* * cause of failure : air leak * * * * issue : * * an air leak occurs when there is a loss of pressurization in a medical device due to a leak in the air system. this can compromise the device's ability to deliver accurate readings or perform its intended function. * * impact : * * * inaccurate patient monitoring * device malfunction * potential patient harm * * possible causes : * * * damaged or disconnected tubing * loose fittings or connections * punctures or cracks in the device casing * faulty valves or seals * condensation or moisture buildup in the system * * recommendations : * * * * * inspect tubing and connections : * * ensure all tubing is securely connected and free of damage. * * * tighten fittings and connections : * * use a torque wrench or other appropriate tool to ensure all fittings are properly tightened. * * * examine the device casing : * * look for any punctures or cracks that could allow air to escape. * * * replace faulty valves or seals : * * if any valves or seals are damaged or worn, they should be replaced promptly. * * * clear condensation or moisture : * * if condensation or moisture has accumulated in the system, it should be removed by following the manufacturer's instructions. * * * perform regular maintenance : * * scheduled maintenance should include checking for air leaks and other potential issues to prevent failures. @topic:12


# # # issue - cuff failure in the bedside physiologic monitor. # # # impact - intermittent or inaccurate blood pressure measurements. - potential delays in patient care due to unreliable vital sign monitoring. # # # possible causes - cuff bladder deterioration due to repeated inflation and deflation cycles. - damage to the cuff material ( e. g., tears, holes ). - improper cuff sizing or placement. # # # recommendations - regularly inspect the cuff for signs of wear or damage. - replace the cuff if any defects are identified. - ensure proper cuff sizing and placement according to the manufacturer's guidelines. - consider using non - invasive blood pressure monitoring methods as alternatives ( e. g., finger cuffs ) when possible. @topic:3


# # # issue - equipment is not functioning properly. # # # impact - patient care may be delayed or compromised. # # # possible causes - the lead ekg or lead ekg trunk is damaged or missing. # # # recommendations - replace the lead ekg and lead ekg trunk. @topic:18


# # # issue vital signs monitor ear probe is missing. # # # impact unable to take ear temperature measurements. # # # possible causes * the probe may have been misplaced or lost. * the probe may be damaged. * the probe may not be properly connected to the monitor. # # # recommendations * check for the probe in common areas where it may have been misplaced, such as on the bed, floor, or in drawers. * inspect the probe for any visible damage. * ensure that the probe is properly connected to the monitor. * if the probe is damaged or cannot be found, contact the manufacturer for a replacement. @topic:20


# # # issue : - bed, electric, huntleigh enterprise 8000 is not functioning properly. # # # impact : - icu3 is unable to use the bed. # # # possible causes : - the control box is faulty. # # # recommendations : - replace the control box. @topic:1


# # # issue - cuff bp of monitor, bedside, physiologic, philips, intellivue mp70 ( m8007a ) is deteriorated and need replacing. # # # impact - blood pressure readings may be inaccurate or unavailable. - this could lead to delays in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - cuff bp is a consumable item and has a limited lifespan. - the cuff may have been damaged due to improper use or storage. # # # recommendations - replace the cuff bp with a new one. - inspect the cuff bp regularly for signs of damage. - store the cuff bp in a cool, dry place. @topic:14


# # # issue - spo2 sensor cable deterioration # # # impact - reduced accuracy of patient monitoring - potential for patient harm if oxygen levels are not accurately monitored # # # possible causes - normal wear and tear - improper handling or storage - exposure to harsh chemicals or uv light # # # recommendations - regularly inspect spo2 sensor cables for signs of wear and tear - store cables properly when not in use - protect cables from harsh chemicals and uv light - replace cables as necessary @topic:4


# # # issue * monitor screen will not turn on. # # # impact * inability to monitor vital signs of patients. * delay in medical treatment. # # # possible causes * * * low battery : * * battery may be too weak to power the monitor. * * * faulty power supply : * * power supply may not be providing enough power to the monitor. * * * damaged power cord : * * power cord may be damaged, preventing power from reaching the monitor. * * * loose connections : * * loose connections between the power supply and the monitor may cause power interruptions. * * * hardware failure : * * internal hardware components of the monitor may have failed, preventing it from turning on. # # # recommendations * * * check battery : * * inspect battery and replace if necessary. * * * inspect power supply : * * ensure the power supply is functioning properly and providing adequate power. * * * replace power cord : * * examine the power cord for damage and replace if needed. * * * tighten connections : * * verify all connections between the power supply and the monitor are secure. * * * contact manufacturer : * * if all troubleshooting steps fail, contact the manufacturer for further assistance or repairs. @topic:2


* * issue : * * battery failure * * impact : * * equipment downtime, potential patient safety concerns * * possible causes : * * - * * expired battery lifespan : * * batteries have a limited lifespan and need to be replaced regularly. - * * overuse or improper charging : * * excessive use or incorrect charging practices can shorten battery life. - * * chemical degradation : * * batteries can degrade over time due to chemical reactions, especially when exposed to extreme temperatures or humidity. - * * defective battery : * * manufacturing defects can lead to premature battery failure. - * * ageing equipment : * * older equipment may have batteries that are more prone to failure. * * recommendations : * * - * * follow manufacturer's replacement guidelines : * * replace batteries according to the recommended schedule provided by the equipment manufacturer. - * * use appropriate charging techniques : * * refer to the equipment manual for proper charging procedures and avoid leaving batteries on the charger for extended periods. - * * store batteries in a suitable environment : * * keep batteries at moderate temperatures and humidity to prevent degradation. - * * test batteries regularly : * * conduct periodic tests to ensure batteries are functioning properly and replace them as needed. - * * consider preventive maintenance : * * implement a preventive maintenance schedule that includes battery inspection and replacement to minimize unexpected failures. @topic:11


# # # issue the bed cannot be adjusted. # # # impact the patient cannot be positioned comfortably or safely. # # # possible causes - faulty motor - broken gear - electrical problem - loose connection - software issue - user error # # # recommendations - check the motor for any signs of damage or wear. - inspect the gears for any broken or missing teeth. - check the electrical connections for any loose or damaged wires. - tighten any loose screws or bolts. - update the software to the latest version. - train the user on how to properly use the bed. @topic:1


specifications 443 indications for use 43 restricted availabilit444 use environment 444 manufacturer's information 444 ymbols 445 installation safety information 447 monitor mounting precautions 5ltitude settin456 monitor safety specifications 456 physical specifications 457 environmental specifications 458 emc and radio regulatory compliance 462 monitor performance specifications 464 interface specification470 display specifications 711 m4605a battery specifications measurement specifications safety and performance tests 475 475 495 1 default settings appendi501 501 alarm and measurement default settings 508 alarm default setting508 ecg, arrhythmia, st and qt default settings 509 pulse default setting512 respiration default settings 513 spo2 default settings 513 nbp default settings 514 514 invasive pressure default settings 515 cardiac output default settings 517 co2 default setting518 spirometry default settings 518 cgas default setting519 intravascular oxygen saturation default settings 519 vo2 default setting520 scv02 default settings 520 eeg default setting520 bis default settings nmt default settings uelink default settingindex 521 521 522 523 12 1 introduction these instructions for use are for clinical professionals using the intellivue mx400 / mx450, mx500 / mx550, and mx600 / mx700 / mx800 patient monitor. you this basic operation section gives you an overview of the monitor and its functions. it tells how tperform tasks that are common to all measurements ( such as entering data, switching a measurement on and off, setting up and adjusting wave speeds, working with profiles ). the alarms section gives an overview of alarms. the remaining sections tell you how to perform individual measurements, and how to care for and maintain the equipment. familiarize yourself with all instructions including warnings and cautions before starting to monitor patients @topic:10


# # # issue - bed cannot be adjusted. - screen is not illuminated and unresponsive to input. # # # impact - patient discomfort and immobility. - delay in providing necessary care. # # # possible causes - faulty icb board # # # recommendations - replace the icb board as per the recommended replacement part and repair quote. this will restore the bed's functionality and ensure the patient's comfort and mobility. @topic:1


# # # issue - lcd monitor not powering on # # # impact - inability to display patient information or medical images # # # possible causes - loose power cable connection to the monitor # # # recommendations - ensure that the power cable is securely connected to both the monitor and the power source. - check for any damage to the power cable or connectors. - if the issue persists, contact the manufacturer or a qualified technician for further assistance. @topic:2


# # # issue - scanner on the medical cart is intermittently turning on and off. # # # impact - inability to use the scanner to capture patient data. - delays in patient care. # # # possible causes - loose or damaged connections between the scanner and the medical cart. - faulty battery or charger. - software or firmware issues with the scanner. - electrical interference from other equipment. # # # recommendations - inspect and tighten all connections between the scanner and the medical cart. - replace the battery and charger if necessary. - update the scanner's software or firmware to the latest version. - check the area for sources of electrical interference and take steps to mitigate it. - if the problem persists, contact the manufacturer for further assistance. @topic:23


# # # issue : pump not producing enough pressure # # # impact : - incorrect blood pressure readings - delayed or inaccurate diagnosis and treatment # # # possible causes : - cuff deterioration - faulty pump - air leak in the system - kinked or blocked tubing - obstructed pressure sensor # # # recommendations : - replace the cuff with a new one. - inspect the pump for any signs of damage or malfunction. - check the entire system for leaks or blockages. - recalibrate the pressure sensor to ensure accuracy. - if the issue persists, consult with the manufacturer for further troubleshooting. @topic:3


# # # issue : bed not adjusting # # # impact : inability to properly position patients # # # possible causes : - broken remote cord - faulty remote - malfunctioning motor # # # recommendations : - inspect remote cord for damage and replace if necessary - test remote with a known - good unit to rule out a faulty remote - check motor for proper operation and replace if malfunctioning @topic:1


# # # issue - icon medcart disappeared from the desktop. # # # impact - the medical cart cannot be accessed from the desktop. # # # possible causes - the icon may have been accidentally deleted or moved. - the computer may have been restarted or updated, which may have caused the icon to disappear. - the computer may be infected with malware or a virus that is causing the icon to disappear. # # # recommendations - check the recycle bin to see if the icon was accidentally deleted. - search the computer for the medcart program files. if you can find them, create a new shortcut to the program on the desktop. - restart the computer and see if the icon reappears. - run a malware or virus scan on the computer. - contact the it department for assistance. @topic:13


# # # issue the hospital bed is not adjusting properly. # # # impact the patient cannot be positioned comfortably or safely in the bed. # # # possible causes - the bed's motor is not working properly. - the bed's controls are not functioning correctly. - the bed's frame is damaged. - the bed's mattress is too heavy or too thin. - the patient is too heavy or too thin for the bed. # # # recommendations - inspect the bed's motor, controls, and frame for damage. - check the bed's mattress to make sure it is the correct size and weight. - weigh the patient to make sure they are not too heavy or too thin for the bed. - if the bed is still not adjusting properly, contact the manufacturer for assistance. @topic:1


# # # issue - ssd drive failure in the medical cart device, resulting in the device malfunctioning and being unable to be used. # # # impact - the medical cart is essential for providing patient care, and its failure can impact the efficiency and quality of care provided. # # # possible causes - * * ssd wear and tear : * * ssds have a limited lifespan, and prolonged use can lead to wear and tear, resulting in drive failure. - * * power surges or fluctuations : * * sudden power surges or fluctuations can damage the ssd. - * * extreme temperatures : * * operating the medical cart in extreme temperatures can also contribute to ssd failure. # # # recommendations - * * regular maintenance : * * conduct regular maintenance checks to monitor the health of the ssd and replace it before it fails. - * * use a surge protector : * * use a surge protector to protect the medical cart from power surges and fluctuations. - * * operate in a stable environment : * * ensure that the medical cart is operated in a stable environment with appropriate temperature and humidity levels. @topic:13


# # # issue - deterioration of blood pressure ( bp ) cuff # # # impact - inaccurate bp measurements # # # possible causes - excessive use of the bp cuff - improper storage of the bp cuff - exposure of the bp cuff to extreme temperatures or humidity # # # recommendations - replace the bp cuff with a new one - ensure proper storage and handling of the bp cuff - calibrate the bp monitor regularly to ensure accurate measurements @topic:3


# # # issue - the philips suresigns vs4 vital signs monitor is unable to measure temperature. # # # impact - clinicians will be unable to obtain accurate temperature readings from patients using this monitor. # # # possible causes - the temperature probe may be damaged or disconnected. - the temperature sensor may be faulty. - the software that controls the temperature measurement may be malfunctioning. # # # recommendations - inspect the temperature probe and cable for any damage or loose connections. - replace the temperature probe if necessary. - contact philips technical support for assistance if the problem persists. @topic:20


htrc is off, but monitor ” on page 5 - 2 ) and restart the still have voltage. monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 83 ) | temp module malfunc ( 83 ) signal htr _ qistri - stated | shut down ( see “ shutting down the with signal htrc monitor ” on page 5 - 2 ) and restart the enabled, and has heater monitor. power : if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 84 ) | temp module malfunc ( 84 ) signal q & c is turned on shut down ( see “ shutting down the and the heater voltage is monitor ” on page 5 - 2 ) and restart the not high enough. monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. 867 ( 85 ) | temp module malfunc ( 85 ) heater hardware fail - safe shut down ( see “ shutting down the should have turned off, monitor ” on page 5 - 2 ) and restart the but did not. monitor. if the problem persists, replace the temperature module. see “ removing the predictive temperature module and probe cover holder ” on page 5 - 6. troubleshooting 4 - 24 suresigns vs4 service guide error codes code description possible cause action 867 ( 101 ) | temp module malfunc ( 101 ) | tympanic temperature replace the tympanic temperature module. module checksum error. see “ removing the tympanic temperature module ” on page 5 - 10. 867 ( 102 @topic:20


# # # issue - inability to repair the bed # # # impact - the bed is no longer functional and cannot be used for patient care. # # # possible causes - the bed's motor or hydraulic system has failed. - the bed's frame is damaged. - the bed's electrical system has failed. # # # recommendations - replace the bed with a new one. - send the bed to a repair shop for further diagnosis and repair. - contact the manufacturer of the bed for troubleshooting and support. @topic:9


# # # issue - equipment : medical cart - manufacturer : bdms - model : bdms 01 # # # impact - the equipment is not functioning properly due to a battery issue. # # # possible causes - the battery may be defective. - worn - out battery. - the battery is not properly connected. - the battery is not being charged properly. # # # recommendations - * * check the battery. * * ensure that the battery is properly connected and that it is not defective. also inspect the battery for any signs of damage. - * * replace the battery. * * if the battery is defective, it will need to be replaced. - * * inspect the charging system. * * ensure that the charging system is functioning properly and that the battery is being charged properly. @topic:13


# # # issue : bme unable to locate backup bed for 5r department, room 01. # # # impact : - delay in providing necessary equipment to patient care. - potential disruption of patient care if backup bed is not found promptly. # # # possible causes : - lack of available backup beds due to high utilization or equipment maintenance. - miscommunication or lack of coordination between bme and clinical staff. # # # recommendations : - * * ensure adequate inventory of backup beds : * * regularly monitor bed utilization and maintain a sufficient number of backup beds to meet potential demand. - * * improve communication and coordination : * * establish clear communication channels between bme and clinical staff to ensure timely requests and efficient response. - * * consider alternative solutions : * * explore the possibility of redistributing beds from other units or seeking assistance from external sources to obtain a backup bed. - * * document the issue and communicate : * * keep a record of the incident and communicate the situation to relevant stakeholders, such as hospital administration and clinical staff, to facilitate prompt resolution. @topic:9


# # # issue - plugged head of the bed is broken. # # # impact - the bed cannot be used. # # # possible causes - the plugged head of the bed may have been damaged due to : - overuse - physical damage - electrical fault # # # recommendations - replace the plugged head of the bed. - inspect the bed for any other damage. - ensure that the bed is properly grounded. @topic:9


# # # issue - bed is not adjustable # # # impact - patient cannot be positioned comfortably - bed cannot be used for procedures - patient may be at risk for injury # # # possible causes - * * mechanical failure : * * broken or loose joint - * * electrical failure : * * faulty motor or wiring - * * software failure : * * problem with the control system # # # recommendations - * * inspect the bed for any visible signs of damage. * * - * * check the electrical connections to the bed. * * - * * test the control system to ensure that it is functioning properly. * * - * * if the problem cannot be identified, contact the manufacturer for assistance. * * @topic:1


# # # issue - the medical cart cannot be locked closed. # # # impact - the medical cart cannot be used to store and transport medical supplies securely. # # # possible causes - the solenoid lock is not properly tightened. - the solenoid lock is faulty. - the door latch is broken. # # # recommendations - check and tighten the solenoid lock screws. - replace the solenoid lock if it is faulty. - replace the door latch if it is broken. @topic:21


# # # issue - cuff is damaged. # # # impact - the sphygmomanometer cannot measure blood pressure accurately. # # # possible causes - the cuff may have been punctured or torn. - the cuff may be too old or worn out. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - use the correct size cuff for the patient. @topic:3


patient from the monitor, power down the device, and disconnect the ac power cord and any attached accessories ( for example, spo2 sensors, blood pressure hoses and cuffs, and temperature probes ) from the device. a caution do not exceed the maximum weight limits for your mobile stand with basket or bins. see the " specifications " section of the device's instructions for use for the basket / bin and mobile stand maximum weight limits. 6 safetwelch [UNK] connex® spot monitor caution to ensure that the monitor meets its performance specifications, storand use the monitor in an environment that maintains the specified temperature and humidity ranges. a caution the monitor may not function properly if dropped or damaged. protect it from severe impact and shock. do not use the monitor if you notice any signs of damage. a caution do not connect more than one patient to a monitor or connect more than one monitor to a patient. caution do not operate the monitor in the presence of magnetic resonance hyperbaric chambers. general safety considerations if the monitor detects an unrecoverable problem, it displays an error message. for more information, see " troubleshooting. " to ensure patient safety, use only accessories recommended or supplied by welch allyn. ( sethe accessories list in the appendix of the instructions for use or https : / / direct. hill - rom. com / hillromus / en. ) always use accessories according to your facility's standards and according to the manufacturer's recommendations and instructions. always follow the manufacturer's directions for use. welch allyn recommends that only welch allyn service personnel or an authorized repair center perform warranty service. performing unauthorized service on a device that is within warranty may void the warranty. electrostatic discharge ( esdttention aution observe precautions for handling electrostatic sensitive electronic devices do not ship or store near strong electro @topic:10


# # # issue - cuff leak # # # impact - intermittent vital signs monitoring - inaccurate vital signs readings # # # possible causes - cuff wear and tear - cuff exposure to extreme temperatures - cuff improper storage # # # recommendations - regular cuff inspection for leaks or damage - cuff replacement when necessary - proper cuff storage and handling techniques @topic:5


issue, the remote control may need to be replaced. @topic:7


# # # issue - battery overcharged error ( 050519 ) # # # impact - device malfunction - inaccurate patient monitoring - potential safety hazard # # # possible causes - overcharging of battery - high battery temperature - faulty battery # # # recommendations * * immediate actions : * * - replace the faulty battery. - verify device functionality with the user. * * preventive measures : * * - follow manufacturer's instructions for battery charging and handling. - monitor battery temperature during charging. - consider using extended - life batteries designed for extended use. - regularly inspect battery for any signs of damage or wear. - train staff on proper battery maintenance and handling procedures. * * additional notes : * * - the error code " battery overcharged 050519 " indicates that the battery voltage exceeded the safe operating range. - excessive battery temperature can accelerate battery degradation and lead to overcharging. - proper battery care and handling can significantly extend battery life and prevent premature failure. @topic:11


# # # issue - equipment failure : the central station monitor's battery has deteriorated. # # # impact - the central station monitor cannot provide accurate patient monitoring data, which can lead to incorrect diagnoses or treatment decisions. # # # possible causes - the ups is faulty and is not providing a reliable power supply to the central station monitor. - the battery has reached the end of its lifespan and needs to be replaced. # # # recommendations - replace the faulty ups. - replace the deteriorated battery. - regularly check the ups and battery to prevent similar failures in the future. @topic:11


# # # issue the biomedical engineer is unable to get a wave form spo2 signal on the monitor when the device is turned on. # # # impact this issue prevents the medical staff from accurately monitoring the patient's oxygen saturation levels. # # # possible causes - the spo2 cable is defective or not properly connected. - the spo2 sensor is not properly placed on the patient's finger. - the monitor is not properly configured to display the spo2 waveform. - the monitor is defective. # # # recommendations - check the spo2 cable for any damage or loose connections. - ensure that the spo2 sensor is properly placed on the patient's finger. - check the monitor's settings to ensure that the spo2 waveform is enabled. - if the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:4


# # # issue the cuff of the philips mp5sc vital signs monitor has failed. # # # impact the failure of the cuff prevents the monitor from accurately measuring blood pressure. this could have serious consequences for patients if they are not receiving accurate blood pressure readings. # # # possible causes the cuff may have failed due to a number of possible causes, including : - physical damage to the cuff, such as a puncture or tear - wear and tear from repeated use - a defect in the cuff's manufacturing # # # recommendations the bme should replace the failed cuff with a new one. once the new cuff is installed, the bme should test the monitor to ensure that it is functioning properly. the bme should also inspect the monitor regularly to look for any other signs of damage or wear. preventive maintenance measures should be in place to maximize the lifespan of medical device to reduce the risk of failures. @topic:5


# # # issue - the bed's railing is unable to raise. # # # impact - patient safety is compromised as they may fall out of bed. - the patient's mobility is restricted, which can delay their recovery. - the nursing staff may have difficulty providing care to the patient. # # # possible causes - the railing motor is not working. - the railing sensors are not working. - the railing is obstructed. - the railing is not properly assembled. # # # recommendations - inspect the railing motor and sensors for any damage or loose connections. - check the railing for any obstructions. - reassemble the railing according to the manufacturer's instructions. - if the problem persists, contact the manufacturer for further assistance. # # # additional notes - the technician should also check the bed's power supply and fuses to ensure that the bed is receiving power. - the technician should document all of the troubleshooting steps taken and the results in the service record. @topic:6


# # # issue - the patient monitor's probe is difficult to remove from the unit. # # # impact - this can delay patient care or compromise the patient's safety. # # # possible causes - the probe is new and the locking mechanism is too tight. - the probe is damaged or defective. - the unit is not properly calibrated. - the user is not properly trained on how to use the probe. # # # recommendations - confirm that the probe is new and that the locking mechanism is too tight. if so, use less force to remove the probe. - inspect the probe for damage or defects. if any damage is found, replace the probe. - calibrate the unit according to the manufacturer's instructions. - provide training for the user on how to properly use the probe. @topic:20


# # # issue - telemetric electrocardiography monitor ( m2601b ) is malfunctioning. # # # impact - the hospital is unable to accurately monitor patients'heart activity. - this could lead to delayed or incorrect diagnosis and treatment, potentially endangering patients'lives. # # # possible causes - equipment failure : the monitor's hardware or software may have malfunctioned. - incorrect settings : the monitor may have been set to the wrong frequency, making it unable to receive data from the patient's telemetry transmitter. - interference : other electronic devices in the hospital may be interfering with the monitor's signal, causing it to malfunction. - operator error : the person using the monitor may have inadvertently made a mistake, such as entering the wrong settings or connecting the monitor incorrectly. # # # recommendations - * * check the equipment : * * inspect the monitor for any obvious signs of damage or malfunction. - * * verify the settings : * * ensure that the monitor is set to the correct frequency and that all other settings are correct. - * * eliminate interference : * * identify any potential sources of interference and move the monitor away from them. - * * contact the manufacturer : * * if the problem cannot be resolved by following the above steps, contact the manufacturer of the monitor for assistance. - * * provide training : * * train staff on the proper use and maintenance of the monitor to prevent similar issues in the future. @topic:16


##o2 module interference detected. spo2 idetected. clear to 43c00 reapply the sensor to the patient. very low if the problem is still present, replace the spo2 sensor. if the problem is still present, replace the cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. a module hardware error is detected. replace module. spo2 module hardware error spo2 rebooting. 043d00 spo2 rebooting043e00 a module hardware error is detected. replace module. spo2 module hardware error 188 troubleshooting welch [UNK] connex® spot monitor ossible causlarm prioritmessage spo2 rebooting. 043f00 a module software error is detected. wait for module to tself. spo2 module software error spo2 module received a message none. contact hillrom technical very low support : https : / / spo2 rebooting. 44000 www. hillrom. com / en / about - us / locations /. replace the spo2 sensor. if the problem is still present, replace the spo2 sensor. if the problem is still present, replace the cable. if the problem is still present, verify module functionality by spo2 defective sensor. replace the spo2 ensor. 044100 message persists, replace the modulethe spo2 module received bad message spo2 rebooting. 044200 none. contact hillrom technical very low support : https : / / www. hillrom. com / en / about - us / locations /. 1pulse search is a normal part of operation and does not have an associated corrective action. onin messagelarm priorito @topic:20


* * issue : * * beds, electric, hill - rom, care assist es is not able to use the bed alarm function. * * impact : * * the bed alarm is a safety feature that helps to prevent falls and other injuries. without a working bed alarm, patients are at risk of being injured if they get out of bed without assistance. * * possible causes : * * - the bed alarm sensor may be faulty. - the bed alarm control panel may be faulty. - the bed alarm wiring may be damaged. - the bed alarm may be turned off. - the bed alarm may not be calibrated properly. * * recommendations : * * - check the bed alarm sensor to make sure that it is clean and free of debris. - check the bed alarm control panel to make sure that it is functioning properly. - check the bed alarm wiring to make sure that it is not damaged. - make sure that the bed alarm is turned on. - calibrate the bed alarm according to the manufacturer's instructions. @topic:26


# # # issue - faulty co2 sensor cable # # # impact - inaccurate co2 readings - potential patient harm # # # possible causes - physical damage to the cable - electrical interference - sensor malfunction # # # recommendations - replace the faulty cable with a new one. - inspect the cable for any visible damage or loose connections. - ensure that the cable is properly shielded to prevent electrical interference. - test the sensor to ensure that it is functioning properly. @topic:4


s30283b 2 accessory carrier 5 s20998b 2 leaf 6 71265 2 bar, foot extension 7 s30315a 4 extension pad 8 71082 2 bumper 9 qd0663 2 push nut 10 s30534l 2 fixing device 11 vi0554a 8 screw 12 ca0013 1 extension, foot weldment 13 vi0608a 2 screw 14 ca0005 1 extension, foot assembly 15 vi0613a 2 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 43 head siderail — b model beds chapter 5 : parts list page 5 - 44 careassist® and careassist® es bed service manual ( man330 rev 4 ) head siderail — b model beds chapter 5 : parts list table 5 - 16. head siderail — b model beds item number part number quantity description 1 72290 1 label, blank, speaker cover 2 72862 4 or 8 screw hi - lo 3 71090 1 speaker cover 4 71091 1 gasket, cover 5 70746 1 speaker 6 28562 4 nut 7 128804 1 siderail, rh ( scale beds ) 129656 1 siderail, lh ( scale beds ) 71019 1 siderail, rh ( non - scale beds ) 71062 1 siderail, lh ( non - scale beds ) 8 71536 1 membrane switch, nurse call 72290 1 labels, nurse call, speaker, blank 9 4214102 4 screw 10 131573 1 scale display, with bed exit, rh 128803 1 scale display, with bed exit, lh 131572 1 scale display, without bed exit, rh 131571 1 scale display, without bed exit, lh 13823 @topic:26


key you can display a list of all free equipment ( not currently assigned to a patient ) and select a device for use with this patient. if you add another monitor, you need to confirm this at the selected monitor. removing equipment the association between a monitor and the patient can be ended by selecting remove monitor. with piic ix, the remove monitor key is not available when the monitor is locked to a bed. other equipment such as telemetry devices or intellivue cableless measurements can be removed by selecting the device then selecting remove in the menu displayed. equipment status disputes equipment can come into situations where its status does not match its location. there are three typical situations where this may occur : piic ix only equipment is locked to a bed, but has been removed and used at another bed. - • - piic ix only equipment has been configured for use in a specific unit, but is now being used in a different unit. • equipment has an equipment label but has not been configured at the information center and therefore cannot be managed. if a monitor or a companion device is in one of these situations, a check equipment inop will ill be shown in the equipment window. the following symbols ( in red ) are used to show the status in the equipment window : her equipment label is not in system configuration, or duplicate equipment labels in the equipment window you have access to patient management, workflow functions ( set location, transfer ), equipment management functions ( add / remove equipment ) and caregiver - related functions. you can open the equipment window directly in main setup or by selecting the bed label in the 120 5 managing patients and equipment equipment 3 doe, john adult m3 5 this bed is bed 3, the connection to the information center is active. 1 name of assigned caregiver 2 3 patient name, category and paced mode this monitor is assigned to the patient and is the one on which @topic:10


# # # issue : - faulty bed ( beds, electric, hill - rom, basic care, p1440a ) # # # impact : - the bed is no longer suitable for patient use due to its deteriorated condition and rusty side rails. # # # possible causes : - * * defective design or manufacturing : * * the bed may have inherent flaws in its design or manufacturing that led to its failure. - * * wear and tear : * * the bed may have experienced excessive wear and tear due to heavy usage, leading to its deterioration. - * * lack of maintenance : * * the bed may not have received regular maintenance, resulting in component failures and rust accumulation. - * * environmental factors : * * the bed may have been exposed to harsh environmental conditions, such as moisture or excessive heat, which contributed to its damage. # # # recommendations : - * * inspect the bed thoroughly : * * examine the bed for any visible damage, rust, or other defects. - * * check maintenance records : * * review the maintenance history of the bed to determine if it was serviced regularly. - * * consult with the manufacturer : * * contact the manufacturer to inquire about potential design defects or recommended maintenance procedures. - * * replace the bed : * * if the bed is deemed unsuitable for repair, consider replacing it with a new or refurbished unit. - * * implement a preventive maintenance program : * * establish a regular schedule for inspecting and servicing beds to prevent future failures. @topic:9


# # # issue - battery degradation : the battery in the mri - safe / conditional physiological multi - purpose monitor has deteriorated, resulting in reduced performance or failure. # # # impact - interruption of patient monitoring : the monitor may not be able to accurately track and display patient vital signs, leading to delayed or incorrect diagnosis and treatment. - risk to patient safety : inaccurate monitoring can compromise patient safety, especially during critical procedures or emergencies. - loss of data : the monitor may lose stored patient data, compromising patient records and hindering further analysis. # # # possible causes - * * natural degradation : * * batteries degrade over time due to chemical reactions and usage cycles, reducing their capacity and performance. - * * over - discharging : * * repeatedly discharging the battery below its recommended level can damage its cells and accelerate degradation. - * * overheating : * * excessive heat can shorten battery life and lead to premature failure. - * * manufacturing defects : * * occasionally, batteries may have inherent defects that contribute to their degradation. # # # recommendations - * * regular battery maintenance : * * monitor batteries regularly and replace them proactively before they reach the end of their lifespan. - * * proper charging practices : * * follow manufacturer recommendations for charging and discharging cycles to maximize battery life. - * * avoid extreme temperatures : * * store and use the monitor in environments with moderate temperatures to prevent overheating or freezing. - * * invest in quality batteries : * * choose high - quality batteries from reputable brands to ensure reliability and longevity. - * * consider additional power sources : * * explore alternative power sources, such as external batteries or power adapters, to ensure uninterrupted monitoring in case of battery failure. @topic:11


# # # issue the hospital bed is corroded, specifically the metal frame near the leg section. # # # impact the corrosion could compromise the structural integrity of the bed, making it unsafe for patients. it could also cause discomfort for patients due to the sharp edges of the corrosion. # # # possible causes - the bed may have been exposed to moisture for an extended period of time, which can cause metal to corrode. - the bed may have been cleaned with harsh chemicals that can damage the protective coating on the metal. - the bed may have been damaged during transport or installation. # # # recommendations - the bed should be inspected by a qualified technician to assess the extent of damage and determine if it is safe to use. - the technician should clean the bed with a mild detergent and water, and then apply a protective coating to the metal. - the bed should be stored in a dry environment when not in use. @topic:9


# # # issue the electric bed's side rails cannot be raised. # # # impact the patient's safety may be compromised if the side rails cannot be raised, as they prevent the patient from falling out of bed. # # # possible causes - the side rail motor may be faulty. - the side rail switch may be faulty. - the side rail wiring may be damaged. - the bed frame may be damaged. # # # recommendations - inspect the side rail motor for any signs of damage or wear. - inspect the side rail switch for any signs of damage or wear. - inspect the side rail wiring for any signs of damage or wear. - inspect the bed frame for any signs of damage or wear. - if any of the above components are found to be damaged, they should be replaced. @topic:6


# # # issue - wooden bed rails have fallen off and are damaged # # # impact - patient safety hazard : patients may fall out of bed if the rails are not in place. - reduced patient mobility : patients may be unable to get out of bed safely if the rails are not in place. - increased workload for nurses : nurses may have to spend more time assisting patients in getting out of bed if the rails are not in place. # # # possible causes - rails not properly secured - rails damaged due to wear and tear - rails damaged due to improper use - rails damaged due to a fall # # # recommendations - inspect bed rails regularly to ensure they are properly secured and in good condition. - replace damaged bed rails promptly. - educate staff on the proper use of bed rails. - train staff on the proper way to assist patients in getting out of bed. @topic:6


# # # issue - equipment : medical cart - brand : bdms - model : bdms 01 - problem : opened the machine and did not turn on # # # impact - delay in patient care - loss of patient data - inconvenience to staff # # # possible causes - power supply issue - internal hardware failure - software issue - user error # # # recommendations - check the power supply and ensure that it is properly connected. - inspect the internal hardware for any loose connections or damaged components. - update the software to the latest version. - train users on the proper operation of the equipment. @topic:13


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care # # # possible causes - loose plug at the foot of the bed # # # recommendations - tighten loose plug - test bed operation @topic:1


# # # issue monitor screen flickering # # # impact - inability to accurately monitor vital signs - patient safety concerns - reduced efficiency in patient care # # # possible causes - no battery - loose battery connection - faulty battery - display screen malfunction - software glitch # # # recommendations - charge or replace the battery - inspect and tighten the battery connection - test the battery with a multimeter - contact the manufacturer for further troubleshooting - check for software updates or reinstall the operating system @topic:2


# # # issue - spo2 sensor failure # # # impact - inability to accurately measure blood oxygen levels # # # possible causes - sensor damage - sensor contamination - sensor age - loose connection between sensor and monitor # # # recommendations - replace the spo2 sensor - clean the sensor and monitor connection points - inspect the sensor for damage - verify the sensor is compatible with the monitor - if the issue persists, contact the manufacturer for further troubleshooting @topic:4


# # # issue - missing screw in the monitor's charging station bracket # # # impact - the monitor cannot be securely attached to the charging station, making it difficult to charge and use the device. # # # possible causes - the screw may have been accidentally loosened or lost during maintenance or transportation. # # # recommendations - check to ensure that all screws in the monitor and charging station bracket are properly tightened. - regularly inspect the monitor and charging station for any loose or missing screws. - train staff on the proper handling and maintenance of medical devices to prevent future incidents. @topic:12


* * issue : * * monitor is failing to count down to the next measurement * * impact : * * patients may not receive timely and accurate vital sign monitoring * * possible causes : * * * the technician incorrectly set the monitor to count up instead of down. * the monitor's internal clock is malfunctioning. * there is a loose or damaged connection between the monitor and the patient transport device. * the monitor's software is corrupted. * * recommendations : * * * check the monitor's settings to ensure that it is set to count down. * test the monitor's clock by setting it to a known time and observing if it displays the correct time over a period of time. * inspect the connection between the monitor and the patient transport device for any loose or damaged wires. * contact the manufacturer for technical support if the issue persists. @topic:2


# # issue - mismatched signals between two lcd screens ( screen 1 and screen 2 ) # # impact - incorrect or confusing medical information being displayed, potentially leading to diagnostic or treatment errors. # # possible causes - * * signal processing error : * * a problem with the signal processing circuitry that transmits images from the source ( medical imaging device ) to the lcd screens. - * * loose or damaged cables : * * connectors or cables carrying the video signals may be loose, damaged, or improperly connected. - * * lcd panel connection issue : * * the lcd panels themselves may have loose connections or faulty components, causing the mismatched signals. - * * software malfunction : * * software bugs or glitches in the monitor's operating system could interfere with signal transmission and processing. - * * external interference : * * electromagnetic interference or radio frequency interference from nearby devices could disrupt the signal transmission between the source and the lcd screens. # # recommendations - * * check signal processing circuitry : * * diagnose and repair any issues with the signal processing components to ensure proper signal transmission. - * * inspect and secure cables : * * verify that all video signal cables are securely connected and in good condition. replace or repair damaged cables as needed. - * * examine lcd panel connections : * * open and physically inspect the lcd panels to check for loose or damaged connections. ensure proper seating of connectors and replace any faulty components. - * * update software : * * check for and install the latest software updates or patches for the monitor to address any software - related issues affecting signal transmission. - * * eliminate external interference : * * identify and resolve any sources of electromagnetic or radio frequency interference that could disrupt signal transmission. this may involve shielding devices or relocating them to minimize interference. @topic:2


# # # issue * remote control of the electric bed is broken. # # # impact * the electric bed cannot be operated remotely. * this can make it difficult for patients to adjust the bed's position, which can be uncomfortable or even dangerous. # # # possible causes * the remote control was dropped or otherwise damaged. * the remote control's buttons are worn out or not functioning properly. * the remote control's batteries are dead. # # # recommendations * inspect the remote control for any visible damage. * test the remote control's buttons to see if they are functioning properly. * replace the remote control's batteries. * if the remote control is still not working, contact the manufacturer for assistance. @topic:7


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes * * age and usage : * * over time, the cuff material can deteriorate and become less elastic, leading to inaccurate pressure readings. # # # recommendations - * * regular preventive maintenance : * * conduct routine inspections to monitor cuff condition. - * * replace cuff : * * if the cuff is found to be deteriorated, replace it with a new one of appropriate size and type. - * * adhere to manufacturer guidelines : * * follow the manufacturer's recommendations for cuff usage and maintenance to extend its lifespan. @topic:3


for the other beds in the care group is set to zero at the overview monitor. other patient alarms changes in the alarm status of beds in a care group are announced visually and audibly at all other beds in the same care group. the visual and audible indicators used depend on the monitor and information center configuration. when an alarm is detected at another bed in the care group, the alarm status is shown in the alarm status overview bar as an icon. • • 31 5 managing patients and equipment if configured, the other bed window, the alarming beds window or the my patients window may pop up on the screen ( if automatic alarm notification is enabled at the bedside monitor and at the information center ). the automatic alarm notification is suppressed when a window, menu or • if configured, an audible status change notification is issued. the tone type and volume can be configured. • piic ix automatic alarm notification can also cause a window to pop - up when a patient from outside the cargroup has been escalated to a higher attention status. check that the detailed configuration at the piic ix meets your unit's requirements. automatic alarm notification can be switched off permanently in the monitor's configuration mode or at the information center. information center compatibility the functionality available for managing patients and equipment depends on the intellivue information center being used. in the following table the main differences between the piic and piic piic piic ix ot available find patient - searching for a patient in the information center or other connected hospital systems. ( with lan and wlan connection only ) transfer patient - can transfer patient directly to another bed / unit and from another bed / unit. ( with lan and wlan connection only ) transfer patient - patient is moved to transfer list. a unique patient list provides information about tcurrent status of a patient allowing intelligent prompts nd preventing the same patient being admitted twice. add equipment - allows only @topic:10


# # # issue - equipment failure : the vital signs monitor is not displaying any information on its screen. # # # impact - inability to monitor patient's vital signs, such as heart rate, blood pressure, and respiratory rate. - delay in diagnosis and treatment due to lack of accurate patient data. # # # possible causes - loose or disconnected cable connections, including the power cord, signal cables, and data cables. - faulty monitor display or internal components. - software issues or corrupted firmware. - power supply problems. # # # recommendations - * * troubleshooting cable connections : * * - check all cable connections to ensure they are secure and not damaged. - replace any loose or damaged cables as necessary. - * * inspecting the display : * * - examine the monitor display for any physical damage, such as cracks or scratches. - check the display settings to ensure they are correct. - * * updating software and firmware : * * - verify if any software or firmware updates are available for the monitor. - if updates are available, install them according to the manufacturer's instructions. - * * checking power supply : * * - ensure the monitor is connected to a stable power source. - check the power cord and power outlet for any damage. - * * consulting manufacturer : * * - if the issue persists despite following the above recommendations, contact the manufacturer for technical support and further troubleshooting assistance. @topic:2


# # # issue - broken ac power plug leg # # # impact - inability to use the medical device - potential safety hazard # # # possible causes - physical damage to the plug leg - loose or worn connections # # # recommendations - inspect the power plug and cord for any damage - tighten any loose connections - replace the power plug if it is damaged or worn - ensure the medical device is properly grounded @topic:12


# # # issue the cause of failure in the given input is that the control box of the bed, electric, band huntleigh, model contoura 360 is faulty. # # # impact the impact of the failure is that the bed cannot be adjusted up or down. # # # possible causes the possible causes of the failure include : * a loose or damaged connection in the control box * a failed component in the control box * damage to the wiring # # # recommendations the recommendations for resolving the failure include : * inspect the control box for any loose or damaged connections and repair or replace as necessary. * test the components in the control box to identify any failed components and replace as necessary. * if the wiring is damaged, repair or replace as necessary. @topic:1


# # # issue - equipment not operating properly - device turns on and off intermittently # # # impact - device is not providing accurate or reliable patient data - patient care may be compromised - device may be damaged # # # possible causes - malfunctioning airway adapter - loose or disconnected airway adapter - faulty power supply - software glitch - hardware defect # # # recommendations - ensure airway adapter is properly installed and secured - inspect power supply and connections - check for software updates - contact manufacturer for technical support - perform regular maintenance and calibration on device @topic:12


# # # issue - the blood pressure monitor is providing inaccurate readings. # # # impact - this could lead to incorrect diagnosis and treatment decisions. # # # possible causes - * * cuff is not properly inflated. * * this can happen if the cuff is too loose or too tight, or if the patient is moving around too much. - * * monitor is not calibrated correctly. * * calibration is necessary to ensure that the monitor is providing accurate readings. - * * monitor is malfunctioning. * * this could be due to a number of factors, such as a loose wire or a faulty component. # # # recommendations - * * check the cuff to make sure that it is properly inflated. * * the cuff should be snug but not too tight. the patient should also be still during the measurement. - * * calibrate the monitor according to the manufacturer's instructions. * * this will ensure that the monitor is providing accurate readings. - * * if the monitor is still not working properly, contact the manufacturer for repairs. * * @topic:14


mode and altered in service mode. this is required, for example, when a slave display with touchscreen is installed. to alter the configuration of an rs232 port select main setup then hardware then interfaces. you can configure cm or data out to the rs232 port. data out can be configured up to two times ( on two or more rs232 interfaces ). note that only one rs232 port configured to data out ( i. e. the first one to receive a request ) provides wave export. the 261 [ 7 installation instructions ] other mib / rs232 port configured to data out will only export numerics. if the rs232 / 5v interface is used for data out, a cross - over cable is required. cm can only be configured once to an rs232 port. note be aware that if you change a port assignment this assignment is not reset upon boot up. if the mib / rs232 board is removed and replaced with a different type of board the settings are deleted. if the mib / rs232 board is then refitted, you must reconfigure the mib / rs232 port. the configuration of mib / rs232 is not cloned between monitors. connection of usb devices the usb ports support the following usb devices : • printer ( restrictions apply. see ‘ ‘ compatible printers ” on page 262 for details. ) • keyboard • barcode scanner • computer mouse or trackball • remote control note • connect only the above mentioned devices to the usb interface. other devices are not supported. • a remote control is treated as a keyboard. caution the usb ports do not provide an electrical separation. when connecting a usb device which uses an additional power supply e. g. printer, a separation device according to en / iec 60601 - 1 - 1 is required. after installation a @topic:10


# # # issue : remote control does not adjust the bed. # # # impact : - impaired functionality of the bed. - inconvenience and discomfort for patients. # # # possible causes : - the remote control is malfunctioning. - wire connections between the remote and the bed are damaged. - control board on the bed is not receiving signals from the remote. # # # recommendations : - inspect the remote control for any damage or malfunction. - check the wire connections between the remote and the bed, ensuring they are securely connected. - test the control board on the bed to ensure it is receiving signals from the remote. if not, the control board may need to be replaced. @topic:7


# # # issue the nibp monitor is displaying inaccurate readings. # # # impact this could lead to incorrect patient assessment and treatment decisions. # # # possible causes * faulty sensor * loose connections * software malfunction * incorrect calibration * electrical interference # # # recommendations * check the sensor for damage or debris. * inspect the connections for tightness. * update the software if available. * calibrate the device according to the manufacturer's instructions. * verify that the device is not being used in close proximity to other electrical equipment that could cause interference. @topic:15


# # # issue vital signs not connecting to icca. # # # impact this issue can lead to incorrect or incomplete patient data being recorded, which can impact the quality of patient care. # # # possible causes possible causes for this issue include : - loose or damaged connectors - software issue with the monitor or icca - interference from other equipment # # # recommendations to resolve this issue, the technician should : - check the connectors between the monitor and icca for any loose or damaged connections. - restart the monitor and icca. - test the system by connecting a patient monitor to the monitor and icca and checking that the vital signs are being recorded correctly. - contact the manufacturer for further assistance if the issue cannot be resolved. @topic:16


# # # issue - blue screen error on medical cart # # # impact - device malfunction - interruption of medical procedures # # # possible causes - software bugs or updates - hardware component failure - power supply issues - virus or malware infection # # # recommendations - restart the device and observe if the error persists. - check for any pending software updates and install them. - inspect the hardware components for any loose connections or damage. - ensure a stable power supply and check for any power fluctuations. - run a virus scan and remove any detected threats. - contact the manufacturer's technical support for further assistance. @topic:13


# # # issue the remote control for the huntleigh contoura 390 electric bed is faulty. # # # impact the bed cannot be operated using the remote control, making it difficult for patients to adjust the bed's position. # # # possible causes - the remote control may have been damaged due to physical impact, such as being dropped or knocked over. - the remote control may have been exposed to moisture, such as spills or condensation, which could have damaged the electrical components. - the remote control may have reached the end of its useful life and is no longer functioning properly. # # # recommendations - replace the faulty remote control with a new one. - if the remote control has been damaged due to physical impact, inspect the bed for any other damage and ensure that it is safe to use. - if the remote control has been exposed to moisture, dry it thoroughly before using it again. - if the remote control is at the end of its useful life, consider replacing it with a newer model. @topic:7


# # # issue faulty bed side rails # # # impact patient safety risk, increased workload for staff # # # possible causes - mechanical failure - electrical failure - user error # # # recommendations - inspect the bed side rails regularly for any signs of damage or wear and tear - test the bed side rails to ensure they are functioning properly - train staff on the proper use of bed side rails @topic:6


# # # issue - * * technician requested cuff for adult and children * * # # # impact - * * vital sign monitor unable to provide accurate readings * * # # # possible causes - * * lack of appropriate cuff size for patient * * # # # recommendations - * * maintain stock of various cuff sizes to accommodate different patient needs * * - * * ensure timely maintenance and calibration of equipment to prevent inaccurate readings * * - * * train staff on proper equipment usage and cuff selection based on patient size * * @topic:5


# # # issue - battery backup failure # # # impact - the laparoscopic monitor may not be able to function properly during surgery, which could lead to delays or complications. # # # possible causes - the battery backup may be old and worn out. - the battery backup may have been damaged. - there may be a problem with the charging system. # # # recommendations - replace the battery backup. - inspect the charging system for any problems. - perform regular maintenance on the laparoscopic monitor to prevent future problems. @topic:11


any damaged or faulty components. @topic:12


# # # issue - monitor is stuck due to hair being wrapped around the wheel. # # # impact - the monitor cannot be used to accurately measure vital signs. # # # possible causes - hair or other debris may have become wrapped around the wheel, causing it to become stuck. # # # recommendations - inspect the wheel for any debris and remove any that is found. - clean the wheel with a moist cloth to remove any remaining debris. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:24


# # # issue the electric bed model contoura is unable to adjust. # # # impact the patient may not be able to get into or out of bed comfortably or safely. # # # possible causes * the motor that adjusts the bed may be faulty. * the electrical wiring may be damaged. * the bed frame may be bent or broken. * the control panel may be malfunctioning. # # # recommendations * inspect the motor and electrical wiring for any damage. * check the bed frame for any bends or breaks. * test the control panel to ensure it is functioning properly. * if any damage is found, replace the affected components. @topic:1


# # # issue - equipment malfunction due to physical damage # # # impact - potential disruption of patient monitoring during surgery # # # possible causes - equipment mishandling or accidental impact - improper mounting or securing of the equipment # # # recommendations - proper handling and transportation of equipment to prevent physical damage - regular maintenance and inspection of equipment to ensure proper functionality - adequate training of personnel on equipment use and handling procedures - use of protective covers or cases for equipment to prevent damage from accidental impacts @topic:12


# # # issue - the physiological vital signs monitor ( dinmaap pro 300 ) is not turning on. # # # impact - the monitor is essential for monitoring vital signs of patients, such as blood pressure, heart rate, and respiration. without the monitor, healthcare professionals cannot accurately assess the patient's condition and provide appropriate care. # # # possible causes - the de to de board may be defective or damaged. - there may be a problem with the power supply to the monitor. - there may be a loose connection somewhere in the monitor. # # # recommendations - replace the de to de board. - check the power supply to the monitor and make sure that it is functioning properly. - check all connections in the monitor and make sure that they are secure. - if the problem persists, contact the manufacturer for further assistance. @topic:2


* * issue : * * barcode scanner not working * * impact : * * inability to scan patient information and track vital signs * * possible causes : * * - faulty barcode scanner - software or firmware issues - physical damage to the scanner or its cable - incorrect configuration or settings - barcode label smudges or tears - scanner not properly calibrated * * recommendations : * * 1. * * inspect the barcode scanner : * * check for any physical damage or loose connections. 2. * * restart the device : * * power off and on the vital signs monitor to reset the scanner. 3. * * clean the scanner : * * use a soft cloth or cotton swabs dipped in isopropyl alcohol to clean the scanner window and sensor. 4. * * check software or firmware updates : * * ensure the device is running the latest software or firmware version. 5. * * review configuration settings : * * verify that the scanner is configured correctly for the type of barcodes being used. 6. * * calibrate the scanner : * * use a calibration barcode to adjust the scanner's sensitivity and accuracy. 7. * * inspect barcode labels : * * check for smudges, tears, or poor printing quality that may interfere with scanning. 8. * * replace the barcode scanner : * * if all other troubleshooting steps fail, the scanner may need to be replaced. @topic:23


# # # issue - equipment not charging # # # impact - patient transport monitor cannot be used - delays in patient care # # # possible causes - faulty power supply - damaged charging port - loose connections # # # recommendations - replace power supply - inspect and repair charging port - check and tighten all connections - verify that the correct charger is being used @topic:11


# # # issue the philips suresigns vs2 + vital signs monitor was moved from ward 12d to the fraser hotel. # # # impact the monitor is no longer available for use in ward 12d. # # # possible causes the monitor was moved without proper authorization. the monitor was moved without proper documentation. the monitor was damaged during the move. # # # recommendations verify that all equipment moves are properly authorized and documented. ensure that all equipment is properly packaged and transported during moves. inspect all equipment after moves for any damage. @topic:22


# # # issue - graph is not displaying - no power to the device # # # impact - inability to monitor patient's vital signs - interruption of patient care # # # possible causes - faulty sensor - loose connection - internal component failure - power supply issue - software glitch # # # recommendations * * troubleshooting steps : * * 1. check the sensor connection and ensure it is secure. 2. inspect the power cord and make sure it is properly connected to both the device and the power source. 3. try resetting the device by turning it off and back on. 4. if the issue persists, contact the manufacturer for technical support. * * preventive measures : * * 1. regular preventive maintenance and calibration of the device. 2. proper handling and storage of the device to avoid damage. 3. staff training on the correct use and maintenance of the device. @topic:22


# # # issue - bed is unable to adjust its height. # # # impact - patient's comfort and mobility may be compromised. # # # possible causes - connector cables were obstructed by the bed rails, preventing proper electrical connection. - loose or disconnected electrical connectors within the bed's control system. - malfunction of the bed's electrical motor or other internal components. - software or firmware issues in the bed's control system. # # # recommendations - ensure that all connector cables are clear of obstructions and properly connected. - inspect and tighten electrical connectors within the bed's control system. - check for any visible signs of damage or wear on electrical components. - contact the bed manufacturer for technical support or repair if necessary. @topic:1


# # # issue broken spo2 cable # # # impact the patient's spo2 levels may not be accurately monitored, which could lead to a delay in treatment or a misdiagnosis. # # # possible causes the spo2 cable may have been damaged during use, or it may have been faulty from the manufacturer. # # # recommendations * replace the spo2 cable with a new one. * inspect the spo2 cable regularly for damage. * train staff on the proper use and care of the spo2 cable. @topic:4


* * issue * * - failed poe hub * * impact * * - monitor not displaying data accurately - inability to monitor patient's vital signs effectively * * possible causes * * - electrical short circuit - overheating - faulty poe hub * * recommendations * * - replace the failed poe hub - inspect the electrical wiring for any damage - ensure proper ventilation around the device to prevent overheating - update the firmware on the device if available - contact the manufacturer for further support and troubleshooting. @topic:2


# # # issue - motor failure in the huntleigh contoura 360 electric bed. # # # impact - inability to use the bed for patient care, leading to potential delays in treatment and patient discomfort. # # # possible causes - * * electrical malfunction : * * faulty wiring, loose connections, or a defective motor controller can cause the motor to fail. - * * mechanical wear and tear : * * over time, the motor's components can deteriorate, leading to reduced performance and eventual failure. - * * overuse : * * excessive use of the bed's motor, especially for heavy patients or frequent adjustments, can put undue strain on the motor and shorten its lifespan. - * * improper maintenance : * * regular inspection and maintenance, such as lubrication and cleaning, can help prevent motor failure. however, neglecting these tasks can increase the risk of problems. - * * design flaws : * * in rare cases, a fundamental design flaw in the bed or motor could lead to premature failure. # # # recommendations - * * inspect the motor and electrical components : * * check for any loose connections, damaged wires, or visible signs of wear or corrosion. - * * perform a diagnostic test : * * run the bed through a series of adjustments to assess the motor's performance and identify any potential issues. - * * lubricate the motor : * * as per the manufacturer's recommendations, regularly lubricate the motor to reduce friction and prolong its lifespan. - * * train staff on proper use : * * ensure that staff members are trained on the correct operation and maintenance of the bed to prevent misuse or accidental damage. - * * consider preventive maintenance : * * establish a regular preventive maintenance schedule to proactively address potential issues before they escalate into failures. @topic:9


# # # issue - broken bed rails # # # impact - patient safety hazard - inconvenience for patients and staff # # # possible causes - wear and tear - improper use - manufacturing defect # # # recommendations - inspect bed rails regularly for damage. - train staff on proper use of bed rails. - contact the manufacturer if there are any concerns about the quality of the bed rails. @topic:6


# # # issue the abp value does not display on the monitor. # # # impact the medical staff cannot monitor the patient's blood pressure, which is a vital sign. # # # possible causes - faulty sensor - loose connection between the sensor and the monitor - malfunction of the monitor's abp module - incorrect monitor settings # # # recommendations - check the sensor for any damage or loose connections. - replace the sensor if necessary. - check the connection between the sensor and the monitor to ensure that it is secure. - restart the monitor to see if that resolves the issue. - check the monitor's settings to make sure that the abp module is enabled. @topic:15


# # # issue - failed bed exit alarm # # # impact - patient safety hazard - potential for patient falls # # # possible causes - broken wire in the alarm system - loose connection in the alarm system - faulty alarm button # # # recommendations - inspect the alarm system for any broken wires or loose connections. - replace the alarm button if it is faulty. - test the alarm system to ensure that it is functioning properly. @topic:26


# # # issue - cuff rupture # # # impact - the device is not able to measure blood pressure accurately. # # # possible causes - cuff is not inflated properly - cuff is too tight or too loose - the cuff is damaged - the cuff is punctured # # # recommendations - replace the cuff - check the cuff for damage before using it - inflate the cuff properly - make sure the cuff is not too tight or too loose @topic:3


# # # issue - the bed's locking mechanism is not functioning properly, preventing the bed from being adjusted. # # # impact - the patient may be uncomfortable or unable to be properly positioned for treatment. - the bed may be unsafe to use, posing a risk of injury to the patient or caregiver. # # # possible causes - * * electrical fault : * * the remote control or bed may have an electrical fault that is preventing the locking mechanism from functioning properly. - * * mechanical failure : * * the locking mechanism itself may be damaged or worn, preventing it from engaging properly. - * * software issue : * * the bed's software may have a bug that is preventing the locking mechanism from functioning properly. # # # recommendations - * * inspect the electrical connections : * * ensure that the remote control and bed are properly connected and that there are no loose or damaged wires. - * * test the locking mechanism : * * try to manually engage the locking mechanism to see if it is functioning properly. - * * reset the bed's software : * * if the bed has a software update available, install it to see if it resolves the issue. - * * contact the manufacturer : * * if the issue cannot be resolved by following the above recommendations, contact the manufacturer for further assistance. @topic:1


# # # issue - the electric bed's locking mechanism for the side rails has failed, resulting in its inability to provide a safe and stable sleeping environment for patients. # # # impact - the bed's malfunction can potentially lead to serious patient safety concerns, such as falls or injuries. - the failure may disrupt the patient's sleep and recovery process, affecting their overall well - being. - it may hinder patient mobility and increase the workload for healthcare staff who assist with patient repositioning or movement. # # # possible causes - * * wear and tear : * * over time, the locking mechanism's components may experience wear and tear, leading to weakened or broken parts. - * * excessive force : * * applying excessive force or improper handling of the side rails can strain the locking mechanism, causing it to malfunction. - * * defective parts : * * material defects or manufacturing errors can result in faulty components within the locking mechanism, leading to premature failure. - * * environmental factors : * * exposure to moisture, heat, or corrosive substances can accelerate the degradation of materials used in the locking mechanism. # # # recommendations - * * regular inspection and maintenance : * * implement a comprehensive preventive maintenance plan that includes regular inspections and lubrication of the locking mechanism. - * * proper use and handling : * * educate staff on proper techniques for operating the bed's side rails, avoiding excessive force or improper handling. - * * replacement of defective parts : * * promptly repair or replace any defective components within the locking mechanism to ensure optimal functioning. - * * training on patient transfer techniques : * * provide training to healthcare staff on safe patient transfer techniques, minimizing the risk of excessive force being applied to the side rails. - * * environmental control : * * regulate temperature and humidity levels within the healthcare facility to minimize their impact on the @topic:6


# # # issue - cuff is torn # # # impact - patient's vital signs cannot be accurately monitored # # # possible causes - cuff was not properly fitted - cuff was over - inflated - cuff was exposed to sharp objects # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly fitted to the patient's arm - do not over - inflate the cuff - avoid exposing the cuff to sharp objects @topic:5


# # # issue - bed locks not engaging properly - bed not responding to remote commands # # # impact - patient safety concerns due to potential falls - inconvenience for patients and staff - reduced functionality of the bed # # # possible causes - * * bed locks : * * - broken or missing spring - misaligned locking mechanism - * * bed remote : * * - broken or damaged cables - malfunctioning remote unit # # # recommendations - * * bed locks : * * - inspect the spring for damage or missing parts. replace if necessary. - ensure that the locking mechanism is properly aligned and engaging. - * * bed remote : * * - check the cables for any visible damage. replace if necessary. - test the remote unit to confirm functionality. @topic:6


# # # issue - leaking cuff connector # # # impact - inaccurate blood pressure readings - potential safety hazard if patient is hypotensive # # # possible causes - damaged or loose cuff connector - worn or cracked cuff tubing - malfunctioning air pump # # # recommendations - inspect the cuff connector for damage or looseness. - replace the cuff tubing if it is worn or cracked. - test the air pump to ensure it is functioning properly. - calibrate the nibp monitor to ensure accurate blood pressure readings. - document the repair and any necessary maintenance or replacement parts. @topic:15


# # # issue : - ekg clamp breakage # # # impact : - affects the accuracy and reliability of patient monitoring - potential delays in patient care # # # possible causes : - * * equipment defect : * * manufacturing flaw or wear and tear over time - * * environmental factors : * * exposure to extreme temperatures or moisture - * * mishandling or improper storage : * * dropping or mishandling the equipment - * * external interference : * * power surges or electromagnetic interference # # # recommendations : - * * regular maintenance and inspections : * * conduct routine checks to identify and address potential issues early - * * proper storage and handling : * * store and handle the equipment according to the manufacturer's guidelines - * * quality control : * * ensure that all replacement parts meet the original specifications - * * training : * * provide adequate training to staff on proper equipment usage and handling - * * consider patient safety : * * monitor patients closely during usage to detect any potential issues @topic:18


appear can be configured so that you i have the functions available which yomost often need when using the remote control. if no list of smartkeys has been configured, the standard smartkeys will be displayed and you can page through to the key you want. using the on - screen keyboard use this as you would a conventional keyboard. enter the information by selecting one character after another. use the shift and capital lock keys to access uppercase letters. use the back key to delete single characters, or use the clr key to delete entire entries. select enter to confirm what entered and close the on - screen keyboard. you have if a conventional keyboard is connected to the monitor, you can use this instead of or in combination with the on - screen keyboard. would you can use the on - screen calculator to perform any of the standard operations for which you to access the on - screen calculator, select the calculator smartkey, or select main setup then calculations followed by calculator. • 35 1 introduction when ou switch the monitor on, t starts u1 select the main setup menu. 2 select operating modes and choose the mode you require. your monitor has four operating modes. some are passcode protected. monitoring mode : this is the normal, every day working mode that you use for monitoring patients. you can change elements such as alarm limits, patient category and so forth. when you discharge the patient, these elements return to their default values. changes can be stored permanently only in configuration mode. you may see items, such as some menu options or the altitude setting, that are visible but ‘ grayed out'so that you can neither select nor change them. these are for your information and can be changed only in configuration mode. • demonstration mode : passcode protected, this is for demonstration purposes only. you must not change into demonstration mode during monitoring. in demonstration @topic:10


# # # issue - cuff is damaged # # # impact - the monitor may not be able to measure vital signs accurately. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been overinflated. - the cuff may have been used on a patient who is too large or too small. # # # recommendations - the cuff should be replaced if it is damaged. - the cuff should be inflated to the correct pressure. - the cuff should be used on a patient who is the correct size. @topic:5


# # # issue the cuff of the bedside physiologic monitor is faulty. # # # impact the faulty cuff may lead to inaccurate blood pressure readings, which can compromise patient safety. # # # possible causes - physical damage to the cuff - wear and tear due to frequent use - manufacturing defects # # # recommendations - replace the faulty cuff with a new one. - inspect the cuff regularly for any signs of damage or wear and tear. - follow the manufacturer's guidelines for proper use and maintenance of the cuff. - ensure that the cuff is properly calibrated before use. @topic:3


# # # issue : remote control cable damage in huntleigh contoura 390 electric bed. # # # impact : impaired remote control functionality of the bed, hindering patient mobility and comfort. # # # possible causes : * physical damage to the cable due to handling or accidental impact * wear and tear over time * internal wiring issues # # # recommendations : * replace the damaged cable with a new one to restore remote control functionality. * inspect the cable regularly for any visible damage or signs of wear. * handle the device with care to prevent accidental damage. * consider using protective covers or sleeves for the cable to extend its lifespan. @topic:7


# # # issue * vital signs monitor is not functional. # # # impact * inability to monitor patient's vital signs accurately and continuously. * delays in diagnosis and treatment. * potential for adverse patient events. # # # possible causes * * * absence of ac power cord : * * the equipment requires an ac power cord to operate, and its absence prevents the monitor from receiving power. # # # recommendations * * * verify the availability of the ac power cord : * * ensure that the cord is present and securely connected to both the monitor and the power outlet. * * * replace the ac power cord if necessary : * * if the cord is damaged or missing, obtain a suitable replacement from the manufacturer or a qualified supplier. * * * inspect the monitor for damage : * * check the monitor for any physical damage that may have occurred during transportation or use. * * * contact the manufacturer or a qualified technician : * * if the issue persists after verifying the power supply and inspecting the monitor, contact the manufacturer or a qualified technician for further troubleshooting and repair. @topic:2


##ate receptacle of c. o. interface cable and the other side to catheter cable receptacle. 3 enter the c. o. procedure window and check the results. the expected test result is : tblood = 37. 0°c + / - o. l ^ c test expected test results cardiac output service tool procedure version 1 tblood = 37. 0°c + / - 0. 1 °c service tool procedure, version 2 this procedure applies only for service tool m1012 - 61601 in combination with c. o. modules with option cio and for the m3012a mms extension with option cio. 1 in monitoring mode, connect the c. o. interface cable to the module. 81 [ 3 testing and maintenance ] 2 connect one side of the service tool to the injectate receptacle of the c. o. interface cable and the other side to the catheter cable receptacle. 3 enter c. o. procedure window and check results for : — method of measurement - arterial catheter constant — tblood the expected results are : — transpulmonary - 341 - tblood = 37. 0°c + / - o. l'^ c 4 make sure the main alarms are switched on. 5 disconnect the catheter cable receptacle from the service tool 6 enter the setup c. o window and change the method of measurement to “ right heart ” 7 enter the c. o. procedure window and check the tinj value. the expected result is : tinj = o. o ^ c + / - o. lw test expected test results cardiac output service tool procedure version 2 tinj = 0. 0°c + / - 0. 1 °c nmt performance test nmt stimulation output test 1 short circuit the stimulation cables by connecting the two cable cl @topic:17


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs2 - description : proactive - biomedical engineer ( bme ) found that the battery was failing - bme ordered a new battery from the company and replaced it. # # # impact - the vital signs monitor was not able to function properly due to a failing battery. # # # possible causes - * * battery failure : * * the battery may have reached the end of its lifespan or may have been damaged due to improper handling or storage. # # # recommendations - * * regular battery maintenance : * * regularly check the battery health and replace it as needed to prevent unexpected failures. - * * proper handling and storage : * * ensure that the battery is handled and stored according to the manufacturer's instructions to extend its lifespan. - * * training : * * provide training to staff on proper battery handling and maintenance procedures. @topic:11


# # # issue - the electric bed is not functioning properly. # # # impact - patients may not be able to use the bed, which could lead to discomfort or pain. - the hospital may lose money if the bed is not repaired quickly. # # # possible causes - the bed may have been damaged during use. - the bed may have been overloaded. - the bed may be experiencing a power outage. - the bed may have a loose connection. - the bed may have a faulty component. # # # recommendations - inspect the bed for damage. - check the bed's power supply. - tighten any loose connections. - replace any faulty components. - if the bed is still not functioning properly, contact a qualified technician. @topic:9


# # # issue the cause of failure for the nibp monitor is not clearly indicated in the input. # # # impact the impact of the failure is not specified in the input. # # # possible causes the input suggests that the cause of failure is due to checking the condition of the machine. however, it is not clear what specific condition was checked or what the result of the check was. without more information, it is difficult to determine the exact cause of failure. # # # recommendations to accurately determine the cause of failure, the technician should : - conduct a thorough inspection of the machine, including all components and connections. - review the machine's maintenance history and any previous repairs or modifications. - consult with the manufacturer or a qualified technical expert for guidance. once the cause of failure has been identified, the technician can make appropriate recommendations for repairs or replacements. @topic:15


# # # issue a blood pressure ( bp ) monitor is not functioning properly due to a faulty connector. # # # impact * the monitor cannot accurately measure bp. * this could lead to incorrect diagnosis or treatment of patients. # # # possible causes * the connector may have been damaged during use or storage. * the connector may have become loose or disconnected. * the connector may be incompatible with the monitor or the cuff. # # # recommendations * inspect the connector for damage or loose connections. * replace the connector if it is damaged or loose. * ensure that the connector is compatible with the monitor and the cuff. @topic:14


# # # issue - loose equipment holder # # # impact - the device may become unstable or fall, causing injury to patients or staff. # # # possible causes - improper installation or maintenance - wear and tear over time - loose bolts or screws # # # recommendations - regularly inspect the equipment holder for any signs of damage or looseness. - tighten any loose bolts or screws as necessary. - if the equipment holder is damaged, replace it immediately. @topic:12


# # # issue - * * oxygen saturation ( spo2 ) waveform is not displayed on the monitor. * * # # # impact - * * inability to monitor patient's spo2 levels. * * # # # possible causes - * * defective spo2 sensor. * * - * * faulty connection between the spo2 sensor and the monitor. * * - * * software issue with the monitor. * * - * * hardware issue with the monitor. * * # # # recommendations - * * replace the spo2 sensor. * * - * * check the connection between the spo2 sensor and the monitor. * * - * * update the monitor's software. * * - * * contact the manufacturer for technical support. * * @topic:4


# # # issue - oxygen saturation ( spo2 ) sensor malfunction # # # impact - inability to accurately monitor patient's oxygen saturation levels - delays in diagnosis and treatment - increased risk of adverse events # # # possible causes - faulty sensor or cable - loose connection - interference from other devices - patient movement - skin discoloration or pigmentation # # # recommendations - replace faulty sensor or cable - ensure secure connections - check for interference from other devices - minimize patient movement - clean skin around sensor site @topic:4


for intubated patient with non - humidified ventilation, you can use a microstream filterline set. for humidified ventilation, use a filterline h set. for non - intubated patients, the gas sample is taken through a nasal filterline, or a smart capnoline ( which is a combined oral - nasal filterline ). in parallel to the measurement of the co 2, oxygen ( 0 2 ) may be delivered to the patient to support gas exchange. this is done by using an 0 2 / c0 2 filterline, or a smart capnoline 0 2 ( a combined oral - nasal 0 2 / c0 2 filterline ). 221 14 monitoring carbon dioxide measuring microstream co 2 using m3015a using the filterline and airway adapter 1 attach the female luer connector to the c0 2 inlet connector on the extension by pushing the socket cover down and screwing the connector into place. 3 change the filterline if a co 2 occlusion inop appears on the monitor or if the readings become extremely erratic. disconnect the filterline during suctioning and nebulizing therapies. check the table in the microstream c0 2 accessories section of the accessories chapter for typical usage times for the different microstream accessories. c0 2 values for non - intubated patients using microstream accessories will always tend to be lower than for intubated patients. if values appear extremely low, check whether the patient is breathing through the mouth or whether one nostril is blocked removing exhaust gases from the system warning anesthetics : when using the microstream c0 2 measurement on patients who are receiving or have recently received anesthetics, connect the outlet to a scavenging system, or to the anesthesia machine / ventilator, to avoid exposing medical staff to anesthetics. use an exhaust tube @topic:17


output. guidelines for right heart thermodilution c. o. injectate if you are using the right heart thermodilution method, the use of injectate with a temperature less than 8°c lower than the blood temperature may cause incorrect values for the thermodilution. guidelines for picco c. o. injectate if you are using the picco method, the use of injectate with a temperature that is not at least 12°c lower than the blood temperature may cause incorrect values for the thermodilution and cco calibration. injectate volume, patient weight and etvi values ( picco only ) when deciding on an injectate volume and temperature, you must consider your patient ’ s weight and extra - vascular thermal volume index ( etvi ). high etvi : the dilution of injectate is influenced by extravascular tissue and fluid. the accuracy of the picco method may be reduced in patients with high extra - vascular thermal volume index ( etvi ) values. use the table below as a guide in selecting the correct injectate temperature. as shown in the table, if your patient has an etvi > 10, you must use cold injectate. weight : use the table below as a guide in choosing an injectate volume appropriate for the patient weight. patient weight cold injectate room temperature injectate etvi < 10 etvi > 10 etvi < 10 etvi > 10 < 3 kg 2 ml 2 ml 3 ml use cold injectate < 10 kg 2 ml 3 ml 3 ml < 25 kg 3 ml 5 ml 5 ml < 50 kg 5 ml 10 ml 10 ml < 100 kg 10 ml 15 ml 15 ml > 100 kg 15 ml 20 ml 20 ml 209 13 monitoring cardiac output c. o. / cco curve alert messages c. o. @topic:17


* * issue : * * physiological monitor ( physiologic monitor ) is unable to measure blood pressure ( bp ). * * impact : * * this issue prevents accurate monitoring of patient's blood pressure, which is crucial for monitoring health status. * * possible causes : * * * * * faulty sensor : * * the sensor responsible for measuring blood pressure may be defective or malfunctioning. * * * loose or damaged wires : * * the wires connecting the sensor to the monitor may be loose or damaged, causing interruptions in data transmission. * * * software glitch : * * a software malfunction within the monitor may be preventing it from properly interpreting sensor readings. * * * calibration issue : * * the monitor may not have been properly calibrated, resulting in inaccurate measurements. * * * external interference : * * strong electromagnetic fields or other electronic devices nearby may be interfering with the monitor's ability to accurately measure blood pressure. * * recommendations : * * * * * inspect sensor : * * check the sensor for any visible damage or defects. clean the sensor contacts if necessary. * * * examine wires : * * inspect the wires connecting the sensor to the monitor for any loose connections or damage. tighten or replace wires as needed. * * * update software : * * verify if any software updates are available for the monitor and install them accordingly. * * * calibrate the monitor : * * calibrate the monitor according to the manufacturer's instructions using an appropriate calibration kit. * * * identify and eliminate interference : * * check for any nearby electronic devices or electromagnetic sources that may be causing interference. remove or relocate any such devices. @topic:15


* * issue : * * cuff leak in vital signs monitor * * impact : * * compromised accuracy of blood pressure readings * * possible causes : * * * damaged or worn - out cuff bladder * loose connections between cuff and monitor * puncture or hole in the cuff bladder * * recommendations : * * * replace the cuff with a new one * inspect the cuff and tubing for any damage or leaks * ensure proper connection between the cuff and monitor * test the monitor after replacing the cuff to verify accuracy @topic:3


# # # issue * wood bed rail broken # # # impact * patient safety risk due to potential falls * inconvenience for patient and staff # # # possible causes * wear and tear * improper use or handling * manufacturing defect # # # recommendations * * * replace broken bed rail : * * replace the damaged bed rail with a new or refurbished one. * * * inspect other bed rails : * * check the condition of all other bed rails on the equipment to identify any potential issues. * * * educate staff on proper use : * * provide training to staff on the correct and safe handling of bed rails. * * * consider regular maintenance : * * implement a regular maintenance schedule to inspect and maintain all bed rails, including lubrication and tightening of any loose parts. * * * investigate underlying cause : * * if there is concern about a manufacturing defect or improper handling, escalate the issue to the appropriate parties for further investigation and corrective action. @topic:6


# # # issue - missing nut on footrest locking mechanism # # # impact - affects the stability and safety of the bed during use # # # possible causes - wear and tear due to repeated use - improper handling or maintenance # # # recommendations - replace the missing nut with a new one of the correct size and specification - ensure proper tightening and alignment of the nut - regularly inspect and check the footrest locking mechanism for any signs of damage or wear - provide training to staff on the proper use and maintenance of the bed @topic:6


# # # issue - monitor not linking to the wall screen. # # # impact - the medical staff cannot monitor the patient's vital signs remotely. # # # possible causes - the router is not turned on. - the monitor is not properly configured. - the network cable is not properly connected. - the wall screen is not turned on. # # # recommendations - check if the router is turned on. - check if the monitor is properly configured. - check if the network cable is properly connected. - check if the wall screen is turned on. @topic:16