Welch Allyn CONNEX User manual

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

Introduction ............................................................................................. 1

Intended use ........................................................................................................ 1

Related documents .............................................................................................. 1

Symbols ................................................................................................... 3

About warnings and cautions ................................................................ 5

General warnings and cautions ............................................................................ 5

System configuration .............................................................................. 9

Stand-alone system diagram ................................................................................ 9

Server-based system diagram ........................................................................... 10

Kiosk diagram ..................................................................................................... 11

Server-only system diagram .............................................................................. 11

Screen elements .................................................................................... 13

Patient tiles ........................................................................................................ 14

Tile layout modes ............................................................................................... 19

Tile-dragging behavior ........................................................................................ 20

Device details ......................................................................................... 21

Measurements tab ............................................................................................. 21

Alarm limits tab .................................................................................................. 23

Patient list .............................................................................................. 25

Current tab ......................................................................................................... 25

Discharged tab ................................................................................................... 27

Search tab .......................................................................................................... 28

Patient Details ........................................................................................ 29

Summary tab ...................................................................................................... 29

Contact tab ......................................................................................................... 31

Additional tab ..................................................................................................... 32

Patient Review ....................................................................................... 33

Flow Sheet tab ................................................................................................... 33

Continuous Trends tab ....................................................................................... 35

Graphical Trends tab .......................................................................................... 37

Patient Alarms tab .............................................................................................. 38

iii

iv Contents Welch Allyn Connex

®

Central Station

Views ...................................................................................................... 41

View selection tab .............................................................................................. 41

View configuration tab ....................................................................................... 43

Patient monitoring ................................................................................ 45

Connect a continuous monitor to the central station ......................................... 45

Connect an episodic device to the central station ............................................. 46

Patient data management .................................................................... 47

Add a patient at the central station .................................................................... 47

Admit a patient from the Waiting area ............................................................... 47

Admit a patient from the Patient list .................................................................. 48

Admit a patient from a room tile ....................................................................... 48

Edit patient information at the central station .................................................... 48

Edit patient information at the device ................................................................ 48

Move a patient ................................................................................................... 48

Assign a patient to a room ................................................................................. 49

Review patient alarms ....................................................................................... 49

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

Resolve an information message conflict .......................................................... 50

Print the Patient list ............................................................................................ 51

End monitoring a patient .................................................................................... 51

Discharge a patient at the central station .......................................................... 51

Automatic discharge .......................................................................................... 52

Re-admit a patient .............................................................................................. 52

EarlySense sensor ................................................................................. 53

Patient tiles ........................................................................................................ 53

Device details – Measurements tab .................................................................. 56

Device details – Alarms tab ................................................................................ 58

Alarms .................................................................................................... 59

Pause an alarm at the central station ................................................................. 64

Pause an alarm at the device ............................................................................. 64

Adjust patient alarm limits at the central station ................................................ 64

Adjust patient alarm limits at the device ............................................................ 65

Test the central station alarms ........................................................................... 65

Alarm messages and priorities ........................................................................... 66

Station Alarms ....................................................................................... 67

Station Alarms window ...................................................................................... 67

Settings .................................................................................................. 69

Patient rest mode .............................................................................................. 69

Roles tab ............................................................................................................ 70

Devices tab ........................................................................................................ 71

Print jobs tab ...................................................................................................... 73

Service tools tab ................................................................................................ 74

Admin tools tab .................................................................................................. 75

Station settings tab ............................................................................................ 76

Users tab ............................................................................................................ 78

Directions for use Contents v

General maintenance ............................................................................ 79

Central station general maintenance ................................................................. 80

Equipment disposal ............................................................................................ 81

Troubleshooting .................................................................................... 83

Display ............................................................................................................... 83

Audio .................................................................................................................. 83

Connectivity ....................................................................................................... 84

Software ............................................................................................................ 84

Guidance and manufacturer's declaration .......................................... 85

EMC compliance ................................................................................................ 85

Emissions and immunity information ................................................................. 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

®

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

®

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

®

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

®

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

®

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

®

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

®

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

®

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.

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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.

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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.

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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.

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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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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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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.

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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.

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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

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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.

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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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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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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

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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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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

®

Central Station

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.

79

80 General maintenance Welch Allyn Connex

®

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.

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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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