# # # issue bed not adjusting # # # impact patient discomfort, staff inconvenience, delayed care # # # possible causes - loose ac cord - faulty control panel - mechanical failure # # # recommendations - tighten ac cord and lock in place - inspect control panel for damage or loose connections - contact manufacturer for further assistance if issue persists @topic:1


# # # issue : cuff bp damage # # # impact : - inaccurate bp measurement - potential patient harm # # # possible causes : - aging and wear - improper storage or handling - chemical exposure - excessive use # # # recommendations : - regularly inspect cuff bp for damage - replace cuff bp if damaged or worn - store cuff bp in a dry and clean environment - limit exposure to chemicals or heat - follow manufacturer's guidelines for proper use and maintenance @topic:3


* * issue : * * - equipment : electric bed - band : hill - rom - model : 900b - failure : inability to adjust the bed * * impact : * * - affects patient care and comfort - restricts mobility and positioning * * possible causes : * * - malfunctioning control board ( as identified by the biomedical engineer ) - faulty electrical connections - mechanical issues with the bed frame or actuators - software glitches * * recommendations : * * - replace the control board as per the vendor's recommendation - inspect and tighten electrical connections - check for any obstructions or damage to the bed frame or actuators - update software if necessary - perform regular maintenance and inspections to prevent future failures @topic:1


# # # issue - equipment : physiologic monitor - band : philips - model : suresigns vs2 # # # impact - cuff leak - unable to get correct readings # # # possible causes - cuff may be damaged or punctured - cuff may not be properly attached to the monitor # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly attached to the monitor - test the monitor to ensure that it is working properly @topic:3


- 58 careassist® and careassist® es bed service manual ( man330 rev 4 ) control cables — b model beds chapter 5 : parts list table 5 - 23. control cables — b model beds item number part number quantity description 1 131876 1 sidecom® communication system cable 2 71762 1 ( per side ) siderail cable 3 71761 1 pendant cable 4 ( not shown ) 71073 1 pendant, without sidecom® communication system 5 ( not shown ) 72781 1 pendant, with sidecom® communica¬ tion system careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 59 articulating frame — c model beds chapter 5 : parts list articulating frame — c model beds chapter 5 : parts list table 5 - 24. articulating frame — c model beds item number part number quantity description 1 s30531k 4 main bearing 2 ca0018 1 knee section kit 3 qd0589 2 end cap 4 vi0609a 8 bolt 5 138036 2 led assembly ( night light ) 6 137762 2 night light housing 7 qd2346 1 ground strap, thigh frame to intermediate frame qd2345 1 ground strap, head frame to intermediate frame 8 v10610a 2 screw 9 s10959a 6 pin, pivot 10 ve0137b or 138884 1 motor, head section 11 ve0138c 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 132188 1 weldment, intermediate frame 18 7227 @topic:26


# # # issue - constant alarm sound when the fetal monitor is turned on. # # # impact - inability to accurately monitor fetal heart rate and uterine contractions. - potential distress or harm to mother and baby due to delayed or missed detection of fetal distress. # # # possible causes - * * faulty sensor : * * the sensor that detects fetal heart rate and uterine contractions may be malfunctioning, causing the monitor to alarm continuously. - * * loose or damaged cable connections : * * the cables connecting the sensor to the monitor may be loose or damaged, resulting in intermittent signals and false alarms. - * * software glitch : * * the monitor's software may have a glitch that is causing the constant alarm sound. # # # recommendations - * * inspect sensor : * * check the sensor for any visible damage or loose connections. clean the sensor and ensure it is properly attached to the mother's abdomen. - * * check cable connections : * * inspect all cable connections between the sensor and the monitor. tighten any loose connections and replace any damaged cables. - * * restart monitor : * * turn the monitor off and then back on again. this may reset the software and resolve the issue. - * * contact biomedical engineer : * * if the issue persists after following these steps, contact a biomedical engineer for further troubleshooting and repair. @topic:2


# # # issue - cuff leak in monitor # # # impact - inability to accurately measure vital signs ( e. g., blood pressure ) - potential delays in diagnosis and treatment - patient discomfort or harm # # # possible causes - cuff wear and tear - improper cuff application - cuff size mismatch - damaged cuff tubing or bulb # # # recommendations - * * immediate action : * * - replace the cuff with a new one to ensure accurate measurements. - * * preventive measures : * * - regularly inspect cuffs for signs of damage or wear. - ensure proper cuff application, including correct size and snug fit. - train staff on proper cuff maintenance and use. - consider using automated cuff inflation devices to prevent excessive pressure on the cuff. - * * long - term solution : * * - implement a proactive cuff replacement schedule based on manufacturer recommendations or usage patterns. - regularly calibrate the monitor to ensure accurate measurements. - monitor cuff performance during routine maintenance and address any issues promptly. @topic:5


# # # issue - battery module is not charging. # # # impact - patient transport monitor is not able to be used. # # # possible causes - battery is defective. - battery charger is not functioning properly. - connection between the battery and the charger is loose or damaged. # # # recommendations - replace the battery. - check the battery charger and make sure it is functioning properly. - inspect the connection between the battery and the charger and make sure it is secure. @topic:11


nbp accuracy 1. connect the manometer and the pump with tubing to the nbp connector on the suresigns vm patient monitor. 2. connect the tubing to the expansion chamber ( 500ml cylinder ). expansion chamber manometer suresigns vm patient monitor 1. open the maintenance menu ( see “ running system diagnostics ” on page 7 - 25 for information on opening the maintenance menu ). 2. turn the wheel to highlight nbp test, then press the wheel. performance verification testing 6 - 9 performing verification tests the nbp test window appears. a nbp test 3. rotate the wheel to highlight the start static pressure test button and press the wheel to start the test. 4. squeeze the manometer pump and apply a pressure of 50mmhg. 5. note the pressure displayed in the nbp test window and record this result as xi ( see “ test recording " on page 6 - 4 ). it should be 50mmhg + / - 3mmhg. 6. squeeze the manometer pump to apply a pressure of 250mmhg to the monitor. 7. note the pressure displayed in the nbp test window and record this result as x2. the pressure in the nbp test window should be 250mmhg + / - 3mmhg. 8. press the stop static pressure test button to stop the test. 9. if the difference between the manometer and displayed values is greater than 3mmhg, calibrate the monitor ( see “ nbp calibration procedure ” on page 6 - 11 ). if not, skip to the “ pneumatic leakage test ” on page 6 - 12. 6 - 10 performance verification testing performing verification tests nbp calibration procedure to calibrate the nbp module : 1. rotate the wheel to select nbp @topic:17


# # # issue - leaking bp cuff # # # impact - inaccurate blood pressure readings # # # possible causes - damaged bp cuff - loose connection between cuff and tubing - air leak in the tubing # # # recommendations - replace the bp cuff. - check the connections between the cuff and tubing. - inspect the tubing for any leaks. @topic:3


# # # issue - inability to access med cart program # # # impact - limited access to patient records and other essential clinical information # # # possible causes - corrupted shortcut file - incorrect file permissions - outdated software - network connectivity issues - hardware malfunction # # # recommendations - verify the shortcut file and its permissions - update the software to the latest version - check network connectivity and troubleshoot if necessary - inspect hardware components and replace any faulty parts - consult with a biomedical engineer or it specialist for further assistance @topic:13


# # # issue - motor failure # # # impact - inability to adjust the height of the bed # # # possible causes - worn or damaged motor - electrical fault - mechanical obstruction # # # recommendations - replace the motor with a new one - inspect the electrical connections for any loose wires or damaged insulation - check for any mechanical obstructions that may be preventing the motor from operating properly @topic:9


# # # issue - cuff failure # # # impact - inaccurate blood pressure measurements - patient safety risk # # # possible causes - normal wear and tear - improper use or storage - manufacturer defect # # # recommendations - regular maintenance and inspection of cuffs - proper training of staff on cuff use and storage - use of high - quality cuffs from reputable manufacturers @topic:3


* * issue : * * - missing plug at the tip of the device. - velcro attachment is broken. * * impact : * * - the device is unable to be used for measuring blood pressure. * * possible causes : * * - the plug may have been lost or damaged during transport or handling. - the velcro attachment may have been weakened over time due to repeated use or wear and tear. * * recommendations : * * - check the unit thoroughly for the missing plug and replace if necessary. - securely reattach the velcro attachment or replace it if severely damaged. - inspect the device regularly to identify any potential issues before they cause failure. - train staff on proper handling and storage of medical equipment to prevent damage. @topic:14


# # # issue - loose screws securing the bed rail # # # impact - unstable bed rail that could pose a safety hazard to patients # # # possible causes - screws were not properly tightened during assembly - screws have loosened over time due to wear and tear - damage to the bed frame or rail # # # recommendations - inspect the bed rail and screws regularly for signs of damage or looseness - tighten any loose screws immediately - replace any damaged components as necessary - train staff on the proper assembly and maintenance of the bed @topic:6


# # # issue - the bed's siderail is not locking properly. # # # impact - this could pose a safety hazard to the patient, as they could fall out of the bed. # # # possible causes - the siderail locking mechanism may be damaged or broken. - the siderail may not be properly aligned with the bed frame. - the siderail may be obstructed by something, preventing it from locking properly. # # # recommendations - inspect the siderail locking mechanism for any damage or breakage. repair or replace the locking mechanism as necessary. - ensure that the siderail is properly aligned with the bed frame. adjust the siderail as necessary. - remove any obstructions that may be preventing the siderail from locking properly. @topic:6


# # # issue - battery status showing red despite being charged. # # # impact - monitoring capabilities of the patient transport monitor may be compromised. # # # possible causes - battery is not properly connected to the device. - battery is faulty. - battery charger is malfunctioning. - software glitch in the device. # # # recommendations - verify that the battery is securely connected to the device. - replace the battery with a new one. - check the battery charger for any signs of damage. - contact the manufacturer for technical support if the issue persists. @topic:11


# # # issue - malfunctioning telemetry ekg module # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes - faulty telemetry ekg module - damaged lead ekg cable # # # recommendations - replace telemetry ekg module - replace lead ekg cable - ensure proper maintenance and calibration of telemetry ekg module - train staff on proper handling and use of telemetry ekg module @topic:18


# # # issue the remote control for the electric hospital bed is not functioning. # # # impact the patient is unable to adjust the bed's position, which can lead to discomfort or pain. # # # possible causes * the remote control is not receiving power. * the remote control's buttons are not working. * the remote control is not paired with the bed. * the remote control's battery is dead. # # # recommendations 1. check the remote control's batteries and replace them if necessary. 2. check the remote control's connection to the bed and make sure that it is paired. 3. if the remote control is still not working, contact the manufacturer for further assistance. @topic:7


# # # issue the spo2 cable is not measuring values correctly. # # # impact this could potentially lead to inaccurate patient monitoring and could lead to patient harm in the event of an emergency. # # # possible causes - faulty spo2 cable - faulty patient monitor - faulty sensor - oxygen supply issue # # # recommendations - replace the spo2 cable with a new one. - if the problem persists, replace the patient monitor. - if the problem still persists, replace the sensor. - check the oxygen supply and ensure it is functioning properly. @topic:4


# # # issue - * * faulty equipment : * * the cause of failure is not clearly explained in the given input. however, it is possible that the medical cart is not functioning properly due to a manufacturing defect or mechanical failure. - * * misuse : * * the medical cart may have been damaged due to improper use or mishandling by the hospital staff. - * * lack of maintenance : * * the medical cart may not have been properly maintained, which could have led to its failure. # # # impact - * * patient safety : * * a malfunctioning medical cart could pose a safety risk to patients if it is used to transport critical medical equipment or supplies. - * * operational efficiency : * * a faulty medical cart could slow down the workflow of the hospital staff and delay patient care. - * * financial loss : * * the hospital may incur additional costs to repair or replace the damaged medical cart. # # # possible causes - * * manufacturing defect : * * the medical cart may have been manufactured with a defective component or design flaw. - * * mechanical failure : * * the medical cart may have experienced a mechanical failure due to wear and tear or overloading. - * * mishandling : * * the medical cart may have been dropped, bumped, or otherwise damaged due to improper use or mishandling by the hospital staff. - * * lack of maintenance : * * the medical cart may not have been properly inspected, cleaned, or lubricated on a regular basis, which could have led to its failure. # # # recommendations - * * thorough inspection : * * a thorough inspection of the medical cart should be conducted to identify the cause of failure. - * * proper maintenance : * * the medical cart should be properly maintained on a regular basis to prevent future failures. - * * staff training : * * the hospital staff should be @topic:30


# # # issue - touchscreen failure on philips intellivue mp90 ( m8010a ) monitor lcd. # # # impact - inability to use the touchscreen interface, which is crucial for operating the monitor and accessing patient data. # # # possible causes - * * damaged touchscreen panel : * * physical damage to the touchscreen, such as scratches or cracks, can disrupt its functionality. - * * loose connection : * * the touchscreen may not be properly connected to the monitor, resulting in a lack of response. - * * software glitch : * * a software issue within the monitor's operating system can cause the touchscreen to malfunction. # # # recommendations - * * inspect the touchscreen : * * thoroughly examine the touchscreen panel for any visible damage or debris that could be obstructing its operation. - * * check the connection : * * ensure that the touchscreen cable is securely connected to the monitor and the connection is not loose. - * * update software : * * contact the manufacturer or refer to the device manual to check if any software updates are available to address potential glitches affecting the touchscreen functionality. - * * calibrate the touchscreen : * * perform a touchscreen calibration using the manufacturer's guidelines to ensure accurate response. - * * replace touchscreen : * * if the touchscreen panel is damaged or the issue persists after troubleshooting, consider replacing the touchscreen component. - * * contact technical support : * * reach out to the manufacturer's technical support or a qualified biomedical engineer for further assistance and guidance in resolving the issue. @topic:2


* * issue : * * * monitor displays battery program error message. * * impact : * * * monitor is unable to function properly. * * possible causes : * * * battery is not holding a charge. * * recommendations : * * * replace the battery with a new one. * ensure that the battery is properly connected to the monitor. * if the problem persists, contact the manufacturer for assistance. * * note : * * it is important to regularly maintain medical devices, including checking and replacing batteries as needed, to ensure optimal performance and patient safety. @topic:11


# # # issue - remote control failure # # # impact - patients may have difficulty operating the bed without a remote control, which could lead to discomfort or inconvenience. # # # possible causes - * * internal component failure : * * the internal components of the remote control may have failed due to wear and tear, manufacturing defects, or other factors. - * * battery failure : * * the batteries in the remote control may have failed, preventing it from transmitting signals to the bed. - * * damage : * * the remote control may have been damaged through mishandling or exposure to environmental factors. # # # recommendations 1. * * inspect the remote control : * * check for any visible damage, such as broken buttons or cracks. 2. * * replace the batteries : * * if the remote control uses batteries, replace them with fresh ones. 3. * * contact the manufacturer : * * if the remote control is not responding, contact the manufacturer for further assistance. 4. * * perform a functional test : * * once a new remote control is installed, perform a functional test to ensure that it is operating properly. 5. * * provide additional support to patients : * * if the remote control is not immediately available, provide patients with alternative methods of operating the bed, such as manual controls or assistance from staff. @topic:7


site survey, should be less than the compliance level in each frequency range. interference may occur in the vicinity of equipment marked with this symbol : ( ( ) ) iec 60601 - 1 - 2 est level mmunity test electromagnetic environment guidance recommended separation distance : conducted rf iec 61000 - 4 - 6 3 vrms 3 vrms 150 khz to 80 mhz nd bis497 40 specifications iec 60601 - 1 - 2 est level mmunity test electromagnetic environment guidance 3 v / m 3 v / m. radiated rf iec 61000 - 4 - 3 recommended separation distance : 80 mhz to 2. 5 ghz ( 1 v / m for respiration 80 mhz to 800 mhz and bis ) d = 1. 2√p 80 mhz to 800 mhz for respiration and bis 800 mhz to 2, 5 ghz d = 2. 3√p 800 mhz to 2, 5 ghz for respiration and bis 2. 0 to 2, 3 ghz for short : range radio 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 monitor is used exceeds the applicable rf compliance level above, the monitor should be observed to verify normal operation. if abnormal performance is observed, additional easures may be necessary, such as reorienting or relocating the monitor. these guidelines may not apply in all situations. electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. recommended separation distances from portable and mobile rf communication equipment the monitor is intended for use in an electromagnetic environment in which radiated rf disturbances are controlled. the customer or user of the monitor can help prevent electromagnetic interference by maintaining a @topic:10


# # # issue monitor unable to power on # # # impact unable to monitor patient's vital signs, which could lead to missed diagnoses or delays in treatment. # # # possible causes 1. battery not properly seated in the basket. 2. battery is dead or damaged. 3. basket is damaged or not properly connected to the monitor. 4. power cord is not properly connected. 5. monitor is damaged. # # # recommendations 1. check that the battery is properly seated in the basket. 2. replace the battery if it is dead or damaged. 3. inspect the basket for damage and ensure that it is properly connected to the monitor. 4. check that the power cord is properly connected to the monitor and to a power source. 5. contact a qualified technician if the problem persists. @topic:2


, touch the network > active directory tabs. 1. 2. select enable active directory. 3. specify settings. action / description setting enter the domain name. domain name enter the domain name groupgroup linician id typselect the clinician id type ( user name, account yee id. authentication user name enter the user name. authentication password enter the password. search subtree enter the subtree alpha - numeric characters. 4. touch test network connection. the device displays the active directory test status. click ok. 5. do one of the following : 6. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. service manual advanced settings 31 ervice taethernet status in advanced settings, touch the service > ethernet status tabs. this ethernet status vertical tab displays read - only data about the ethernet connection : network ac address. ip address subnet mask • gateway • dhcp servedhcp lease time • network statistics x bytetx bytes • rx packets tx packets • rx multicast packets errors rx errors • x errorx packets dropped tx packets dropped • dvanced settingwelch [UNK] connex® spot monitor 32 radio status in advanced settings, touch the service > radio status tabs. this radio status vertical tab displays ata about the wifi or bluetooth radio connection : network mac address • ip address ubnet mask gateway dhcp serve • dhcp lease time • network statistics x byte • x byte • x packetx packet. rx multicast packets. errors x error. x errorrx packets dropped • tx packets dropped adio settingversion • adio status strinssid access point mac • authentication type. rssi • radio band channel. ower mode ips mo. if the device cannot communicate with the radio through the internal radio ip address, the @topic:18


##2 straight 30 mm ^ 25 mm 15x15 mm m8081 - 61004 453563484621 iv cbl 15m lan / rs232 straight 30 mm ^ 25 mm 15x15 mm m8081 - 61005 453563484631 iv cbl 25m lan / rs232 straight 30 mm ^ 25 mm 15x15 mm 300 8 site preparation ^ ) cable and a ^ dapter set nurse call paging cable part number 12nc description conduit sizes bend radius connector size 453564214531 453564214531 cbl nurse paging cable 3m 0. 125 mm ^ 12 mm 9x12 mm one end terminated with 6p6c connector. one end without connector. 453564220531 453564220531 cbl nurse paging cable 10m 0. 125 mm ^ 12 mm 9x12 mm one end terminated with 6p6c connector. one end without connector. m8087 - 61001 453563484741 iv cbl 10m flex nursepaging mdr & open con 40 mm ^ 30 mm 35 x 16 mm one end terminated with straight mdr connector, one end without connector 301 [ 8 site preparation ] ecg out interface table 13 ecg out cable part number 12nc description conduit sizes bend radius diameter comments 8120 - 1022 453563198151 cbl ecg out 3m phone plug terminated 40 mm ^ 30 mm 13 mm 3m cable ( both ends are terminated with. 25 ” phone plugs m1181 - 61625 453563255091 cms cbl ecg out cable kit 25m cable kit consisting of : 25 m raw cable, 2 x 1 / 4 ” socket, 1x1 / 4 ” plug m17 @topic:10


# # # issue : telemetry system control unit failure # # # impact : the telemetry system is unable to monitor patient vital signs. # # # possible causes * battery failure # # # recommendations * replace the battery in the telemetry system control unit * test the telemetry system to ensure it is functioning properly @topic:16


* * issue : * * blade scanner not displaying results * * impact : * * inability to use the scanner for medical imaging * * possible causes : * * - damaged base blade ( as mentioned in the input ) - loose or damaged electrical connections to the blade - malfunctioning scanner electronics - software issues or corrupted data * * recommendations : * * - replace or repair the damaged base blade - inspect and tighten all electrical connections - perform a diagnostic test on the scanner electronics - check for software updates or reinstall the software - consult with the manufacturer or a qualified service technician for further assistance @topic:23


# # # issue - cuff deterioration # # # impact - inability to measure blood pressure # # # possible causes - normal wear and tear over time - exposure to harsh chemicals or cleaning agents - improper storage or handling of the cuff # # # recommendations - regularly inspect the cuff for any signs of deterioration, such as cracks, tears, or fraying. - clean the cuff according to the manufacturer's instructions using mild soap and water. - store the cuff in a cool, dry place when not in use. - replace the cuff if it shows any signs of deterioration or if it is no longer able to provide accurate blood pressure readings. @topic:3


# # # issue - spo2 measurement failure # # # impact - inaccurate oxygen saturation readings, which can lead to delayed or incorrect patient treatment # # # possible causes - deteriorated spo2 probe - loose or damaged spo2 cable - malfunctioning spo2 sensor - faulty spo2 module # # # recommendations - replace the spo2 probe - tighten or replace the spo2 cable - calibrate the spo2 sensor - repair or replace the spo2 module if necessary @topic:4


* * issue : * * defective blood pressure ( bp ) cuff on bedside physiologic monitor. * * impact : * * inaccurate bp readings, which could lead to incorrect diagnosis and treatment decisions. * * possible causes : * * * * * component failure : * * the cuff may have a mechanical or electrical defect, such as a leak or a broken wire. * * * wear and tear : * * the cuff may have become damaged over time due to repeated use and cleaning. * * * improper storage : * * the cuff may not have been properly stored, leading to damage to the materials. * * recommendations : * * * * * replace the cuff : * * the defective cuff should be replaced with a new one of the same type and size. * * * check for other defects : * * the technician should inspect the monitor and the cuff connection for any other potential defects that may have caused the issue. * * * proper storage and maintenance : * * the technician should provide instructions on how to properly store and clean the cuff to prevent future damage. @topic:3


* * issue : * * locking mechanism of the electric bed failed. * * impact : * * compromised patient safety and comfort. * * possible causes : * * - mechanical wear and tear of the locking mechanism due to prolonged use or excessive force. - corrosion or damage to the locking components due to exposure to fluids or cleaning agents. - misalignment or improper installation of the locking mechanism. - defective or faulty design of the locking components. * * recommendations : * * - inspect the locking mechanism for signs of damage, corrosion, or misalignment. - replace or repair damaged or defective components. - lubricate the locking mechanism according to manufacturer's instructions. - reinstall the locking device correctly and ensure proper alignment. - monitor the performance of the locking mechanism regularly and perform preventive maintenance to minimize future failures. @topic:6


# # # issue the equipment has a loose nut securing the bed rail. # # # impact the loose nut could cause the bed rail to detach from the bed, which could pose a safety hazard to the patient. # # # possible causes * the nut may have been overtightened or undertightened. * the nut may have been corroded or damaged. * the threads on the nut or bolt may have been stripped. # # # recommendations * inspect the nut and bolt for damage or corrosion. * replace the nut and / or bolt if necessary. * tighten the nut to the appropriate torque specification. * monitor the nut and bolt for any signs of loosening over time. @topic:6


# # # issue - module failure # # # impact - the biomedical engineer may not be able to perform the task of repairing the equipment. # # # possible causes - the module may have been damaged due to : - power surge - overheating - physical damage - software glitch # # # recommendations - the biomedical engineer should : - inspect the module for any damage. - replace the module if necessary. - test the equipment to ensure that it is functioning properly. @topic:12


* * # # issue * * the bed's electric remote control is not functioning properly. * * # # impact * * the patient may be unable to adjust the bed's position, which could lead to discomfort or pain. * * # # possible causes * * - the remote control may be defective. - the remote control may not be properly connected to the bed. - the bed's electrical system may be malfunctioning. * * # # recommendations * * - replace the remote control. - check the connection between the remote control and the bed. - inspect the bed's electrical system for any loose connections or damaged wires. @topic:7


# # # issue central monitor not connecting to system # # # impact central monitor not accessible or operational # # # possible causes - loose or damaged cables between central monitor and other components - power issues - software glitches - hardware failure # # # recommendations - inspect and ensure all cables are securely connected and not damaged - check power supply and connections to the central monitor - reboot the central monitor and other connected components - contact the equipment manufacturer or a qualified technician for further troubleshooting and potential repair or replacement @topic:16


# # # issue - electrocardiogram ( ekg ) signals are not being displayed on the monitor. # # # impact - inability to monitor the patient's heart rhythm and electrical activity. - this could lead to delayed diagnosis and treatment of cardiac conditions. # # # possible causes - * * failed red dot sensor : * * the red dot sensor is responsible for detecting the patient's heart rate and rhythm. if the sensor is defective, it may not be able to accurately capture the ekg signals. - * * loose or disconnected cables : * * the cables that connect the red dot sensor to the monitor may be loose or disconnected, causing a loss of signal. - * * software malfunction : * * a software glitch or bug in the monitor's software may prevent the ekg signals from being displayed. - * * faulty monitor : * * in rare cases, the monitor itself may be faulty and unable to process the ekg signals. # # # recommendations - * * replace the red dot sensor : * * if the sensor is suspected to be faulty, it should be replaced with a new one. - * * inspect cables : * * check all cables connecting the red dot sensor to the monitor to ensure they are securely attached and not damaged. - * * update software : * * if a software update is available for the monitor, install it to resolve any potential software issues. - * * perform a system diagnostic : * * run a diagnostic test on the monitor to check for any hardware or software errors. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for technical support or a replacement. @topic:18


# # # issue - inability to log in to windows on medical cart # # # impact - inability to use the medical cart for patient care # # # possible causes - incorrect password - network connectivity issues - software or hardware problems # # # recommendations - verify the password is correct - ensure the medical cart is connected to the correct wi - fi network - contact biomedical engineering ( bme ) for further assistance if the problem persists @topic:13


# # # issue - medical cart cannot be used due to " can't connect to hardware " error. # # # impact - healthcare professionals are unable to use the medical cart to provide patient care. # # # possible causes - hardware connection issue between the medical cart and the hardware. - faulty hardware component. - software issue with the medical cart. # # # recommendations - * * check the hardware connection : * * ensure that the hardware is properly connected to the medical cart and that all cables are securely in place. - * * test the hardware : * * use a diagnostic tool or software to test the functionality of the hardware component. - * * update software : * * check for any available software updates for the medical cart and install them if necessary. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the medical cart for technical support and repair options. @topic:13


# # # issue * telemetry 5r is still displayed on central monitor at 6r, even though the telemetry frequency has been turned off at 6r. # # # impact * clinicians may be confused by the incorrect telemetry reading, which could lead to errors in patient care. # # # possible causes * the central monitor at 6r is not properly configured. * the telemetry transmitter for telemetry 5r is malfunctioning. * there is interference from another telemetry device. # # # recommendations * verify that the central monitor at 6r is properly configured. * check the telemetry transmitter for telemetry 5r to ensure that it is functioning properly. * identify and eliminate any sources of interference from other telemetry devices. @topic:16


# # # issue - ekg lead failure # # # impact - patient safety concerns due to exposed wires - loss of ekg monitoring # # # possible causes - deterioration of insulation covering # # # recommendations - replace the ekg lead - regularly inspect and maintain the equipment to prevent further damage @topic:18


# # # issue - medical cart is not functioning properly. # # # impact - the medical cart is essential for transporting patients and medical supplies. if it is not functioning properly, it could delay or prevent patient care. # # # possible causes - the battery is at - 1 %. - the medical cart has been in use for a long time and has not been serviced. - there is a problem with the electrical system of the medical cart. # # # recommendations - replace the battery. - have the medical cart serviced by a qualified technician. - check the electrical system of the medical cart for any problems. @topic:13


##stolic and the diastolic pressure values for a single beat. pulse pressure variation is defined as the maximal pressure less the minimum pressure divided by the average of these two pressures. the average variation in pulse pressure is calculated over periods of 32 seconds. 195 12 monitoring invasive pressure measuring pulmonary artery wedge pressure warning • this monitor can calculate ppv from beat - to - beat values of any arterial pulsatile pressure. the circumstances under which the calculation of a ppv value is clinically meaningful, appropriate and reliable must be determined by a physician. • the clinical value of the derived ppv information must be determined by a physician. according to recent scientific literature, the clinical relevance of ppv information is restricted to sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. • ppv calculation may lead to inaccurate values in the following situations : - at respiration rates below 8 rpm - during ventilation with tidal volumes lower than 8 ml / kg - for patients with acute right ventricular dysfunction ( “ cor pulmonale ” ). • the ppv measurement has been validated only for adult patients to select an arterial pressure as ppv source : 1 in the main setup menu, select measurements. 2 in the setup ppv menu, select abp, art, ao, bap, p or fap as the arterial pressure source. caution older multi - measurement modules cannot supply a beat - to - beat arterial pressure value. in this case the monitor shows a no ppv from < server > inop. measuring pulmonary artery wedge pressure pulmonary artery wedge pressure ( pawp ) values, used to assess cardiac function, are affected by : • fluid status • myocardial contractility • valve and pulmonary circulation integrity obtain the measurement by introducing a balloon - tipped pulmonary artery flotation catheter into the pulmonary artery. when the catheter is in one of @topic:17


# # # issue - remote control cable is damaged. # # # impact - the medical device cannot be operated remotely. # # # possible causes - physical damage to the cable, such as cuts or breaks. - poor maintenance of the cable, such as not properly storing or cleaning it. - manufacturing defects in the cable. # # # recommendations - inspect the cable for any visible damage. - replace the cable if it is damaged. - ensure that the cable is properly stored and cleaned to prevent future damage. - contact the manufacturer if you suspect a manufacturing defect. @topic:7


# # # issue : head of the bed cannot be adjusted. # # # impact : - inconvenience to patients. - difficulty for medical staff to access patients. - potential safety hazard. # # # possible causes : - broken remote control cable. - malfunctioning electrical system. - faulty motor or gear mechanism. - software glitch. # # # recommendations : - check the remote control cable for any visible damage or breaks. - inspect the electrical system for loose connections or shorts. - test the motor and gear mechanism for proper function. - update the software if needed. - consult with the manufacturer's technical support for further guidance. @topic:1


# # # issue * equipment unable to adjust properly # # # impact * inability to use the equipment for patient care * delays in patient care * potential for patient harm # # # possible causes * mechanical failure * electrical failure * software malfunction * user error # # # recommendations * inspect the equipment for any visible damage or loose connections. * check the electrical connections and ensure that they are secure. * update the software to the latest version. * train users on the proper operation of the equipment. * contact the manufacturer for technical support if the issue persists. @topic:12


# # # issue - keyboard not functioning properly. # # # impact - inability to use the medical cart effectively for patient care. # # # possible causes 1. * * incorrect bluetooth channel : * * the keyboard was not connected to the correct bluetooth channel ( 2. 4g channel ). # # # recommendations 1. * * verify bluetooth channel : * * ensure that the keyboard is connected to the correct bluetooth channel ( 2. 4g channel ) by following the manufacturer's instructions. 2. * * recalibrate keyboard : * * if the bluetooth channel is correct, recalibrate the keyboard by unpairing and re - pairing it with the medical cart. 3. * * replace keyboard : * * if the above steps do not resolve the issue, replace the keyboard with a new one. @topic:27


# # # issue - cuff of the patient transport monitor is leaking. # # # impact - the monitor cannot be used to measure blood pressure accurately. # # # possible causes - the cuff is punctured or damaged. - the cuff is not properly inflated. - the cuff is not the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - use the correct size cuff for the patient. @topic:3


the specified range, try another flow sensor. ensure that the syringe is calibrated correctly and that the procedure is performed exactly as described above. if the test fails again, replace the module. leakage test 1 connect the m1014a spirometry module to the host monitor and go into service mode. 2 connect the leak test adapter to the module. 3 press the setup key on the module and then select show all values in the setup spirometry menu. 51 3 testing and maintenance tests 4 press the purge key on the module and start a purge cycle. at the end of the purge cycle, the values for paw and ppeak should both be above 100 cmh20. 5 verify that the pressure difference between ppeak and paw remains less than 10 cmh20 after 30 seconds. if the readings are not within the specified range or if an inop ( e. g. spiro purge failed ) is issued, check the leak test adapter for any leaks. disconnect the adapter from the module and start the test procedure from the beginning. if the test fails again, replace the module. barometer check 1 connect the m1014a spirometry module to the host monitor and go into service mode. 2 attach any airway adapter to the module. 3 press the setup key on the module and then select show all values in the setup spirometry menu. 4 check that the barometric reading ( pb ) is within ± 3 mmhg of a reference barometer. 5 if the readings are not within the specified range, check the accuracy of the barometric pressure reference again. if the test fails again, replace the module. note the built - in barometer cannot be recalibrated. cardiac output performance test these tests check the performance of the cardiac output measurement. 1 connect the patient simulator to the c. o. module using the @topic:17


# # # issue - memory full alert # # # impact - inability to store patient data # # # possible causes - insufficient memory space - corrupted data files - software bugs - hardware malfunctions # # # recommendations - clear old patient data - check for corrupted files and remove them - update software to the latest version - contact manufacturer for hardware troubleshooting @topic:2


33 main pcb assembly / disassembly procedures 5. lift the unit and wiggle it free from the pressure sensor tube connectors. when reinstalling the nbp module 1. install the main pcb first if you have removed it. 8 - 34 repairing the monitor main pcb assembly / disassembly procedures removing the nbp filter note — the filter is standard on rev b nbp modules or newer. to remove the nbp filter : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 3. remove the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 4. remove the nbp module. see “ removing the nbp module ” on page 8 - 33. 5. use wire - cutters to cut the plastic zip tie securing the filter to the module, and disconnect the filter from the nbp filter tube. plastic zip tie note — when reassembling the nbp filter, it must be bound to the nbp module with a new plastic zip tie. repairing the monitor 8 - 35 main pcb assembly / disassembly procedures removing the ac power connector to remove the ac power connector : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10. 2. remove the main pcb assembly. see “ removing the main pcb ” on page 8 - 31. 3. squeeze the power cord retaining clip and remove it from the small holes in the two ac power assembly bolts. remove the bolts and lock washers holding the ac power connector to the case. retaining clip ac p @topic:19


# # # issue - cuff failure # # # impact - inaccurate or no vital sign readings - patient discomfort or injury # # # possible causes - age and wear and tear - improper use or storage - manufacturing defects # # # recommendations - replace the cuff regularly according to the manufacturer's instructions - handle the cuff with care, avoiding rough treatment or exposure to extreme temperatures - inspect the cuff for signs of damage or wear before each use - calibrate the monitor regularly to ensure accuracy @topic:5


# # # issue vital signs monitor cannot be started. # # # impact patient's vital signs cannot be monitored. # # # possible causes - the start button is not being pressed properly. - the start button is not functioning properly. - the monitor is not properly plugged in. - the monitor is not properly turned on. # # # recommendations - ensure that the start button is being pressed properly. - if the start button is not functioning properly, contact a biomedical engineer. - ensure that the monitor is properly plugged in. - ensure that the monitor is properly turned on. @topic:2


# # # issue - motor failure # # # impact - inability to adjust the height of the bed, which can compromise patient comfort and safety. # # # possible causes - electrical fault in the motor - mechanical damage to the motor or its components - worn or damaged gears - obstruction in the motor's path # # # recommendations - replace the defective motor with a new one. - inspect the motor's wiring and connections for any damage or loose connections. - ensure that the motor is properly lubricated and free of any debris or obstructions. - check the motor's gears for wear or damage and replace them if necessary. - retest the bed's functionality after replacing the motor and ensure that it is operating correctly. @topic:9


# # # issue - the electric bed's remote control is malfunctioning, preventing the bed from adjusting its height. # # # impact - patients and healthcare providers may have difficulty using the bed, leading to discomfort and potential safety risks. # # # possible causes - * * remote control failure : * * the remote control may have suffered physical damage, water damage, or internal component failure. - * * connection issues : * * the remote control may not be properly connected to the bed or the signal may be interfered with by other electronic devices. - * * bed motor issues : * * the motor responsible for adjusting the bed height may have malfunctioned due to wear and tear, electrical problems, or mechanical failure. # # # recommendations - * * inspect the remote control : * * check for visible damage, loose wires, or corrosion. - * * test the connection : * * ensure the remote control is properly connected to the bed and that there are no obstructions between them. - * * restart the bed : * * turn off the bed, unplug it for a few minutes, and then reconnect it to power. this may reset any temporary errors. - * * inspect the bed motor : * * if the remote control and connection appear to be functioning properly, the motor may need to be inspected by a qualified technician. - * * replace the remote control : * * if the remote control is damaged or malfunctioning beyond repair, it should be replaced with a new one. - * * contact the manufacturer : * * if the issue persists after following these steps, contact the manufacturer for technical support or repair assistance. @topic:7


# # # issue - the touchscreen on the bedside physiologic monitor is not aligned correctly. # # # impact - the misaligned touchscreen may make it difficult to use the monitor effectively. this could lead to delays in treatment or errors in patient care. # # # possible causes - the touchscreen may be incorrectly calibrated. - the touchscreen may be damaged. - the firmware on the monitor may be out of date. # # # recommendations - calibrate the touchscreen. - inspect the touchscreen for damage. - update the firmware on the monitor. - replace the touchscreen if necessary. @topic:2


# # # issue - the connector of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately monitor the patient's vital signs. # # # possible causes - the connector may have been damaged due to : - excessive force being applied to the connector - the connector being dropped - the connector being exposed to moisture or other environmental factors # # # recommendations - replace the damaged connector. - inspect the monitor for any other damage. - test the monitor to ensure that it is functioning properly. @topic:2


# # # issue - the electric bed is not adjusting. # # # impact - the patient cannot be positioned comfortably or safely. - the nursing staff cannot perform necessary procedures. # # # possible causes - the remote control is faulty. - the bed's motor is not working. - the bed's electrical system is malfunctioning. # # # recommendations - check the remote control for any damage or loose connections. - inspect the bed's motor for any signs of wear or tear. - test the bed's electrical system to ensure that it is functioning properly. @topic:1


# # # issue - cuff bp connector detached # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff damage # # # recommendations - replace the damaged cuff @topic:3


# # # issue - no power to device # # # impact - device cannot be used to monitor patient vital signs - potential patient safety risk # # # possible causes - faulty power cord or outlet - internal electrical failure - battery failure # # # recommendations - check power cord and outlet for damage - verify that the device is plugged in to a working outlet - replace the battery if necessary - contact the manufacturer or a qualified biomedical engineer for further troubleshooting @topic:11


# # # issue the input does not indicate a failure, but rather a scheduled reboot. # # # impact n / a # # # possible causes this is a scheduled event, not a failure. # # # recommendations n / a @topic:12


# # # issue - drawer is not bouncing back when opened # # # impact - difficult to access medical supplies stored in the drawer - potential for medical errors due to difficulty in retrieving supplies # # # possible causes - broken or damaged spring - obstruction in the drawer slide mechanism - misalignment of drawer rails # # # recommendations - inspect drawer for any visible damage or obstructions - test drawer slide mechanism to identify any binding or friction points - realign drawer rails if necessary - replace spring or drawer slide mechanism if damaged @topic:21


# # # issue * equipment : bed, electric * band : huntleigh * model : contoura 360 * issue : headboard cannot be adjusted # # # impact * patient discomfort * difficulty providing care * increased risk of falls # # # possible causes * relay malfunction * wiring issues * broken or loose connections * motor failure * software issues # # # recommendations * * * check relay : * * ensure that the relay is functioning properly and not stuck in a closed position. if necessary, replace the relay. * * * inspect wiring : * * verify that all wiring is intact and connected correctly. look for any loose or damaged wires. * * * test motor : * * check the motor for proper operation. if the motor is not running or is making unusual noises, it may need to be replaced. * * * examine software : * * if the headboard adjustment is controlled by software, check for any updates or errors that may be causing the issue. * * * consult with manufacturer : * * if the above steps do not resolve the problem, contact the manufacturer of the bed for further troubleshooting and repair instructions. @topic:1


# # # issue - medical cart is rebooting frequently. # # # impact - interruption of patient care. - potential loss of data. - increased downtime for the medical cart. # # # possible causes - software glitch - hardware failure - loose connections - power supply issues # # # recommendations - check for any software updates that may resolve the issue. - inspect the hardware for any loose connections or damaged components. - ensure that the medical cart is plugged into a reliable power source. - if the issue persists, contact the manufacturer for further assistance. @topic:13


host software is attempting to clear an error by rebooting the spo2 module. no action required. spo2 rebooting044c00 informational error. the host has very low received a packet with bad crc spo2 received a packet with bad crc from module from the spo2 module. the packet in question is ignored. nction required. internal hardware malfunction in very low spo2 module. replace the module. spo2 rebooting. 044d00 the spo2 power on self test failed the spo2 power on self testimed out spo2 rebooting. 044e00 internal hardware malfunction in very low spo2 module. replace the module. asimo messageossible causlarm prioritmessage sensor not connected. the spo2 cable is not clear to retry. 040600 connected connect spo2 cable. if the problem is still present, replace the spo2 sensor. if the problem is still present, verify the module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. replace the spo2 cable. 040700 the spo2 cable life has expired replace the spo2 cable. if the problem is still present, verify module functionality by replacinthe sensor with an applicable spo2 tester. if the message persists, replace the module. replace the spo2 cable. 040800 the spo2 cable is incompatible with the monitor replace the spo2 cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, replace the module. replace the spo2 cable. if the problem is still present, verify module functionality by @topic:20


it comes off the manufacturing floor. customized configuration files modify these defaults based on preferences for specific sites. restoring default settings on a device returns it to its manufacturing floor defaults, not the custom configuration. evice default value settings active config file name factory device location displayed yes first - time startup screen displayed yes touchscreen lockout interval 2 minutes uto sleep mode allyes 2 minutes auto shutdown allowed yes 15 minutes auto shutdown timeout isplay bright5 touchscreen calibration 55, 57, 4003, 3993, 193, 3910, 200, 3900 ( array of 8 integers ) illrom logsplash screen load new software on power cycle enabled no load new software to device reyed out creen off allowyes screen off timeout 1 minute power line frequency 01 1 power line frequency can be modified in the configuration tool to support specific parameters like masimo spo2. with both new and existing configurations, follow these steps : 1. navigate to the progress summary page. scroll down to section : biomed ( required ) at the bottom of the page and click general devicsettings. 2. select custom. 3. scroll down to other on the general device settings page and select the desired power line frequency. 4. service manual settings default value 5. click done at the bottom of the page. click save and continue. 6. data management default value settings ate format m / dd / yyyy prevent date and time changes no yes no device time zone offset ( minutes ) 0 configured language english office profile option enabled yes intervals profile option enabled yes pot check profile optioyes profile automatically send confirmed readings on save no delete confirmed readings after successful send no automatically send unconfirmed interval readings no general alarms settings default value alarm volume medium audio pause time 120 seconds inimum alarm volume low alarm condition priority to activate nurse call medium allow global audio off @topic:10


# # # issue - the hospital bed is experiencing issues with adjusting the head of the bed, causing it to become stuck. # # # impact - patients may not be able to adjust the head of the bed to a comfortable position. - healthcare staff may have difficulty providing care to patients in the bed. # # # possible causes - * * friction : * * the leather on the bed is old and has become stiff, creating friction that prevents the head of the bed from being adjusted smoothly. - * * mechanical issues : * * there may be a problem with the motor or other mechanical components of the bed that is causing the head to become stuck. - * * electrical issues : * * there may be a problem with the electrical wiring or connections in the bed that is causing the head to become stuck. # # # recommendations - * * replace the leather : * * replacing the old leather on the bed with a new, more flexible material will reduce friction and allow the head of the bed to be adjusted more smoothly. - * * inspect mechanical components : * * inspect the motor and other mechanical components of the bed for any signs of damage or wear and tear. replace any damaged or worn components. - * * check electrical connections : * * ensure that all electrical connections in the bed are secure and free of any damage or corrosion. repair or replace any damaged connections. @topic:1


# # # issue mismatch between cuff size and wrap # # # impact - patient discomfort - inaccurate patient data # # # possible causes - worn or defective cuff - inappropriate cuff size - incorrect cuff placement # # # recommendations - inspect cuff for wear or damage and replace if necessary - select appropriate cuff size based on patient's arm circumference - place cuff snugly on patient's arm without excessive tightness @topic:5


a high priority inop or patient alarm was present communication has been lost to a connected device with no ( or only low priority ) inops / physical alarms. - no device data device identification completed but no appropriate device driver installed device unsupported device identification completed but communication could not bestablished due to errors device chk config device check setup device identification completed but communication could not be established due to timeout 393 94 33 with the timers function you can set timers to notify you when a specific time period has expired. caution do not use the timers to schedule critical patient - related tasks. you can view currently active timers in the timers window or directly on the main screen ( if a timer has been substituted for a numeric ). select the timer smartkey • or select main setup then select timer • the maximum number of timers which can be active depends on your monitor model. for a timer with a defined run time a progress bar is shown with the run time for that timer. next to the progress bar the elapsed time or the remaining time is shown, depending on whether the timer is counting up or down. on the left, the label of the timer and a symbol indicating the type of expiry notification is shown. imer typethere are four types of timer : basic, enhanced, cyclic and no limit. a basic timer has a single, defined run time and progress is shown in the progress bar. an enhanced timer is like a basic timer but the progress bar shows progress beyond the end of the run time. a cyclic timer is like a basic timer but restarts automatically when the run time is expired. a no limit timer has no run time or progress bar and shows the time elapsed since the timer was started. the type of timer is set in the monitor's configuration mode and is associated with the timer label @topic:10


# # # issue - bed is not operational due to being borrowed. # # # impact - patient care may be delayed or compromised. # # # possible causes - bed was borrowed without proper authorization. - bed was not returned after use. # # # recommendations - implement a system to track the location of medical devices. - define clear policies and procedures for borrowing and returning medical devices. - train staff on the importance of following these policies and procedures. @topic:24


# # # issue - * * restraint rail not working properly. * * # # # impact - * * patient safety risk. * * a patient could fall out of bed if the restraint rail is not working properly. # # # possible causes - * * the locking mechanism is faulty. * * the locking mechanism may be broken or damaged, which could prevent the restraint rail from being locked into place. - * * the restraint rail is bent or damaged. * * the restraint rail may be bent or damaged, which could prevent it from being properly aligned with the locking mechanism. - * * the mattress is too thick. * * the mattress may be too thick, which could prevent the restraint rail from being properly seated in its base. # # # recommendations - * * inspect the locking mechanism for damage. * * if the locking mechanism is broken or damaged, it will need to be replaced. - * * inspect the restraint rail for damage. * * if the restraint rail is bent or damaged, it will need to be replaced. - * * make sure the mattress is not too thick. * * if the mattress is too thick, it may need to be replaced with a thinner one. @topic:6


then select the event view you require from the list, or select the event surveill. smartkey and then select the event view you require from the list. event counter event counter 9 : 00 10 : 00 11 : 00 12 : 00 13 : 00 14 : 00 15 : 00 13 : 00 event counter ( graphic ) vertical bars mark events in the event summary window. the timeline shows the position of the stored events in the event database. selecting this view activates a cursor that lets you navigate across the timeline and select individual events for review in the episode review window. it also calls up the events pop - up keys. the event counter counts the total number of events in the database. if more than one event group was set to trigger events within the event history, the event counter also counts the event group totals. 298 viewing events 24 event surveillance counting combi - events if one or more events occur during the same episode time, the monitor combines them and displays them as distinct events in one event episode, called a combi - event. the first event is the trigger event, and the others are follow - up events. for example, if an apnea event is followed 40 seconds later by a brady event, the brady event is not counted as a single event but as part of the apnea event. counting neonatal event review ( ner ) events for neonatal events ( ner, formerly “ oxycrg ” ), apnea events ( a ), bradycardia events ( b ), and combinations of these events are counted and classified by the event counter in the event summary. if they are associated with a desaturation ( d ), this is also marked. manual events ( m ) are counted separately. in the example below, a ( d ) : 2 ( 1 ) indicates that two apnea events occurred and one of them was associated with a des @topic:8


# # # issue - malfunction of the beneview t1 patient transport monitor due to a faulty 7 - pin oxygen saturation ( o2 sat ) cable. # # # impact - inability to accurately monitor patient's oxygen saturation levels, potentially leading to delayed or inadequate medical interventions. # # # possible causes - physical damage to the o2 sat cable ( e. g., cuts, kinks ) - corrosion of the cable connectors - defective cable manufacturing # # # recommendations - regularly inspect the o2 sat cable for any signs of damage. - ensure the cable is properly connected to both the monitor and the patient's finger. - if the cable is damaged, replace it immediately with a compatible 7 - pin o2 sat cable. - consider using a more durable or shielded cable to prevent future damage. - establish a preventive maintenance schedule to regularly check and replace the o2 sat cable as needed. @topic:4


yellow alarm indicates a lower priority patient alarm ( for example, a respiration alarm limit violation ). additionally there are short yellow alarms, most of which are specific to arrhythmia - related patient conditions ( for example, ventricular bigeminy ). inops are technical alarms, they indicate that the monitor cannot measure or detect alarm conditions reliably. if an inop interrupts monitoring and alarm detection ( for example, leads off ), the monitor places a question mark in place of the measurement numeric and an audible indicator tone will be sounded. inops without this audible indicator indicate that there may a problem with the reliability of the data, but that monitoring is not interrupted. most inops are light blue, however there are a small number of inops which are always yellow or red to indicate a severity corresponding to red and yellow alarms. the following inops can also be configured as red or yellow inops to provide a severity indication : • ecg leads off • ecg / arrh alarm off ( yellow only, no red inop ) • cuff overpress • cuff not deflated • occlusion • tele disconnect. • replace telebatt all monitors in a unit should have the same severity configured for these inops. alarms are indicated after the alarm delay time. this is made up of the system delay time plus the trigger delay time for the individual measurement. see the specifications section for details. if more than one alarm is active, the alarm messages are shown in the alarm status area in succession. an arrow symbol next to the alarm message informs you that more than one message is active. t * * hr high 55 3 alarms visual alarm indicators the monitor sounds an audible indicator for the highest priority alarm. if more than one alarm condition is active in the same measurement, the monitor announces the most severe. your monitor may be configured to increase alarm indicator volume @topic:8


# # # issue - remote control on the right side of the bed is faulty. # # # impact - the opposite remote control on the other side of the bed also displays an error. # # # possible causes - the faulty remote control may be interfering with the functioning of the other remote control. # # # recommendations - disconnect the faulty remote control to allow the other remote control to function normally. @topic:7


# # # issue - unable to measure oxygen saturation ( o2 saturation ) # # # impact - inability to monitor patient's oxygenation status - potential for delayed or incorrect treatment # # # possible causes - faulty pulse oximeter sensor - loose or disconnected cable - damaged or malfunctioning equipment - interference from other medical devices - patient movement or excessive motion - poor perfusion or low oxygen levels # # # recommendations - check the pulse oximeter sensor for any damage or defects - ensure the cable is securely connected to the equipment and the sensor - inspect the equipment for any visible damage or malfunction - check for any potential sources of interference from nearby medical devices - reposition the sensor on the patient's finger or toe to minimize movement - assess the patient's perfusion and oxygen levels, and consider alternative monitoring methods if necessary @topic:4


# # # issue - the central monitor is not receiving signals. # # # impact - the medical staff cannot monitor the patient's vital signs. - this could lead to a delay in diagnosis and treatment. # # # possible causes - the ups is faulty. - the cables connecting the monitor to the patient are damaged. - the monitor's software is not functioning properly. # # # recommendations - replace the ups. - check the cables and replace any that are damaged. - update the monitor's software. @topic:2


the value, in the c. o. procedure window, select computation constant and use the pop - up keypad to enter the correct value. performing rh c. o. measurements 1 enter the c. o. procedure window. 2 when you see the message ready for new measurement, select the pop - up key start c. o.. if the measuring mode is set to auto the start c. o. key will also enable the automatic start of consecutive measurements. 3 when you hear a ready tone and see the message inject now!, inject the solution into the right atrial port of the swan - ganz catheter. the optimal injection rate is 2. 5 ml / second. at the end of the measurement the thermodilution curve, cardiac output, index values and curve alerts ( if necessary ) are displayed and a message will appear wait before starting new measurement or in auto mode prepare for next injection or press stop. 4 when you see the in ject now! message, repeat the procedure until you have completed the measurements you want to perform. you can perform a maximum of six measurements before editing. if you perform more than six measurements without rejecting any, the oldest will automatically be deleted when a seventh curve is stored. editing and saving rh c. o. measurements it is important to identify and reject erroneous measurements ( called “ trials ” ), as the monitor uses all the measurement trial values you do not reject to calculate the averaged cardiac output. 1 review the trials. irregular trials or trials marked with a “? ” should be reviewed carefully. consider the similarity of the values and the shape of the c. o. curve. a normal c. o. curve has one smooth peak and returns to the temperature baseline level after the peak. 2 reject unsatisfactory trials : use the select trial pop - up key to move between trials, then @topic:17


or the error code table on page 4 - 11, run the diagnostic tests. to access the system diagnostic and verification tests, open the system diagnostics menu. for more information, see “ performing verification tests ” on page 3 - 10. note — you must enter another password to access the maintenance options. only trained biomedical engineers or support persons should access the maintenance options. running the self test performs the resident self test, which includes a complete memory test and a front end test on all available modules, such as spo >, nbp, or predictive temperature. if the test cannot detect a specific module or if an error occurs, then that test fails. note — when the monitor is powered up from standby mode, the monitor performs the front end tests in addition to the start - up sequence. when the monitor is powered up from deep sleep mode, the monitor performs the complete memory and front end tests. troubleshooting suresigns vs4 service guide 4 - 29 running the self test to run the self test : step 1 access the system diagnostics menu. see “ accessing the system diagnostics menu ” on page 3 - 10. 2 select the self test button. the status of the self test is displayed. while the test is running, in progress is displayed. if a module is not installed or configured, not supported is displayed as the result. if a test fails, failed ( in red text ) is displayed as the result. self test test item memory passed spo, passed predictive temp not supported tympanic temp no self test 3 when all tests are complete, select the return button. detected errors are written to the error log with detailed error information and error codes. troubleshooting 4 - 30 suresigns vs4 service guide testing the recorder testing the recorder to test the optional recorder : step 1 in the system diagnostics menu, select @topic:22


# # # issue - cuff of the bedside physiologic monitor is leaking. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. # # # possible causes - the cuff may be damaged or worn out. - the cuff may not be properly inflated. - the tubing connecting the cuff to the monitor may be damaged. # # # recommendations - check the cuff for any damage or wear. - replace the cuff if it is damaged or worn out. - properly inflate the cuff. - check the tubing connecting the cuff to the monitor for any damage. - replace the tubing if it is damaged. @topic:3


of parts ” not shown 204 plug - in modules part numbers 6 parts * the new m3015 hardware offers an improved warm up time compared to the old hardware and the gas sample flow rate specification has been changed to 30 ml / min - 7, 5ml / min / + 15 ml / min. also, the suppress auto zero feature and the capability to turn off the m3015a pump have been added. the new hardware is backwards compatible with all mp20 - 90 host monitors, but the new features will only be available in combination with a monitor with sw rev. b. l or higher. plug - in modules part numbers for inspection procedures ; preventive maintenance procedures ; cleaning procedures ; and battery handling, maintenance, and good practices used to maintain the instrument in good working order, see testing and maintenance. part number table the following table shows the part - numbers of the plug - in modules that can be replaced. find the right number for your language combining the p / n - prefix with the language - specific suffix for the wanted module. for example, to order a temp module for the french language, the correct order number would be m1029 - 68801. exchange modules, table 1 module module part # number descrip¬ tion prefix 12nc part no. prefix english french german dutch spanish italian norwegiar swedish finnish japanese danish m1006b inv. press ml 006 - 69 601 601 603 604 605 601 607 608 609 610 601 45356346 3061 3061 2811 1711 1781 3061 1791 1731 1741 1751 3061 m1006b press with ml 006 - 69 651 651 653 654 655 651 657 658 659 660 651 # c01 analog out 45356346 3071 3071 1241 1251 1261 307 @topic:19


# # # issue - the telemetry ekg module is unable to find the correct frequency. # # # impact - the patient's heart rate and other vital signs cannot be accurately monitored. # # # possible causes - the sensor is not properly connected to the patient. - the sensor is not functioning properly. - the telemetry module is not functioning properly. - there is interference from other medical devices. # # # recommendations - check that the sensor is properly connected to the patient. - test the sensor to ensure that it is functioning properly. - test the telemetry module to ensure that it is functioning properly. - check for interference from other medical devices. @topic:16


# # # issue - the electric bed is not able to adjust its height ( unable to move up and down ). # # # impact - the patient may not be able to get in or out of bed safely. - the patient may not be able to be positioned comfortably for treatment or care. - the patient may be at risk for developing pressure sores. # # # possible causes - the motor that controls the bed's height is not working properly. - the control unit that sends signals to the motor is not working properly. - the wiring between the control unit and the motor is damaged. - the bed frame is damaged. # # # recommendations - check the motor for proper function. - check the control unit for proper function. - check the wiring between the control unit and the motor for damage. - inspect the bed frame for damage. - replace any damaged components. @topic:1


# # # issue - cuff is deteriorated # # # impact - monitor may not be able to accurately measure vital signs. # # # possible causes - cuff has been used for an extended period of time. - cuff has been exposed to high temperatures or moisture. - cuff has been damaged due to rough handling or improper storage. # # # recommendations - replace the cuff. - inspect the cuff regularly for signs of wear or damage. - store the cuff in a cool, dry place when not in use. - avoid exposing the cuff to high temperatures or moisture. @topic:5


# # # issue unable to raise the bed rails. # # # impact patient safety is compromised as they may fall out of bed. # # # possible causes - friction in the bed rail locking mechanism. - damaged or worn - out locking mechanism. - electrical fault in the bed rail control system. # # # recommendations - lubricate the locking mechanism with a suitable lubricant. - inspect the locking mechanism for any damage or wear and replace if necessary. - check the electrical connections and wiring for any loose or damaged components. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:6


# # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's physiological data centrally # # # possible causes - incorrect configuration address ( cl address ) of the monitor # # # recommendations - verify and correct the cl address of the monitor - ensure that the monitor is compatible with the central monitor system - test the functionality of the monitor after making changes @topic:16


# # # issue - scanner on medical cart not charging or working # # # impact - inability to use the scanner, which may impact patient care and / or workflow. # # # possible causes - scanner not placed correctly on the charging dock. - faulty charging dock. - faulty scanner battery. - electrical issues with the medical cart or charging dock. # # # recommendations - ensure that the scanner is properly placed on the charging dock. - inspect the charging dock for any damage or loose connections. - replace the scanner battery if necessary. - contact a qualified technician to troubleshoot any electrical issues with the medical cart or charging dock. @topic:23


# # # issue : - physiologic monitor ( bedside ) argus csm by schiller is frozen and unresponsive to any button presses. # # # impact : - the device cannot be used to monitor patient vital signs, potentially delaying or compromising patient care. # # # possible causes : - battery reset may have caused a software glitch or reset of device settings. - loose or damaged battery connections. - internal hardware or software malfunction. # # # recommendations : - * * check connections : * * ensure the battery is properly seated and connections are secure. - * * restart device : * * if possible, perform a hard reset by unplugging the device from power and reinserting the battery. - * * check software : * * update the device's software to the latest version, if available. - * * inspect hardware : * * look for any visible signs of damage or loose components. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for technical assistance or a replacement device. @topic:2


# # # issue - air hose degradation # # # impact - patient safety and comfort may be compromised due to unreliable oxygen delivery. - interruptions in patient care due to equipment malfunction. # # # possible causes - normal wear and tear over time. - exposure to excessive heat, moisture, or chemicals. - physical damage ( e. g., crushing, tearing ). # # # recommendations - regular inspection and replacement of air hoses according to manufacturer's guidelines. - proper handling and storage of equipment to minimize damage. - training of staff on correct equipment usage and maintenance. @topic:12


# # # issue - ekg trunk cable failure # # # impact - inability to monitor patient's ekg signals # # # possible causes - cable damage or wear and tear - improper handling or storage - electrical interference # # # recommendations - replace the trunk cable with a new one - inspect the cable regularly for signs of damage - handle and store the cable with care - ensure that the cable is not exposed to electrical interference @topic:18


* * issue : * * broken remote control cable * * impact : * * - inability to operate the bed remotely - potential patient discomfort or safety hazard * * possible causes : * * - physical damage to the cable ( e. g., pinching, cutting ) - wear and tear over time - faulty manufacturing * * recommendations : * * - inspect the cable for any visible damage or loose connections - test the cable with a replacement remote control, if available - replace the damaged cable with a new one - handle the cable with care to prevent future damage - consider using a protective covering or cable management system to minimize wear and tear @topic:7


changed. you can monitor for alarm conditions in systolic, diastolic and mean pressure, either singly or in parallel. only one alarm is given, with the priority of mean, systolic, diastolic. enu optiopressure value monitored ystolic sys. iadiastolic mean mean systolic and diastolic in parallediastolic and mean in parallel systolic and mean in parallel all three pressures in parallel dia & mean & mean sys & dia & mean if mean is not selected as alarm source ( sys., dia., or sys & dia selected ), but the monitor can only derive a mean value, mean alarms will nevertheless be announced using the most recent mean alarm limits. check that the mean alarm limits are appropriate for the patient, even when not using mean as the alarm source. when no value can be derived an nbp measure failed inop will be displayed. in the process of making the nbp measurement, a pulse value can be derived and displayed. the pulse value is displayed together with the time the measurement was made. after one hour the value becomes invalid. there are no alarms associated with pulse from nbp. when the accelerated measurement is in use, no pulse value can be derived. to switch the display of the pulse value on or off : in the setup nbp menu select pulse ( nbp ).. 209 you can use the nbp cuff to cause sub - diastolic pressure. the cuff deflates automatically after a set time ( adult / pediatric 170 seconds, neonatal 85 seconds ) if you do not deflate it. in the setup nbp menu select venipuncture. 1 puncture vein and draw blood sample. 2 3 reselect venipuncture to deflate the cuff. during measurement, the nb @topic:17


# # # issue medical cart cannot be turned on. # # # impact the medical cart cannot be used to transport medical supplies and equipment, which could delay patient care. # # # possible causes - power cord is not plugged in or is damaged. - power switch is not turned on. - circuit breaker is tripped. - battery is dead. - electrical component failure. # # # recommendations - check that the power cord is plugged in and is not damaged. - turn on the power switch. - reset the circuit breaker. - charge the battery. - contact a biomedical engineer to troubleshoot the electrical component failure. @topic:13


using the correct release button and applying appropriate force. * * c. technical support * * - * * contact the manufacturer : * * if the above troubleshooting steps do not resolve the issue, contact the manufacturer of the vital signs monitor for technical support. they may provide further instructions or arrange for a technician to inspect the device. - * * consult with a bme specialist : * * seek assistance from a biomedical engineering specialist to diagnose and repair any underlying issues with the monitor, such as a malfunctioning latch or software glitch. @topic:2


end of the bed until the load cell bracket ( s ) is clear of the weigh frame ( t ). 22. remove the load cell bracket ( s ) and rollers ( u ) from the column ( m ). 23. put the load cell bracket ( s ) and rollers ( u ) on the weigh frame ( t ). 24. remove the column ( m ) from the bed ( j ). replacement 1. put the new hilow column ( m ) in position on the bed ( j ). make sure the power cable towards the left side of the bed ( j ). 2. connect the cable to the power supply pc. board ( connector 6 ). 3. disconnect the foot hilow column from the power supply p. c. board. 4. plug the bed into an appropriate power source. 5. use the bed hilow control to raise the hilow column to the same height as the bed. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 6. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 7. connect the foot hilow column to the power supply p. c. board. 8. put the mark on the power cord and communication cable so the edges of the marks are even with the edge of the wire guide. 9. put the load cell cables along the side of the power cord and communication cable. 10. perfonn the removal procedure in reverse order. page 4 - 66 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 21 head hilow column ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 11. plug the bed into an appropriate power source. 12. operate the trendelenburg @topic:26


# # # issue - equipment : bed, electric - brand : huntleigh - model : enterprise 8000 - description : 1. inspection revealed that the bed cannot be adjusted in height. 2. the system was reset. 3. functionality was tested. * inspection revealed that the bed is now functional. # # # cause of failure - the cause of failure could not be determined through troubleshooting and inspection. # # # recommendations - the technician should document the issue, troubleshooting steps, and current functionality in the equipment maintenance log. - the technician should notify the appropriate supervisor or department that the cause of failure could not be determined. - the equipment should be closely monitored for any recurring issues or changes in functionality. @topic:1


# # # issue - battery failure in the mobile monitor # # # impact - the device cannot function without a functioning battery, which may lead to : - interruption of patient monitoring - potential patient safety risks # # # possible causes - battery life cycle expiration - battery degradation due to excessive use or improper charging practices - electrical fault in the battery or charging circuit # # # recommendations - replace the battery with a new one - ensure proper charging and storage practices to prolong battery life - inspect the charging circuit for any faults - consider preventive maintenance to monitor battery health and replace batteries before they fail @topic:11


* * issue * * * excessive cuff pressure and slow cuff release * * impact * * * inaccurate blood pressure measurements * patient discomfort * * possible causes * * * malfunctioning pressure sensor * defective cuff * air leak in the tubing system * faulty software * * recommendations * * * * * thorough inspection : * * examine the cuff, tubing, and pressure sensor for any damage or defects. * * * calibration : * * using a certified blood pressure monitor, calibrate the nibp monitor to ensure accurate readings. * * * replacement of faulty components : * * if any damaged or defective parts are identified, replace them immediately. * * * software update : * * if a software issue is suspected, update the monitor's software to the latest version. * * * regular maintenance : * * schedule regular maintenance checks to prevent future failures and ensure optimal performance. @topic:15


where the power supply is removed or replaced, or if the monitor has monitor maintenance check ecg synchronization of thmonitor and defibrillator ( only if hospital protocol requires use of monitor during defibrillation ) at least once every two years, or as needed. mx600 / 700 / 800 only - 25, 000 30, 000 hours ( about three years ) of continuous - replace backlight ( integrated displays only ) multi - measurement module and module tests at least once every two years, or if you suspect the measurement values are incorrect. performance assurance for all multi - measurement module and module maintenance nbp calibration at least once every two years, or as specified by local laws. at least once a year or after 4000 operating hours. microstream co2 calibration and erformance test 16 38 maintenance and troubleshooting maintenance and test schedule frequency mainstream and sidestream co2 at least once a year, or if you suspect the measurement values are incorrect. calibration and sidestream flow check m3014a ) roubleshootinif you suspect a problem with acheck that u service personnel. you may be asked for our information from the status log. to view the status log, in the main setup menu, select revisions. 1 select the pop - up key corresponding to the status log you want to consult, for example, for the 2 mms or the monitor. 3 view the status log by selecting status log from the monitor revision window. returning equipment for repair before returning equipment for repair : disinfect and decontaminate the equipment appropriately.. ensure that all patient data has been removed ( i. e. that no patient is admitted ). warning to avoid contaminating or infecting personnel, the environment or other equipment, make sure you disinfect and decontaminate the monitor appropriately before disposing of it in @topic:10


# # # issue - cuff failure # # # impact - vital signs monitoring may be inaccurate or unavailable. - patient safety may be compromised if vital signs are not being accurately measured. # # # possible causes - cuff may have been damaged during use or mishandling. - cuff may have been used past its expiration date. - cuff may not have been properly maintained or cleaned. - patient may have been wearing the cuff incorrectly. # # # recommendations - inspect cuff for any signs of damage or wear and tear. - replace cuff if it is damaged or expired. - ensure that cuff is properly maintained and cleaned according to manufacturer's instructions. - train patients and staff on proper use and care of cuff. @topic:5


# # # issue - monitor is turning off unexpectedly. # # # impact - loss of patient vital signs monitoring. - potential for patient harm if vital signs are not monitored closely. # # # possible causes - battery cable is loose or disconnected. - battery is dead or not charging properly. - electrical fault in the monitor. - software glitch. # # # recommendations - inspect the battery cable and ensure it is properly connected. - replace the battery if it is dead or not charging properly. - contact the manufacturer for technical support if the issue persists. - update the software on the monitor if available. @topic:11


# # # issue - central station is not turning on # # # impact - inability to monitor and control critical patient data - potential patient harm # # # possible causes - faulty power supply - faulty cpu - faulty motherboard - software error # # # recommendations 1. check the power supply and ensure that it is providing the correct voltage. 2. inspect the cpu for any signs of damage or overheating. 3. reseat the cpu and motherboard. 4. update the software to the latest version. 5. contact the manufacturer for further troubleshooting assistance. @topic:2


# # # issue * remote control failure # # # impact * inability to operate the electric bed # # # possible causes * wear and tear * electrical malfunction * physical damage # # # recommendations * replace the remote control * perform regular maintenance on the bed * train staff on proper use of the bed @topic:7


# # # issue - cuff bp on the physiological, vital signs monitor is not working. # # # impact - inability to measure blood pressure, which is a critical vital sign. # # # possible causes - cuff bp is damaged or deteriorated. # # # recommendations - replace the cuff bp with a new one. @topic:14


# # # issue the cuff of the physiologic monitor ( bedside ) by philips ( model : intellivue mp70 ( m8007a ) ) is not measuring accurately. # # # impact medical staff may not be able to accurately monitor a patient's vital signs. # # # possible causes - the cuff is not properly attached to the patient. - the cuff is damaged or leaking. - the monitor is not properly calibrated. - the cuff is not the correct size for the patient. # # # recommendations - check that the cuff is properly attached to the patient. - inspect the cuff for any damage or leaks. - calibrate the monitor according to the manufacturer's instructions. - use the correct cuff size for the patient. - replace the cuff if it is damaged or worn. @topic:14


# # # issue - the medical cart cannot be used. # # # impact - patients may not receive the necessary medical care. # # # possible causes - the technician has not been trained on the medical cart. - the medical cart is defective. - the medical cart is not properly configured. - the medical cart is not connected to the correct network. - the user does not have the correct login credentials. - the it team has changed the login credentials for the medical cart. - the medical cart is not properly maintained. - the medical cart is not properly calibrated. # # # recommendations - train the technician on the medical cart. - inspect the medical cart for any defects. - ensure that the medical cart is properly configured. - ensure that the medical cart is connected to the correct network. - verify that the user has the correct login credentials. - contact the it team to reset the login credentials for the medical cart. - perform regular maintenance on the medical cart. - calibrate the medical cart according to the manufacturer's instructions. @topic:13


logout 2. 2 [UNK]'[UNK]'[UNK] medcart ail cet 1880 % admin admin med cart 1. 0. 0. 2 × login : 31 - 07 - 2563 15 : 51 : 35 ward 7d1 name anonymous anonymous ward 701 ob : hn 0120013936 hn : n : 1012000055keyboard light oom no : 008 03 - 07 - 1902 oom : 0703 temperatu. 00 % nonymous hn : 0104041610 n 001200005400 dos 19 - 06 - 1975 oom : 0715 name : mianonymous anonymous dob hn : 0120013927 hn room no : dob : 04 - 00 - 1085 oom : 0716 wtedyadan test middle name des n 019340en 101200005308 amdob : dob : hn hn : room no room no : ognu5 mbangkok dusit medical services 2. 3 ed at 1003 80 % admin admin med cart 1. 0. 0. 3 x ogin : 31 - 07 - 2563 15 : 51 : 36 ward 7dt ameward 70anonymous anonymous hn : 0120013936 dob : hn : en 10120000557005 03 - 07 - 1982 oom : 0 / 703 keyboard light room no. anonymous hn 0104041619 en 101200005460 dob : 10 - 08 - 1975 oom : 0715 name : mr anonymous anonymous 08 : hn 10120013927 hn : n 101200005568 room no : 0 : 04 - 08 - 1985 room : 0716 [UNK] test middle manne n 0193400286 en 1012000053 @topic:19


# # # issue - the bp ( blood pressure ) measurement function of the physiologic monitor is not working. # # # impact - inability to accurately measure blood pressure, which is a vital parameter for monitoring patient health. # # # possible causes - faulty bp pump - loose connections or wiring issues - software malfunction - sensor malfunction # # # recommendations - replace the bp pump - check and tighten connections and wiring - update or reinstall software - replace the sensor - contact philips or a qualified biomedical engineer for further troubleshooting and repairs @topic:15


* * issue : * * - lack of specific information regarding the cause of failure in the provided input. * * impact : * * - difficulty in determining the root cause of the issue and implementing appropriate corrective measures. * * possible causes : * * - incomplete documentation by the technician who performed the bedside test. - misinterpretation or omission of information during data entry. - lack of standardized reporting guidelines for device failures. * * recommendations : * * - establish clear guidelines for documenting equipment failure reports, including mandatory fields for cause of failure. - implement a system for reviewing and validating failure reports to ensure accuracy and completeness. - provide training to technicians on proper documentation practices and the importance of accurate reporting. - consider using a structured failure analysis process to systematically identify and analyze potential causes of failure. @topic:12


select the measurement you want to enter values for. the edit window will open. if the measurement is switched off, switch it on by selecting the label. 3 select value and enter the value. 4 select date / time to enter the date and time for the value. the default is always the current datand time. 5 for compound labels, for example abps, abpd and abpm, select the format field to select whether all values are required or a single value. 6 select save. 7 when a manually entered value has been configured to display as a numeric on the screen, you can also enter a new value for this measurement by selecting the numeric, then selecting enter measvalues. 46 46 1 introduction manually entered measurement values are marked with a * on the display, in trends, and so forth. each measurement has a defined measurement interval after which a value becomes invalid ( no value is then displayed ). values can be entered up to two hours after they have been measured or up to the nt interval, if this is shorter. the list of measurement labels which appears in the enter measurement values window is set in to switch a manually entered measurement on or off, select the enter values smartkey or select main setup then select enter measvalues. 1 select the measurement you want to switch on or off. 2 select the measurement label field to switch between on and off. 3 changing monitor settings to change monitor settings such as brightness, or qrs tone volume, select the main setup permanent key and then select user interface to enter a submenu where you can change these settings. adjusting the screen brightness to adjust the brightness : select the brightness smartkey. 1 2 select the appropriate setting for the screen brightness. 10 is the brightest, 1 is the least bright. optimum is suitable for most monitoring locations and optimizes power usage for battery the mx400 / 450 / 500 @topic:8


# # # issue - the vital signs monitor is not accurately measuring temperature. # # # impact - inaccurate temperature readings can lead to incorrect patient diagnosis and treatment. # # # possible causes - the temperature probe or cable may be damaged, defective, or not properly connected. - the monitor may not be calibrated correctly. - there may be interference from other medical equipment or external factors ( e. g., electrical noise ). # # # recommendations - check the integrity of the temperature probe and cable, and ensure it is properly connected to the monitor. - calibrate the monitor according to the manufacturer's instructions. - investigate and eliminate any potential sources of interference, such as nearby medical equipment or electrical devices. @topic:20


# # # issue - physiologic monitor is displaying " unplug " error # # # impact - the physiologic monitor cannot be used to monitor patient's vital signs # # # possible causes - connector is dirty - loose or damaged connection - faulty cable or connector # # # recommendations - clean the connector with a contact cleaner - check the connection for tightness and damage - replace the cable or connector if necessary @topic:2


# # # issue date and time mismatch between central monitor and monitors in patient rooms # # # impact - inaccurate patient monitoring data - difficulty coordinating patient care - potential patient safety concerns # # # possible causes - communication errors between central monitor and monitors - incorrect settings on monitors - software glitches or hardware failures # # # recommendations - * * verify communication between central monitor and monitors : * * check cables and network connections to ensure proper data transmission. - * * reset monitor settings : * * reset the monitors to factory default settings and reconfigure them to match the central monitor. - * * update software and firmware : * * ensure that all devices are running the latest software and firmware versions. - * * contact vendor support : * * if the issue persists, contact the vendor's technical support team for assistance. - * * implement preventive maintenance : * * regularly check and update all monitoring equipment to prevent future date and time discrepancies. @topic:29