# # # issue - the bed's safety bar has detached. # # # impact - the detached safety bar poses a safety hazard to patients, as they could potentially fall out of the bed. # # # possible causes - the safety bar was not properly attached to the bed frame. - the safety bar was damaged. # # # recommendations - inspect the safety bar and bed frame for any damage. - reattach the safety bar securely to the bed frame. - replace the safety bar if it is damaged. - train staff on the proper use and maintenance of the bed. @topic:6


one of the following prompt messages appears during this step, check whether there is leakage in the setup : - nbp unable to calibrate - cannot adjust pressure - nbp unable to calibrate - unstable signal 10 press confirm. if the inop nbp equipment malfunction message occurs in monitoring mode, go back to service mode and repeat the calibration procedure. 41 3 testing and maintenance preventive maintenance procedures nbp leakage test the nbp leakage test checks the integrity of the system and of the valve. it is required once every two years and when you repair the monitor or replace parts. 1 if you have calibrated, repeat steps 2 to 6 from the accuracy test procedure so that you have 280 mmhg pressure on the expansion chamber. 2 watch the pressure value for 60 seconds. 3 calculate and document the leakage test value ( x2 ). x2 = pi - p2 where pi is the pressure at the beginning of the leakage test and p2 is the pressure displayed after 60 seconds. the leakage test value should be less than 6 mmhg. nbp linearity test 1 reduce the manometer pressure to 130 mmhg. 2 wait 10 seconds for the measurement to stabilize. 3 after these 10 seconds, compare the manometer value with the displayed value. 4 document the value displayed by the monitor ( x3 ) 5 if the difference is greater than 3 mmhg, calibrate the mms ( see steps 9 to 10 in the accuracy test procedure ). valve test 1 raise the pressure again to 280 mmhg. 2 select close valves : off. 3 wait five seconds and then document the value displayed. the value should be less than 10 mmhg. 4 document the value displayed by the monitor ( x4 ). test expected test results accuracy test xl = value displayed by monitor difference < 3mmhg leak @topic:17


# # # issue - the medical cart's screen went black and displayed the message " boot ". # # # impact - the medical cart could not be used for patient care. # # # possible causes # # # recommendations - the bme ( biomedical engineer ) should check the following : - the power supply to the medical cart. - the video cable connection between the medical cart and the monitor. - the monitor itself. - the bios settings of the medical cart. - the operating system of the medical cart. - if the bme cannot find and fix the cause of the failure, they should contact the manufacturer of the medical cart for assistance. @topic:13


monitoring. extra vigilance is required by the clinician for this type of patient. atrial fibrillation alarm the monitor performs atrial fibrillation analysis using information about the rr irregularity, pr interval variability and p wave variability. in order to generate an afib alarm the following criteria must be detected for 1 minute : • normal beat rr intervals must be irregular 134 understanding the arrhythmia display 6 ecg, arrhythmia, st and qt monitoring • pr interval deviation must be large • p - wave region must not match well atrial fibrillation analysis is only available for adult patients and atrial fibrillation detection cannot be performed on pvcs or paced beats. since most atrial flutters have regular rr intervals, they cannot be detected by the atrial fibrillation algorithm. an afib alarm can be falsely detected in the presence of : • sinus arrhythmia, • muscle noise, or • electrode motion artifact. if you also have monitors with earlier software revisions, the afib alarm will not be generated after a transfer to one of these monitors. always leave the irregular hr alarm switched on, so that this alarm can be generated in such situations. see the application note on arrhythmia / st supplied on your documentation dvd for detailed information on the arrhythmia algorithm and ecg analysis. intermittent bundle branch block bundle branch and the other fascicular blocks create a challenge for the arrhythmia algorithm. if the qrs during the block changes considerably from the learned normal, the blocked beat may be incorrectly classified as ventricular, causing false pvc alarms. you should always select a lead where the bundle branch block beats have an r - wave that is as narrow as possible to minimize incorrect calls. ventricular beats should look different from these ‘ normal beats ’. instead of trying to select @topic:8


##3563461471 m eeg frt housg assy eeg, eng m1027 - 60210 453563462131 m _ eeg frt housg assy eeg, jap m1027 - 60215 453563462141 m _ eeg frt housg assy eeg, grk 238 6 parts ) part number 12nc description ml 027 - 42201 453563463611 m _ eeg plast plast bezel m1029a temperature module part number 12nc description non rohs, dom ( date of manufacture ) < 2014 - 05 or no dom is present modules m1029 - 69601 453563459291 m _ tmp temp module eng nrohs m1029 - 69602 453564463481 m _ tmp temp module symbol multilang nrohs rohs compuant, dom > 2014 - 05 modules m1029 - 69701 453564453281 m _ tmp temp module eng m1029 - 69702 453564463511 m _ tmp temp module symbol multilang replacement parts front housings m1029 - 60201 453563461451 m _ tmp frt housg temp, eng ml 029 - 60202 453564463471 m _ tmp frt housg temp, symbol multilang bezel ml 029 - 42201 453563463631 m _ tmp plast temp module bezel m1116b thermal array recorder module part number 12nc description ml 116 - 68603 453563466701 2 " recdr ecms exch english ml 116 - 68604 45356 @topic:19


# # # issue - printer is unable to print results. # # # impact - delay in patient care. - loss of important patient data. # # # possible causes - printer not properly connected to the device. - printer driver not installed or corrupted. - paper jam or printer malfunction. - ink cartridge empty or not properly installed. # # # recommendations - check the printer connection to the device. - reinstall or update the printer driver. - clear any paper jams or replace the printer. - replace the ink cartridge and ensure it is properly installed. - contact biomedical engineering for further assistance. @topic:28


# # # issue - computer on medical cart cannot connect to the internet # # # impact - inability to access critical patient data or updates - delays in patient care - potential safety concerns if the computer is used for monitoring or controlling medical devices # # # possible causes - internet connection issues ( e. g., network outage, firewall blocking, etc. ) - hardware failure ( e. g., damaged network card, cable issues ) - software issues ( e. g., operating system updates, antivirus blocking ) - device misconfiguration ( e. g., incorrect network settings ) # # # recommendations - check the status of the internet connection and ensure it is available and stable. - verify that the network card is functioning properly and that the cable is securely connected. - check for any software updates that may have caused the issue and install them if necessary. - adjust the device's network settings to ensure they are correct. - consult with it support if the issue persists or if more advanced troubleshooting is required. - as a preventive measure, regular maintenance and testing of the medical cart's internet connectivity should be performed to minimize the risk of future failures. @topic:13


inop message, indicatio < so₂ label > cal failed numeric is replaced by -? - nop tone what to do the calibration failed. check the catheter - to - optical - module connection. manually restart the calibration. try another catheter and optical module. if the catheter is already inserted, perform an in - < so₂ label > cal required there is no valid calibration data in the optical module. perform either a pre - insertion or an in - vivo numeric is replaced by -? - calibration. calibration. inop ton < so2 label > cal. mode pre - insertion calibration is complete, but the catheter tip is still inside the optical reference. the insertion. numeric is replaced by -? inop tone < so2 label > cannot meanumeric is replaced by -? - inop tone the signal is out of the normal range, and no oxygen saturation can be derived. perform an in - vivo calibration. if the inop persists, try another optical module and catheter. < so2 label > config erronumeric is replaced by -? - nop tone the optical module has been configured to sao2 mode. use change to venous in the setup tion mode. < so₂ label > conn ptmod the optical module was disconnected during data storage. reconnect the optical module for at least numeric is replaced by -? inop tone < so2 label > equip malnumeric is replaced by -? - inop tone the so2 / svo2 module or optical module is faulty. unplug and replug the optical module and so2 / svo2 module. exchange the modules. if the inop persists, contact your service personnel. < so @topic:17


# # # issue - wood block on the bed's guardrail fell off. # # # impact - patients may accidentally fall out of their beds. # # # possible causes - switches were not properly installed during assembly. - guards were not properly maintained. # # # recommendations - inspect all bed guards regularly to ensure that they are properly assembled and in good working order. - replace any damaged or missing parts immediately. - train staff on the proper assembly and maintenance of bed guards. @topic:6


# # # issue - medical cart, bdms 01, cannot be turned on. # # # cause of failure - the cause of the failure is not specified in the given context. # # # possible causes - power supply issue - motherboard issue - cpu issue - ram issue - hard drive issue - software issue # # # recommendations - troubleshoot the power supply by checking the power cord and outlet. - reseat the motherboard, cpu, ram, and hard drive. - check the bios settings. - reinstall the operating system. @topic:13


and ecg lead colors from the host monitor, are applied to the monitor in companion mode on connection. when disconnected from the host, the monitor in companion mode re - applies its own global settings. no audible alarms are available on a monitor in companion mode when connected to a host monitor. the only visual alarm indication is provided by the alarm lamps which are controlled by the host monitor. alarms become active again as soon as the monitor in companion mode is disconnected from the host monitor. • 62 52 1 introduction the host monitor is the master of all adt information. adt operations on the monitor in companion mode are disabled, and any pending actions on the monitor in companion mode ( for end case ) are canceled. • the date and time of the monitor in companion mode is synchronized with that of the host • an x2 switches on automatically when connected to a running host monitor.. when an x2 is disconnected from a running host monitor, the x2 continues to run without interruption on battery power.. when an x2 is used with host monitors having different software revisions, be aware that functionality set up in a monitor with a newer revision will disappear when the x2 is connected to a monitor with an older revision without that functionality. for example, if an x2 is used with a revision h monitor and has been set up to alarm on afib, this alarm will no longer exist when the x2 is connected to a revision g monitor. if you work in a mixed software environment, inform yourself about the differences between revisions by referring to the what's new chapter. event surveillance in the monitor in companion mode is disabled. main setup menu operations and smartkeys are disabled. while connected to a host monitor, no new events are detected in the monitor in companion mode, and no events are deleted. there is no transfer of stored events from the monitor in companion mode to the host monitor. after disco @topic:10


# # # issue battery failure on monitors, patient transport, welch allyn, propaq lt. # # # impact device is unable to power on even when connected to the charging station. # # # possible causes - battery degradation due to extended use beyond recommended lifespan ( over 2 years ) # # # recommendations - replace battery with a new one. - monitor battery health regularly and replace as needed. @topic:11


# # # issue the temperature probe on the philips suresigns vs4 patient monitor is not working. # # # impact the patient's temperature cannot be accurately measured, which could lead to delayed or incorrect treatment decisions. # # # possible causes * the temperature probe is damaged or malfunctioning. * the temperature probe is not properly attached to the patient. * the patient is in an environment that is too hot or too cold. * the patient has a fever or hypothermia. # # # recommendations * inspect the temperature probe for any damage or malfunction. * ensure that the temperature probe is properly attached to the patient. * move the patient to a more comfortable environment. * monitor the patient's temperature regularly. @topic:20


# # # issue - cuff not staying on # # # impact - patient may not receive accurate vital sign readings. # # # possible causes - damaged or worn cuff - incorrect cuff size - patient's skin is too dry or moist - patient is moving around too much # # # recommendations - replace the cuff with a new one. - check that the cuff is the correct size for the patient. - apply a small amount of cornstarch to the patient's skin if it is too dry. - if the patient is moving around too much, try to restrain them or use a different type of cuff that is more secure. @topic:5


are marked by the suffix ‘ ‘ manual ”, invalid fields are marked by the suffix “ invalid ”. if the instrument telemetry interface is available, its mac address and rf access code are displayed. in addition, the bedside monitor ’ s ipv6 link local address is shown. network configuration check ( only for sw > k. 2 ) if lldp is configured " on " while a network connection is established, the network is checked for specific lldp related issues or incompatibilities. if issues are found during this check, the status message „ check lldp configuration " will be shown in the status prompt area of the monitor's resting display. the status message is shown when one of the following issues is found : cause of failure failure isolation and remedy lldp is configured " on " and a static ip is configured and lldp answers are received via the network do not configure a manual ip address when using lldp lldp is configured " on " and the received chassis id and port id of the link partner changed check lldp settings of switch lldp is configured " on " and more than one link partner is sending lldp answers ( e. g. if monitor is connected to hub or non - lldp / multicast capable switch ) connect monitor to lldp / multicast capable devices the prompt wiu be cleared after a power cycle or after reconnecting the network cable, but will be shown again if the issue persists. 277 [ 7 installation instructions ] setup wlan main setup = > network = > setup wlan setup wireless lan countri * ^ 1000 ip address 172. 31. 10. 04 wmm mode disabled mode 802. 11bg ssid philips security mode wpa2enterpr. wep key size 40 bit wep key wep key index 2 wpa password authentication peap inner authentication mschapv2 peap version @topic:10


the level to which the triangle is filled shows the quality of the signal ; the indicator below shows a medium signal quality, the signal quality is at a maximum when the triangle is completely filled. 10090 91 93 9 monitoring spo2 assessing a suspicious spo2 reading traditionally, pulse rate from spo2 was compared with heart rate from ecg to confirm the validity of the spo2 reading. with newer algorithms, such as fast - spo2, this is no longer a valid criteria because the correct calculation of spo2 is not directly linked to the correct detection of each pulse. when pulse rate is very low, or strong arrhythmia is present, the spo2 pulse rate may differ from the heart rate calculated from ecg but this does not indicate an inaccurate spo2 value. if you doubt the measured spo2, use the signal quality indicator ( if available ) or the pleth wave and perfusion indicator instead to assess the signal quality. warning with pulse oximetry, sensor movement, ambient light ( especially strobe lights or flashing lights ) or electromagnetic interference can give unexpected intermittent readings when the sensor is not attached. especially bandage - type sensor designs are sensitive to minimal sensor movement that might occur when the sensor is dangling. depending on the monitor configuration, you may be able to change the averaging time for the spo2 values. the averaging time represents the approximate time period used for the calculation. the exact averaging algorithm depends on the spo2 technology ( option ) used and on the signal conditions. thlonger the averaging time, the longer the time needed until the spo2 value reflects the physiological event. fast averaging is useful for situations where an extremely fast measurement is required or few artifacts are expected. use slow averaging where you expect the number of artifacts to be relatively high. 1 in the setup spo2 menu, select average. 2 select @topic:4


# # # issue - the medical cart is not functioning properly and displays an error message " - 1 " on the med admin program. # # # impact - the medical cart cannot be used to transport or store medical equipment and supplies, which can disrupt patient care. # # # possible causes - * * battery depletion : * * the battery in the medical cart may be low or dead, causing the cart to malfunction. - * * software glitch : * * a software bug or corruption may be causing the cart to display the " - 1 " error message. - * * hardware failure : * * a hardware component in the cart may have failed, such as the power supply or the display panel. # # # recommendations - * * replace the battery : * * if the battery is low or dead, replace it with a new one. - * * restart the cart : * * restarting the cart may clear the software glitch and resolve the error message. - * * contact a biomedical engineer : * * if restarting the cart does not resolve the issue, contact a biomedical engineer to troubleshoot and repair the cart. @topic:13


description pediatric sensor ( 10 - 50 kg ) n / a nop pdtx no infant toe sensor ( 3 - 20 kg ) n / a lnop inf - l es no neonatal sensor ( < 3 kg ) nop neo - l n / a es no or adult adhesive sensor ( > 40 kg ) / a neonatal pre - term sensitive skin sensors ( < 1 kg ) lnop neopt - l yes no masimo lncs disposable adhesive sensors product number description ption a01 option n / a adult finger sensor, 18 inch / 45 cm ncs adtx es no 0 kgadult finger sensor, 3 feet / 90 c30 kg ) ncs adtx - 3 n / a no pediatric finger sensor, 18 inch / 45 c10 - 50 kg ) ncs pdtx n / a no ediatric finger sensor, 3 feet / 90 cm ( 10 - ye50 kg ) n / a lncs pdtx - 3 no nfant toe sensor, 18 inch / 45 cm ( 320 kg ) n / a lncs inf no infant toe sensor, 3 feet / 90 cm ( 3 - 20 kg ) yes neonatal foot sensor, 18 inch / 45 cm ( < 3 kg ) yencs inf - n / a no n / a lncs neo no or adult finger sensor 18 inch / 45 cm 0 kgneonatal foot sensor, 3 feet / 90 cm g ) n / a lncs neo - 3 yes no or adult finger sensor, 3 feet / 90 cm ( > 40 kg ) eonatal pre - term sensitive skin senso18 inch / 45 cm ( < 1 kg ) n / a lncs neopt yes neonatal pre - term sensitive skin senso3 feet / 90 cm ( < 1 n / a ncs neopt @topic:8


# # # issue : - bed cannot be adjusted. # # # impact : - patients may not be able to get into or out of bed. - patients may be uncomfortable or in pain. - the bed may be unsafe to use. # # # possible causes : - the remote control is not working. - the electrical system is not working. - the mechanical system is not working. # # # recommendations : - check the remote control and replace it if necessary. - check the electrical system and repair or replace any damaged components. - check the mechanical system and lubricate or replace any worn or damaged parts. @topic:1


# # # issue * * the bed, electric, huntleigh, contoura 390 is not functioning properly. * * # # # impact * * the bed is not able to be used by patients, which could lead to delays in care and discomfort for patients. * * # # # possible causes * * the bed may not be functioning properly due to a number of reasons, including : * * - * * the bed may have been damaged during use. * * - * * the bed may have been improperly maintained. * * - * * a component of the bed may have failed. * * # # # recommendations * * the biomedical engineer should : * * - * * inspect the bed to identify the cause of the failure. * * - * * repair or replace the damaged component. * * - * * provide training to staff on the proper use and maintenance of the bed. * * # # # # additional notes * * the biomedical engineer should also consider the following when troubleshooting the bed : * * - * * the bed may be plugged into a faulty outlet. * * - * * the bed may be overloaded. * * - * * the bed may be experiencing a power surge. * * @topic:9


# # # issue - the patient bed's electric remote is not adjusting the bed. # # # impact - the patient cannot be positioned comfortably or safely. - the caregiver cannot operate the bed effectively. # # # possible causes - the remote control is not communicating with the bed. - the remote control is damaged. - the bed's motor or control unit is malfunctioning. - the bed's wiring is damaged. # # # recommendations # # # # troubleshooting - check the remote control's batteries. - check the remote control's connection to the bed. - try using a different remote control. - check the bed's power supply. - check the bed's motor and control unit. - check the bed's wiring. - contact the manufacturer for further troubleshooting assistance. # # # # repair - replace the remote control batteries. - repair or replace the remote control. - repair or replace the bed's motor or control unit. - repair or replace the bed's wiring. - contact a qualified biomedical engineer for repairs. @topic:7


# # # issue - broken bed leg # # # impact - the bed is not safe to use. - the patient could fall out of the bed. # # # possible causes - the bed leg was not properly attached. - the bed leg was damaged. - the bed was overloaded. # # # recommendations - inspect the bed leg and make sure it is properly attached. - replace the bed leg if it is damaged. - do not overload the bed. @topic:6


# # # issue - the medical device is not displaying any signal. # # # impact - this issue could have a significant impact on the patient's care, as the medical device may be necessary for monitoring or treatment. # # # possible causes - the most likely cause of this issue is that the signal cable is not properly connected to the medical device. other possible causes include : - a faulty signal cable - a faulty input on the medical device - a software issue with the medical device # # # recommendations - * * verify that the signal cable is properly connected to the medical device. * * make sure that the cable is plugged into the correct port on the device, and that the connection is secure. - * * if the signal cable is properly connected, try replacing the cable with a different one. * * this will help to rule out any issues with the cable itself. - * * if the signal cable is properly connected and a different cable does not resolve the issue, the next step is to check the input on the medical device. * * make sure that the input is set to the correct source, and that the device is turned on. - * * if the input on the medical device is set correctly and the device is turned on, the next step is to check the software on the medical device. * * make sure that the software is up to date, and that there are no known issues with the software. @topic:2


# # # issue - * * monitor malfunction * * : the dinamap procare 100 monitor is displaying abnormal blood pressure readings. # # # impact - * * inaccurate patient data * * : the inaccurate readings could lead to incorrect diagnoses and treatment decisions. - * * delayed or inadequate care * * : patients may not receive the appropriate medical attention if their blood pressure is not accurately measured. # # # possible causes - * * defective blood pressure cuff * * : the cuff used to measure blood pressure may be damaged or faulty, resulting in incorrect readings. - * * malfunctioning monitor * * : the monitor itself may have a malfunction that is affecting its ability to accurately measure blood pressure. - * * improper cuff placement * * : the cuff may not be properly positioned on the patient's arm, leading to inaccurate readings. - * * electrical interference * * : the monitor may be affected by electrical interference from other devices, such as defibrillators or mri machines. # # # recommendations - * * replace the blood pressure cuff * * : if the cuff is damaged or faulty, it should be replaced with a new one. - * * troubleshoot the monitor * * : the monitor should be tested with a known - good blood pressure cuff to determine if it is functioning correctly. - * * ensure proper cuff placement * * : the cuff should be placed on the patient's arm according to the manufacturer's instructions. - * * minimize electrical interference * * : the monitor should be placed away from other devices that may cause electrical interference. @topic:15


# # # issue : - vital signs monitor unable to measure blood pressure. # # # impact : - inaccurate monitoring of patient's vital signs, potentially leading to delayed diagnosis or treatment. # # # possible causes : - faulty cuff or connector : replacement of these components indicates a potential mechanical issue with the blood pressure measurement system. - sensor malfunction : the sensor responsible for detecting blood pressure may be malfunctioning, leading to inaccurate readings. - loose connections : improper connections between the cuff, connector, or monitor can cause disruptions in signal transmission, resulting in measurement errors. - software glitch : errors in the monitor's software could affect the processing and display of blood pressure readings. - electrical interference : external electrical sources or electromagnetic fields can interfere with the monitor's ability to accurately measure blood pressure. # # # recommendations : - verify the proper replacement of the cuff and connector. - inspect the sensor and its connections for any physical damage or loose components. - ensure secure connections between all components of the measurement system. - check for software updates on the monitor and apply them if necessary. - identify any potential sources of electrical interference and eliminate or mitigate them. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:15


# # # issue - connector cuff bp became detached. # # # impact - the patient's blood pressure cannot be monitored accurately. # # # possible causes - the connector cuff was not properly attached in the first place. - the connector cuff was damaged. - the patient moved around too much and caused the connector cuff to become detached. # # # recommendations - ensure that the connector cuff is properly attached before using the device. - inspect the connector cuff for any damage before using the device. - if the patient is likely to move around, use a different type of blood pressure cuff that is less likely to become detached. @topic:5


( e ). 6. install the four screws ( d ) to attach the pod back ( e ) to the pod ( b ). 7. install the weldment ( h ), removed earlier, into the spring ( i ). 8. install the pod ( b ) into the siderail ( c ). 9. slide the pod ( b ) towards the foot end of the siderail ( c ) so the weldment ( h ) engages the groove in the siderail. 10. install the spacer ( a ). 11. do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 79 4. 25 scale control pod p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 25 scale control pod p. c. board ( b model and newer beds ) tools required : t15 torx® 1 screwdriver ( 2 ) small - bladed screwdriver antistatic strap removal 1. set the brakes. 2. raise the siderail to the up and locked position. warning : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the spacer ( a ) ( see figure 4 - 34 on page 4 - 81 ). 5. slide the pod ( b ) towards the head end of the siderail ( c ). 6. pull out the foot end of the pod ( b ). 7. slide the pod ( b ) towards the foot end of the siderail ( c ), and remove it from the siderail ( c ). 8. remove the four screws ( @topic:26


# # # issue - spo2 sensor is not reading values # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - faulty spo2 sensor - loose or damaged sensor cable - software malfunction - interference from other medical devices # # # recommendations - replace the spo2 sensor - inspect and tighten the sensor cable - update the monitor's software - check for and eliminate any potential sources of interference @topic:4


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : - bme found that the drawer could not be closed because the solenoid mounting nut had come loose. - bme tightened the solenoid nut and tested the barcode scanning to open the drawer, which worked properly. # # # impact - the drawer could not be closed properly, which could lead to the loss or damage of medical supplies. # # # possible causes - the solenoid mounting nut may have come loose due to vibration or wear and tear. # # # recommendations - inspect the solenoid mounting nut regularly and tighten it if necessary. - train staff on the proper use and maintenance of the medical cart. @topic:21


# # # issue - unable to determine the cause of failure. # # # impact - the technician is unable to repair the device. # # # possible causes - the technician did not provide enough information about the problem. - the technician is not qualified to repair the device. - the device is not repairable. # # # recommendations - the technician should provide more information about the problem, such as : - the specific symptoms of the problem. - the steps that were taken to troubleshoot the problem. - the results of any tests that were performed. - the technician should consult with a more qualified technician or engineer. - the device should be sent to the manufacturer for repair. @topic:12


# # # issue the cause of failure for the cardiac output unit is not specified in the given input. # # # impact the impact of the failure is not specified in the given input. # # # possible causes since the cause of failure is not specified, it is difficult to determine the possible causes. however, based on the information provided, it is possible that the failure occurred due to a lack of proper preventive maintenance. # # # recommendations to prevent similar failures in the future, it is recommended to : - ensure that the equipment is properly maintained according to the manufacturer's recommendations. - keep a log of all maintenance activities performed. - train technicians on the proper use and maintenance of the equipment. @topic:12


# # # issue : - equipment : keyboard not connecting to bluetooth. # # # impact : - inability to use the keyboard to operate the medical device, potentially disrupting patient care. # # # possible causes : - keyboard bluetooth connection not enabled. - keyboard battery is drained. - keyboard is damaged or faulty. - bluetooth signal interference from other devices. - software issue on the medical device. # # # recommendations : 1. * * check if the keyboard bluetooth connection is enabled : * * - ensure that the bluetooth switch on the keyboard is turned on. - verify that the keyboard is paired with the medical device by checking the bluetooth settings on the device. 2. * * replace the keyboard battery : * * - if the keyboard uses a replaceable battery, check if the battery is low or dead. replace the battery with a new one. 3. * * troubleshoot keyboard damage or fault : * * - inspect the keyboard for any physical damage or signs of wear and tear. - if possible, try connecting the keyboard to another device to isolate the issue. if the keyboard still does not work, it may be faulty and require repair or replacement. 4. * * minimize bluetooth signal interference : * * - identify any potential sources of bluetooth interference in the vicinity, such as other wireless devices or medical equipment. - move the medical device and keyboard away from any sources of interference. 5. * * update medical device software : * * - if the issue persists, it may be due to a software problem on the medical device. check for any available software updates and install them. 6. * * contact technical support : * * - if none of the above troubleshooting steps resolve the issue, contact the manufacturer or technical support team for further assistance. @topic:27


# # # issue fuse is blown on the electric bed. # # # impact the bed cannot be operated. # # # possible causes * the bed is overloaded. * the bed is not properly grounded. * the fuse is defective. # # # recommendations * check the bed for any signs of overload. * check the bed's grounding. * replace the fuse. @topic:9


# # # issue - * * loose bed rail latch * * # # # impact - patient safety hazard # # # possible causes - * * wear and tear * * - * * defective latch * * - * * improper installation * * # # # recommendations - * * inspect bed rails regularly for signs of wear or damage * * - * * replace latches as needed * * - * * ensure proper installation of latches * * @topic:6


# # # issue - remote control malfunction. # # # impact - inability to adjust the patient's bed, potentially leading to discomfort or safety concerns. # # # possible causes - component failure in the remote control, such as a faulty button or circuit board. - software glitches or firmware issues. - electrical interference or damage to the remote control's circuitry. # # # recommendations - replace the remote control with a new or refurbished unit. - check the equipment's power supply and connections to ensure they are functioning properly. - update the equipment's firmware if available to address any known software issues. - insulate the remote control from potential sources of electrical interference, such as other medical devices or power lines. - consider implementing a preventative maintenance program to routinely check and service the equipment to identify potential issues before they cause failures. @topic:7


# # # issue - equipment : monitors, physiologic, central station - band : hp - model : - - description : the biomedical engineer ( bme ) found that the power cord connected to the back of the cpu was loose. the bme fixed the issue by unplugging the power cord and plugging it back in. the equipment is now working properly. # # # impact - the equipment was not able to be used until the issue was fixed. # # # possible causes - the power cord may have been accidentally knocked loose. - the power cord may have been damaged. # # # recommendations - ensure that the power cord is securely plugged into the back of the cpu. - inspect the power cord for any damage and replace it if necessary. @topic:2


* * issue : * * - cuff malfunction in philips intellivue mp20 ( m8001a ) patient transport monitor. * * impact : * * - inaccurate blood pressure measurements. - delay in patient care due to repeated measurements or use of alternative equipment. * * possible causes : * * - physical damage to the cuff, such as tears or punctures. - deterioration of the cuff material over time. - incorrect cuff size or improper inflation technique. * * recommendations : * * - replace the damaged cuff with a new one of the correct size. - check the cuff regularly for any signs of damage. - ensure proper inflation technique according to manufacturer's guidelines. - train staff on the correct use and maintenance of the equipment. @topic:14


# # # issue * bed adjustment functions intermittently. # # # impact * patient discomfort and safety concerns. * inefficient use of healthcare resources. # # # possible causes * * * faulty power supply : * * insufficient or unstable power supply can disrupt the function of the electrical bed. * * * control unit malfunction : * * the control unit coordinates the movement of the bed and may malfunction due to electrical issues, software bugs, or mechanical damage. * * * motor failure : * * the motors responsible for adjusting the bed may have failed or become worn out over time. * * * damaged wiring : * * electrical wires and connections can become damaged, leading to intermittent operation. * * * loose connections : * * loose or disconnected wires can interrupt the flow of electricity and cause the bed to malfunction. * * * corroded or dirty components : * * corrosion or dirt buildup on electrical components can interfere with proper operation. * * * software glitches : * * software issues or bugs can cause the bed's control system to function abnormally. * * * battery malfunction : * * if the bed is partially adjustable, a weak or depleted battery can affect its performance. # # # recommendations * * * inspect the power supply : * * check the voltage and ensure that the bed is receiving adequate power. * * * examine the control unit : * * look for any signs of physical damage, loose wires, or software errors. * * * test the motors : * * operate the bed and listen for any unusual noises or vibrations that may indicate motor problems. * * * inspect the wiring : * * trace electrical wires for any visible damage, loose connections, or corrosion. * * * tighten connections : * * ensure that all electrical connections are securely tightened. * * * clean and lubricate components : * * remove corrosion or @topic:1


# # # issue : - bedside physiologic monitors, specifically philips intellivue mx450, are failing to perform non - invasive blood pressure ( nibp ) measurements as frequently as desired. # # # impact : - delayed or inaccurate patient data, potentially affecting patient care decisions and safety. # # # possible causes : - repeat time for nibp measurements is set to 15 minutes instead of the desired 5 minutes. # # # recommendations : - verify the nibp repeat time setting in the monitor's configuration options and adjust it to 5 minutes. - ensure the modified setting is saved and applied to all relevant profiles. - test the monitor's nibp functionality to confirm normal operation at the desired interval. @topic:15


monitor are defined in configuration mode. the printer settings paper size, resolution, color support, and duplex option for the active printer are visible but inactive ( " grayed - out " ) in the setup printers menu. when print database is selected as active printer only the will be shown. to enter the setup printers menu, in the reports menu, select setup printers. • printer names for locally - connected printers can be defined in configuration mode. you can see whether a specified printer is centrally or locally connected in the setup printers menu under port. if " local " is included in the port name, e. g. local 2, that indicates locally - connected printers, and " remote ", e. g. remote 1, indicates centrally - connected printers. if you are using an intellivue xds application print service, you may see xds printers in the setup printers menu that also have " local " or " remote " in their name. their names and settings can only be configured in the xds application. refer to the intellivue xds application installation and configuration guide for full details about the configuration possibilities. 373 29 printing patient reports printing a test report switching printers on or off for reports you can enable or disable printer status to switch individual printers on or off for report printouts. in the setup printers menu, select printer and then select the name of the device you want to switch on or off for reports printing from the pop - up list. 1 select printer status to switch between the settings enabled and disabled. if you set this to disabled, no reports will be printed to the named printer. 2 if the monitor detects that no printer of a particular type is available, the printer status setting will to disabled and " grayed out ". local printers from the xds application print service are always enabled and cannot be disabled ashed lines on reportif a section of a @topic:28


# # # issue - cuff has deteriorated # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - cuff may have a leak due to age, which may lead to inaccurate measurements # # # recommendations - the cuff should be replaced immediately. - the monitor should be tested to ensure that it is working properly after the cuff is replaced. @topic:5


# # # issue * equipment is rebooting repeatedly. # # # impact * interruption of patient care. * loss of data. # # # possible causes * * * hardware failure : * * the motherboard, power supply, or other hardware components may be malfunctioning. * * * software corruption : * * the operating system or application software may have become corrupted. * * * virus or malware infection : * * a virus or malware may have infected the equipment, causing it to reboot repeatedly. * * * insufficient power supply : * * the equipment may not be receiving enough power from the electrical outlet. * * * overheating : * * the equipment may be overheating, causing it to reboot to protect itself. * * * user error : * * the equipment may have been improperly used or configured. # # # recommendations * * * check the hardware : * * inspect the equipment for any loose connections, damaged components, or signs of overheating. * * * run a diagnostic test : * * use a diagnostic tool to check the health of the hardware and software. * * * update the software : * * install the latest software updates to fix any bugs or security vulnerabilities. * * * scan for viruses and malware : * * use an antivirus or antimalware program to scan the equipment for any infections. * * * ensure adequate power supply : * * make sure the equipment is plugged into a working electrical outlet and that the power supply is sufficient for the equipment's needs. * * * allow the equipment to cool down : * * if the equipment is overheating, allow it to cool down before using it again. * * * train users : * * provide training to users on how to properly use and configure the equipment. @topic:13


# # # issue - incorrect time displayed on the monitor # # # impact - delay in patient monitoring - misinterpretation of medical data # # # possible causes - configuration error - power failure - malfunctioning timekeeping component - failure in the synchronization with the central server # # # recommendations - check and adjust the time configuration settings - check the power supply and ensure it is stable - inspect the timekeeping component for any visible damage or loose connections - verify the synchronization with the central server and correct any discrepancies - if the issue persists, contact the manufacturer for further assistance @topic:29


##7 ( 82 ) temp module malfunc ( 82 ) signal htr q is on and signal htrc is off, but still have voltage. shut down and restart the monitor. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 83 ) temp module malfunc ( 83 ) signal htr q is tri - stated with signal htrc enabled, and has heater power. shut down and restart the monitor. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 84 ) temp module malfunc ( 84 ) signal q & c is turned on and the heater voltage is not high enough. shut down and restart the monitor. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 85 ) temp module malfunc ( 85 ) heater hardware fail - safe should have turned off, but did not. shut down and restart the monitor. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. troubleshooting 7 - 23 error codes code description possible cause action 868 temp error. the front end will now reset itself. temperature shows no data check the vm4 temperature module and front end board connection cable. if the problem persists, replace the vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. if the problem persists, replace the main pcb. see “ @topic:20


* * issue : * * patient monitor is not functioning properly. * * impact : * * patient's vital signs cannot be accurately monitored, which could lead to delayed diagnosis and treatment. * * possible causes : * * * * * ac power cord issue * * : the ac power cord may be damaged or not properly connected, resulting in power supply interruption. * * * equipment malfunction * * : the patient monitor may have malfunctioned due to internal hardware or software issues. * * recommendations : * * * * * check the ac power cord * * : verify that the ac power cord is intact and securely connected to both the patient monitor and the power outlet. if the cord is damaged, replace it. * * * reset the patient monitor * * : unplug the patient monitor for a few minutes and then plug it back in. this may resolve minor software glitches. * * * contact biomedical engineering * * : if the issue persists, contact biomedical engineering for further troubleshooting and repair. @topic:2


[ 5 repair and disassembly ] replacing the flex cable assembly 1 hold the extension firmly and push upwards against the connector. then slide connector ( together with the connector holder ) out of the dovetail connection. note you will probably need to apply some more force at first until the holder slides out of its mechanical lock. 2 slide the connector out of its holder. 208 5 repair and disassembly ) 3 remove the flex cable connector on the mse board. be careful not to bend any pins on the female part of the mse connector. note some units may have a foam pad on the connector of the inner flex cable of the mses ( as shown below ) and some units may not. this has no impact on the functionality of these units. 4 stick the correct foam pad on the rear side of the inner connector. use the thick pad for : m3012a, m3014a, m3016a. use the thin pad for : m3015a. you can also check the old flex cable for the correct pad. 5 insert the flex cable connector into the female receptacle on the mse board. check from the side and the front that the connector is inserted correctly ( there is no mechanical guidance ) and that no pins are bent, otherwise you may damage the mse when powering it on. 209 [ 5 repair and disassembly ] warning a misplaced connector might damage the mse or the monitor. 6 slide the connector into the holder as shown below arrange the flex cable in the space beside and underneath the board ( be careful not to bend the cable ) while positioning the holder for insertion. 7 insert the holder with the connector into the dovetail connection and slide it down until you hear a click. 210 5 repair and disassembly ) refitting the top cover note be careful with the msl flex cable. @topic:19


with different c. o. setup data from the previous data. the new c. o. setup data is read from the new c. o. device, and replaces the current data. the message disappears when the start c. o. pop¬ up key is pressed. verify c. o. setup data a new transpulmonary thermodilution catheter has been connected to the c. o. interface cable. check arterial pressure, cco cal currently not possible poor or invalid pressure signal, for example if pressure was not zeroed. verify the computation constant a new catheter has been plugged in, or the computation constant has been changed and start c. o. has not been selected. previous comp. constant replaced a new c. o. module or measurement extension module with a different computation constant from the current one has been connected. the new computation constant is read from the new c. o. device, and replaces the current one. the message disappears when start c. o. is selected. c. o. / cco safety information warning catheter constant : make sure that the arterial catheter constant for the measurement is appropriate to the catheter used. computation constant : make sure that the computation constant for the measurement is appropriate to the injectate volume, injectate temperature and catheter type used. iabp : do not perform transpulmonary thermodilution measurements on patients undergoing iabp treatment. cco accuracy : accuracy of the cco measurement and all the derived values may be influenced by patients with valve diseases or artificial valves. c. o. and mri : do not use the cardiac output interface cable in magnetic resonance imaging ( mri ) applications. aortic graft patients : do not use an arterial catheter in the arteria femoralis when it is contra indicated, for @topic:17


# # # issue : equipment returned # # # impact : unavailable for patient care # # # possible causes : - equipment no longer needed in current location - equipment malfunctioning # # # recommendations : - determine the reason for the return and take appropriate action, such as : - if the equipment is no longer needed, remove it from the inventory and store or dispose of it properly. - if the equipment is malfunctioning, repair or replace it as soon as possible. - document the reason for the return and the actions taken to resolve the issue in the equipment maintenance log. - review the equipment inventory and usage patterns to identify any trends or areas for improvement in equipment management. @topic:12


# # # issue - cpu failure, resulting in the inability to power on and operate the medical cart. # # # impact - the medical cart is non - functional, causing disruption to patient care and workflow. - prolonged downtime may affect the quality and efficiency of patient care. # # # possible causes - hardware failure : component damage due to manufacturing defects or wear and tear. - software issues : malfunction or corruption of the operating system or software. - external factors : power surge, electrostatic discharge, or physical impact. # # # recommendations - * * immediate actions : * * - isolate the affected medical cart to prevent further damage. - contact the equipment manufacturer or biomedical engineering department for assistance. - * * troubleshooting and repair : * * - diagnose the specific cause of failure using diagnostic tools or by replacing suspected components. - repair or replace the faulty cpu and any affected components. - * * preventive measures : * * - regular maintenance and inspections to identify potential issues early. - proper handling and storage to minimize risk of damage. - software updates to address known vulnerabilities. - provide surge protection and proper grounding to prevent electrical damage. @topic:13


# # # issue oxygen saturation ( spo2 ) monitor error due to broken oxygen saturation cable. # # # impact the accuracy of spo2 monitoring is compromised, which can lead to incorrect patient assessment and treatment decisions. # # # possible causes * * * broken cable : * * the cable connecting the spo2 sensor to the monitor can become damaged or broken, [UNK] [UNK] [UNK] [UNK] 不 良 [UNK] [UNK] [UNK] 。 * * * loose connection : * * the cable may not be securely connected to either the sensor or the monitor. * * * faulty sensor : * * the spo2 sensor itself may be malfunctioning. * * * software issue : * * a software glitch in the monitor can cause the error message to appear even when the hardware is functioning properly. # # # recommendations * * * inspect the cable : * * check the entire length of the cable for any visible damage or breaks. replace the cable if necessary. * * * ensure secure connections : * * make sure the cable is securely connected to both the sensor and the monitor. * * * test the sensor : * * use a known - good spo2 sensor to test the monitor. if the error persists, the sensor may need to be replaced. * * * contact the manufacturer : * * if the issue cannot be resolved by the above steps, contact the manufacturer of the monitor for further assistance. @topic:4


# # # issue - the technician is unable to determine the cause of failure for the aview 2 advance led monitor. # # # impact - the monitor cannot be used to monitor patients, which could have a negative impact on patient care. # # # possible causes - the technician may not have the necessary training or experience to diagnose the issue. - the monitor may have a complex or intermittent fault that is difficult to diagnose. - the technician may not have access to the necessary test equipment or documentation to diagnose the issue. # # # recommendations - the technician should consult with a more experienced technician or biomedical engineer. - the technician should perform a thorough inspection of the monitor, including checking the power supply, cables, and connections. - the technician should consult the manufacturer's documentation for the monitor to troubleshoot the issue. - the technician should consider sending the monitor to the manufacturer for repair if they are unable to diagnose the issue. @topic:2


# # # issue - equipment is not securely attached to the pole, resulting in the basket falling off. # # # impact - the medical device is not stable and could fall, causing injury to the patient or staff. - the medical device could be damaged, resulting in costly repairs or replacement. # # # possible causes - the cable ties used to secure the basket to the pole were not tightened properly. - the cable ties were not strong enough to hold the weight of the basket and its contents. - the pole was not strong enough to support the weight of the basket and its contents. # # # recommendations - ensure that the cable ties used to secure the basket to the pole are tightened properly. - use cable ties that are strong enough to hold the weight of the basket and its contents. - ensure that the pole is strong enough to support the weight of the basket and its contents. @topic:24


made. small signal, more indicator required the peak of the transpulmonary thermodilution curve was below 0. 1°c. increase injectate volume and / or lower injectate temperature. injectate temperature too high the difference between the blood and injectate temperatures is too small. the calculated value for c. o. may not be accurate. high etvi, use cold injectate or greater inj. volume the etvi value is too high. the accuracy of the transpulmonary thermodilution measurement may be reduced. increase injectate volume and / or lower injectate temperature following the guidelines given in the section “ guidelines for picco c. o. injectate ” on page 209. disturbed injection the injection should be performed quickly and with a steady pressure. shaking, unsteady pressure, or injections that take longer than six seconds may cause this message to appear ; you should bear this in mind if you are using a large injectate volume ( > 10 ml ). 210 c. o. / cco prompt messages 13 monitoring cardiac output c. o. / cco curve alert messages possible causes check injectate temperature probe type the recorded tinj signal is uncharacteristic for the ml646 injectate temperature probe. an incorrect probe type may have been used. unsteady baseline there is a noisy baseline, and thermal baseline drift. multiple peaks caused by faulty injection technique. abnormal decay time may be caused by low cardiac output. calculated value for c. o. may not be accurate. very long curve the decay time of the curve is longer than 15 seconds. very short curve decay time of the curve is less than 0. 5 seconds. if there is a noisy baseline, part of the baseline may have been mistaken for a thermodilution curve. calculated value for @topic:17


# # # issue - nurse cannot adjust bed height # # # impact - patient discomfort or safety concerns # # # possible causes - bed motor malfunction - bed control panel issue - improper nurse training # # # recommendations - check bed motor for proper operation - inspect bed control panel for damage or loose connections - provide training to nurses on proper bed operation @topic:1


# # # issue : the locking mechanism of the bed's rails is stuck and cannot be disengaged, preventing the bed from being adjusted or moved. # # # impact : - patient safety : the bed cannot be adjusted to the appropriate height or position for medical procedures or patient comfort. - patient mobility : the bed cannot be moved to facilitate patient transport or repositioning. - staff efficiency : the malfunctioning bed can hinder staff from providing timely and efficient patient care. # # # possible causes : - * * mechanical failure : * * the locking mechanism may have become jammed due to wear, corrosion, or a broken component. - * * electrical failure : * * the electrical components involved in controlling the locking system may have malfunctioned or become damaged. - * * improper maintenance : * * the bed may not have been properly lubricated or maintained, leading to component failure. - * * foreign objects : * * an object may have become lodged in the locking mechanism, preventing its proper function. # # # recommendations : - * * inspection : * * thoroughly inspect the locking mechanism for any visible damage or foreign objects. - * * lubrication : * * lubricate all moving parts of the locking mechanism as per manufacturer's instructions. - * * electrical testing : * * perform electrical tests to identify any faulty wiring or components. - * * repair or replacement : * * if the locking mechanism is damaged or cannot be repaired, it may need to be replaced. - * * preventive maintenance : * * establish a regular maintenance schedule to prevent future failures. @topic:6


# # # issue the remote control for the electric bed, model contoura 360, manufactured by huntleigh, has failed. # # # impact the bed cannot be operated remotely, which may cause inconvenience to patients and staff. # # # possible causes * * 1. physical damage : * * the remote control may have been dropped or subjected to impact, causing it to crack or break. * * 2. electrical malfunction : * * internal components of the remote control may have malfunctioned, such as the circuit board or battery. # # # recommendations * * 1. inspect for physical damage : * * examine the remote control for any visible damage, such as cracks, dents, or broken buttons. if damage is found, the remote control will need to be repaired or replaced. * * 2. test electrical components : * * use a multimeter or other diagnostic tool to check the continuity of the circuit board and battery. if any electrical components are found to be faulty, they should be replaced. * * 3. clean the remote control : * * dirt or debris may have accumulated on the contacts of the remote control, interfering with its operation. clean the contacts using a soft cloth and isopropyl alcohol. * * 4. reset the remote control : * * some remote controls may have a reset button that can resolve minor software glitches. refer to the manufacturer's instructions for the specific reset procedure. * * 5. contact a qualified technician : * * if the issue persists after following the above recommendations, contact a qualified biomedical engineer for further diagnosis and repair. @topic:7


the measurement will be switched off. < spo2 label > noisysignaumeric is replaced by -? - inop tone excessive patient movement or electrical interference is causing irregular pulse patterns. try to reduce patient movement or to relieve the cable strain on the sensor. < spo2 label > poor signanumeric is replaced by -? - ( questionable numeric ) < spo2 label > pulse? numeric is replaced by -? - inop tone the signal condition of the spo2 measurement is poor and measurement accuracy may be compromised. if the inop persists, consider changing the application site or using another sensor. the detectable pulsations of the spo2 signal are outside the specified pulse rate range. < spo2 label > searching numeric unavailable spo2 is analyzing the patient < spo2 label > sensor malnumeric is replaced by -? - inop tone the spo2 sensor or adapter cable is faulty. try another adapter cable and sensor. if the inop persists, 90 4 patient alarms and inops inop message, indication < spo2 label > sensor ofnumeric is replaced by -? - inop tone what to do the spo2 sensor is not properly applied to the patient. apply the sensor following the instructions < spo2 labunkn. sensor the connected sensor or adapter cable is not supported by the spo2 measurement. use only specified numeric is replaced by -? - < spo2 label > unpluggenumeric is replaced by -? - inop tone an spo2 measurement label has been deactivated, either by unplugging a module, or by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, either replug the module or reactivate the measurement label @topic:4


# # # issue - the bed's side rail is wobbling. # # # impact - the patient could fall out of bed. - the patient could be injured if the side rail collapsed. # # # possible causes - the screws that hold the side rail in place are loose. - the side rail is damaged. - the bed frame is damaged. # # # recommendations - tighten the screws that hold the side rail in place. - replace the side rail if it is damaged. - replace the bed frame if it is damaged. @topic:6


# # # issue - remote control malfunction # # # impact - inability to adjust the bed, potentially affecting patient comfort and safety # # # possible causes - * * faulty wiring or connections : * * loose or damaged wires can disrupt communication between the remote and the bed. - * * damaged remote control buttons : * * worn or stuck buttons may prevent proper operation. - * * malfunctioning electrical components : * * faulty capacitors, transistors, or other electronic elements within the remote or bed can cause erratic behavior. - * * software glitches : * * bugs or corrupted software could interfere with the functionality of the remote or bed. - * * insufficient power supply : * * low battery levels or faulty power cords can hinder the operation of either device. # # # recommendations - * * inspect wiring and connections : * * check for loose or damaged wires, ensuring secure connections throughout the system. - * * test remote control buttons : * * verify that all buttons are functioning properly, cleaning or replacing worn ones as needed. - * * examine electrical components : * * identify any malfunctioning components through electrical testing and replace them accordingly. - * * update software : * * check for any software updates available for the remote or bed and install them to resolve potential bugs. - * * ensure adequate power supply : * * replace batteries, if applicable, and inspect power cords for damage or defects. @topic:7


# # # issue - the ac control plug is loose, causing the bed to become unresponsive. # # # impact - the bed cannot be adjusted, which can impact patient care and discomfort. # # # possible causes - the plug was not securely inserted during assembly or maintenance. - the plug has become loose due to wear and tear. - the plug has been damaged or broken. # # # recommendations - ensure that the ac control plug is securely inserted and locked in place. - inspect the plug for any damage or loose connections. - replace the plug if necessary. - regularly inspect and tighten the plug to prevent it from becoming loose in the future. @topic:9


# # # issue - the central monitor is not displaying the correct time. # # # impact - this could lead to errors in patient care, such as incorrect medication administration or missed appointments. # # # possible causes - the technician set the time incorrectly. - the monitor's internal clock is malfunctioning. - there is a problem with the connection between the monitor and the hospital's time server. # # # recommendations - check the time settings on the monitor and make sure they are correct. - if the time is still incorrect, contact the manufacturer for further troubleshooting. - if the monitor is connected to a time server, check the connection and make sure it is working properly. @topic:29


# # # issue : assessment of equipment's condition # # # impact : nibp monitor is out of service. # # # possible causes : - * * unknown or unidentifiable issue : * * the specific cause of failure may not have been determined at this stage. further investigation or testing may be necessary to diagnose the issue. - * * lack of maintenance or calibration : * * the equipment may not have received proper maintenance or calibration, leading to its malfunction. - * * operator error : * * the equipment may have been used incorrectly or mishandled, resulting in damage or malfunction. - * * component failure : * * a specific component within the equipment may have failed due to wear and tear, manufacturing defects, or other factors. - * * software or firmware issues : * * bugs or glitches in the equipment's software or firmware can cause malfunctions. - * * environmental factors : * * exposure to extreme temperatures, moisture, or other environmental conditions can damage the equipment. # # # recommendations : - conduct a thorough inspection of the equipment to identify any visible damage or issues. - consult with the manufacturer's specifications and maintenance guidelines to ensure proper operation and maintenance. - perform diagnostic tests to pinpoint the specific cause of failure. - replace or repair faulty components as necessary. - update software or firmware if there are any available patches or upgrades. - train staff on the proper use and handling of the equipment to prevent operator errors. - establish a regular maintenance schedule to ensure the equipment is functioning optimally. - monitor the equipment's performance regularly to detect any potential issues early on. @topic:20


# # # issue : the dinamap pro 300v2 physiologic vital signs monitor is unable to measure oxygen saturation ( sat ). # # # impact : - inability to monitor patient's oxygen saturation levels, which is crucial for assessing respiratory function and overall patient well - being. # # # possible causes : - * * defective oxygen saturation cable : * * the newly replaced o2sat cable may be faulty or improperly connected. - * * sensor malfunction : * * the spo2 sensor in the cable may be malfunctioning or incorrectly placed on the patient's finger. - * * software issue : * * a software glitch or outdated firmware can interfere with the monitor's ability to process and display sat data. - * * faulty monitor : * * the monitor itself may have a hardware defect that affects its ability to measure spo2. # # # recommendations : 1. * * inspect o2sat cable : * * ensure that the new o2sat cable is undamaged and securely connected to both the patient and the monitor. 2. * * check sensor placement : * * verify that the spo2 sensor is properly placed on the patient's finger, with the sensor light fully covering the skin. 3. * * update software : * * contact the manufacturer to inquire about any available software updates that may address known issues with sat measurement. 4. * * contact technical support : * * if the problem persists, reach out to a qualified biomedical engineer or the manufacturer's technical support team for further troubleshooting and potential repair. @topic:4


##screen. server connectivity select the preferred server connection : welch allyn host direct emr connection 4. touch test network connection. the status of the server connections appears. 5. touch ok. 6. do one of the following : to continue in advanced settings, touch another tab. • to exit advanced settings and return to the home tab, touch exit. specify bluetooth settings this task is applicable only to monitors that have a bluetooth radio installed. devices can be configured with a wireless or a bluetooth radio. a configuration must be loaded to view regulatory information. in advanced settings, touch the network > bluetooth® tabs. 1. 2. specify settings. action / description setting allow bluetooth configuration enable the device to connect to a host or other bluetooth®. if enabled, bluetooth® low energy • enter the 8 - character device name. device namdisplays the wifi regulatory certification information. regulatory dvanced settingwelch [UNK] connex® spot monitor 30 do one of the following : 3. to continue in advanced settings, touch another tab. • to exit advanced settings and return to the home tab, touch exit. specify device ip settings a radio card must be installed and operational to specify the device ip settings. in advanced settings, touch the network > device ip tabs. 1. specify settings. 2. action / description setting select use dhcp or static id. ethernet if static id is selected, specify these settings. ip address subnet mask gateway enter the ip address of the dns server. dns ip address touch apply3. do one of the following : 4. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. specify active directory settings use the active directory settings to manage the device communication address and access note see " connex direct " for further information. in advanced settings, @topic:10


# # # issue - the cause of failure is not specified clearly. # # # impact - the impact of the failure is not mentioned. # # # possible causes - the equipment may have been damaged during the move. - the equipment may not have been properly installed or configured after the move. - there may be a problem with the equipment itself. # # # recommendations - the bme should thoroughly inspect the equipment to identify the cause of the failure. - the bme should ensure that the equipment is properly installed and configured. - the bme should test the equipment to ensure that it is functioning properly. - if the equipment is found to be defective, the bme should repair or replace it. @topic:12


# # # issue - telemetric electrocardiography monitor ( philips intellivue trx ) is experiencing intermittent power interruptions, causing the power indicator light to blink. # # # impact - the monitor may be unable to provide accurate and reliable patient data, potentially impacting patient care and safety. # # # possible causes - * * loose or faulty electrical connections : * * this can occur due to improper installation, wear and tear, or accidental damage. - * * power supply issues : * * the monitor may be receiving insufficient or unstable power from the electrical outlet or internal power source. - * * internal component failure : * * a faulty component within the monitor, such as a capacitor or transistor, can cause power fluctuations or interruptions. - * * software malfunction : * * bugs or glitches in the monitor's software can interfere with its power management system. - * * environmental factors : * * extreme temperatures or humidity can affect the performance of electrical components. # # # recommendations - * * inspect electrical connections : * * ensure that all cables and connectors are securely fastened and undamaged. - * * check power supply : * * verify that the monitor is plugged into a stable power source and that the outlet is functioning properly. - * * perform diagnostic tests : * * use built - in diagnostic features or external testing equipment to identify any internal component failures. - * * update software : * * install the latest software updates to address potential software bugs. - * * consider environmental factors : * * optimize the operating environment by ensuring appropriate temperature and humidity levels. - * * contact manufacturer or qualified technician : * * if the issue persists or cannot be resolved through the above steps, contact the equipment manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:16


# # # issue - the equipment is not displaying physiological readings. # # # impact - the medical staff cannot monitor the patient's vital signs accurately. # # # possible causes - the connector on the lead wire is damaged. - the lead wire is not properly connected to the monitor. - the monitor is not turned on. # # # recommendations - inspect the connector on the lead wire for damage. if the connector is damaged, replace the lead wire. - check that the lead wire is properly connected to the monitor. - turn on the monitor. @topic:22


# # # issue : ekg reading is higher when compared to defib zell machine. # # # impact : - inaccurate ekg readings can lead to misdiagnosis and inappropriate treatment. - this can have serious consequences for the patient's health and well - being. # # # possible causes : - * * faulty ekg machine : * * the ekg machine may be malfunctioning, leading to inaccurate readings. - * * improper electrode placement : * * the ekg electrodes may not be properly placed on the patient's body, resulting in poor signal quality and inaccurate readings. - * * electrical interference : * * electrical interference from other medical devices or environmental factors can affect the ekg signal and lead to inaccurate readings. - * * patient factors : * * the patient's condition, such as arrhythmias or electrolyte imbalances, can affect the ekg waveform and lead to higher readings. # # # recommendations : - * * calibrate the ekg machine : * * ensure that the ekg machine is properly calibrated and functioning correctly. - * * check electrode placement : * * verify that the ekg electrodes are properly placed on the patient's body, ensuring good skin contact and proper signal quality. - * * rule out electrical interference : * * identify and eliminate any sources of electrical interference that may be affecting the ekg signal. - * * consider patient factors : * * take into account the patient's condition and medical history when interpreting ekg readings. if higher readings are consistently observed, consult with a physician for further evaluation. @topic:18


obs due to hotstart the monitor has restarted and all report requests have been cancelled except those stored in the print database. “ n ” is the number of reports cancelled. printing failed : no report configured! a report has been triggered which has not been correctly set up. enter the setup menu for the report type to set up the report. printing on device < printer name > a report is in progress, or the monitor is waiting for the central printer to accept the print job. print device < printer name > unavailable - job suspended the chosen device is unavailable. check that the printer is properly connected and that paper is available. the requested report will start printing when the printer becomes available. print database full - > job suspended the requested report does not fit into the print database. you can select another printer to print the report ( see “ unavailable printer : re - routing reports ” on page 336 ). alternatively you can delete another report from the reports job list ( using the stop report key ) to create space for your report. job on < printer name > failed a report cannot be started on the requested printer. one of three reasons will also be shown in the status message : • data requisition error - an internal error has caused data required for the report to be unavailable, try starting the report again. • printer unavailable - make sure the printer is plugged in, switched on, and has paper loaded. • data unavailable - the connected x2 or mp5 has been removed before the data for the report was transferred. print job on device < printer name > done the report has been printed. sample report printouts each report header contains the patient ’ s bed label, last name and first name, middle name ( if there is enough space ) the patient id, the date and time, and the name of the report. the report footer contains the hospital label and page number, and @topic:28


# # # issue the connex spot monitor is displaying a "??? " for the temperature reading. # # # impact the temperature reading is not accurate, which could lead to incorrect patient care. # # # possible causes - the temperature probe is not properly connected. - the temperature probe is faulty. - the monitor is not properly calibrated. - the software on the monitor is not up to date. # # # recommendations - check the connection of the temperature probe. - replace the temperature probe. - calibrate the monitor. - update the software on the monitor. @topic:20


# # # issue - defective blood pressure ( bp ) cuff. # # # impact - inaccurate bp measurements. - delays in patient care. # # # possible causes - cuff age and wear - and - tear. - improper cuff placement or inflation. - damage to the cuff during storage or handling. # # # recommendations - regularly inspect and replace cuffs according to the manufacturer's guidelines. - train staff on proper cuff placement and inflation techniques. - handle cuffs with care to prevent damage. - maintain a spare cuff on hand to minimize downtime in case of failure. @topic:3


/ 60 / 70 / 80 / 90 38 entering measurements manually 1 basic operation entering measurements manually you can enter values into the monitor that have been measured with other equipment or manually ( for example, manual temperatures, lab values ). these values are then stored in the database, included in trends and reports, and passed on to the information center and central charting systems. there is no alarm functionality for manually entered measurements. to enter values, 1 select the enter values smartkey or select main setup - > enter measvalues 2 select the measurement you want to enter values for. the edit < measurement > window will open. 3 if the measurement is switched off, switch it on by selecting the label. 4 select value and enter the value. 5 select date / time to enter the date and time for the value. the default is always the current date and time. 6 for compound labels, for example abps, abpd and abpm, select the format field to select whether all values are required or a single value. 7 select save. 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. 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 measurement interval, if this is shorter. the list of measurement labels which appears in the manual entry window is set in configuration mode. no values can be entered manually on an mp3 or x2 when it is connected to a host monitor. switching manually entered measurements on and off to switch a manually entered measurement on or off, 1 select the enter values smartkey or select main setup @topic:8


# # # issue - battery failure in nibp monitor # # # impact - inability to use the device for non - invasive blood pressure measurements. # # # possible causes - battery has reached the end of its lifespan. - battery not properly seated or connected. - battery is not compatible with the device. # # # recommendations - replace the battery with a new one that is compatible with the device. - ensure that the battery is properly seated and connected. - check the battery compatibility with the device documentation. - consider regular battery maintenance and replacement schedule to prevent future failures. @topic:11


preview alarm autolimits for a measurement before applying 6 select to apply wide autolimits 7 select to apply narrow autolimits 8 low yellow alarm field. select to open a pop - up list of low alarm limits 9 low red alarm ( view only ) 10 graphic view of alarm limits with currently measured value 11 15 - min trend, showing alarm limits and monitored measurement values ( mp40 / 50 / 60 / 70 / 90 only ) to change alarm limits, 1 enter the alarm limits window. 64 alarm limits 3 alarms 2 using touch : to set the high alarm limit, select the high yellow alarm field to open a pop - up list of high alarm limits. select a limit from the list. repeat to set the low yellow alarm field. using a speedpoint or navigation point : position the cursor in the high yellow alarm field, then press the knob inwards. rotate the knob to the left or right to adjust the limit. press the knob again to set the displayed limit. repeat to set the low yellow alarm limit. if you set the yellow alarm limit outside the red alarm limit, the monitor will automatically set the red alarm to the yellow alarm limit. when an st measurement is in the change limits window there are also two pop - up keys available labeled all st narrow / all st wide. with these keys you can set auto limits for all st leads. about automatic alarm limits ( autolimits ) the monitor can automatically set alarm limits suited to your individual patient, using the automatic alarm limits function. this tells the monitor to adapt the alarm limits of selected measurements to the measured vital signs within a defined safe limit. the monitor calculates safe autolimits for each patient based on the measured values from the last 12 seconds. the wide and narrow limits have a fixed relationship to the measured value within the non - pathological range. outside of this range, no auto limits are calculated. to @topic:8


# # # issue - the monitor is not linking with the central monitor. # # # impact - interruption of patient monitoring and data collection. - increased workload for nursing staff. - potential safety hazards if patient data is not available in a timely manner. # # # possible causes - incorrect ci address configuration on the monitor - faulty ci card in the monitor - software error in the monitor or central monitor - network connectivity issues - physical damage to the monitor or cables # # # recommendations - verify the ci address configuration on the monitor and central monitor. - inspect the ci card for any visible damage or loose connections. - update the software on the monitor and central monitor if necessary. - check network connectivity between the monitor and central monitor. - inspect the monitor and cables for any physical damage. @topic:16


# # # issue - monitor not linking to central # # # impact - monitoring data may not be transmitted to the central system. this can lead to delays in diagnosis and treatment. # # # possible causes - incorrect ip address for central server - firewall blocking communication between the monitor and the central server - damaged network cabling - software bug in the monitor - hardware failure in the central server # # # recommendations - verify that the monitor is configured with the correct ip address for the central server. - check the firewall settings on the central server to ensure that communication from the monitor is allowed. - inspect the network cabling between the monitor and the central server for any damage. - contact the manufacturer of the monitor to check for any software updates or known bugs. - if all else fails, it may be necessary to replace the central server. @topic:16


# # # issue - the electric bed is making a loud noise when adjusting. # # # impact - the noise may be disruptive to patients and staff. - the noise may indicate a problem with the bed's mechanics, which could lead to a more serious failure. # # # possible causes - the bed's motor may be worn or damaged. - the bed's gears may be misaligned or damaged. - the bed's frame may be bent or damaged. - the bed's lubrication may be insufficient. # # # recommendations - lubricate the bed's gears and motor. - inspect the bed's gears and motor for damage. - inspect the bed's frame for damage. - if the noise persists, contact a qualified technician to repair the bed. @topic:9


# # # issue medical cart cannot boot windows properly, displaying a " recovery " screen. # # # impact the medical cart is unable to be used for its intended purpose, impacting patient care. # # # possible causes - corrupted windows operating system files - hardware issue ( e. g., faulty hard drive ) - software conflict - virus or malware infection # # # recommendations 1. * * run a system restore : * * this will revert the system to a previous point in time when it was working properly. 2. * * check hard drive health : * * use a diagnostic tool to check the health of the hard drive and identify any potential issues. 3. * * resolve software conflicts : * * identify any software applications that may be conflicting with the windows operating system and uninstall or update them. 4. * * scan for viruses or malware : * * use an anti - virus program to scan the system for any malicious software that may be causing the issue. 5. * * reinstall windows : * * if all else fails, reinstall the windows operating system on the medical cart. @topic:13


# # # issue the wheels of the philips suresigns vs2 vital signs monitor are making a loud noise. # # # impact the noise from the wheels may be distracting to patients and staff, and could interfere with the ability to hear other sounds in the environment, such as alarms or patient calls. # # # possible causes - the wheels may be worn or damaged. - the wheels may not be properly lubricated. - the wheels may be misaligned. - the bearings in the wheels may be worn or damaged. # # # recommendations - inspect the wheels for any signs of wear or damage. - lubricate the wheels according to the manufacturer's instructions. - realign the wheels if necessary. - replace the bearings in the wheels if necessary. @topic:24


# # # issue - battery not charging # # # impact - inability to use the patient transport monitor for extended periods without access to a power outlet. # # # possible causes - faulty battery - faulty charging port - software issue - physical damage to the battery or charging port # # # recommendations - replace the battery. - inspect the charging port for any damage or debris. - update the software to the latest version. - contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue - low blood pressure ( bp ) readings. # # # impact - incorrect bp measurements can lead to delayed or incorrect treatment. # # # possible causes - faulty bp cuff. # # # recommendations - bme technician replaced the bp cuff. - bme technician tested the equipment and found it to be functioning normally. @topic:3


# # # issue : lcd monitor not displaying full screen # # # impact : - impaired visualization of medical data - potential misdiagnosis or delayed treatment due to incomplete image display # # # possible causes : - camera zoom mode set incorrectly - incorrect monitor settings - defective camera or monitor # # # recommendations : - check the camera zoom mode and adjust it to display the full screen - ensure the monitor settings are configured correctly for the image input - troubleshoot the camera and monitor to identify any underlying hardware issues @topic:2


##trend time for all graphical, histogram and horizon screen trends ( " global " trend time ), 1 select a screen trend then select setup trend, or select main setup then select trends. 2 select screen trend time and select the required time : 30 minutes, one, two, four, eight, or twelve hours. this is now the global screen trend time and defines the period of trend information shown for to set a different screen trend time for a screen trend or a group of aligned screen trends, 1 select a screen trend. 2 select change trendtime. 3 select the required trend time. selecting global leaves the trend time set to the global screen trend time. 320 3 trends changing the selection of screen trends displayed select the screen trend. 1 select change trend and select the required trend from the list of available trends. select blank to remove the selected trend from the screen. 2 if you do not see change trend in the screen trend menu, the trend is aligned to display with the measurement wave. changing the wave automatically changes the trend. to display two or more screen trends overlapping, 1 select the screen trend to open the screen trend menu, select change trend followed by add trend and select a screen trend from the pop - up list. 2 to activate the cursor for screen trends : select the screen trend. 1 select activate cursor. 2 you can now use the arrow keys to move the cursor across the time line. the values measured at the cursor time are shown next to the cursor. to de - activate the cursor • select main screen. to switch between tabular, graphic, histogram and horizon views, select the screen trend then select change view and select the required view. tabular view aperiodic measurements such as nbp, c. o., c. i., and wedge can be viewed as a screen trend @topic:8


# # # issue - cannot adjust flow rate. # # # impact - inability to deliver accurate and precise flow rates of gas or medications to the patient. # # # possible causes - faulty or damaged flow sensor - broken or disconnected tubing - obstruction or blockage in the flow path - software or firmware issue in the device - improper calibration of the device - loose connections or wiring # # # recommendations - inspect and test the flow sensor for proper function and calibration. - check the integrity of the tubing and connections for any leaks or blockages. - clean the flow path according to the manufacturer's instructions. - update the software or firmware of the device to the latest version. - recalibrate the device using a certified flowmeter. - securely tighten all connections and wiring. - if the issue persists, consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:15


# # # issue - equipment failure # # # impact - patient care may be delayed or compromised - increased workload for medical staff - increased costs # # # possible causes - wear and tear - improper use - lack of maintenance - equipment defect # # # recommendations - regular maintenance and inspection of equipment - proper training of staff on equipment use - immediate reporting of any equipment issues - collaboration with biomedical engineers to address equipment failures - consideration of equipment replacement if necessary @topic:12


# # # issue - the central monitor cannot print. # # # impact - the medical staff cannot access important patient information. # # # possible causes - the print queue is full. - the printer driver is not installed or is corrupted. - the printer is not connected to the computer. - the printer is out of paper. - the printer is not turned on. - the printer is jammed. # # # recommendations - check the print queue and clear any pending print jobs. - reinstall or update the printer driver. - ensure that the printer is properly connected to the computer. - load paper into the printer. - turn on the printer. - clear any paper jams. @topic:28


# # # issue - biomedical team is unable to troubleshoot the monitor's inability to measure bp in the start mode while in the patient history review screen. # # # impact - the inability to measure bp in the start mode while in the patient history review screen may delay patient care and compromise the accuracy of patient monitoring. # # # possible causes - the monitor's software version may not support the start mode measurement while in the patient history review screen. - the monitor may have a hardware issue that prevents it from measuring bp in the start mode while in the patient history review screen. - the monitor may be improperly configured, which may prevent it from measuring bp in the start mode while in the patient history review screen. # # # recommendations - verify the monitor's software version and ensure that it supports the start mode measurement while in the patient history review screen. - check the monitor's hardware for any damage or loose connections that may be preventing it from measuring bp in the start mode while in the patient history review screen. - ensure that the monitor is properly configured to allow bp measurement in the start mode while in the patient history review screen. - contact the manufacturer's technical support for further assistance. - use an alternate method to measure bp while in the patient history review screen, such as using a manual sphygmomanometer. @topic:15


# # # issue - bed is unable to adjust. # # # impact - inability to provide proper patient care. - discomfort for the patient. # # # possible causes - electrical fault in the bed's control system. - mechanical failure in the bed's adjustment mechanism. - software failure in the bed's control system. - user error. # # # recommendations - check the electrical connections to the bed. - inspect the bed's adjustment mechanism for any signs of damage or wear. - update the bed's software to the latest version. - train users on the proper operation of the bed. @topic:1


# # # issue - battery failure # # # impact - interruption of patient monitoring # # # possible causes - battery life exceeded - battery damage - electrical fault in the battery or charging system # # # recommendations - regularly inspect and replace batteries as per the manufacturer's guidelines. - ensure proper charging and storage practices. - if electrical fault is suspected, contact the manufacturer or a qualified biomedical engineer for further evaluation. @topic:11


# # # issue - equipment failure : vital signs monitor not functioning properly # # # impact - inaccurate or missing patient vital signs readings - delayed or incorrect medical treatment decisions # # # possible causes - cuff component failure # # # recommendations - replace cuff component - regular maintenance and inspection of equipment to prevent future failures @topic:5


# # # issue - ekg printer not functioning # # # impact - inability to print ekg results, potentially delaying or impacting patient care. # # # possible causes - paper jam cleared but printer malfunction persists. # # # recommendations - further troubleshooting of the printer is required. - contact the manufacturer or a qualified technician for assistance. - consider replacing the printer if necessary. @topic:28


vitals will appear automatically in the ews screen. other vitals may be measured by the monitor, or may need to be entered manually : 3 if nbp is not yet displayed on the screen, start a blood easurement with the start key. if spo2 is not already being measured, apply the spo2 sensor and a short time later the value will appear in the spo2 box on the screen. moving ashes are displayed until the measured value is available. if the pulse rate is not already displayed from a continuously measured hr, spo2, or nbp, it will appear as soon as a blood pressure or spo2 has been made. any vital sign or clinical observation you need to enter manually is indicated by a keyboard symbol. select the symbol to enter the missing data. 123 all vital signs and clinical observations with a white box are required, i. e. they must all be entered for a complete spotcheck record. if a keyboard symbol or start key is not in a white box, the corresponding vital sign or clinical observation is optional. when values have already been entered or measured, an existing white box will disappear. ews sps spo pulse 554 97 54 rr nbp 145 / 95 ( 107 ) 123 onscs. state concern temp 123 123 302 21 guardian early warning scoring one complete set of vitals and observations, together with the calculated score ( s ), is referred to as a spotcheck record. once all the required vitals have been entered or measured, the spotcheck record will be automatically stored after the configured freeze time. if you want to store values before the end of the freeze time, you can select store vitals, to store the values and close data collection. the store vitals key can also be used to store an incomplete set of vitals at any time. if you want @topic:8


# # # issue the cause of the failure is not specified in the given input. # # # impact the missing medcart icon prevents the user from accessing the program, which could lead to delays in patient care or other operational issues. # # # possible causes - the icon may have been accidentally deleted or moved. - the program may have been uninstalled or corrupted. - the computer's operating system or display settings may have changed. - a software or hardware conflict may be preventing the icon from displaying correctly. # # # recommendations - check the recycle bin for the missing icon and restore it if found. - reinstall the medcart program from the original installation media or download it from the manufacturer's website. - verify that the computer's display settings are correct and that the icon is not hidden. - scan the computer for malware or viruses that may be interfering with the software or display settings. - contact the manufacturer's technical support for further assistance if the issue persists. @topic:13


# # # issue monitor has missing connector. # # # impact - inability to use monitor for patient care. - delays in patient diagnosis and treatment. - potential safety hazard if monitor is not functioning properly. # # # possible causes - connector was not properly attached during installation or maintenance. - connector was damaged or lost during use. - connector was removed intentionally or accidentally. # # # recommendations - check if the connector is loose or damaged. if so, replace the connector. - inspect the monitor for any other damage that may have occurred due to the missing connector. - train staff on the proper installation and maintenance of the monitor. - establish a system for tracking and inventorying connectors to prevent future losses. @topic:2


# # # issue - faulty ekg cable # # # impact - interruption of accurate ecg monitoring, potentially leading to delays in diagnosis and treatment. # # # possible causes - physical damage to the cable, such as cuts, breaks, or loose connections. - electrical interference from other devices or environmental sources. - aging or deterioration of the cable material over time. # # # recommendations - * * immediate action : * * - replace the faulty ekg cable with a new or known - good one. - ensure proper connection and positioning of all cables and leads. - * * preventive measures : * * - inspect ekg cables regularly for any damage or wear. - handle cables with care and avoid excessive bending or twisting. - use shielded cables to minimize electrical interference. - replace aging or deteriorating cables as per manufacturer's recommendations. @topic:18