Panorama ® Alarm Setup

Panorama  ® Alarm Setup
Panorama®
Alarm Setup
Alarm Setup
Objectives
•  How to use alarm limits and parameter settings
•  Understand the relationship between alarm settings and alarm
responses
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Alarm Setup
Arrhythmia Sidebar Button (Optional)
When the assigned device for the selected
tile is an Ambulatory Telepack the
arrhythmia algorithm is enabled at the
Panorama Central Station.
When the assigned device for the selected
tile is a bedside monitor, enabling/disabling
arrhythmia analysis must be done using the
“Patient Setup” menu in the bedside
monitor. Refer to the bedside monitor
operator’s manual for details.
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Alarm Setup
To adjust Arrhythmia settings
• 
Select PATIENT SETUP menu button
• 
Select DEMOGRAPHICS tab
• 
Select the patient’s tile
• 
Select ARRHYTHMIA sidebar button
•  Arrhythmia checkbox: Select the Arrhythmia checkbox to enable/disable the arrhythmia analysis
when the assigned device for the selected tile is an Ambulatory Telepack. A checked Arrhythmia
checkbox means that arrhythmia analysis is enabled. This checkbox will not appear when the
assigned device for the selected tile is a bedside monitor.
•  V-Tach Rate: establishes the heart rate required for V-Tach alarm to be called
•  V-Tach Threshold: establishes the number of consecutive PVCs required for V-Tach alarm to be called
•  Asystole Delay: establishes the delay period for an Asystole event alarm to be called
•  ECG Noise Delay: establishes the delay in the notification of ECG Noise
•  Select DONE to enter adjustments made in the Arrhythmia dialog
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Alarm Setup
When Arrhythmia Analysis is Enabled
A ✓ mark appears on the Arrhythmia checkbox
An
is placed in the HR digital parameter tile for the selected
patient
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Alarm Setup
Patient Alarms Menu Button
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Alarm Setup
Patient Alarms Setup Tab
A password may be required to access the Patient Alarms tabs
Please consult your system administrator for details
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Alarm Setup
Alarm Limits Tab – To Adjust Alarm Limits
•  Select PATIENT ALARMS menu button
•  Select the patient tile
•  Select ALARM LIMITS tab
•  Select the Parameter to be adjusted using the
or
buttons
•  Select the “High” (upper) or “Low” (lower) alarm limit button
•  Use the up and down arrows or drag and drop the scroll box in the
slider control to change the limit to the desired value
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Alarm Setup
Bidirectional
Changing alarm limits at the Panorama Central Station will automatically
change alarm limits on the bedside monitor and changing alarm limits at
the bedside monitor will automatically change alarm limits on the
Panorama Central Station
Note: Simultaneous Patient Alarm Limits Editing
If using a bedside monitor with the Panorama Central Station, patient
alarm limit changes cannot be made at the bedside and at the central
station simultaneously
Refer to the Panorama Central Station Operator’s Manual for further details
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Alarm Setup
Auto Set Button
Selecting “Auto Set” automatically recalculates the alarm limits
for most parameters based on their current values, varying from 3 – 30%
Please see the Panorama Operator’s Manual for complete details
Restore Previous Settings Sidebar Button
This sidebar button will return the settings to the ones assigned prior to
opening the tab
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Alarm Setup
Suspend All Alarms Sidebar Button (Optional)
If available, selecting "Suspend all alarms" suspends ALL alarms on the
selected patient including lethal arrhythmias
To Suspend All Alarms
•  Select PATIENT ALARMS menu button
•  Select the patient tile
•  Select ALARM LIMITS tab
•  Select SUSPEND ALL ALARMS to suspend all alarms
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Alarm Setup
Suspend All Alarms Sidebar Button (Optional)
The message All Alarms Suspended shall be displayed in the selected
patient’s tile and the SUSPEND ALL ALARMS sidebar button will turn
white when the function has been enabled.
Note: When in an All Alarm Suspended mode, no alarm notification of
any kind will occur at the Panorama Central Station for the selected
patient tile.
Selecting the SUSPEND ALL ALARMS sidebar button a second time will
turn the button blue again, will disable the function, remove the All Alarms
Suspended message from the patient tile, and resume all configured alarm
notifications.
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Alarm Setup
Suspend Non-Lethals Sidebar Button
Selecting “Suspend Non-Lethal Alarms” suspends all alarms on a
selected patient except alarms with a priority 1
To Suspend All Non-Priority 1 Alarms
•  Select PATIENT ALARMS menu button
•  Select the patient tile
•  Select ALARM LIMITS tab
•  Select SUSPEND NON-LETHALS to suspend all non-lethal alarms
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Alarm Setup
Suspend Non-Lethals Sidebar Button
The message Non-Lethal Alarms Suspended shall be displayed in the
selected patient’s tile and the SUSPEND NON-LETHALS sidebar button
will turn white when the function has been enabled
Note: When in a Non-Lethal Alarms Suspended mode, only Lethal alarms
will produce alarm notification at the Panorama Central Station for the
selected patient tile
Selecting the SUSPEND NON-LETHALS sidebar button a second time will
turn the button blue again, will disable the function, remove the NonLethal Alarms Suspended message from the patient tile, and resume all
configured alarm notifications
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Alarm Setup
Print Menu Button – To Print a Patient’s Alarm Report
•  Select PATIENT ALARMS menu button
•  Select the patient tile
•  Select ALARM LIMITS tab
•  Select PRINT menu button
Note: This Report can also be printed from the Report Menu
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Alarm Setup
Alarm Responses Tab
The Alarm Responses Tab adjusts the response of the central station
when an alarm condition exists
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Alarm Setup
To Adjust a Patient’s Alarm Responses
• 
Select PATIENT ALARMS menu button
• 
Select the patient tile
• 
Select ALARM RESPONSES tab
• 
Select the parameter to modify by tapping over the field or using the Up/Down
arrows
• 
PRIORITY: Defines the importance of the alarm. The lower the priority the higher
the severity
•  Priority 1: Red visual alarm notifications – high level audio alarm notifications
•  Priority 2: Yellow visual alarm notifications – mid level audio alarm notifications
•  Priority 3: Yellow visual alarm notifications – tertiary level audio alarm
notifications
Note: Alarm Priorities apply if alarm limits are set for numeric parameters
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Alarm Setup
To Adjust a Patient’s Alarm Responses
• 
PRINT ON ALARM: Determines if an automatic recording is produced upon
identification of alarm condition
•  ON – Automatically produces a print out
•  OFF – Does not produce a print out
• 
SAVE TO EVENT: Determines if the event is saved in the Events Tab at the Panorama
Central Station allowing for retrieval at a later time
•  ON – Automatically saves the event
•  OFF – Does not save the event
• 
PAGE ON ALARM (Optional): Determines if the alarm event sends a paging
message to the assigned pager(s) once the paging delay criteria has been met
•  ON – Automatically pages on the alarm event
•  OFF – Does not page on the alarm event
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Alarm Setup
Restore Previous Settings Sidebar Button
This sidebar button will return the settings to the ones assigned prior to
opening the tab
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Alarm Setup
Alarm Setup Sidebar Button (Ambulatory Telepack)
The Alarm Setup sidebar button will be displayed
when the assigned device for the selected tile is an
Ambulatory Telepack. Alarm and ST Delays can be
adjusted via this sidebar button. The time selected
is the amount of time required for an alarm
response to occur.
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Alarm Setup
Reports Menu Button – Patient Reports Tab
The Patient Reports Tab contains a variety of reports a clinician can print
on a specific patient. The waveforms to be printed are configured in the
“Print Setup” Tab.
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Alarm Setup
Print All Strips Button
This laser printout contains all patient demographics, all real time digital
data and 10 seconds of waveform data
To Print an All Strip Report
•  Select REPORT menu button
•  Select patient tile
•  Select PATIENT REPORTS tab
•  Select PRINT ALL STRIPS button
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