Passport 12m and Passport 17m BEDSIDE MONITOR GUIDELINE NAME: ___________________________________________

Passport 12m and Passport 17m BEDSIDE MONITOR GUIDELINE NAME:   ___________________________________________
Passport 12m and Passport 17m
BEDSIDE MONITOR GUIDELINE
This document is a guideline only to be used as an aid to comprehensive Inservice training.
NAME: ___________________________________________
HOSPITAL: _______________________________________
DATE: ___________________________________________
VALIDATOR: ______________________________________
Performed
Not
Performed
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.
Load recorder paper/printer paper
5. Discuss
a. Module insertion into monitor and
Satellite Module Rack
b. Locking/unlocking
c. Multiparameter module (MPM) and
T1 module
d. Module options
6. Locate ECG, NIBP, SPO2, and Temp.
connection ports in MPM
7. Discuss Touch screen and Navigator
knob function
8. Discuss hard and quick key buttons
a. How can a clinician select a quick
key not displayed?
b. What quick keys remain on the
display at all times?
9. How does a clinician exit a menu?
Page 1 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
Not
Performed
10. Locate patient size, date and time
B. BASIC FUNCTIONS
1. Attach ECG, NIBP, and SPO2 probe
2. ECG
a. Discuss electrode prep and
placement
b. Change Lead from II to I
c. Change leads to I and V (if using a
5 lead cable)
d. Enhance the pacemaker
pulse/spike?
e. Display a full or half screen of ECG
f. Start a recording of ECG
g. Stop the recording
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 and
assign a low priority
4. Select VFib to automatically
record
g. Acknowledge a lethal arrhythmia
(latched enabled)
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 how the clinician
differentiates the SPO2 from the
MPM and the independent SPO2
module
e. Discuss the NIBP Simul feature
5. NON-INVASIVE BLOOD PRESSURE
(NIBP)
Page 2 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
6.
7.
8.
9.
10.
Not
Performed
a. Discuss proper cuff size
b. Set BP interval for every 10
minutes
c. Stop the NIBP cuff from inflating
d. Suspend the NIBP interval
e. Locate NIBP display
f. Locate the last several NIBP
measurements
RESPIRATIONS
a. Locate respiratory rate display
b. Respirations are obtained from
what sources?
c. Turn respiratory monitoring off
d. Discuss auto vs. manual detection
mode. When might this function be
used?
TEMPERATURE
a. Locate temperature port and
display tile
b. What series of probes can be
used?
ALARMS
a. Change high HR limit to 130 bpm
b. Change low SpO2 limit to 87% and
change to a high priority alarm
c. Turn on RR alarms and set the low
RR limit to 5
d. How does a clinician know if an
alarm is turned off?
e. Discuss the difference between
alarm pause and alarm reset
including icon difference. How long
is the alarm silenced or paused?
f. Discuss high, medium, and low
priority alarm notifications
g. Discuss technical alarms
h. Discuss latched alarms including
what alarms are latched and what
must be done to acknowledge a
latched alarm?
Change patient size from Adult to
Pediatric
Discuss auto admitting a patient to the
DPM monitor and
a. The Panorama Central Station
b. The DPM Central Station
c. BeneVision Central Station
Page 3 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
Not
Performed
11. Enter the following patient information:
a. Jane Doe
b. Height: 5’7’’
c. Weight: 140 lbs.
d. ID: 68924
e. Bed 13A*
12. The patient is being removed from the
monitor for a test
a. What quick button is pressed to
suspend monitoring functions?
b. Resume monitoring function
13. What is the difference between
discharge and standby?
Page 4 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
Not
Performed
14. Adjust SPO2 color to yellow and NIBP
color to purple. What happens upon
discharge?
15. Mark an event. Display and print the
marked event
16. Perform the following functions in
Tabular trends:
a. Adjust Tabular trends to display
only when a NIBP measurement is
obtained
b. Adjust trends to display every 30
minutes
c. Record/print trends for the last 1
hour
d. How many trends are stored? How
are they cleared?
17. How can older waveform data be
viewed? Scroll back 1 minute in time
and record the strip. Save Lead II, V
Lead (5 lead wire set), and Pleth
waveforms
18. Adjust and discuss the following views
on the main display:
a. 7 Leads of ECG on the display (5
lead wire set)
b. Large numerics displaying ECG
(top left), SpO2/PR (top right),
NIBP (lower left), and CO2 or RR
(lower right)
19. Discharge a patient from
a. The Panorama Central Station and
bedside monitor
b. The DPM Central Station and
bedside monitor
c. The BeneVision Central Station
and bedside monitor
20. Does the room number clear upon
discharge? Does the patient size return
to Adult once the patient is
discharged?
C. ADVANCE FUNCTIONS
1. INVASIVE BLOOD PRESSURES
(IBP1-8)*
a. Discuss invasive blood pressure
monitoring setup
b. Zero an invasive line
c. Change the label from P1 to ART
Page 5 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
2.
3.
4.
5.
6.
Not
Performed
d. Discuss what happens when an
invasive is labeled with a label
already in use (i.e. changing ART to
CVP for P1 when P2 is already
labeled CVP)
e. Change the scale to 0 –240
f. Adjust the recorder to print Lead II
and the invasive waveform
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. Change the sweep speed to 12.5
mm/s
f. Adjust O2 compensation to 40%
(DPM)
ANESTHETIC AGENTS (AG)*
a. Discuss anesthetic agent monitoring
setup
b. What agents can the monitor
identify?
c. Adjust the agent scale to 0 -15%
ST*
a. Enable ST analysis. How does the
clinician know it is enabled?
b. How many ECG leads are being
analyzed?
c. Adjust ISO and ST points
d. Adjust the ST alarm on Lead II to
2mm/.2mV and -2mm/.2mV
12-Lead ECG ANALYSIS*
a. Discuss ECG electrode prep and
placement
b. Enter additional information:
1. Age: 75
2. Drug: Diuretics
c. View All ECG waveforms and
perform an analysis
d. Print a 12-Lead ECG Report
e. Enable Baseline filters. Discuss use
BISPECTRAL INDEX (BIS)*
a. Discuss setup and placement for
BIS monitoring
b. Connect BISx module to the patient
interface cable and BIS sensor
c. Perform Sensor Check
Page 6 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
Not
Performed
d. Display BIS EEG waveform and
adjust the scale to 200 uV
e. Display BIS Trends and adjust the
scale to 30 minutes
f. Print BIS numeric values for the
past hour
7. RESPIRATORY MECHANICS (RM)*
a. Discuss RM monitoring setup
b. Connect flow sensor to the RM
connector on the RM module
c. Locate Flow, Vol and/or Paw
waveform
d. Verify the correct sensor type (i.e.
reusable, disposable)
e. Calibrate the flow sensor
f. Perform a zero calibration
g. Adjust the scale on the Paw
waveform to 40
h. Display Flow-Volume loop
i. Display Pressure-Volume loop
j. Enable reference loop
k. Save two reference loops
l. Record parameters of a saved loop
D. OTHER FUNCTIONS
1. Open the Dose Calculation function
a. Enter a weight of 160 pounds
b. Select the drug “Dopamine”
c. Enter a dosage of 5 mcgs/kg/min
d. How many cc/hr is this?
e. Print titration table
2. Open the Hemodynamic Calculation
a. Discuss the auto-entering of
parameter information
b. Enter/Adjust the following
information:
1. Weight: 140 lbs
2. CVP: 6mmHg
3. Calculate and print
Hemodynamic profile
3. Open the View Other screen
a. Select three monitor to view in
addition to the current patient
b. How can a clinician scroll to any
of the three monitors?
c. Display Lead II and the SPO2
waveform on a remote monitor
Page 7 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Performed
Not
Performed
d. Discuss resetting an alarm on a
remote patient
e. What do the following bed icons
mean on the remote monitors?
1. Red
2. Yellow
3. Blue
4. Gray
4. Discuss interfacing the Passport
12m/17m monitor with:
a. Ventilator
b. Vigilance II/Vigileo
c. What information is displayed?
E. MAINTENANCE
1. Date/Time Adjustment
a. Adjust the date and time
b. Discuss daylight saving time
consideration
Page 8 of 8
P/N: 0002-08-8023 RevA
* Optional
Not
Applicable
Was this manual useful for you? yes no
Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Download PDF

advertisement