Welch Allyn CONNEX User manual
Welch Allyn Connex
®
Station
Central
Directions for use
© 2014 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by Welch Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permitted without written permission from Welch Allyn.
Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual.
Welch Allyn, Connex, and FlexiPort are registered trademarks of Welch Allyn. The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc. and any use of such marks by Welch
Allyn is under license.
For patent information, please visit www.welchallyn.com/patents .
Software in this product is Copyright 2014 Welch Allyn or its vendors. All rights are reserved. The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded.
The software may not be copied, decompiled, reverse-engineered, disassembled, or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the software remain with Welch Allyn or its vendors.
EarlySense is a registered trademark of EarlySense Ltd.
For information about any Welch Allyn product, contact your local Welch Allyn representative www.welchallyn.com/about/company/locations.htm
.
DIR 80019816 Ver. A, 2014-12
Welch Allyn, Inc.
4341 State Street Road
Skaneateles Falls, NY 13153 USA www.welchallyn.com
This manual applies to 901066 Monitoring Station
Regulatory Affairs Representative
Welch Allyn Limited
Navan Business Park
Dublin Road
Navan, County Meath
Republic of Ireland
Contents
About warnings and cautions ................................................................ 5
iii
iv Contents Welch Allyn Connex
®
Central Station
Connect a continuous monitor to the central station ......................................... 45
Connect an episodic device to the central station ............................................. 46
Patient data management .................................................................... 47
Transfer a patient to a different unit covered by the same central station ........ 50
Transfer a patient to a different unit covered by a different central station ....... 50
Directions for use Contents v
General maintenance ............................................................................ 79
Guidance and manufacturer's declaration .......................................... 85
Software license agreement ................................................................. 87
vi Contents Welch Allyn Connex
®
Central Station
Introduction
This manual describes the capabilities and operation of the central station.
Before using the central station, read the sections of this manual that pertain to your use of the product.
Intended use
The Connex Central Station is intended to be used by clinicians for the central monitoring of neonatal, pediatric, and adult patients in health care facilities.
In addition to the central monitoring of patient data and alarms, the Connex software can include optional modules to provide extended recording of patient data, including full disclosure.
Related documents
The following documents contain information on monitors and devices that connect to the central station:
• Welch Allyn Connex® Vital Signs Monitor 6000 Series Directions for use and Service manual (multilingual CD)
• Welch Allyn Connex® Integrated Wall System Directions for use and Service manual
(multilingual CD)
• Welch Allyn Spot Vital Signs LXi Directions for use (printed document)
1
2 Introduction Welch Allyn Connex
®
Central Station
Symbols
Documentation symbols
WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death.
CAUTION The caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data.
Connectivity symbols
USB
Consult operating instructions/directions for use (DFU).
A copy of the DFU is available on this website.
A printed copy of the DFU can be ordered from Welch Allyn for delivery within 7 calendar days.
Ethernet RJ-45
Lost outbound connection. The central station is no longer connected to the HIS or EMR.
Information status message
3
4 Symbols
Miscellaneous symbols
Manufacturer
Product identifier
Reorder number
Do not dispose of in trash
Window navigation symbols
Move window left
Close window
Patient demographic symbols
Female
Special indicator icons
Isolation
Special diet
Welch Allyn Connex
®
Central Station
Authorized representative in the
European Community
Serial number
By prescription or order of physician
Global Trade Item Number
Move window right
Male
Fall risk
About warnings and cautions
Warning and caution statements can appear on the central station, the packaging, the shipping container, or in this document.
The central station is safe for patients and clinicians when used in accordance with the instructions and with the warning and caution statements presented in this manual.
Before using the central station, familiarize all operating personnel with the general safety information in this summary. Specific warnings and cautions are also found throughout this manual.
• Failure to understand and observe any warning statement in this manual could lead to patient illness, injury, or death.
• Failure to understand and observe any caution statement in this manual could lead to damage to the equipment or other property, or loss of patient data.
General warnings and cautions
WARNING The central station must only be used in a healthcare setting by clinical personnel who have been properly trained to the safe and efficacious use of the product.
WARNING False alarms may occur in some situations. You must understand and address the cause of the false alarms whenever possible to eliminate the possibility of repeated false alarms and alarm fatigue, which might result in a failure to respond to an actual alarm situation.
WARNING Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the central station. The clinician must verify all vital signs information before treating the patient. If there is any question about the accuracy of a measurement, verify the measurement using another clinically accepted method.
WARNING All wireless systems are prone to intermittent signal dropout.
Make sure that the patient only has conditions that can tolerate intermittent monitoring interruptions. The patient monitor is the primary alarm. The central station provides a less robust additional alarm per IEC 60601-1-8.
Alarm delays were measured between the central station and a patient monitor and the same alarm from the central station to a third party alarm notification system. Delays are less than 10 total seconds, not including any alarm hold-off settings set by your facility. However, network speeds vary and your performance may vary, depending on the speed of your network.
5
6 About warnings and cautions Welch Allyn Connex
®
Central Station
WARNING Alarm limits are patient- or facility-specific. The clinician must set and verify alarm limits appropriate for each patient. Each time the monitor is powered on, you must check that the alarm settings are appropriate for your patient before you start monitoring. Failure to set alarm limits properly can lead to false alarms or failure to alarm. Alarming will only work properly if set up properly.
WARNING Patient harm risk. Do not pause or turn off an audible alarm if patient safety might be compromised. Do not adjust a patient's alarm limits as a way to silence an alarm.
WARNING Use only accessories approved by Welch Allyn. The use of any other accessories can result in inaccurate patient data potentially leading to false alarms or failure to alarm, can damage the equipment, and can void your product warranty. See the accessory list or visit www.welchallyn.com
.
WARNING Always use accessories according to the manufacturer's directions.
WARNING After Welch Allyn has verified that Welch Allyn-specified network requirements for this central station have been met, altering the cabling or connecting the central station to another type of power source could damage the equipment, cause system restarts or hazardous conditions on the network, or result in gaps in patient information at the central station.
WARNING For maximum system performance and availability, the central station PC hardware must be replaced on a recommended preventative maintenance interval. See the service documentation for recommended intervals.
WARNING Do not change central station components or configuration, such as removing or adding a printer or substituting hardware, without approval by Welch Allyn. Such changes could degrade system performance and affect patient monitoring.
WARNING Devices connected to the central station must be certified for overall system compliance according to the IEC 60601-1 safety standard.
The interconnection of any device with the central station must comply with IEC 60601-1-1. If in doubt about network connectors or devices, please consult your facility’s Biomedical Engineering department or Welch
Allyn Technical Support.
WARNING It is strongly recommended that the central station is installed with redundant power supplies. You are responsible to provide reliable power to the central station. The central station will only work with reliable
AC power.
WARNING Central station alarms and other events can go unnoticed if clinical personnel are not present at the central station or if interruptions occur in power or system operations.
WARNING Ensure that no headphones or headphone adapters are connected to the headphone jack of your computer. A connection in the headphone jack of a computer will cancel speaker output for any audible alarms associated with the central station. Make this inspection on a daily basis.
Directions for use About warnings and cautions 7
WARNING Ensure that all audio cables are installed and connected and that the volume settings are not set too low or are not set to mute as these factors may cause you to miss audible alarms generated from the central station. Make this inspection on a daily basis.
WARNING Whenever possible, do not rely on visual alarm notifications alone while monitoring patients. If you must rely on visual alarm notifications, maintain a clear line of sight with the central station or the patient monitor. For audio alarm notifications, set the volume as needed considering the environment and ambient noise levels. Verify that the alarm is audible to a clinician working at the maximum distance from the central station or the patient monitor.
WARNING If a central station display is intentionally or inadvertently muted, alarm tones do not occur at the display. Remain aware of when audible tones are occurring. If they appear to have stopped, ensure that tones are restored.
WARNING If normal central processing unit (CPU) operation is interrupted, for example, during CPU maintenance, scheduled and unscheduled restarts, or power loss, central station monitoring temporarily stops.
The central station cannot collect patient review data during the interruption period. That data becomes permanently unavailable. The patient monitor is the primary alarm and must be working before any monitoring is performed.
WARNING Auto-restarts occur and wireless connection is occasionally disrupted. During this period, the bedside monitors continue to provide their primary alarming functions. Auto-restarts occur infrequently, due to poor environmental conditions. Failure to perform preventative maintenance can increase the frequency of occurrence.
WARNING Whenever an interruption in the central station CPU operation occurs, ensure that your entire system has returned to normal operating condition, that the system does not require further service, and that all patient monitors are connected to the system.
WARNING Central monitoring is not a substitution for frequent patient assessment by attending clinicians, or a substitute for the primary alarming that occurs at the patient monitor.
WARNING The bedside patient monitor is the primary alarming source for the patient and the central station is a backup alarm source. The central station is only as reliable as its network and should be relied on only as a backup alarming device.
WARNING The electronic medical record system (EMR) is not intended to serve as a primary monitoring system for alarms or as an exclusive source for patient data in determining patient care. The central station is capable of transferring patient historical data to most customer-specified EMR systems, but the transferred historical patient data at the EMR is not a substitute for current patient data available at the primary monitoring system for clinical decisions.
8 About warnings and cautions Welch Allyn Connex
®
Central Station
WARNING Electric shock hazard. Do not open the central station or attempt repairs. The system has no user-serviceable internal parts. Only perform routine cleaning and maintenance procedures specifically described in this manual. Inspection and servicing of internal parts shall only be performed by qualified service personnel.
WARNING Electric shock hazard. Use only a Class I (grounded) AC power supply cord for powering this central station.
WARNING For operator and patient safety, peripheral equipment and accessories that can come in direct patient contact must comply with all applicable safety, EMC, and regulatory requirements. See IEC 60601-1,
-1-2, -1-1-1.
WARNING Verify patient identity on the central station after manual or barcode entry and before printing or transferring patient records.
WARNING Risk to patient safety. Custom scores and messages serve as guides to your facility's protocols; do not substitute Custom Scores for patient physiological alarms. Appropriate alarms settings must be set and maintained to ensure patient safety.
CAUTION Refer to the original equipment manufacturer's documentation for the life expectancy of central station system components. Welch Allyn recommends the replacement of the keyboard and mouse annually, and the replacement of the central station display every 2 to 3 years. The actual performance of system components may vary depending on usage.
CAUTION To ensure the continued proper operation of the central station, check for software updates through Welch Allyn Partner Connect. Software updates should be installed as they become available.
CAUTION Do not enable automatic updates on the central station's virus protection software. Automatic updates can impact product performance.
System configuration
The Connex CS system consists of a central station that receives and displays information from connected devices.
Stand-alone system diagram
1.
Wired monitors or episodic devices (Ethernet connection)
2.
Wireless monitors or episodic devices
3.
Wireless access point
4.
Central station
5.
Repeater display
(read only)
6.
Network
In this configuration, continuous and episodic devices communicate over the network to the central station. The central station contains all the software needed to monitor patients’ continuous parameters and episodic data on a single computer.
The central station also monitors connected continuous devices for proper operation, and displays an alarm if a continuous monitor stops working or is improperly disconnected.
An optional read-only repeater display can also be connected to the central station, which displays a visual and audible duplication of the central station.
9
10 System configuration
Server-based system diagram
Welch Allyn Connex
®
Central Station
1.
Wired or wireless monitors
2.
Wireless access point
3.
Wired or wireless episodic device
4.
Central station
5.
Central station server
6.
Network
In this configuration, one or more central stations are connected to a single Connex server. The central stations share common data, such as configuration data, user definitions, and patient information by maintaining it on the Connex server.
Continuous devices communicate over the network and are routed to the central station whose coverage area includes the device’s location. Episodic devices communicate over the network to the Connex server which stores all episodic data.
An optional read-only repeater display can also be connected to the central station, which displays a visual and audible duplication of the central station.
Directions for use
Kiosk diagram
System configuration 11
1.
Episodic devices
(USB connection)
2.
Kiosk-equipped
PC
3.
Network
4.
Server
In a Kiosk system, a server-based configuration allows for wired uploading of episodic patient data from episodic devices. After episodic tests are taken on patients, the device is connected to the Kiosk using a USB connection, and the episodic test results are uploaded. The Kiosk can be installed on any networked PC that is not acting as the
Connex CS server or central station.
Server-only system diagram
1.
Episodic devices
(wired or wireless)
2.
Access point
3.
Network
4.
Customerprovided PC running Connex viewer
5.
Connex server
Connex viewer is a client application that provides a means of tracking the flow of patient vitals sign data from an episodic device to the Connex server and through to the
Electronic Medical Record (EMR). This application displays filtered lists of patients and vital signs, and allows an administrator, biomed, or nurse manager to select what subset of data to view. This is intended to help diagnose any workflow, networking, or configuration issues that might prevent patient data from reaching the EMR.
12 System configuration Welch Allyn Connex
®
Central Station
Screen elements
This section describes the central station screens.
Main Monitoring screen
The Main Monitoring screen is the main screen of the central station. This screen contains patient tiles displayed in rows and columns. There may be a group of tiles overlaying the patient data area. These tiles are referred to as the Waiting area.
13
1.
System message area. This section of the screen displays the covered location, date, time, and any patient or technical alarms.
2.
Patient data area. This section of the screen displays patient tiles arranged in rows and columns.
3.
Navigation area. This section of the screen displays secondary links to the patient list, alarms, view options, settings, and system notifications. Click the Welch Allyn label to display the options installed on your central station, the end user license agreement, and regulatory information.
4.
Waiting area. This section of the screen displays patient tiles awaiting confirmation of patient ID or location.
Note
Do not leave a patient tile in the Waiting area for an extended amount of time, as patient measurements are not saved until the patient is confirmed. The waiting area is a temporary placeholder for patient tiles. Confirm the patient as soon as possible.
14 Screen elements Welch Allyn Connex
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Central Station
Patient tiles
Patient tiles display information about a patient, the patient's location, and the device connected to the patient when the device is connected to the central station.
Compressed tile
Compressed tiles are used in the central station Waiting area.
1. This area displays the patient location. The area shows an alarm icon until the patient location is verified.
2. This area displays the patient parameters.
3. This area displays the monitor information or the patient information.
The patient's parameters can be displayed in episodic or continuous parameters.
Pre-admitted patient tile
This tile displays the name and location of a pre-admitted patient who is not yet connected to a device.
1. This area displays the patient's room number.
2. This area displays the patient's name and gender.
Directions for use
Standard tile, no alarms
Screen elements 15
1. This area displays the patient location.
2. This area displays the episodic patient parameters.
3. This area displays the patient name and gender.
4. This area displays the continuous patient parameters.
The patient's parameters can be displayed in episodic, continuous, trend, or episodic and continuous parameters.
Standard tile, alarm state
1. This area displays the alarm icon and the patient location.
2. This area displays the patient parameters. The alarming parameters are surrounded by a colored box.
3. This area displays the patient name and gender.
16 Screen elements Welch Allyn Connex
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Central Station
Spot check tile
The spot check tile displays the patient's most recent episodic measurements.
1. This area displays the patient location.
2. This area displays the time when the episodic measurements were taken.
3. This area displays the patient's episodic measurements.
4. This area displays the patient name and gender.
Mini-trend tile
The mini-trend tile displays up to three of the patient's latest episodic measurements.
1. This area displays the patient location.
2. This area displays the time when the episodic measurements were taken.
3. This area displays a list of up to four of the patient's episodic measurements.
4. This area displays the patient name and gender.
Directions for use
Patient rest mode
Screen elements 17
1. This area displays the patient location. The symbol to the left of the room number indicates patient rest mode is active.
2. This area displays the episodic patient parameters.
3. This area displays the patient name and gender.
4. This area displays the continuous patient parameters.
18 Screen elements
Connectivity tiles
Signal lost
Welch Allyn Connex
®
Central Station
This tile is displayed when the device has been unintentionally disconnected from the central station. For information on reconnecting the device to the central station, see the device directions for use.
Paused
This tile is displayed when continuous monitoring has been paused at the device. For information on how to resume continuous monitoring, see the device directions for use.
Temporarily disconnected
This tile is displayed when the device has been intentionally disconnected from the central station. If reasons for disconnecting from the central station have been configured, the reason appears under the Temporarily disconnected message. For more information, see the device directions for use.
Directions for use Screen elements 19
Tile layout modes
There are three different modes for tile layout. To select a tile layout, or to change the current tile layout, see the Views configuration section of this manual.
Automatically sorted mode
In sorted mode, tiles are displayed according to configured settings, for example, room number. New tiles are placed onto the main tile area based on the configured settings.
Mapped by patient location mode
In mapped mode, tiles are mapped to a known location. If a location does not have an assigned patient or monitor, an empty room tile is displayed.
Manually placed in a tile location mode
In manual mode, all new tiles appear in the waiting area and can be dragged into any available space in the patient data area.
20 Screen elements Welch Allyn Connex
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Central Station
Tile-dragging behavior
The following table describes actions in the three tile layout modes. An empty position on the grid is a blank area with no tiles. An empty room tile represents a room that has no patient or data assigned to it.
Action Mapped mode
Move tiles within the patient data area to an empty grid position
Not supported
Manual mode
Changes tile position
Move tiles within the patient data area to an empty room tile
Assigns a monitor or a patient to the new location
Not supported. There are no empty room tiles in manual mode
Move tiles within the patient data area to an already-assigned tile
Assigns a monitor or a patient to the location
If a previously assigned tile is connected to a continuous monitor, this action assigns the new device and patient to the location and moves the previous device and patient to the waiting area.
Not supported
Automatically sorted mode
Not supported
Not supported. There are no empty room tiles in sorted mode.
Not supported
Move tiles from the waiting area to an empty position on the grid.
Not supported
Move tiles from the waiting area to an empty room tile
Move tiles from the waiting area to an already-assigned tile
Assigns a monitor or a patient to the location
The tile moves to the position Not supported
Not supported. There are no empty room tiles in manual mode
Assigns a monitor or a patient to the location
If a previously assigned tile is connected to a continuous monitor, this action assigns the new device and patient to the location and moves the previous device and patient to the waiting area.
Not supported
Not supported. There are no empty room tiles in sorted mode.
Not supported
New tile appears, known location
New tile appears, unknown location
Tile appears in main tile area Tile appears in waiting area Tile appears in waiting area
Tile appears in waiting area Tile appears in waiting area Tile appears in waiting area
Device details
This window displays information on the monitors and measurements associated with a patient. Click a patient tile to open the Device details window.
Measurements tab
21
1. This area displays the patient summary.
22 Device details Welch Allyn Connex
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Central Station
2. This area displays the device message area. This includes the device serial number, or any alarms or messages associated with the patient's connected continuous monitor.
3. This area displays the continuous patient data. Click the alarm limits button to pause an alarm or adjust that parameter's alarm limits. Where applicable, the source for the parameter data is displayed in the lower left corner of the parameter tile.
4. This area displays the episodic patient data.
5. This area displays the manual parameters.
6. Click
Edit
to open the Patient Details window and edit the patient information.
7. Click this button to open the Review window.
Directions for use
Alarm limits tab
Device details 23
1. This area displays the patient summary.
2. This area allows you to set both the high and low limits for the parameter alarm. You can adjust the limits by doing any of the following:
• Move either end of the slider bar to the desired high or low limit.
• Click and drag the center of the slider bar to move the entire range to the desired limits.
• Click on the numeric boxes on either side of the parameters to manually enter a limit.
The default alarm settings are provided by the monitor. See the monitor directions for use.
3. Click
Edit
to open the Patient Details window and edit the patient information.
24 Device details Welch Allyn Connex
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Central Station
Patient list
This window displays a list of patients available to the central station. Click the Patients icon in the Navigation area to open the Patient list.
Current tab
This area displays names and demographics for all patients who are currently admitted or pre-admitted to your unit.
25
26 Patient list Welch Allyn Connex
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Central Station
1. This area displays the Patient list. Patients are sorted in Unconfirmed or Confirmed lists.
Unconfirmed patients. Patients in this section are unconfirmed, and are not actively being monitored by the central station.
Confirmed patients. Patients in this section have been confirmed. Patients with the being monitored by the central station.
icon are actively
2. Click
Add
to open the Patient Details screen and add a patient to the current Patient list.
3.
Click for a standard view of the Patient list.
Click for an expanded view of the Patient list. The expanded view displays the patient's latest vital signs measurements and any special indicator icons.
Click to print the Patient list.
Directions for use
Discharged tab
Patient list 27
1. This area displays the list of patients who have been discharged from your unit.
2. Click
Add
to open the Patient Details screen and add a patient to the current Patient list.
3. Click these buttons to expand or contract the Patient list view.
28 Patient list Welch Allyn Connex
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Central Station
Search tab
This tab allows you to set criteria for searching the full Patient list.
1. This area allows you to search by a patient's name, ID, or date of birth.
2. This area shows the patient list. This area is blank until you click
Search
.
3. Click
Search
to perform your search. The search results appear in the scrolling list.
Click
Clear All
to clear all fields.
Patient Details
This window displays patient demographics, visit information, and history. Click Edit in the Device Details window to open the Patient Details window.
Summary tab
29
1. This area displays the patient's measurements.
30 Patient Details Welch Allyn Connex
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Central Station
2. This area displays patient demographics, such as name, gender, date of birth, and any special indicators applicable to the patient.
3. This area displays any monitors connected to the patient.
4. Click
Review
to open the Review Window for the listed patient.
Click
Discharge
to discharge the patient.
Note
You cannot discharge a patient who is actively being monitored.
5. This area displays the patient's unit and room or bed.
6. This area displays the nurse and physician assigned to the patient.
7. Click
Save
to save any changes and return to the Main Monitoring screen.
Click
Cancel
to discard any changes and return to the Main Monitoring screen.
Directions for use
Contact tab
Patient Details 31
This window displays a read-only list of the patient's phone numbers, street addresses, and email addresses.
32 Patient Details
Additional tab
Welch Allyn Connex
®
Central Station
This window displays other patient IDs that have been used with the patient from other institutions or other visit
IDs.
Patient Review
Click Review in the Patient Details window or in the Device Details window to open the
Patient Review window.
Flow Sheet tab
The Flow Sheet tab only displays historical episodic vital signs measurements.
Measurements are listed with one set of vital signs per column, with time displayed on the horizontal axis.
33
34 Patient Review Welch Allyn Connex
®
Central Station
1. This area displays the patient summary.
2. This area allows you to change the duration of the displayed patient measurements and alarms.
Grab the center of the blue timeline bar and slide it left or right to select a different time interval. Grab and slide either of the endpoints to widen or narrow the time interval.
3. This area displays the history of the patient's episodic measurements.
4.
Click to open the display options window. In this window, you can choose which vital signs, modifiers and custom scores are displayed.
Click to print the Flow Sheet.
Directions for use Patient Review 35
Continuous Trends tab
The Continuous Trends tab displays historical, continuous, and episodic vital signs measurements. Measurements are listed with a snapshot of vitals per row, with time displayed on the vertical axis.
36 Patient Review Welch Allyn Connex
®
Central Station
1. This area displays the patient summary.
2. This area allows you to change the duration of the displayed patient measurements and alarms.
Grab the center of the timeline bar and slide it left or right to select a different time interval. Grab and slide either of the endpoints to widen or narrow the time interval.
3. This area displays a history of the continuous and episodic measurements for the current patient. High-level alarms appear in red. Medium-level alarms appear in yellow.
4.
Click to open the display options window. In this window, you can choose to display vitals signs data with or without alarms, or alarms only.
Click to print the Continuous Trends.
Directions for use Patient Review 37
Graphical Trends tab
The Graphical Trends tab displays and graphically trends patient vital signs measurements. Measurements are displayed by parameter in a row, and are updated in a horizontal, side-scrolling format.
1. This area displays the patient summary.
2. This area allows you to change the duration of the displayed patient measurements and alarms.
Grab the center of the blue timeline bar and slide it left or right to select a different time interval. Grab and slide either of the endpoints to widen or narrow the time interval.
3. This area displays the patient measurement trends in a graphical format. Alarms are displayed by an indicator at the peak of the waveform.
4.
Click to open the display options window. In this window, you can choose which vital signs are displayed and whether or not manual parameters are displayed.
Click to print the Graphical Trends.
38 Patient Review Welch Allyn Connex
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Central Station
Patient Alarms tab
The Patient Alarms tab displays a table of messages and alarms generated during the previous 12 hours. The messages and alarms are listed by time and presented vertically.
Directions for use Patient Review 39
1. This area displays the patient summary.
2. This area displays a history of messages and alarms for the current patient. High-level alarms are displayed in red.
Medium-level alarms are displayed in yellow.
3.
Click displayed.
to open the display options window. In this window, you can determine which types of alarms are
Click to print the Patient Alarms.
40 Patient Review Welch Allyn Connex
®
Central Station
Views
This window allows you to switch your central station to one of the previously configured views. Click the Views icon in the Navigation area to open the Views window. If prompted, enter your user ID and password to access this window.
View selection tab
41
42 Views
1. This area indicates the list of previously configured views.
2. This area displays a preview of the selected view.
2. Click
Select
to activate the selected view.
Welch Allyn Connex
®
Central Station
Directions for use
View configuration tab
Views 43
1. This area displays the existing tile layouts.
2. Click this button to create a new layout.
3. Click these buttons to move a selected view up or down in the list.
4. Click these buttons to edit or delete existing tile layouts.
44 Views Welch Allyn Connex
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Central Station
Select a tile layout
1. Click the Views icon on the Main Monitoring screen.
The Views Configuration window appears.
2. Select the layout you wish to use and click Select.
The Main Monitoring screen appears in the selected layout.
Create a custom tile layout
The central station supports up to 10 custom tile layouts.
1. Click the Views icon on the Main Monitoring screen.
The Views Configuration window appears.
2. Click the View Configuration tab.
3. Click Add.
The Add/Edit a View screen appears.
4. Enter a name for the layout.
5. Select the number of patient tiles the layout will display.
Patient tiles can be displayed in 8-, 12-, 24-, 36-, or 48-tile grids.
6. Select the way in which the patient tiles will be organized.
There are three modes in which tiles can be organized:
• Automatically sorted. Patient tiles are sorted automatically. There is no further customization.
• Manually placed in a tile location. Patient tiles can flow in either a column direction - top down then left to right, or a row direction - left to right then top down.
• Mapped by patient location. Patient tiles are mapped on a grid. Click on an unassigned tile to assign the highlighted room number to that location. Click on the assigned tile to remove it from that location.
7. Select any of the tile customizations you want to apply to your layout.
8. Click Save.
The Main Monitoring screen appears in the new layout.
Patient monitoring
For information about patient monitors and devices that are not covered in this section, see the device directions for use.
Connect a continuous monitor to the central station
A continuous monitor must be licensed in order to connect to the central station. For more information, see the monitor directions for use.
1. Make sure that the monitor is connected to the same network as the central station.
WARNING Make sure that the connection between the monitor and the central station has been established before leaving the bedside monitor or the patient. See the monitor directions for use for instructions for verifying that a connection has been established.
2. Set the monitor to the Continuous profile. For more information, see the monitor directions for use.
3. Do one of the following at the device:
• Select a patient.
• Select a location.
• Take and send an episodic reading.
• Collect and send continuous or trend data.
WARNING The patient tile will not appear in the waiting area until one of these actions is completed.
The device connects to the central station, and the patient tile appears in the waiting area.
If the selected patient was never connected to the central station, the central station monitors the patient using the current saved alarm limits on the device. These alarm limits can be modified at the device or at the central station.
For a patient who was previously connected to the central station, the currently saved alarm limits at the central station are used. If the alarm limits between the central station and the device are different, a message appears indicating the device alarms limits were modified. When the patient monitoring ends, the device reverts to its previous alarm limits.
4. Admit the patient as described in the Patient data management section.
The patient tile appears in the Main Monitoring area.
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46 Patient monitoring Welch Allyn Connex
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Central Station
Connect an episodic device to the central station
1. Enter the patient information at the central station.
Note
Patient information must be entered at the central station before a patient tile appears in the Waiting area.
2. Make sure that the device is connected to the same network as the central station by checking for the radio signal strength indicator on the device. For more information, see the device directions for use.
3. Admit the patient as described in the Patient data management section.
The patient tile appears in the Main Monitoring area.
Patient data management
Patient data can be managed at the central station or at the monitor.
Add a patient at the central station
Note
This method is only recommended for use when your central station is not connected to an ADT.
1. Click the Patient icon in the Navigation area.
The Patient List appears.
2. Click Add.
The Patient Details window appears.
3. Scan the patient's barcode or use the keyboard to enter the patient’s ID, name, date of birth, and other information.
Note
The patient's first or last name can not exceed 32 characters.
If the ADT system sends a first or last name longer than 32 characters, the name will be truncated, and will generate a conflict.
4. Click Save.
The Confirm Changes dialog box appears.
5. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
Admit a patient from the Waiting area
1. In the Waiting area, click the patient tile you want to admit.
The Device Detail window appears.
2. Click Edit.
The Patient Details window appears.
3. Enter the patient information, choose a location for the patient, and click Save.
The Confirm Changes dialog box appears.
4. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
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48 Patient data management Welch Allyn Connex
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Central Station
Admit a patient from the Patient list
1. Click the Patients icon in the Navigation area.
The Patient list appears.
2. In the Unconfirmed area, click the patient you want to admit.
The Patient Details window appears.
3. Enter the patient location and device information. Click Save.
The Confirm Changes dialog box appears.
4. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
Admit a patient from a room tile
1. Click on the patient tile in the Main Monitoring screen.
The Patient Detail screen appears.
2. Click Edit.
The Patient Details window appears.
3. Enter the patient information, choose a location for the patient and click Save.
The Confirm Changes dialog box appears.
4. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
Edit patient information at the central station
1. Click on a patient tile.
The patient's Device Details window appears.
2. Click Edit.
The Patient Details window appears.
3. Edit the patient's ID, name, date of birth, and other information, and click Save.
The Confirm Changes dialog box appears.
4. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
Edit patient information at the device
Patient information that is changed at the device automatically changes at the central station. See the device directions for use. Verify all entries after the changes are made.
Move a patient
Note
This feature is only available in a Mapped by patient location layout.
1. Click and hold on the patient tile you want to move.
Directions for use Patient data management 49
2. Drag the patient tile to a new location.
3. Click OK at the Confirm Patient Transfer dialog box.
The patient tile moves to the new location.
Assign a patient to a room
Note
This feature is only available in a Mapped by patient location layout.
1. Click and drag a patient tile from the Waiting area to the appropriate room.
The Confirm Patient dialog box appears.
2. Click OK to confirm the transfer.
The patient tile appears in the room area.
3. Click the patient tile.
The Device Details window appears.
4. Click Edit.
The Patient Details window appears.
5. Enter the patient's ID, name, date of birth, and other information.
6. Click the Room / Bed pull-down menu and select the appropriate room or bed.
7. Click Save.
The Confirm Changes dialog box appears.
8. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
Review patient alarms
1. Click on a patient tile.
The Device Details window appears.
2. Click Review.
The Patient Review window appears.
3. Click Patient Alarms.
The Patient Alarms tab appears.
Note
If your main central station PC disconnects and is replaced with a warm spare — an additional, central station-capable
PC running on the network — historical continuous data and alarms will not transfer to the new central station PC. Some continuous trend data and episodic data generated before the disconnect will show up on the new central station PC.
50 Patient data management Welch Allyn Connex
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Central Station
Transfer a patient to a different unit covered by the same central station
1. Click on the tile of the patient you want to transfer.
The Device Details window appears.
2. Click Edit.
The Patient Details screen appears.
3. Edit the patient's new unit and bed and click Save.
The Confirm Changes dialog box appears.
4. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
Transfer a patient to a different unit covered by a different central station
1. Click on the tile of the patient you want to transfer.
The Device Details window appears.
2. Click Edit.
The Patient Details screen appears.
3. Click Discharge.
The patient is moved to the Discharged tab in the Patients List.
4. Physically move the patient to the new unit.
5. At the new unit, admit or pre-admit the patient as described.
Resolve an information message conflict
An information message conflict occurs when the patient information at the central station does not match the patient information at the hospital information system (HIS) or electronic medical record (EMR).
1. Click on the patient tile that displays the information message icon ( ).
The Device Details window appears.
2. Click the information message icon in the patient summary area.
The Patient Details screen appears.
3. Click on the information message icon in the Patient Details screen.
The information for this patient stored in the HIS or EMR is displayed.
4. Click the text in blue to change the displayed patient information to match the information stored in the HIS or EMR.
The patient information changes.
5. Click Save.
The conflict is resolved.
Directions for use Patient data management 51
Print the Patient list
1. Click the Patients icon in the Navigation area.
The Patient list appears.
2. Click .
A dialog box appears.
3. Select your printer from the printers in the dialog box.
4. Select the page size and the page orientation.
5. Click Print.
The Patient list prints at the selected printer.
End monitoring a patient
This task is performed only at the device. See the device directions for use.
Discharge a patient at the central station
Note
You cannot discharge a patient who is continuously sending data vital signs measurements to the central station. These patients appear in the list with the icon.
1. Click the Patients icon in the Navigation area.
The Patient list appears.
2. Click on the patient name of the patient you want to discharge. Click Discharge.
The Confirm Changes dialog box appears.
3. Click Yes to discharge the patient.
The Main Monitoring screen appears.
Note
It is important to discharge patients on a regular basis in order to keep the patient list current and up to date.
52 Patient data management Welch Allyn Connex
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Automatic discharge
Note
You cannot discharge a patient who is continuously sending data vital signs measurements to the central station. These patients appear in the list with the icon.
The central station automatically discharges patients based on monitoring inactivity or events from the ADT system. Patients who were entered through an ADT system are automatically discharged only after the central station receives a discharge or transfer message.
After receipt of a discharge or transfer message, patients are automatically discharged 4 hours after the last episodic reading is taken or a monitoring session ends.
Patients that were entered into the system without an ADT feed are automatically discharged 24 hours after the last episodic reading is taken or a monitoring session ends.
Note
This behavior can be customized, enabled, or disabled. Contact your system administrator to change or modify your settings.
Re-admit a patient
1. Click the Patients icon in the Navigation area.
The Patient list appears.
2. Click the Discharged tab.
The list of discharged patients appears.
3. Click on the patient you want to re-admit.
The Patient Details window appears.
4. Enter the new location for the patient and click Save.
The Confirm Changes dialog box appears.
5. Review the information in the dialog box, and if correct, click Yes to return to the
Main Monitoring screen. If further editing is required, click No to return to the previous screen.
EarlySense sensor
The EarlySense sensor is an option that provides patient data on the central station. See the Welch Allyn Connex® Vital Signs Monitor 6000 Series™ directions for use or the user documentation provided with the sensor for more information on the sensor, including features, setup, and use.
Patient tiles
Standard tile
1. This area displays the patient location.
2. This area displays the episodic patient parameters.
3. This area displays the patient's name, and an icon indicating the patient is on a bed sensor.
4. This area displays the continuous patient parameters. The patient movement parameter measurement is displayed under the
MVMT
label.
Note
The respiration rate (RR) and pulse rate (PR) measurements are also provided by the EarlySense sensor.
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54 EarlySense sensor
Alarming tile – Patient movement
Welch Allyn Connex
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Central Station
1. This area displays the alarm icon and the patient location.
2. This area displays the episodic patient parameters. Any alarming parameters are displayed in either red or yellow, depending on the alarm type.
3. This area displays the turn counter. The timer indicates the amount of time remaining before the patient's next scheduled turn.
4. This area displays the patient's name, and an icon indicating the patient is on a bed sensor.
5. This area displays the continuous patient parameters. The alarming parameters are surrounded by a colored box.
Alarming tile – Patient exit
1. This area displays the alarm icon and the patient location.
2. This area displays the patient exit alarm.
3. This area displays the patient's name, and an icon indicating the patient is on a bed sensor.
Directions for use
Alarming tile – Patient turn
EarlySense sensor 55
1. This area displays the alarm icon and the patient location.
2. This area displays the episodic patient parameters.
3. This area displays the patient turn alarm, and the amount of time elapsed since the patient's last scheduled turn.
4. This area displays the patient's name, and an icon indicating the patient is on a bed sensor.
5. This area displays the continuous patient parameters.
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Device details – Measurements tab
This window displays information on the devices and measurements associated with a patient. Click a patient tile to open the Device details window.
1. This area displays the patient summary.
2. This area displays the device message area. This includes the device serial number, or any alarms or messages associated with the patient's connected continuous monitor.
3. This area displays the continuous patient data. Click the alarm limits button to pause an alarm or adjust that parameter's alarm limits.
Where applicable, the source for the parameter data is displayed in the lower left corner of the parameter tile.
4. This area displays the episodic patient data.
5. This area displays the manual parameters.
6. Click Edit to open the Patient Details window and edit the patient information.
Directions for use EarlySense sensor 57
7. This area displays the EarlySense sensor data.
Note
Alarm limits for the EarlySense sensor are set at the device. The alarm can only be dismissed at the device. See the device directions for use.
•
The EarlySense measurement displayed under the
MOVEMENT
tile will be one of the following:
○
0 – No motion
○ L – Low
○
M – Medium
○ H – High
○ EH – Extremely high
•
The
Exit sensitivity
graph indicates the bed exit sensitivity setting. This setting is controlled at the device. See the device directions for use.
•
The
SOURCE:
label indicates the EarlySense source.
•
The timer next to the
TURN:
indicates the amount of time remaining before the patient's next scheduled turn.
Note
If the patient turn reminder is active, the timer counts down to zero and then displays a reminder in the System message area to perform and log a patient turn. If a scheduled patient turn remains overdue, an alarm message appears in the System message area.
8. Click this button to open the Review window.
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Device details – Alarms tab
Note
The bed or chair exit, motion alarm, and patient turn settings for the
EarlySense sensor are controlled at the monitor. For more information, see the monitor directions for use.
1. This area displays the patient summary.
2. This area displays the alarm settings for the EarlySense sensor. The settings are provided by the device. See the device directions for use.
3. Click
Edit
to open the Patient Details window and edit the patient information.
Alarms
The central station presents physiological alarms and technical alarms.
Alarm types
Type Priority Color
Red
Alarm audio tone
1
10-pulse tone.
High-priority alarms are defined by the device.
See the device directions for use.
High
Central station-generated alarms based on loss of connection with any patient monitor due to a low or depleted battery.
High
EarlySense-generated alarm caused by a patient exiting the bed
High
Medium-priority alarms are defined by the device. See the device directions for use.
Medium
Low-priority alarms defined by the central station include technical alarms. Other lowpriority alarms are defined by the device. See the device directions for use.
Low
Very-low priority alarms are technical alarms that do not impact patient safety. To view these alarms, do the following:
1.
Click on the alarming patient tile.
2.
Click Device Details.
3.
View the alarm in the Device Message
Area.
Very low
Red
Red
Yellow
Yellow
Cyan
10-pulse tone.
Alternate 10-pulse tone.
3-pulse tone.
1-pulse tone.
None.
1
The minimum alarm sound pressure level for all alarms is greater than or equal to 45 dB, and the maximum alarm sound pressure level is less than or equal to 67 dB.
WARNING Whenever possible, do not rely on visual alarm notifications alone while monitoring patients. If you must rely on visual alarm notifications, maintain a clear line of sight with the central station or the patient monitor. For audio alarm notifications, set the volume as needed considering the environment and ambient noise levels. Verify that the alarm is audible to a clinician working at the maximum distance from the central station or the patient monitor.
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Alarm locations
Physiological alarms
Physiological alarms occur when a patient’s vital sign measurements fall outside of set alarm limits.
1.
System message area. If multiple alarms are active, click alarm.
to cycle through the messages for each active
2.
Patient tile. If a patient tile is in a physiological alarm state, the border around the tile changes color, and a colored border appears around the alarming parameter.
Directions for use Alarms 61
Technical alarms
Technical alarms occur when a problem occurs with such things as the patient device, the patient location or ID, an accessory connected to the patient device, or the network.
1.
System message area. If multiple alarms are active, click alarm.
to cycle through the messages for each active
2.
Patient tile. If a patient tile is in a technical alarm state, the border around the tile changes to a color relative to the level of the alarm. No colored borders appear around the patient's parameters.
Main Monitoring screen notifications
Notification Description
System message area The area changes color and displays a message with an accompanying status icon or button.
If multiple alarms and information messages are active, the System message area shows the highest priority alarm. If the alarms are equal in priority, the most recent alarm message appears. You can cycle through the messages for each active alarm.
Patient tile The border color changes. Click the alarming tile to pause an alarm audio tone. Visual indicators persist during an audio-paused condition.
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Alarm icons in the Measurements tab
The icons in the parameter frames indicate alarm notification settings. When alarm limits are on, the icons are black and white until an alarm occurs. Then, the icons change color to indicate the priority of the alarm. Red icons represent high priority alarms, and yellow icons represent medium or low priority alarms.
Icons in the Measurements tab
Icon Name and status
Alarm active.
One or more alarms are active. Click this icon within the parameter frame to pause the audio tone.
Alarm on.
Visual and audio alarms will occur for this parameter.
Alarm off.
No visual or audio alarms will occur for this parameter.
Alarm audio off.
Only visual notifications will occur.
This functionality only occurs at the device. See the device directions for use.
Alarm audio paused.
The audio tone is paused at the device and the central station. The duration of the pause is set at the device. See the device directions for use.
Information status message.
This icon is displayed with messages that are unrelated to physiological alarms.
Directions for use Alarms 63
Alarm icons in the System message area
The icons in the System message area change colors to indicate the alarm priority.
Messages accompany these icons.
Icons in the System message area
Icon Name and status
Alarm active.
One or more alarms are active. Click the System message area to pause the audio tone or acknowledge the alarm depending on the given alarm.
Alarm audio off.
Audio signals are disabled, but alarm limits and visual alarm signals remain active. A reminder signal periodically occurs.
Multiple alarms notification.
Click this icon to cycle through the messages for the active alarm priority level.
Alarm audio paused.
The audio tone is paused at the device and the central station. The duration of the pause is set at the device. See the device directions for use.
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Pause an alarm at the central station
Audio alarm characteristics
• After you pause an alarm, the alarm returns after a pause interval if the condition that caused the alarm persists.
• If a new alarm condition occurs during a pause interval, a new audio tone occurs.
1. Click in the System message area.
The alarm is paused. Visual indications remain in the patient tile until the condition is corrected or until the next measurement is taken.
2. If multiple alarms are active, a multiple alarms notification appears in the System message area. Respond to multiple alarms as follows: a. Click in the System message area. (See note below.) b. Read the alarm message for the second alarm.
c. Click .
d. Continue to click the multiple alarms notification and reset tones until you have read all of the messages.
Note
The multiple alarms notification button displays the number of active alarms inside the alarm icon. A set of dots appears below the icon. These dots indicate the display order of alarms in sequential order of occurrence.
Pause an alarm at the device
Patient alarms can be paused at the patient device. For instructions on pausing the alarm, see the device directions for use
Adjust patient alarm limits at the central station
Note
Alarm limits that are adjusted at the central station are also adjusted at the device. If power is lost at the central station, the current alarm limits from the patient monitor will be used when the central station reconnects to the network.
1. Click on a patient tile.
The Device Details window appears.
2. Confirm that the alarm is on.
3. Select the Alarms tab.
The Alarms tab appears.
4. You can manually enter upper and lower parameter alarm limits by entering a value in the numeric boxes on the left and right side.
5. You can adjust the range of the parameter alarm by clicking and dragging the left or right side of the slider bar.
Directions for use Alarms 65
6. You can adjust the overall range of the parameter alarm by clicking and dragging the center of the slider bar.
7. Click .
The Main Monitoring screen appears. The alarm limits are adjusted at the central station and at the monitor.
Adjust patient alarm limits at the device
Note
Alarm limits that are adjusted at the device are also adjusted at the central station.
Alarm limits can be adjusted at the patient device. For instructions on adjusting the alarm limits, see the device directions for use.
Test the central station alarms
1. Locate a device that is not connected to a patient, and connect the device to the network.
For instructions, see the device directions for use.
2. Set the device into demo or simulation mode.
For instructions, see the device directions for use.
3. At the central station, click on the patient tile associated with the demo or simulation device.
The Measurements tab appears.
4. Click the Alarms tab.
The Alarms tab appears.
5. Verify that the alarms are on for the parameter you want to test.
6. Verify that the alarms are functional by setting the high and low parameter alarm limits beyond the simulated readings.
7. Verify that the parameter audio alarm sounds, the System message area flashes, and a colored border appears around the alarming parameter.
8. Repeat this procedure for the remaining monitored parameters.
If these alarm test results do not occur, contact Welch Allyn technical service.
66 Alarms Welch Allyn Connex
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Alarm messages and priorities
The following section lists the physiological and technical alarm messages and their priority.
Physiological alarms
For a list of physiological alarms, see the device directions for use.
Technical alarms
For additional technical alarms, see the device directions for use. Very low alarms appear in cyan and are only displayed in the Device Details tab.
Alarm messages
Low battery. Lost connection.
Location conflict.
Patient ID and location not confirmed.
Patient ID not confirmed.
Location not confirmed.
Unknown Patient ID.
Wireless connection lost.
Wired connection lost.
Too many monitors.
Unknown parameter.
WARNING Patients must be intentionally disconnected from continuous monitoring at the patient device or a high-priority Device communication lost error occurs.
Priority
High
Low
Low
Low
Low
Low
Low
Low
Low
Low
Station Alarms
This window displays all of the central station messages and patient alarms generated during the previous 12 hours. Click the Alarms icon in the Navigation area to open the
Station Alarms window.
Station Alarms window
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68 Station Alarms Welch Allyn Connex
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Central Station
1. This area displays a list of all central station messages and patient alarms that have occurred over the last 12 hours. Double-click an entry to open the alarm in the Review window.
2.
Click displayed.
to open the display options window. In this window, you can determine which types of alarms are
Click to print the Patient Alarms.
Settings
The main areas of the Settings window are a password-protected. These areas provide customization of the system. For access information, contact your system administrator.
Patient rest mode
WARNING
Risk to patient safety. Set the volume as needed on the central station considering the environment and ambient noise levels. When patient rest mode is activated, the central station is the only source of audible alarms.
Verify that the alarm is audible to a clinician working at the maximum distance from the central station.
The patient rest mode enables you to turn the audio off at the device when continuous monitoring is enabled and the device is communicating with a central station.
Patient rest mode can be enabled and disabled from the central station or from the device.
Turn on patient rest mode for a covered area
1. Click the Settings icon in the Navigation area.
2. Click On.
3. Click OK.
The patient rest mode is activated on all devices in the covered area.
Turn off patient rest mode for a covered area
1. Click the Settings icon in the Navigation area.
2. Click Off.
3. Click OK.
The patient rest mode is deactivated on all devices in the covered area.
Turn on or turn off patient rest mode for an individual device
Patient rest mode for individual devices is controlled at the device. See the device directions for use.
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Central Station
Roles tab
The Roles tab allows you to assign privileges to predefined roles, and create, modify, and assign privileges to new roles.
1. This area displays the list of roles currently defined in your system.
2. Click
Create new role
to create a new role in the system.
3. Click a checkbox to assign a privilege to the selected role.
4. Click
Save
to save any changes.
Click
Edit
to edit the selected role.
Click
Cancel
to clear any changes.
Directions for use Settings 71
Devices tab
The Devices tab allows you to identify the devices that are accepted for a covered area and assign those devices to a location. Devices are listed by serial number.
1.
This area displays the devices available in the covered area. Devices with the monitored by the central station.
2. This area displays the configuration of the selected device.
3. Click
Edit
to edit a device.
Click
Save
to save any changes.
Click
Cancel
to clear any changes.
icon are actively being
72 Settings Welch Allyn Connex
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Central Station
Edit a device
1. Click Edit.
The list of available devices is active.
2. Click on a device.
Note
You cannot select a device that is actively monitoring a patient.
3. Use the pull-down menu under Location to select a unit, room, or bed.
You can also check the Is Bolted box to permanently assign the device to the location.
4. Review your changes, and if correct, click Save.
A confirmation window appears.
5. Click Cancel to return the Device tab to an inactive screen.
Directions for use
Print jobs tab
The Print jobs tab allows you to view active print requests.
Settings 73
1. This area displays a list of active print jobs.
2. Click
Pause
to pause the selected print job.
Click
Resume
to resume the selected print job
Click
Restart
to restart the selected print job.
Click
Cancel
to cancel the selected print job.
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Central Station
Service tools tab
The Service tools tab provides command line access and allows for upgrade, backup, restore, and revert to a previous version of the system.
1. This area displays the list of available Service tool options.
2. This area displays detail of the selected option.
Directions for use Settings 75
Admin tools tab
The Admin tools tab allows you to change central station settings including third-party alarms, vital signs modifiers, master bed lists, covered locations, preferred parameter units, display and print formats, password and password validation rules, and others.
1. This area displays a list of tools used to adjust or change certain settings of the central station.
2. Click
Edit
to edit the selected item.
Click
Cancel
to cancel any changes made to the selected item.
76 Settings Welch Allyn Connex
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Central Station
Station settings tab
The Station settings tab allows you to change certain settings of the central station including alarm audio, patient rest mode, available patient indicators, the display and format of patient names, and HL7 data exporting criteria, among others.
1. This area allows you to adjust station settings.
2. Click
Edit
to edit the selected item.
Click
Save
to save any changes to the selected item.
Click
Cancel
to cancel any changes made to the selected item.
Directions for use
Alarm audio
Settings 77
1. This area allows to you adjust the alarm holdoff settings. Move the slider bars to adjust the value.
Note
The visual alarms on patient tiles are still real-time alarms. However, alarm notification in the
System message area and any audible alarms will be held off for the duration set on this screen.
2. This area allows you to set the alarm audio threshold. When an option is selected, only the indicated alarms are audible. All visual alarm notifications still occur.
Select
All
to allow all alarms to sound.
Select
Lethal, High, Medium only
to mute Low and Very Low alarms.
Select
Lethal, High, Medium, Low only
to mute Very Low alarms.
3. Click
Edit
to edit the alarm audio settings.
Click
Save
to save any changes.
Click
Cancel
to cancel any changes made.
78 Settings Welch Allyn Connex
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Users tab
The Users tab allows you to create and maintain users and user data, including password settings.
1. This area displays a list of central station users.
2. This area displays a list of user roles.
3. Click
Edit
to edit a user.
Click
Cancel
to cancel any changes made to the selected item.
General maintenance
Make sure that you routinely perform general maintenance and equipment safety checks on your central station.
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Central Station
Central station general maintenance
General preventive maintenance consists of basic cleaning of equipment, inspection, and verification of the equipment and system operation. Only a trained biomedical engineer should perform these tasks.
Perform general preventative maintenance according to the following schedules:
Service activity
Cleaning and maintenance
Frequency
Annually
Component
CPU
Action
• Power down the CPU.
• Open the CPU case and remove any dust build up.
Display
• Power down the display.
• Clean the display and the control buttons.
Keyboard
Mouse
Printers
General cleaning.
• Disassemble the mouse.
• Remove any dust or debris build up.
• General cleaning.
• Clean external cooling vents.
• Refer to the printer directions for use for additional cleaning and maintenance information.
Note
Use only approved cleaning solutions according to your facility's guidelines and the manufacturer's recommendations.
Directions for use General maintenance 81
Service activity
Inspection
Frequency
Bi-annually
Component
CPU
Display
Keyboard
Mouse
Printers
Action
Visually inspect cables, connectors, and indicators.
• Visually inspect cables, connectors, and indicators.
• Inspect display quality and settings, such as brightness and contrast.
Visually inspect.
Test the function of rollers and control buttons.
• Run the on-board print quality tests.
• Visually inspect display LEDs, connector cables, and controls.
Equipment disposal
Do not dispose of this product as unsorted municipal waste. Prepare this product for reuse or separate collection as specified by Directive 2002/96/EC of the European Parliament and the Council of the European
Union on Waste Electronic and Electrical Equipment (WEEE). If this product is contaminated, this directive does not apply.
For more specific disposal information, see www.welchallyn.com/weee , or go to www.welchallyn.com/about/ company/locations.htm
.
82 General maintenance Welch Allyn Connex
®
Central Station
Troubleshooting
Display
This section presents tables of information to help you troubleshoot issues on the monitor.
To use these tables, locate the specific problem with your central station in the left column of the table. The remainder of the row explains possible causes and suggests actions that can resolve the issue.
Issue Possible cause
The central station display is blank The cable for the display is not connected
The display is not powered on
Suggested action
Connect the monitor display cables.
Power on the display.
Audio
Issue Possible cause Suggested action
No audible alarm tones are coming from the central station display
The display is muted Look for a mute button on the display and press it to restore sound.
The audio cables are disconnected Connect the audio cables.
Headphones are connected to the PC headphone jack
Disconnect the headphones.
83
84 Troubleshooting Welch Allyn Connex
®
Central Station
Connectivity
Issue Possible cause
A patient device does not appear in the central station Waiting area
The device is not connected to the network
Network or wireless connection issues
The device is no longer working
Communication between the device and the central station has been lost
The device is not connected to the network
The device is no longer working
Network or wireless connection issues
The central station is not connected to the network
Suggested action
See the device directions for use.
Contact your network administrator.
See the device directions for use.
See the device directions for use.
See the device directions for use.
Contact your network administrator.
Contact your network administrator.
Software
Issue
You cannot log into the central station
The central station is not responding or is not running properly
Possible cause Suggested action
You have been locked out of the central station Contact your network administrator to reset your central station password.
Software issues
Power loss
Contact your biomedical engineer to discuss a potential system restart to resolve the issue.
Wait for the system to automatically restart.
Software restart
Contact your biomedical engineer.
Contact your biomedical engineer.
Guidance and manufacturer's declaration
EMC compliance
Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. This device complies with IEC EN 60601-1-2:2007.
• All medical electrical equipment must be installed and put into service in accordance with the EMC information provided in this document, the Welch Allyn Connex® Vital
Signs Monitor 6000 Series Directions for use, the Welch Allyn Connex® Integrated
Wall System Directions for use, and the Welch Allyn Spot Vital Signs® LXi Directions
for use.
• Portable and mobile RF communications equipment can affect the behavior of medical electrical equipment.
The central station complies with all applicable and required standards for electromagnetic interference.
• It does not normally affect nearby equipment and devices.
• It is not normally affected by nearby equipment and devices.
• It is not safe to operate the central station in the presence of high-frequency surgical equipment.
• However, it is good practice to avoid using the central station in extremely close proximity to other equipment.
Emissions and immunity information
For information about electromagnetic compatibility (EMC), see the accompanying documentation.
85
86 Guidance and manufacturer's declaration Welch Allyn Connex
®
Central Station
Software license agreement
This license is between Welch Allyn, Inc. (Welch Allyn) and the Customer that purchases the Connex Product, and it governs the Connex software program, including any embedded third party software.
READ THE TERMS AND CONDITIONS OF THIS LICENSE AGREEMENT CAREFULLY
BEFORE OPERATING THE CONNEX PRODUCT. THE CONNEX SOFTWARE IS
LICENSED (NOT SOLD). BY OPERATING THE CONNEX PRODUCT YOU ARE
ACCEPTING AND AGREEING TO THE TERMS OF THIS LICENSE AGREEMENT. IF YOU
ARE NOT WILLING TO BE BOUND BY THE TERMS OF THIS LICENSE AGREEMENT
YOU SHOULD PROMPTLY RETURN THE CONNEX PRODUCT TO WELCH ALLYN. THIS
LICENSE AGREEMENT REPRESENTS THE COMPLETE AGREEMENT CONCERNING
THE CONNEX SOFTWARE BETWEEN YOU AND WELCH ALLYN, AND IT SUPERSEDES
ANY PRIOR PROPOSAL, REPRESENTATION, OR UNDERSTANDING YOU MAY HAVE
HAD.
License of Connex Software
1. Welch Allyn grants and Customer accepts a non-exclusive license to use the Connex
Software at Customer's facilities, subject to the terms of this license, for up to the maximum number of patient input connections that are identified in the purchase order. Licenses are granted for designated features, which, for example, include without limitation, device connectivity, review features, and connectivity to 3rd party software packages. License features can be included in the initial installation or purchased as upgrades. All upgrades are subject to the terms of this license. The
Connex Software is provided installed on one or more personal computers purchased from Welch Allyn or on hardware approved by Welch Allyn, and can be run only on those computers, or replacements for the original computers that are obtained upon obsolescence of the originals. Welch Allyn will install the Connex
Software on replacement computers without payment of an additional license fee, but a service charge may apply.
2. Customer shall not: a) copy the Connex Software, b) decompile or reverse engineer the Connex Software, c) sublicense or distribute to any third party any part of the
Connex Software, d) transfer the Connex Software to additional computers, nor e) circumvent any license keys or other means of restricting the copying and loading of
Connex Software on new hardware.
3. Ownership of and title in to the Connex Software and the documentation accompanying the Connex Software (and all intellectual property rights embodied in the Connex Software and documentation) is retained by Welch Allyn, and Customer acquires only the right to use the Connex Software and documentation subject to the restrictions set forth in this license.
87
88 Software license agreement Welch Allyn Connex
®
Central Station
4. The term of the license to use the Connex Software is perpetual, subject to termination for the reasons set out in section 1.5. Welch Allyn will provide ongoing maintenance and support services for the Connex Software only if a maintenance contract has been obtained, and Welch Allyn may discontinue maintenance and support services for obsolete versions of the Connex Software. The maintenance program may include periodic software updates that include error corrections and improvements. All such updates are subject to the terms of this license. If Welch
Allyn subsequently offers a new release of the Connex Software that contains new functionality or other enhancements, a new license will be required to obtain the new release.
5. Welch Allyn shall have the right to terminate the license of the Connex Software if
Customer materially breaches the license and fails to cure the breach within 10 days after Welch Allyn sends Customer notice of the breach. Material breach of this license includes: 1) use of the Connex Software outside of the scope of the license, including use for more patient connections than are covered by the Licenses, or 2) failure to pay a license fee. Upon termination of this license, Customer shall cease using the Connex Software, permit Welch Allyn to remove the Connex Software from the computers on which it was installed, return to Welch Allyn or destroy any media that contains the Connex Software or documentation, and certify to Welch
Allyn that such actions have been taken within 10 days after termination.
Installation
1. Welch Allyn will use commercially reasonable efforts to deliver and install the
Connex Software in accordance with an agreed-upon implementation schedule.
Installation of the Connex Software will be complete when testing demonstrates that the Connex Software operates on customer’s local area network(s) in accordance with the specifications published for the Connex Software and any other acceptance criteria that are agreed upon in writing by the parties.
License and Installation Fees
Warranty
1. Customer shall pay the license, installation, and training fees identified in the purchase order for the Connex System. The license and installation fees are based on device connections covered by the purchase order as well as specific licensed features, and additional fees are payable if the maximum number of patient input connections is increased. Additional license fees also are payable if Customer licenses additional interfaces for the Connex Software not included in the original license. Welch Allyn will invoice Customer for the license, installation, and training fees upon completion of installation. All invoices are payable within 30 days after
Customer’s receipt.
1. Welch Allyn warrants that the Connex Software will perform substantially in accordance with the technical specifications published for the Connex Software when operated in the configuration and operating environment in which it was installed for ninety (90) days after installation is completed. Welch Allyn does not warrant that the Connex Software will operate error free in all circumstances nor that the applications contained in the Connex Software will meet Customer's particular purposes.
2. If a problem covered by this warranty occurs, Customer must enable Welch Allyn to reproduce the error on Customer’s Connex Software via VPN access or by providing sufficient detail to enable Welch Allyn to reproduce the error in another instance of
Directions for use Software license agreement 89 the Connex Software. Welch Allyn’s warranty obligations will be to correct a reproducible error such that the Connex Software meets its technical specifications, or to refund the purchase price if the reproducible error cannot be corrected.
3. This warranty shall not apply: 1) if the Connex Software is not used in accordance with the documentation; 2) if a problem is caused by a malfunction of Customer’s local area network or third party software that is not embedded in the Connex
Software but interfaces with the Connex Software, or 3) if the problem is reported after expiration of the warranty period.
4. Welch Allyn DISCLAIMS ALL OTHER WARRANTIES EXPRESS OR IMPLIED,
INCLUDING WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
Limitation of Liability
1. Customer’s sole and exclusive remedies for any damages or loss in any way connected with the Connex Software or services furnished by Welch Allyn shall be, at Welch Allyn’s option: 1) to bring the performance of the Connex Software into substantial compliance with the functional specifications; 2) re-performance of services; or 3) return of an appropriate portion of any payment made by Customer with respect to the Connex Software or associated services. Welch Allyn will not be responsible for: a) the correction of any problems resulting as a result of misuse of the Connex Software by Customer, or b) ensuring the security of Customer’s networked installation of the Connex Software.
2. Neither Welch Allyn nor Customer will be liable to each other or any other person or entity for an amount of damages in excess of the license, installation, and training fees for Connex Software paid by Customer. Neither Welch Allyn nor Customer shall be liable in any amount for special, incidental, consequential, or indirect damages, loss of good will or business profits, or loss of data. The license fees reflect this allocation of risk and these limitations of liability.
Assignment
1. Customer may not, without Welch Allyn’s prior written consent (which shall not be withheld unreasonably), assign or otherwise transfer this license, or any of its rights or obligations under this license, except in connection with a transfer of Customer’s healthcare business operations. Welch Allyn may assign this license to an affiliate that controls, is controlled by, or under common control with Welch Allyn. This license shall be binding upon and inure to the benefit of the parties hereto and their respective successors and permitted assigns.
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