cart is not properly configured in the device manager. - the software is not properly installed or configured. - the medical cart is not properly connected to the power supply. # # # recommendations - verify that the com port 7 of the medical cart is properly connected to the software. - verify that the com port 7 of the medical cart is properly configured in the device manager. - reinstall or reconfigure the software. - verify that the medical cart is properly connected to the power supply. @topic:13


# # # issue - defective spo2 cable # # # impact - patient monitoring accuracy may be compromised - limited monitoring data available - potential for patient harm if not addressed promptly # # # possible causes - physical damage to the cable - loose connections - cable malfunction - end of cable life # # # recommendations - replace the defective spo2 cable with a new one. - inspect all other cables and connections to ensure they are secure. - regularly check the spo2 cable for any signs of wear and tear. - train staff on proper handling and maintenance of spo2 cables. - keep spare spo2 cables readily available to minimize downtime. @topic:4


# # # issue technician found that the telemetry device was being used in the wrong ward. # # # impact the telemetry device was not available for use in the ward where it was needed. # # # possible causes - the telemetry device was not properly labeled. - the telemetry device was not properly tracked. - the telemetry device was not properly secured. # # # recommendations - label all telemetry devices properly. - track all telemetry devices properly. - secure all telemetry devices properly. @topic:16


# # # issue * the medical cart is unable to detect the presence of keys, preventing it from locking properly. # # # impact * increased risk of unauthorized access to sensitive medical supplies and equipment. * potential loss of control over restricted areas. # # # possible causes * misalignment between the keyhole and the sensor. * defective keyhole sensor. * interference from external objects. # # # recommendations * * * hardware inspection : * * verify that the keyhole is properly aligned with the sensor and that there is no physical obstruction blocking the sensor's view. * * * sensor testing : * * use a diagnostic tool or multimeter to test the functionality of the keyhole sensor and ensure that it is receiving power and communicating with the control system. * * * system software update : * * check for any available software updates that may address sensor compatibility issues. * * * key examination : * * inspect the keys used with the medical cart for any damage or deformation that could prevent them from being detected by the sensor. * * * maintenance schedule : * * implement a regular maintenance schedule that includes checking the alignment and functionality of the keyhole sensor and the keys used with the medical cart. @topic:27


# # # issue medical cart model bdms 01 cannot open the medcart program. # # # impact the medical cart cannot be used for its intended purpose, which may delay or disrupt patient care. # # # possible causes * software issue : the medcart program may be corrupted or missing. * hardware issue : there may be a problem with the computer or the hardware that is connected to it. * user error : the user may not be familiar with the medcart program or may have made a mistake when trying to open it. # # # recommendations * * * software issue : * * * restart the computer to see if that resolves the issue. * uninstall and reinstall the medcart program. * contact the software vendor for support. * * * hardware issue : * * * check all cables and connections to ensure that they are secure. * restart the computer and all connected hardware. * contact the hardware vendor for support. * * * user error : * * * review the user manual for the medcart program to ensure that the user is following the correct steps to open it. * contact the software vendor or a knowledgeable user for assistance. @topic:13


# # # issue - power supply failure. # # # impact - the medical device may not function properly or may not be able to operate at all. - this could lead to delays in patient care or even pose a safety risk. # # # possible causes - the power supply may have been damaged due to a power surge or other event. - the power supply may have reached the end of its useful life. - the power supply may be defective. # # # recommendations - replace the power supply with a new one. - inspect the medical device for any other damage that may have been caused by the power supply failure. - test the medical device to ensure that it is functioning properly. @topic:12


# # # issue - the electric bed is not able to weigh patients. # # # impact - the healthcare team is unable to monitor the patient's weight, which is important for tracking their health status and progress. # # # possible causes - the technician is not familiar with the operation of the bed. - the bed is not properly calibrated. - there is a malfunction in the bed's weighing system. # # # recommendations - the technician should consult the user manual for the bed and receive training on its operation. - the bed should be calibrated according to the manufacturer's instructions. - the bed's weighing system should be inspected for any faults or damage. @topic:25


signs of changes in blood pressure or other vital signs. use alternative methods of blood pressure measurement, such as a manual sphygmomanometer, if available. @topic:14


# # # issue - mouse for telemetry device is intermittent, causing it to malfunction. # # # impact - inability to use the telemetry device effectively for monitoring patient data. # # # possible causes - * * defective mouse : * * the mouse used for the telemetry device may be malfunctioning or damaged, causing it to intermittently disconnect or fail to send signals. - * * connection issues : * * there might be loose or faulty connections between the mouse and the telemetry device, resulting in signal interruptions. - * * software or driver problems : * * outdated or corrupted software or drivers may cause compatibility issues with the mouse, leading to intermittent functionality. - * * electromagnetic interference ( emi ) : * * excessive electromagnetic interference in the environment can disrupt the wireless communication between the mouse and the telemetry device. # # # recommendations - * * replace the mouse : * * if the mouse is found to be defective, replace it with a new one to resolve the issue. - * * check connections : * * inspect the connections between the mouse and the telemetry device to ensure they are secure and free of damage. - * * update software and drivers : * * install the latest software updates and drivers for the telemetry device and the mouse to ensure compatibility and proper functionality. - * * minimize emi : * * if possible, identify and eliminate sources of electromagnetic interference to improve the wireless communication between the mouse and the telemetry device. @topic:30


# # # issue : - alarm " replace battery " is triggered. # # # impact : - the device may not function properly if the battery is not replaced. - inaccurate readings or loss of critical patient data. # # # possible causes : - * * battery age : * * the battery has exceeded its recommended lifespan of 2 years. - * * battery malfunction : * * the battery is defective or damaged. - * * loose battery connection : * * the battery is not properly connected to the device. - * * software glitch : * * the device software may be experiencing a problem that triggers the alarm incorrectly. # # # recommendations : - * * replace the battery : * * verify the battery age and replace it if necessary. install a new battery that meets the manufacturer's specifications. - * * check battery connection : * * ensure that the battery is properly seated and connected to the device terminals. - * * inspect the battery : * * look for signs of damage, such as bulging, cracks, or leaks. if damage is found, replace the battery. - * * reset the device : * * turn the device off and on again. this may clear any software glitches that could be triggering the alarm. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for technical support. @topic:11


baseline waves in a different color below. the q and t points are marked with a vertical line. by selecting one of the lead labels at the top of the window you can highlight the corresponding wave ; the other waves are shown in gray. the underlined lead labels are the leads used for the qt calculation. by selecting the numeric area you can highlight all underlined leads. changing the view to a single wave set to view one set of waves in a larger scale, you can cycle through the different views, 1 select current view to see the set of current waves. 2 select baseline view to see the set of baseline waves. 3 select split view to return to the combined view with current and baseline waves. setting the qt baseline in order to quantify changes in the qtc value, you can set a qtc baseline. for example to assess the effect of medication on the qt interval you can set the current value as the baseline before you begin medication. this baseline will then be used to calculate the aqtc value. to set the baseline, ♦ select set baseline and set the value. 157 6 ecg, arrhythmia, st and qt monitoring qt alarms if no baseline has been set for this patient, the first five minute value after the start of monitoring is automatically set as baseline. if you set a new baseline the previous baseline is discarded. as the aqtc alarm is based on the difference between the baseline and the current value, setting an inappropriate new baseline may prevent a aqtc alarm from being generated. discharging a patient clears the baseline. printing the qt waves to start a printout, ♦ select print qt. recording the qt waves to start a recording, ♦ select record qt. qt alarms there are two qt alarms, qtc high limit alarm and aqtc high alarm. the qtc high @topic:8


# # # issue the bed is not able to be adjusted. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes * the remote control is not working. * the bed motor is not working. * the bed frame is damaged. * the bed controls are not properly connected. # # # recommendations * check the remote control batteries and connections. * check the bed motor for any signs of damage or wear. * inspect the bed frame for any cracks or breaks. * ensure that the bed controls are properly connected and that the cables are not damaged. @topic:1


# # # issue - bed cannot be adjusted # # # impact - patient discomfort - delay in medical procedures # # # possible causes - electrical issue with the bed or the power supply - mechanical issue with the bed's adjustment mechanism - issue with the control panel - issue with the software or firmware # # # recommendations - check the power supply and electrical connections to the bed. - inspect the bed's adjustment mechanism for any damage or obstruction. - test the control panel and its buttons or switches. - update the bed's software or firmware if necessary. @topic:1


* * issue : * * nibp monitor error * * impact : * * inability to accurately measure blood pressure * * possible causes : * * * * * faulty or loose cuff : * * ensure the cuff is properly inflated and applied snugly around the patient's arm. * * * obstructed or damaged air hose : * * check for kinks or blockages in the hose connecting the cuff to the device. replace if necessary. * * * malfunctioning transducer : * * the sensor that converts pressure into an electrical signal may be faulty. calibrate or replace the transducer. * * * software or hardware failure : * * the device's operating system or electronic components may have malfunctioned. reset the device or contact the manufacturer for further troubleshooting. * * * electrical issues : * * loose wires or faulty power supply can disrupt the device's operation. check connections and ensure adequate power is available. * * recommendations : * * * * * inspect the device : * * check for any visible damage or loose connections. * * * calibrate the cuff and transducer : * * follow the manufacturer's instructions for calibration procedures. * * * inspect and replace air hose : * * ensure the hose is free of obstructions or damage. replace if necessary. * * * reset or update the device : * * power - cycle the device or install software updates if available. * * * contact the manufacturer or a qualified technician : * * if the error persists after performing the recommended troubleshooting steps, seek professional assistance. @topic:15


# # # issue - knee motor not functioning properly, resulting in inability to adjust the knee position. # # # impact - compromised patient mobility and comfort - inaccurate patient positioning during medical procedures - potential for patient injury # # # possible causes - malfunctioning motor gears - electrical connection failure - software glitch - mechanical obstruction # # # recommendations - replace the defective motor with a new one. - inspect and verify the electrical connections to ensure proper functionality. - update the software to the latest version. - examine the mechanical components for any obstructions or wear and tear. - perform regular maintenance and calibration to prevent future issues. @topic:9


from the network in advanced settings, touch the service > system tabs. 1. 2. note if the firmware is up - to - date, take no further action. 3. to update the firmware, touch load and follow the onscreen prompts. note you can also load new firmware by rebooting the device. 35 ower - up sequencoverview the system performs a power - on self test ( post ) of the software and internal hardware each time the device is powered on. specific tests performed include the following : cvc - pic tests • led power test • emmc ( memory ) tests eeprom tests if all tests are successful, the system completes power up and the user interface screen for the default configuration appears ( either the home tab or a login / profile selection screen ), and the operation. if the self - check fails, an error message and an error code appear in the system status area at the top of the screen to aid service personnel and engineers in diagnosing the problem. if a fault that could adversely affect the product is detected, the system enters a safe mode and stops all monitoring functions. the system remains in safe mode until it is turned off by pressing or until the device shuts down automatically after a period of inactivity. disconnect any patient cables connected to the system. 1. 2. insert a fully charged battery into the system. 3. upon each power up, confirm the following : the buzzer generates a sound. a. b. a startup screen appears briefly and then disappears. c. a beep sounds, followed by one chime. d. note if no chimes sound, replace the speaker as specified in " remove the speaker. " the home tab or the login / profile selection screen appears. e. power - up sequencwelch [UNK] connex® spot monitor @topic:16


# # # issue - ssd failure # # # impact - medical cart cannot be operated - patient care may be delayed # # # possible causes - ssd wear and tear from prolonged use # # # recommendations - replace the ssd with a new one - consider implementing a regular maintenance schedule to check the health of the medical cart's components @topic:13


cable 2 3 pulsion pressure transducer 4 pressure adapter cable 5 thermistor connection cable 6 thermistor connection 7 2 pulsion arterial catheter 8 9 cvp line 10 injectate temperature probe housing 11 injectate syringe 12 injectate temperature probe 13 remote switch 1 10 set set up the arterial line using the arterial catheter ( transpulmonary catheter ) and the transducer kit from pulsion medical systems. it must be placed in one of the bigger systemic arteries, for example, the femoral or the axillary artery. you must use the approved catheters and puncture 1 up locations. up the central venous line. set 2 connect the injectate temperature probe housing to the venous line. 3 plug the c. o. interface cable into the c. o. module or measurement extension module and connect the c. o. interface cable : 4 injectate temperature probe thermistor connector remote start switch ( if used ). follow your hospital standards to avoid unintentional extraction of the c. o. catheter. secure the cable using the mounting clip shipped with each c. o. interface cable. you may also find it helpful to loop the c. o. interface cable, tape the loop, and attach it to the undersheet of the patient's bed using a safety pin. 230 13 monitoring cardiac output if you are measuring cco, set up the pressure measurement now. the cco measurement requires 5 a minimally dampened invasive pressure setup. you must ensure that there are no air bubbles in the pressure line or dome and use only specified accessories. check that the correct measurement method is selected. 6 if a catheter is already connected to the cardiac output interface cable, the monitor automatically recognizes the method used. if not, in the setup c. @topic:17


on for paced patients by setting paced mode to on. switching pace pulse rejection off for paced patients may result in pace pulses being counted as regular qrs complexes, which could prevent an asystole event from being detected. when changing profiles, and at admission / discharge, always check that paced mode is correct for the patient. some pace pulses can be difficult to reject. when this happens, the pulses are counted as a qrs complex, and could result in an incorrect hr and failure to detect cardiac arrest or some arrhythmias. make sure that pace pulses are detected correctly by checking the pace pulse markers on the display. atients under close observation. understanding the ecg display your display may be configured to look slightly different. 134 6 ecg, arrhythmia, st and qt monitoring 3 4 1 2 5 hr paced rhythm ii 198 75 120 50 m 6 8 lead label of the displayed wave 1 1 mv calibration bar 2 acer spike3 4 current heart rate 5 current heart rate alarm limits and paced mode symbol 6 easi lead placement label ( located here when present ) 7 8 cg filter labecg hr numeric : this is the heart rate derived from the monitored ecg. pace pulse markers : these are shown if the paced mode status has been set to on, the pacer spikes are not configured to have a fixed size, and the patient has a paced signal. pacer spikes : the pacer spikes are shown in white, unless the ecg wave is white, then they will be green. if the pacer spikes have been configured to have a fixed size, they will be displayed in the ne. 1 pacer spikes configured to have a fixed size defibrillator synchronization marks : if an hp / agilent / philips defibrillator is connected, or the 2nd sync out channel is configured to ecg sync @topic:8


* * issue : * * battery not charging * * impact : * * monitor cannot be used for patient transport * * possible causes : * * - * * battery failure : * * battery is defective and not holding a charge. - * * charger malfunction : * * charger is not providing power to the battery. - * * power supply issue : * * ac outlet or hospital power supply is not functioning properly. - * * connection issue : * * loose or damaged cable connecting the battery to the monitor. - * * software glitch : * * monitor software may be malfunctioning and preventing battery charging. * * recommendations : * * 1. * * test battery : * * use a multimeter to check the battery voltage. if the voltage is below the recommended level, the battery may need to be replaced. 2. * * inspect charger : * * ensure that the charger is properly connected and providing power. if the charger is damaged or malfunctioning, it should be replaced. 3. * * troubleshoot power supply : * * check the ac outlet and hospital power supply to ensure they are working correctly. if necessary, reset the power source or contact the hospital electrician. 4. * * inspect cables : * * ensure that the cable connecting the battery to the monitor is properly connected and not damaged. if necessary, replace the cable. 5. * * update software : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer to inspect the monitor software and perform any necessary firmware updates. @topic:11


typical commercial or hospital environment. note — uris the ac mains voltage prior to application of the test level. electromagnetic compatibility suresigns vs2 * and vsi service guide b - 3 table b - 3 electromagnetic immunity ( rf radiated and conducted ) immunity iec 60601 compliance | electromagnetic environment - test test level level guidance portable and mobile rf communications equipment should be used no closer to any part of the suresigns vs2 * or vsi vital signs monitors, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. recommended separation distance conducted rf | 3 vrms 3 v rms d = [ 35 ] / p ; 0. 150 to 80 mhz iec 0. 15 to 80 mhz 3 da 61000 - 4 - 6 outside ism bands radiated rf 3 v / 3 v / o k i d = e ; 80 to 800 mhz iec 80 to 2500 mhz 3 61000 - 4 - 3 j = al - 800 to 2500 mhz where p is the maximum output power rating of the transmitter in watts ( w ) according to the transmitter manufacturer and d is the recommended separation distance in meters ( m ). field strengths from fixed rf transmitters, as determined by an electromagnetic site survey, ” should be less than the compliance level in each frequency range? interference may occur in the vicinity of equipment marked with the following q ) ) 4 field strengths from fixed transmitters, such as base stations for radio ( cellular / cordless ) telephones and land mobile radios, amateur radio, am and fm radio broadcast and tv broadcast cannot be predicted theoretically with accuracy. to assess the electromagnetic environment due to fixed rf transmitters, an electromagnetic site survey should be considered. if the measured field strength in the location in which the suresigns vs2 * and vsi vital signs monitors are used exceeds the applicable rf compliance level above, the suresigns vs2 * and @topic:10


# # # issue - cuff degradation # # # impact - affects the accuracy of vital sign measurements # # # possible causes - cuff is old and worn out - cuff is not properly inflated - cuff is too tight or too loose # # # recommendations - replace the cuff - ensure that the cuff is properly inflated - ensure that the cuff is the correct size for the patient @topic:5


* * issue : * * electrode lead instability during stimulation in xltek protektor 64 channel intraoperative neurology physiological monitors. * * impact : * * * intermittent or unreliable stimulation during intraoperative monitoring procedures. * potential inaccuracies in data acquisition and interpretation. * * possible causes : * * * faulty electrode lead : poor electrical connection or damaged insulation. * loose or dirty connector : corrosion or improper mating can cause intermittent contact. * electrical interference : electromagnetic noise from other devices or the surgical environment can disrupt signal stability. * software or hardware issues with the monitoring system. * * recommendations : * * * * * replace the electrode lead : * * try using a new or spare electrode lead to eliminate the possibility of a faulty lead. * * * inspect and clean the connector : * * ensure that the connector is free of debris and securely connected to both the monitor and electrode lead. * * * check for electrical interference : * * identify and eliminate potential sources of electromagnetic interference, such as nearby cell phones or power lines. * * * inspect the monitoring system : * * verify that the software and hardware are up - to - date and functioning properly. * * * contact technical support : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repairs. @topic:2


# # # issue * equipment : monitors, patient transport * band : philips * model : intellivue mp20 ( m8001a ) * description : biomedical engineer ( bme ) found that the parameters were not displaying on the screen. bme fixed the issue by restarting the device and reconnecting the module at the back of the device. bme tested the device and found that it was functioning normally. # # # impact * the device was not able to display the patient's vital parameters, which could have delayed or prevented appropriate medical intervention. # # # possible causes * loose connection between the module and the device * software glitch * hardware malfunction # # # recommendations * regularly inspect the device and ensure that all connections are secure. * update the device software regularly. * if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:22


# # # issue : - remote control failure on an electric bed # # # impact : - patients may be unable to adjust their bed position, compromising their comfort and safety # # # possible causes : - broken remote control wire - malfunctioning remote control buttons - loose or disconnected connections # # # recommendations : - repair or replace the broken wire - replace the malfunctioning remote control - check and tighten any loose connections - ensure regular maintenance and inspection of the bed and its accessories @topic:7


# # # issue - remote control of the electric bed is not responding. # # # impact - inability to adjust the bed's height, which can affect patient comfort and safety. # # # possible causes - * * remote control malfunction : * * the remote control may have a hardware or software issue that prevents it from communicating with the bed. - * * bed receiver malfunction : * * the bed may not be receiving signals from the remote control due to a receiver issue. - * * electrical connection problems : * * loose or damaged electrical connections between the remote control and the bed can disrupt communication. - * * software issues : * * outdated or corrupt software on the remote control or bed may cause compatibility problems. - * * human error : * * the remote control may have been accidentally locked or mishandled. # # # recommendations 1. * * inspect the remote control : * * check for physical damage, loose buttons, or any visible defects. 2. * * verify electrical connections : * * ensure that the power cord is securely connected to both the bed and the wall outlet. inspect the remote control battery for proper contact. 3. * * reset the remote control : * * remove the battery from the remote control for a few minutes and then reinsert it. this can sometimes reset the remote control's functionality. 4. * * update software : * * if software updates are available for the remote control or bed, install them to ensure compatibility and address any known bugs. 5. * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the bed or remote control for further troubleshooting and repair. @topic:7


10 138884 1 motor, head section 11 ve0138d 1 motor, thigh section 12 rm74478a 2 washer, nylon 13 ve0139c 1 motor, foot section 14 rm74803a 6 ring, elastic ( e - clip ) 15 vi0361 5 nut 16 qd1545a 4 stop 17 cag001 1 weldment, intermediate frame 18 72274 4 clip 19 72854 1 backrest weldment 20 s30555k 1 cover, short cable tray 21 s30548k 1 cover, long cable tray 22 71495 2 weldment, drainage hook 23 vi0609a 2 screw 24 71991 2 nut 25 s10850 1 pivot pin 26 72619 1 bracket, cpr gas spring mount 27 72494 1 gas spring 28 rm74804a 1 e - clip 29 vi0616a 4 washer careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 77 articulating frame — d model and newer beds chapter 5 : parts list item number part number quantity description 30 vi0608 4 screw 31 138271 1 alarm, external assembly page 5 - 78 careassist® and careassist® es bed service manual ( man330 rev 4 ) articulating frame — d model and newer beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 79 foot extension — d model and newer beds chapter 5 : parts list foot extension — d model and newer beds chapter 5 : parts list table 5 - 30. foot extension — d model and newer beds item number part number quantity description 1 71266 1 handle, foot extension release 2 s3031 @topic:26


# # # issue - equipment : monitors, patient transport - band : philips - model : intellivue mp40 ( m8003a ) - description : bme received a report from the ward that the spo2 extension cable was damaged. bme checked and found that when the spo2 extension cable was connected to the spo2 sensor, no signal was displayed. when only the spo2 sensor was used to measure the signal, it was normal. bme ordered a new spo2 extension cable for the ward on 25 / 07 / 2023. the vendor successfully delivered and tested the cable, and it is now working properly. # # # impact - the spo2 extension cable failure prevented the accurate monitoring of patients'spo2 levels. this could have led to adverse patient outcomes if not detected and corrected promptly. # # # possible causes - the spo2 extension cable may have been damaged due to improper handling, storage, or use. - the spo2 extension cable may have been defective from the manufacturer. # # # recommendations - biomedical engineers should ensure that spo2 extension cables are handled, stored, and used correctly. - biomedical engineers should inspect spo2 extension cables regularly for signs of damage. - biomedical engineers should have a sufficient number of spare spo2 extension cables on hand to replace damaged cables promptly. - biomedical engineers should work with the vendor to identify and address any potential issues with the spo2 extension cable. @topic:4


##r server for the successful connection.. if unchecked, the ca root certificate on the device and server certificate on the emr server are not required for the successful connection. • service manual connex direct 241 8. touch the keyboard to enter an ip address or fqdn of the emr server in the host address if needed, touch the keypad to enter a host port number in the host port field for the emr server that is listening for a connection. 9. 10. touch test network connection to test the connection of the device to the emr server. ntp server - setup details set up the ntp server access the advanced settings. 1. touch the settings tab. a. b. touch the advanced tab. c. he general tab appears2. touch the date / time tab. touch the enable ntp checkbox to enable ntp. 3. note check the enable ntp option as the first step of connecting with the ntp server to synchronize the device date / time clock over the internal or external ( internet ) network. enter the domain name or fqdn or ip address of the ntp server. 4. to enter this information, touch the keypad in the domain text field and enter either the domain name or host name ( fqdn ) or the ip address of the ntp server. 5. touch test network connection to test the connection of the device to the ntp server and advanced settings. date format language mm / dd / yyyy profiles time zone ate / time ( gmt ) greenwich mean time : dublin,... enable ntp domain test network connection sknpdlab. com network service general parameters exit welch [UNK] connex® spot monitor 242 connex direct hl7 out of the box ( oob ) integration project workflow discuss connectivitoptions and @topic:18


# # # issue - bp cuff failure # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff wear and tear - cuff not properly inflated or deflated - air leak in cuff - faulty cuff sensor # # # recommendations - replace the bp cuff - inspect the cuff for any damage or leaks - check the cuff inflation and deflation system - test the cuff sensor @topic:3


# # # issue - the nuts securing the bed rails are loose. # # # impact - the bed rails may not be securely in place, which could pose a safety hazard to the patient. # # # possible causes - the nuts may have been loosened during use. - the nuts may not have been tightened properly during assembly. - the nuts may be worn or damaged. # # # recommendations - inspect the nuts and bolts regularly and tighten them as necessary. - replace the nuts and bolts if they are worn or damaged. - if the issue persists, consult with the manufacturer for further assistance. @topic:6


# # # issue the medical cart is not powering on. # # # impact the medical cart is essential for transporting and storing medical supplies and equipment. if the cart is not functioning properly, it can delay or prevent patient care. # # # possible causes * the power cord is not plugged in or is damaged. * the power switch is not turned on. * the battery is dead. * the electrical components of the cart are malfunctioning. # # # recommendations * check the power cord and make sure it is plugged in and undamaged. * turn on the power switch. * check the battery and replace it if necessary. * if the above steps do not resolve the issue, contact a qualified technician to repair the cart. @topic:13


# # # issue * the hill - rom 900b hospital bed cannot adjust its head position downward. # # # impact * patients may be unable to assume a comfortable or medically necessary position. * nursing staff may be unable to properly care for patients. # # # possible causes * * * electrical malfunction : * * a loose wire or faulty connection may prevent power from reaching the motor that controls the head movement. * * * mechanical failure : * * the gears or other components that physically adjust the bed's head may be damaged or obstructed. * * * software error : * * a glitch in the bed's control system may prevent it from responding correctly to commands to adjust the head. # # # recommendations * * * electrical inspection : * * check all electrical connections and wiring to ensure they are secure and functioning properly. * * * mechanical inspection : * * examine the gears, motors, and other mechanical components for damage or obstruction. * * * software update : * * if necessary, update the bed's control system to the latest version to resolve any software errors. * * * contact manufacturer : * * if the issue cannot be resolved by the on - site technician, contact the manufacturer for further troubleshooting and repair instructions. @topic:1


), remote alarm and remote speedpoint interface. the rear view of the d80 is similar to the mp80 / 90 shown above ; it has no top row of connectors. 411 38 installation and specifications installation safety information mp80 / mp90 / d80 ( front of processing unit ) 1 ac power led 2 error led 3 power on led 4 power on switch 5 power supply 6 ac power input 7 protective earth screw hole 8 equipotential grounding point 802. 11 bedside adapter ( wireless network adapter ) 802. 11 bedside adapter ( can be used with all monitors ) 1 antenna 2 leds - green and yellow leds light up during startup while selftests are performed. during normal operation the green led indicates whether radio is currently on or off ; the yellow led remains off 3 combined power / network cable 412 altitude setting 38 installation and specifications altitude setting altitude affects tcgas and c0 2 measurements. the monitor must be configured at installation to the correct altitude. monitor safety specifications c € 0366 the monitors, together with the multi - measurement modules ( m3001a / m3002a ), and the flexible module rack ( m8048a ), all modules and mms extensions, comply with the medical device directive 93 / 42 / eec. c £oi23 185 - 0145 - ph aspect bisx, 185 - 0111 aspect bis engine and 185 - 0124 aspect dsc comply with the requirements of the council directive 93 / 42 / eec of 14 june 1993 ( medical device directive ). in addition, the product complies with : iec 60601 - 1 : 1988 + al : 1991 + a2 : 1995 ; en60601 - 1 : 1990 + al : 1993 + a2 : 1995 ; ul 60601 - 1 : 2003 ; can / csa c22. 2 # 601. 1 - m90 ; jis @topic:10


# # # issue - solenoid malfunction ( cause of failure : solenoid inside loosened ) # # # impact - inability to close the drawer # # # possible causes - loose connections - mechanical failure - electrical fault # # # recommendations - replace or tighten solenoid - inspect solenoid connections - test solenoid functionality - if problem persists, contact manufacturer @topic:21


# # # issue - unable to measure fetal heart rate due to faulty pressure transducer. # # # impact - inability to accurately monitor fetal well - being. - potential risks to the fetus if heart rate abnormalities are not detected. # # # possible causes - probe malfunction due to : - broken or damaged probe tip - loose or disconnected cables - faulty internal components - equipment malfunction : - software or hardware errors - power supply issues # # # recommendations - replace the probe with a new or functional one. - inspect and tighten all cables and connections. - perform a thorough equipment check to identify any other potential issues. - calibrate the equipment according to manufacturer's specifications. - document the repair and test results for future reference. @topic:20


# # # issue - spo2 probe cable was loose, resulting in inability to measure spo2. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - improper connection of the spo2 probe cable to the monitor. - damaged or defective spo2 probe cable. # # # recommendations - ensure proper connection of the spo2 probe cable to the monitor. - inspect the spo2 probe cable for any visible damage or defects. - replace the spo2 probe cable if necessary. - train staff on proper handling and maintenance of biomedical equipment. @topic:4


# # # issue - the bed is [UNK] [UNK] from left to right. # # # impact - the patient may be uncomfortable or unsafe in the bed. - the bed may be difficult to use. # # # possible causes - the hilow column is damaged. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - replace the hilow column. - inspect the bed frame for damage. - properly assemble the bed. @topic:6


# # # issue - wood blocking the bed from being raised # # # impact - patient discomfort - difficulty in providing care - increased risk of injury # # # possible causes - broken or jammed wood blocking mechanism - electrical fault causing the motor to malfunction - software glitch preventing the bed from raising # # # recommendations 1. * * inspect the wood blocking mechanism : * * check for any broken or jammed parts that may be preventing the bed from being raised. 2. * * check the electrical connections : * * ensure that the bed is properly connected to the power supply and that there are no loose or damaged wires. 3. * * restart the software : * * in case of a software glitch, restarting the bed's computer system may resolve the issue. 4. * * contact the manufacturer : * * if the issue persists, contact the equipment manufacturer for further troubleshooting assistance. @topic:1


# # # issue - bed not adjusting up or down # # # impact - patient discomfort - difficulty performing medical procedures - increased workload for healthcare staff # # # possible causes - faulty remote control - malfunctioning control box - electrical issues - mechanical issues with the bed frame or motor # # # recommendations - replace the remote control. - inspect and repair or replace the control box. - check electrical connections and ensure there is power to the bed. - inspect the bed frame and motor for any signs of damage or wear. - contact the manufacturer for technical support if the issue persists. @topic:1


# # # issue * * lack of spo2 ( blood oxygen saturation ) monitoring capability * * # # # impact inability to monitor patient's blood oxygen saturation levels, which is a vital parameter for assessing respiratory status and overall health. # # # possible causes * * missing spo2 sensor cable * * the equipment is not equipped with a necessary cable to connect to an spo2 sensor, which is required for measuring blood oxygen saturation. # # # recommendations * * acquire the missing spo2 sensor cable * * obtain the appropriate spo2 sensor cable from the manufacturer or a compatible supplier. ensure compatibility with the specific equipment model and monitor functionality after installation. @topic:4


# # # issue - faulty keypad on the left side of the bed ( intermittent failure ) # # # impact - the bed's functionality is compromised, affecting patient care and safety. # # # possible causes - worn - out keypad due to extended use - electrical issues within the keypad circuit - loose connections or improper installation # # # recommendations - replace the faulty keypad with a new one. - inspect the keypad's wiring and connections for any damage or defects. - ensure proper installation and secure connections to prevent future issues @topic:25


# # issue - equipment is making noise when being adjusted up or down. # # impact - the noise may be disruptive to patients and staff. - the noise may indicate that the equipment is not functioning properly. # # possible causes - the bed may not be properly lubricated. - the bed may be damaged. - the motor that drives the bed may be failing. # # recommendations - lubricate the bed. - inspect the bed for damage. - replace the motor if necessary. @topic:9


# # # issue the bed is not adjusting as expected. # # # impact the patient may be uncomfortable or unable to use the bed as needed. # # # possible causes - the remote control cable is loose or damaged. - the control box is not functioning properly. - the bed motor is not working. # # # recommendations 1. check the remote control cable for any loose connections or damage. if the cable is damaged, it will need to be replaced. 2. if the remote control cable is not damaged, then the control box may be faulty. the control box will need to be tested and repaired or replaced if necessary. 3. if the remote control cable and control box are both working properly, then the bed motor may be faulty. the bed motor will need to be tested and repaired or replaced if necessary. @topic:7


# # # issue - cuff bp failure # # # impact - inaccurate blood pressure measurements - potential delays in patient care # # # possible causes - wear and tear due to frequent use - improper maintenance or storage - age - related deterioration of the cuff material # # # recommendations - regular inspection and maintenance of vital sign monitors - replacement of worn or damaged cuffs as needed - following manufacturer's guidelines for proper storage and usage - calibration and performance testing of vital sign monitors after repairs or maintenance @topic:3


close it again. the system does not recognize the recorder. check the recorder ’ s physical connections. see “ removing the optional recorder ( vs2 * only ) ” on page 5 - 9. the recorder module malfunctioned. replace the recorder module. see “ removing the optional recorder ( vs2 * only ) ” on page 5 - 9. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. troubleshooting 4 - 10 suresigns vs2 * and vsi service guide nurse call problems troubleshooting tables symptom possible cause action the nurse call function does not signal alarm conditions. minimum nurse call alarm priority is set too high. specify an appropriate minimum nurse call alarm priority for your facility. for more information, see the suresigns vs2 * and vsi installation and configuration guide. alarms have been silenced. press the alarm silence key to end the audio off mode or audio pause mode. the phono connector is loose or broken. ensure that the physical connection to the nurse call connector is correct. the communications board malfunctioned. replace the communications board. see “ removing the communications board ” on page 5 - 31. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. usb hub problems symptom possible cause action the usb hub does not work. the usb hub is disconnected from the monitor. ensure that all usb plugs are firmly connected into their ports. the usb hub ports are blocked by dust or dirt. clean the usb hub. see the information that came with the usb hub for cleaning instructions. the usb hub is faulty. replace the usb hub. the communications board is broken or not properly connected. confirm that the communications board is properly connected to the main board. replace the main board. see “ @topic:22


# # # issue - the welch allyn connex spot monitor is not functioning properly. - specifically, the ear thermometer is not working. # # # impact - the hospital is unable to accurately measure patients'temperatures, which could lead to incorrect diagnoses and treatment decisions. # # # possible causes - the ear thermometer may be defective. - the ear thermometer may not be properly calibrated. - the ear thermometer may not be being used correctly. # # # recommendations - the bme should contact welch allyn to request a replacement ear thermometer. - the bme should calibrate the ear thermometer according to the manufacturer's instructions. - the bme should provide training to staff on how to use the ear thermometer correctly. @topic:20


excessively. the calibration is unreliable. recalibrate the nbp module see “ nbp calibration procedure ” on page 6 - 11. troubleshooting 7 - 9 troubleshooting charts temperature measurement problems symptom possible cause action there are no temperature readings the probe lead is off. ensure that the temperature probe is connected. the temperature is over range. ensure that temperature readings are in the range of 15° - 45°c ). see “ continuous temperature ” on page 6 - 17. the probe has malfunctioned. replace the temperature probe. there is a front end malfunction. replace the front end board. see “ removing the front end assembly ” on page 8 - 24. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. i ’ m getting unreliable temperature readings the probe has malfunctioned. replace the temperature probe. the front end has malfunctioned. replace the front end board. see “ removing the front end assembly ” on page 8 - 24. there are no predictive temperature readings ( suresigns vm4 only ) the probe lead is off. ensure that the temperature probe is connected. the temperature is over range. ensure that temperature reading are in the range of 15° - 45°c ). see “ predictive temperature ( suresigns vm4 ) ” on page 6 - 16. the probe has malfunctioned. replace the probe. there is a front end malfunction. replace the front end board. see “ removing the front end assembly ” on page 8 - 24. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. i ’ m getting unreliable predictive temperature readings ( suresigns v @topic:20


* * possible causes * * - the battery is not making proper contact with the terminals. - the battery is not properly charged. - the battery is defective. - the device is not properly calibrated. * * recommendations * * - check the battery terminals for corrosion or damage. clean the terminals if necessary. - replace the battery. - if the battery is defective, contact the manufacturer for a replacement. - calibrate the device according to the manufacturer's instructions. @topic:11


# # # issue - broken connector between wire and connector # # # impact - bed alarm not functioning properly # # # possible causes - wear and tear from repeated use - physical damage to the connector - loose connection # # # recommendations - replace the broken connector - inspect and repair other potential areas of damage - ensure proper handling and storage of the equipment @topic:26


# # # issue * the oxygen saturation level ( spo2 ) measured by the monitor is inaccurate. # # # impact * the incorrect spo2 reading may lead to incorrect diagnosis and treatment decisions. * the patient's health may be compromised due to delayed or inappropriate treatment. # # # possible causes * the spo2 sensor cable is damaged or faulty. * the spo2 sensor is not properly attached to the patient's finger or toe. * the monitor is not calibrated correctly. * the patient has a poor peripheral circulation. # # # recommendations * replace the spo2 sensor cable. * ensure that the spo2 sensor is properly attached to the patient. * calibrate the monitor according to the manufacturer's instructions. * if the patient has poor peripheral circulation, use a different method to measure spo2, such as arterial blood gas analysis. @topic:4


# # # issue - monitor is not functioning properly and is unable to be used. # # # impact - patient monitoring capabilities are reduced, which could lead to delays in diagnosis and treatment. # # # possible causes - * * base of the monitor has cracked, rendering it unusable. * * - * * internal components have failed, causing the monitor to malfunction. * * - * * electrical issues, such as power surges or shorts, have damaged the monitor. * * # # # recommendations - * * replace the monitor with a new one. * * - * * contact the manufacturer for repair or replacement options. * * - * * implement a regular maintenance schedule to prevent future failures. * * - * * train staff on proper use and handling of medical equipment. * * - * * consider investing in surge protectors and other safety measures to protect against electrical issues. * * @topic:2


# # # issue - electrical short circuit in the power cord of the bed, electric, universal quality, model uq2000b. # # # impact - the device is not able to operate safely. - the short circuit could cause an electrical fire hazard. # # # possible causes - * * improper installation : * * the power cord may have been pinched or damaged during installation. - * * defective power cord : * * the power cord itself may be defective. - * * faulty device : * * the device itself may have a faulty component that is causing the short circuit. # # # recommendations - * * inspect the power cord : * * check the entire length of the power cord for any signs of damage or pinching. - * * replace the power cord : * * if the power cord is damaged, it should be replaced with a new one of the same type and rating. - * * test the device : * * once the power cord has been replaced, test the device to ensure that it is operating properly. - * * if the problem persists, contact the manufacturer : * * if the device still does not operate properly after replacing the power cord, contact the manufacturer for further troubleshooting and repair. @topic:9


potential issues that may be contributing to the failure. this may involve checking power connections, other input ports, and the display. @topic:2


# # # issue - spo2 cable is broken - unable to measure oxygen levels # # # impact - patient monitoring is compromised - patient safety is at risk # # # possible causes - physical damage to the cable - loose connections between the cable and the monitor - malfunctioning sensor in the oximeter # # # recommendations - replace the damaged spo2 cable with a new one - ensure that the connections between the cable and the monitor are tight - check the oximeter sensor for any signs of damage or malfunction @topic:4


# # # issue - bedside control is damaged. # # # impact - patient may not be able to operate the bed. - nursing staff may not be able to access patient information. # # # possible causes - * * physical damage : * * the bedside control may have been damaged by being dropped, struck, or exposed to excessive force. - * * electrical malfunction : * * the bedside control may have experienced an electrical malfunction due to a power surge, short circuit, or other electrical issue. - * * software glitch : * * the bedside control may have experienced a software glitch that caused it to malfunction. - * * improper maintenance : * * the bedside control may not have been properly maintained, which could have led to its failure. # # # recommendations - inspect the bedside control for any physical damage. - check the electrical connections to the bedside control. - update the software on the bedside control. - perform regular maintenance on the bedside control according to the manufacturer's instructions. @topic:7


# # # issue - rails, side, cannot lower # # # impact - patient safety hazard # # # possible causes : - loose or broken hinge - obstruction in the rail track - bent or broken frame # # # recommendations : 1. inspect the hinges for damage or looseness. tighten or replace if necessary. 2. check the rail track for any obstructions, such as debris or foreign objects. remove any obstructions. 3. inspect the frame for any bends or breaks. contact the manufacturer for repair or replacement if necessary. @topic:6