APPENDIX A
APPENDIX A
™
PASSPORT V
BEDSIDE MONITOR GUIDELINE
This document is a guideline only to be used as an aid to comprehensive Inservice training.
NAME: ___________________________________________
HOSPITAL: _______________________________________
DATE : ___________________________________________
VALIDATOR: ______________________________________
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A. OVERVIEW
1. Locate ON/OFF button
2. Locate communication ports. How does
the clinician know he/she is
communicating to the Panorama
Central Station?
3. Locate A/C connection
4. Locate battery compartment
a. How does the clinician know the
batteries are charging?
b. How does the clinician know he/she is
operating on battery?
c. How long will the monitor run on
batteries? How long to recharge?
5. Load recorder paper
6. Locate ECG, NIBP, SPO2, P1*, P2*,
CO2*, and Temp. connection ports
7. Locate Navigator knob and key to
return screen to normal view
9. Locate patient size, date, time, and
alarm off icon
10. Adjust the display to view:
a. All ECG view (5 lead wire set)
b. Large numeric displaying ECG, SPO2,
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Resp, and NIBP
B. BASIC FUNCTIONS
1. Attach ECG, NIBP, and SPO2 probe
2.
a.
b.
c.
d.
e.
f.
g.
h.
ECG
Discuss electrode prep and placement
Change Lead from II to I
Change leads to I and V (if using a 5
lead cable)
Discuss HR sources. How can a
clinician identify the HR source?
Enhance the pacemaker pulse/spike?
Print a strip of ECG
Print a continuous strip of ECG
Stop the printing of a continuous strip
3. ARRHYTHMIA*
a. Discuss default arrhythmia setting
b. Where are arrhythmia messages
displayed?
c. What leads are used for arrhythmia
analysis and heart rate detection?
d. Can lethal arrhythmias be disabled?
e. Enable lethal arrhythmias only
f. Adjust the following settings:
1. Asystole to 4 seconds
2. Vtach to 6 PVC/110bpm
3. Turn on Bigeminy alarm
4. Select VFib to automatically
print
g. Acknowledge a lethal arrhythmia
h. Discuss the relearn process
4. SPO2
a. Discuss placement of sensor
b. Demonstrate disposable sensor
placement
c. Discuss the difference between the
DeSat and Low SpO2 alarm
d. Discuss Sat Seconds (Nellcorr)
5. NON-INVASIVE BLOOD PRESSURE
(NIBP)
a. Discuss proper cuff size
b. Set BP interval for every 10 minutes
c. Deflate the cuff
d. Locate NIBP display
e. How can a BP be verified while the
monitor is obtaining a NIBP?
f. Locate the last 5 NIBP measurements
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6. RESPIRATIONS
a. Locate respiratory rate display
b. Respirations are obtained from what
sources?
c. Turn Resp. off
7. TEMPERATURE
a. Locate temperature display tile
b. What series of probes can be used?
8. ALARMS
a. Locate alarm limit settings on main
display
b. Change high HR to 130
c. Change low SpO2 to 90
d. Silence an alarm. How long is the
alarm silenced?
e. Silence all alarms. How long are they
silenced? How does the clinician know
all alarms are silenced?
f. Discuss level 1, level 2, and technical
alarms
g. Discuss latched alarms including what
alarms are latched and what must be
done to acknowledge a latched alarm?
h. Change the alarm volume
9. Change patient size from Adult to
Pediatric. Does the patient size return
to Adult once the patient is
discharged?
10. Enter first name, last name, and room
number
11. Discuss the auto-admit process with
the Panorama Central Station
12. Discharge a patient from the
Panorama Central Station and the
Passport V
a. Does the room number clear upon
discharge?
13. The patient is being removed from the
monitor for a test
a. What button is pressed to suspend
monitoring functions?
b. Resume monitoring function
14. What is the difference between
discharge and standby? How does a
clinician know the monitor has been
discharged?
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15. Adjust SPO2 color to yellow and NIBP
color to purple. What happens upon
discharge?
16. Discuss the following:
a. Displaying/printing Quick trends
b. Displaying/printing List or Graphic
trends
c. Adjust List trends to display every 30
minutes. Will this affect NIBP
measurement entries?
d. How many trends are stored? How are
they cleared?
C. ADVANCE FUNCTIONS
1. INVASIVE BLOOD PRESSURES (P1
and P2)*
a. Zero an invasive line
b. Locate invasive pressure display tile
c. Change the label from ART to P1
d. Can the label be changed to CVP?
e. Change the scale to 0 –225 on P1
f. Print the ECG and PA waveforms
2. CO2*
a. Discuss disposable CO2 accessories
b. Setup up for an intubated patient
c. Setup for a non-intubated patient
d. Change the CO2 scale to 0 to 60
e. Adjust O2 compensation to 40%
(DPM)
3. ANESTHETIC AGENTS*
a. Locate agent display
b. What agents can the monitor identify?
c. Adjust the agent scale to 0 -15%
4. ST*
a. Enable ST analysis. How does the
clinician know it is enabled?
b. How many ECG leads are being
analyzed?
c. Explain the ST alarm and relearn
process. Does this effect relearning for
arrhythmia?
d. Adjust ISO and J points
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D. OTHER FUNCTIONS
1. WEIGHT BASED DRUGS
a. Locate two ways to open the Drug
Calculation Function
b. Enter a weight of 160 pounds
c. Select the drug “Dopamine”
d. Enter a dosage of 5 mcgs/kg/min
e. How many cc/hr is this?
f. Print titration table
2. Select three monitor to view in addition
to the current patient. How can a
clinician scroll to any of the three
monitors?
3. Display Lead II and the SPO2
waveform on a remote monitor
4. Silence an alarm on a remote
monitor. Silence all alarms on a
remote monitor
5. Print a strip on a remote monitor
6. What do the following bed icons mean
on the remote monitors?
a. Red
b. Yellow
c. Black
d. Gray
E. MAINTENANCE
1. Date/Time Adjustment
a. Adjust the date and time
b. Is this done at the bedside if connected
to the Panorama Central Station
2. Transfer settings
a. Save “Preset” settings to SB drive
b. Transfer settings from SB drive to
monitor
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