Related Manuals for GE DASH 3000 V5
Summary of Contents for GE DASH 3000 V5
- Page 1 TRIM COVER & NON-TAB TRIM EDSIDE ONITORING Dash 3000/4000 V5 Quick Reference Guide © 2004 General Electric Company COVER & PN: 0304-CS-QRGD Rev. A 2018408-010 NON-TAB TRIM TRIM...
- Page 2 TRIM COVER & NON-TAB EDSIDE ONITORING TRIM Dash 3000/4000 V5 Quick Reference Guide COVER & NON-TAB TRIM TRIM...
- Page 3 TRIM COVER & NON-TAB Components TRIM Display • Date Time • Time / Date Unit Name Bed Number Patient Name Parameter • Unit Name Window Bed Number • • Patient Name Parameter • Window • More Menus • Waveforms Waveforms Parameter Windows More Menus...
- Page 4 TRIM Basic Use/ Admit/Discharge COVER & NON-TAB The Basics TRIM Direct Action Keys Operations • Trim Knob: The Trim Knob is found on the monitor or remote control and is used for highlighting and selecting menu options. Turn the Trim Knob to –...
- Page 5 TRIM COVER & NON-TAB Patient Cable Connectors TRIM RED: • All patient cable connectors BLUE: BROWN: Invasive are located on the side of the CO / Temp Pressures monitor. Definition of Terms • Hardwire: This means that the ECG signal is being acquired from a cable attached to the patient and connected to a bedside...
- Page 6 TRIM COVER & NON-TAB Silence Alarm TRIM • Pressing the Silence Alarm key once will silence an active alarm for one minute. The message SILENCED will appear on the display. Any new alarm at an equal or greater priority will sound. NOTE: If Crisis Alarm Breakthrough is set in defaults, all crisis alarms will break through Alarm Silence and Alarm Pause.
- Page 7 TRIM COVER & NON-TAB Monitor Applications TRIM The bedside monitor can be used in four different ways depending on hospital need. Differences between each application will be apparent in the monitor’s admit menu. Standard This application uses a monitor mounted in a room. It has only hardwire capability and does not accommodate telemetry.
- Page 8 TRIM COVER & NON-TAB How to Enter Demographic TRIM Information: Select MORE MENUS. • Select ADMIT MENU. • Select CHANGE ADMIT • INFO. An information window with menu options is displayed. Rotate the Trim Knob • control to move the pointer (>);...
- Page 9 TRIM COVER & NON-TAB Rover TRIM This application allows the monitor to be moved or “roved” to the patient’s bedside. It has only hardwire capability and does not accommodate telemetry. To Admit a Patient • Connect the AC Power source. •...
- Page 10 TRIM COVER & NON-TAB Rover TRIM To Discharge a Patient • Remove all ECG leads from the patient. • Select MORE MENUS. • Select ADMIT MENU. • Select DISCHARGE PATIENT. • Turn the Trim Knob to move the cursor in front of Discharge and press to select.
- Page 11 TRIM COVER & NON-TAB Combo TRIM This application uses a monitor mounted in a room, but the ECG data can be acquired from either a hardwire cable from the monitor or a telemetry transmitter/transceiver. To Admit a Patient to Hardwire •...
- Page 12 TRIM COVER & NON-TAB Combo TRIM To Discharge a Patient: • Remove all ECG leads from the patient. • Select MORE MENUS. • Select ADMIT MENU. • Select DISCHARGE PATIENT. • Turn the Trim Knob to move the cursor in front of the desired discharge option and press to select.
- Page 13 TRIM COVER & NON-TAB Rover-Combo TRIM This application combines the mobility feature of Rover monitoring with the telemetry capabilities of Combo monitoring. To Admit a Patient • Connect the AC Power source. • Connect the Network cable. NOTE: This step is not required when using wireless Dash monitors.
- Page 14 TRIM COVER & NON-TAB Rover-Combo TRIM To Discharge a Patient: • Remove all ECG leads from the patient. • Select MORE MENUS. • Select ADMIT MENU. • Select DISCHARGE PATIENT. • Turn the Trim Knob to move the cursor in front of the desired discharge option and press to select: –...
- Page 15 TRIM COVER & NON-TAB TRIM Skin Preparation and Lead Pace Detection Indicator Heart Rate Placement: Indicators The quality of the signal Heart Rate received from the electrodes is a Alarm Limits PVC Count direct result of skin prep and (Full Arrhythmia Only) lead placement.
- Page 16 TRIM ECG/ Pace COVER & NON-TAB Display Lead: Top or first lead TRIM displayed on the bedside and graphed with alarms and manual prints. • To Change the Display Lead: – Select ECG. – Select DISPLAY LEAD II. – A popup menu opens. –...
- Page 17 TRIM COVER & NON-TAB Detect Pace: Turns pacemaker TRIM detection On/Off. Two different options of • pacemaker modes are available. The clinician must judge which mode is best for each patient. Pace 2 is the recommended pacemaker detection mode. Pace 1 should be used if Pace 2 does not adequately detect pacemaker spikes.
- Page 18 TRIM COVER & NON-TAB If the monitor is not After changing electrode Guidelines for Successful • • TRIM adequately detecting placement, always RELEARN Pacemaker Monitoring: • Multi-vector pace detection is pacemaker spikes — the ECG waveform. determined by simultaneous as evidenced by heart rate If adjusting the electrode analysis of the displayed ECG double counting, pacemaker...
- Page 19 TRIM COVER & NON-TAB Limits: TRIM • To Change the ECG Alarm Limit: – Select ECG. Select ECG LIMITS. – – Select desired alarm limit. – Turn the Trim Knob to the desired alarm limit and press to select. – Select MAIN MENU to exit.
- Page 20 TRIM COVER & NON-TAB View All ECG: Allows six leads TRIM of ECG to be viewed on the display. • To View All ECG: – Select ECG. – Select VIEW ALL ECG. – Six waveforms will be displayed. – Press GRAPH GO/STOP to print displayed leads.
- Page 21 TRIM COVER & NON-TAB Relearn: During ECG TRIM monitoring, it may be necessary to relearn the ECG waveform if a change in the patient’s normal ECG pattern has occurred, or the electrode placement has changed. • A change in the ECG pattern could result in: –...
- Page 22 TRIM COVER & NON-TAB Single Lead vs. Multi-Lead: TRIM This option examines ECG leads utilized for arrhythmia analysis. • Multi-Lead Analysis examines ECG leads I, II, III and V to help eliminate false alarms and improve the ability of the system to: –...
- Page 23 TRIM COVER & NON-TAB 12 Lead ECG Analysis TRIM NOTE: For the most accurate serial comparison, use the same electrode configuration used on previous analysis. To Obtain a 12-Lead on a Patient: • Enter Information: • Place patient in a supine –...
- Page 24 TRIM 12 Lead ECG COVER & NON-TAB (continued from previous card) TRIM • Select 12 LEAD ECG NOW. Message appears: “PERFORMING ANALYSIS. Please wait…” After 30 seconds, an unconfirmed 12-lead ECG Analysis window will appear. • Transmission and/or printing options include the following: –...
- Page 25 TRIM COVER & NON-TAB ST Analysis TRIM ST Menu Options: • ST information with trends and complexes may appear in a waveform position. • ST by lead data may appear Pace Detection Indicator Heart Rate in the ECG Parameter Indicators Window.
- Page 26 TRIM COVER & NON-TAB Turn ST ON/OFF: Turns ST TRIM analysis off and returns to the main menu. • To Turn ST Analysis Program Off: – Select the ECG parameter window. – Select ST ANALYSIS. Select TURN ST OFF. – –...
- Page 27 TRIM COVER & NON-TAB ST Limits: Displays a menu TRIM and information window to set and adjust ST deviation limits. • To Adjust All ST Limits: – Select the ECG parameter window. Select ST ANALYSIS. – – Select ADJUST ALL LIMITS.
- Page 28 TRIM COVER & NON-TAB Identify V Lead: Identifies the TRIM V Lead being used for ECG and ST analysis. • To Change the V Lead: – Select the ECG parameter window. Select ST ANALYSIS. – – Select IDENTIFY V LEAD. –...
- Page 29 TRIM COVER & NON-TAB ST Display: Changes the leads TRIM for the trends and complexes display. • To Change the Displayed ST Leads: Select the ECG parameter – window. – Select ST ANALYSIS. – Select ST DISPLAY. Turn the Trim Knob to –...
- Page 30 TRIM COVER & NON-TAB TRIM COVER & NON-TAB TRIM TRIM...
- Page 31 TRIM COVER & NON-TAB Systolic Value TRIM Diastolic Value Non-Invasive Blood Pressure (NBP): Non-invasive blood pressure is measured using the Time of Last oscillometric method. The cuff Measurement Limits and Cuff Size is inflated to occlude the artery and Units and then released in increments.
- Page 32 TRIM COVER & NON-TAB NBP Go/Stop: The NBP TRIM Go/Stop button on the monitor is a quick way to start or stop a blood pressure measurement. NBP Auto: This option allows the monitor to be programmed to take NBP readings automatically at specific time intervals.
- Page 33 TRIM COVER & NON-TAB Review NBP: The monitor can NBP Limits: Allows TRIM store up to 96 NBP readings for NBP alarm limits to review. be adjusted. • To Review NBP Readings: • To Change NBP Limits: – Select the NBP. –...
- Page 34 TRIM COVER & NON-TAB Cuff Size: The cuff size option TRIM determines the initial inflation pressure. This option sets the monitor for the appropriate cuff inflation. Three options are available: • Adult: 160 mmHg. Pediatric: 140 mmHg. • • Neonatal: 125 mmHg. With additional blood pressure measurements the cuff inflation pressure is 30 mmHg for Adults...
- Page 35 TRIM COVER & NON-TAB TRIM monitoring is a Signal non-invasive technique used to Strength measure the amount of Indicator oxygenated hemoglobin and pulse rate by measuring absorption of selected Value wavelengths of light. To activate SPO monitoring, Limits securely connect the SPO cable and Units into the appropriate blue port...
- Page 36 TRIM COVER & NON-TAB Patient Preparation for SPO It is Important to be Aware TRIM Monitoring: of the Following when Monitoring SPO • Choose the probe that is best suited for your patient’s • A poor SPO signal may result needs: ear, finger, disposable, if the probe detector is reusable, etc.
- Page 37 NON-TAB The Dash monitor incorporates TRIM several different technology options for interpreting SPO values: Masimo Set • Menu — GE and Nellcor Probes • Nellcor (Oxismart XL) • Rate Volume: The rate Limits: Allows SPO All SPO technologies include volume turns on a tone that...
- Page 38 TRIM COVER & NON-TAB — Masimo SET allows the TRIM sensitivity and averaging times to be adjusted: • Sensitivity options include: Menu — Masimo SET Probes – Normal, for routine patient monitoring purposes. Rejuvenating the Adhesive – Maximum for improved low Properties of the Disposable perfusion performance and Saturation Probe:...
- Page 39 TRIM COVER & NON-TAB Respiration Rate Respiratory Rate TRIM Breath Indicator Respirations are detected by measuring thoracic impedance. Respirations can Limits Lead Monitored and Units be monitored in Lead I for chest breathers or Lead II for abdominal breathers. • To Change the Respiratory Lead: –...
- Page 40 TRIM Respirations / Temp COVER & NON-TAB Sensitivity: The monitor TRIM automatically sets the detection sensitivity at 40% of the average amplitude. The sensitivity may need to be changed due to varying amplitudes or artifact. The lower the percentage, the greater the detection sensitivity.
- Page 41 TRIM COVER & NON-TAB Temperature Temp Value TRIM Temperature monitoring can be done using multiple sites with internal or external temperature sensors. The temperature sites are Temp Limits identified in the parameter for One Site window as T1 and T2. Only numeric information is displayed in the temperature parameter window.
- Page 42 TRIM COVER & NON-TAB TRIM COVER & NON-TAB TRIM TRIM...
- Page 43 TRIM COVER & NON-TAB Invasive Pressures TRIM The invasive pressure labels BP 1 BP 2 are displayed on the monitor with a number (1 – 4). These numbers identify the location in the Dash monitor. • Preset names are assigned A maximum of six waveforms to each pressure port: and eight parameters can be...
- Page 44 TRIM Invasive Pressure / COVER & NON-TAB Pressure Menu Options: TRIM Invasive Pressures — Zeroing: In order to obtain accurate pressure measurements, it is important to zero the transducers. Transducers can be zeroed all at once or individually. • To Zero Pressure Transducers: Open the transducers to air.
- Page 45 TRIM COVER & NON-TAB Invasive Pressures — Scale: TRIM • To Change the Scale of the Pressure Waveform: – Select the desired pressure parameter window. – Select SCALES. – A popup menu opens indicating the available options. – Move the cursor in front of the desired scale and press to select.
- Page 46 TRIM COVER & NON-TAB Invasive Pressures — TRIM Smart BP: • Smart BP is a feature found in the ART and FEM pressure menus that reduces nuisance alarms associated with zeroing the transducer, fast flushing and drawing blood. • To Turn Smart BP On or Off: –...
- Page 47 TRIM COVER & NON-TAB Graph BP Waveform Invasive Pressures — TRIM Change Names: • To Graph Waveforms • Be sure that the (without ECG lead): invasive pressure – Select MORE MENUS. parameter window is – Select MONITOR SETUP. labeled correctly. Select GRAPH SETUP.
- Page 48 • If the trigger is from the monitor, be certain that the manufacturer is compatible with the GE Medical Systems Information Technologies analog output signal. • If the trigger is off of the R-Wave, review the patient’s ECG leads and place the one •...
- Page 49 TRIM COVER & NON-TAB TRIM PA Insert/Wedge is a feature found in the PA Invasive Pressures Menu. There are two modes for doing a PA Wedge measurement: Auto and Manual. PA Insert/Wedge The Auto Mode allows a PA Wedge measurement to be performed without having to touch the monitor after starting the program.
- Page 50 TRIM COVER & NON-TAB The Manual Mode overrides TRIM the Auto Mode and requires additional steps at the monitor to complete the measurement. Under certain patient conditions (valvular disease or respiratory PA Insert/Wedge variation in PA reading), the monitor is unable to detect a change in the waveform.
- Page 51 TRIM COVER & NON-TAB Cardiac Output TRIM The Cardiac Output Program measures cardiac output by use of a thermodilution catheter. To activate monitoring, securely connect the cardiac output patient cable into the Temp/CO connector port on the side of the Dash monitor. The CO parameter window will automatically appear one the cable is plugged into the...
- Page 52 TRIM Cardiac Output COVER & NON-TAB • When the INJECT WHEN TRIM READY is displayed, proceed with injection. • Seconds after injecting, COMPUTING CO is displayed. • CO COMPLETE is displayed with the CO value upon completion and the data is placed in the trial window.
- Page 53 TRIM COVER & NON-TAB A Manual Cardiac Output TRIM may be preferred for patients with extreme blood temperature fluctuations. • Select CARDIAC OUTPUT NOW from the Cardiac Output menu. • Watch for the INJECT NOW message and inject desired fluid volume. NOTE: With this option, it is particularly important to inject immediately upon seeing the INJECT NOW message.
- Page 54 TRIM COVER & NON-TAB TRIM Calculated Parameters Parameter Label Units Formula 0.725 0.425 Body Surface Area BSA • WT • 0.007185 Cardiac Index L/min/m CO/BSA Stroke Volume SV mL/beat CO/HR • 1000 Systemic Vascular Resistance dyn • sec • cm [(MAP–CVP) •...
- Page 55 TRIM COVER & NON-TAB Alarm Control TRIM Alarm Structure: The monitor’s Key Icons alarm structure is divided into two classifications: • Patient Status Alarms: Triggered by a patient condition which exceeds a parameter limit or by an arrhythmia condition. • System Status Alarms: Triggered by a mechanical or electrical problem (lead...
- Page 56 TRIM Alarm Control COVER & NON-TAB Arrhythmia Alarms and TRIM Parameter Alarms are very different and help ensure alarm processing of patient data. • Arrhythmia Alarms: Refers to the specific, interpretive, ECG algorithm processing conditions. • Parameter Alarms: Refers to the individual parameter window label and limit violations.
- Page 57 TRIM COVER & NON-TAB All Limits: This information TRIM window shows all the high and low alarm limits for all parameters that are currently being monitored. • To Set Parameter Alarm Limits: Select MORE MENUS. – – Select ALARM CONTROL. –...
- Page 58 TRIM COVER & NON-TAB Arrhythmia Alarm Level: TRIM This option allows the arrhythmia alarm levels to be viewed and changed. • To Adjust Arrhythmia Alarm Levels: – Select MORE MENUS. – Select ALARM CONTROL. Select ARRHYTHMIA – ALARM LEVEL. – An information window is displayed.
- Page 59 TRIM COVER & NON-TAB Parameter Alarm Level: TRIM This option allows the parameter alarm levels to be viewed or reassigned to other levels if desired. • To Adjust Parameter Alarm Levels: Select MORE MENUS. – – Select ALARM CONTROL. – Select PARAMETER ALARM LEVEL.
- Page 60 TRIM COVER & NON-TAB Alarm Volume: The alarm tone TRIM volume can be adjusted at the bedside. • To Adjust Alarm Tone Volume: – Select MORE MENUS. – Select ALARM CONTROL. – Select ALARM VOLUME. – Turn the Trim Knob to the desired alarm tone and press to select.
- Page 61 TRIM COVER & NON-TAB Alarm History: Allows storage TRIM of up to 36 arrhythmia waveforms and 10 ST events (including reference) that are set in a Crisis, Warning, or Advisory alarm level. • To Retrieve Alarm History Information: – Select MORE MENUS. –...
- Page 62 TRIM Patient Data COVER & NON-TAB Vital Signs: Provides 24 hours TRIM of stored parameter data. In addition, the last 20 cardiac calculations and the last 10 pulmonary calculations are stored. • To Retrieve Vital Sign Information: – Select MORE MENUS. –...
- Page 63 TRIM COVER & NON-TAB Graphic Trends: Allows TRIM graphic representation of data over a specified period of time. • To Retrieve Graphical Trended Information: – Select MORE MENUS. – Select PATIENT DATA. – Select GRAPHIC TRENDS. – An information window is displayed with the graphic trends that were last selected.
- Page 64 TRIM COVER & NON-TAB Dose Calculations: Provides a TRIM method of determining drug dosages. Different monitor modes utilize different drug libraries. The Adult Monitoring Mode offers 21 different drugs and four unspecified drugs, while the Neonatal Monitoring Mode offers 14 different drugs and four unspecified drugs.
- Page 65 TRIM COVER & NON-TAB Titration Table: A titration TRIM table can be accessed after completing a dose calculation. • To Obtain Drug Titration Table: – Complete drug dose calculation. – Select titration table and an information window will appear. – The calculated dose appears in the center of the table.
- Page 66 TRIM COVER & NON-TAB Cardiac Calculations: The TRIM 20 most current Cardiac Calculations are stored. • To Review Stored Cardiac Calculations: – Select MORE MENUS. – Select PATIENT DATA. – Select CARDIAC CALCS. – Review Cardiac Calculations. Press the GRAPH GO/ –...
- Page 67 TRIM COVER & NON-TAB Monitor Setup TRIM Waveforms On/Off: Reassigns waveform positions on the display. • To Turn Waveforms On/Off: – Select MORE MENUS. – Select MONITOR SETUP. – Select WAVEFORMS ON/ OFF. – Select the desired waveform: 1 thru 6. –...
- Page 68 TRIM Monitor Setup COVER & NON-TAB Parameters On/Off: Adds or TRIM removes parameter windows. • To Turn Parameters On/Off: – Select MORE MENUS. Select MONITOR SETUP. – – Select PARAMETERS ON/ OFF. – An information window appears with available options. Turn Trim Knob to move –...
- Page 69 TRIM COVER & NON-TAB Graph Setup TRIM All Printing Options Graph Go/Stop: • To Print a Waveform Strip: – Press the GRAPH GO/ STOP button on the front of the monitor. • To print an information window: – Press the GRAPH GO/ STOP button on the front of the monitor.
- Page 70 TRIM COVER & NON-TAB BP Waveform: TRIM • To Graph Waveforms (without ECG lead): – Select MORE MENUS. Select MONITOR SETUP. – – Select GRAPH SETUP. – Select GRAPH BP INVASIVE. – Highlight desired waveforms to be graphed. – Highlight GRAPH. Select MAIN MENU to –...
- Page 71 TRIM COVER & NON-TAB Timed Graph: TRIM • To Change a Timed Graph: – Select MORE MENUS. Select MONITOR SETUP. – – Select GRAPH SETUP. Select TIMED GRAPH. – – Highlight desired waveforms to be graphed. – Highlight GRAPH. – Turn Trim Knob to move the cursor to select the desired time and press to...
- Page 72 TRIM COVER & NON-TAB Display Mode: This option TRIM controls the view of the display. Individual 3 Waveform: • When monitoring up to three waveform parameters, the three individual waveform display options may be selected. This will double the size of displayed parameters and automatically align waveforms with their respective parameter...
- Page 73 TRIM COVER & NON-TAB View Other Patients • To Remove the TRIM Viewed Patient: Allows patient data to be viewed from another patient’s bedside. Select MORE – MENUS. • To View Another Patient: – Select VIEW Select MORE MENUS. – OTHER –...
- Page 74 TRIM View Other Patients / AVOA COVER & NON-TAB AVOA TRIM (Future feature development — requires purchased software option.) When the Auto View On Alarm (AVOA) feature is activated, selected beds in alarm will automatically pop up. A split screen on the host monitor, shows real-time information along with a popup menu related to the alarm bed.
- Page 75 TRIM COVER & NON-TAB • The Following Choices Will TRIM Appear in the Menu: – VIEW OTHER BEDS ON ALARM allows you to turn the feature on or off at the host monitor. – SEND AUTO VIEWS turns On/Off the host bed’s broadcast of alarms to other beds on the network.
- Page 76 TRIM COVER & NON-TAB TRIM COVER & NON-TAB TRIM TRIM...
- Page 77 TRIM COVER & NON-TAB TRIM ® The docking station is a quick mount/dismount base for a Dash patient monitor. ® It gives the monitor easy connect/disconnect access to AC power, the Unity Network , to a remote display, and to auxiliary devices. The docking station can be used with ALL Dash monitors.
- Page 78 TRIM DASH ® Port 2 Docking Station COVER & NON-TAB TRIM Equipment Overview — Back View Ethernet Connector ® Connect to the Unity Network Video Out Connector Connect to a compatible remote display. The remote display allows you to display the Dash monitor screen items in a larger size.
- Page 79 TRIM COVER & NON-TAB TRIM Connecting the Monitor Position and Lock the Monitor Ensure the docking station is positioned a safe distance AWAY from the patient while connecting or disconnecting the monitor. Hold onto the monitor’s handle when the docking station’s security lever is in the unlock position and until you verify the monitor is properly secured to the docking station.
- Page 80 TRIM COVER & NON-TAB Establish the Monitor’s AC Power and Communication Links TRIM Slide the security lever to the far left position. Verify the green-colored AC power indicator is illuminated on both the docking station and the monitor. Verify the green-colored communication indicator is illuminated on the docking station.* √...
- Page 81 TRIM COVER & NON-TAB TRIM Disconnecting the Monitor Pivot the monitor forward to release it Hold onto the monitor. from the locking mechanism. Slide and hold the security lever in the √ Use both hands to remove the monitor unlock (far right) position. from the docking station.
- Page 82 3. If the monitor cannot view a remote bed from the network, replace the network cable. 4. If the monitor can view a remote bed from the network, contact GE Service. Refer to Operators Manual for Any Specific Questions. COVER &...
- Page 83 TRIM COVER & NON-TAB TRIM Troubleshooting (continued) PROBLEM CAUSE SOLUTION The monitor IS NOT The monitor does not support the Use a monitor that supports the auxiliary device. communicating with the auxiliary device. auxiliary device. The auxiliary cable is damaged. 1.
- Page 84 TRIM COVER & NON-TAB Troubleshooting (continued) TRIM PROBLEM CAUSE SOLUTION No electrical power is going to the monitor The monitor is defective. Have a qualified service personnel troubleshoot and the AC power indicators show the and repair the equipment. following conditions: The docking station has a mechanical Have a qualified service personnel troubleshoot The docking station’s AC power...
- Page 85 TRIM COVER & NON-TAB TRIM CapnoFlex LF CO is a continuous, non-invasive technique for determining the concentration of carbon dioxide (CO ) in respiratory gas. CapnoFlex LF CO Setup Procedure Caution: Do not use this module on patients that cannot tolerate the removal of 50ml / 1 min from their total minute ventilation.
- Page 86 TRIM CapnoFlex LF CO COVER & NON-TAB CapnoFlex LF CO Setup Procedure (continued) TRIM Menu with Calibrate Sample Line 2. Complete the appropriate steps based on the message appearing in the CO parameter window. Parameter Window with Calibrate Sample CALIBRATE SAMPLE LINE Line Message Connect the cannula to the module, but not the patient.
- Page 87 TRIM COVER & NON-TAB TRIM 3. CO monitoring begins when the patient is properly connected and a breath is detected. Numerics will be displayed in the CO parameter window and the CO waveform may be displayed on the screen. Respiration Rate To Adjust CO Parameter Limits: Select the CO...
- Page 88 TRIM CapnoFlex LF CO — Troubleshooting COVER & NON-TAB TRIM Parameter Menu Options Averaging: Units: Opens a pop-up menu to select a Change the units of measure for Expired time for averaging CO readings. and Inspired CO Calibrate Sample Line: Scale: Opens a pop-up menu to Selects a scale for the displayed CO...
- Page 89 TRIM COVER & NON-TAB Modules Popup menu opens with With the adapter connected – – TRIM READY or ABORT. to the sensor, and the : End-tidal CO monitoring sensor connected to the is a continuous, non-invasive Select READY. The – monitored, select the technique for determining the message “Calibrating”...
- Page 90 TRIM Optional Equipment COVER & NON-TAB TRIM COVER & NON-TAB TRIM TRIM...
- Page 91 TRIM COVER & NON-TAB TRIM Problem: Intervention: Why is the monitor alarming for asystole, bradycardia, Check the ECG signal acquired from the patient: pause or inaccurate heart rate when a visible QRS is • Review the VIEW ALL ECG option to assess the present? amplitude of the QRS complexes.
- Page 92 TRIM TROUBLESHOOTING and FREQUENTLY ASKED QUESTIONS COVER & NON-TAB TRIM (continued) Relearn: If the Problem Continues: • It is important to RELEARN anytime the • Select the ECG Parameter Window. electrode configuration is adjusted. Select VIEW ALL ECG to determine the best •...
- Page 93 TRIM COVER & NON-TAB TRIM Problem: Relearn: Why is the monitor calling VTach when a patient is not • It is important to RELEARN anytime the in VTach? electrode configuration is adjusted. • Select the ECG Parameter window. Select RELEARN. Answer: •...
- Page 94 TRIM TROUBLESHOOTING and FREQUENTLY ASKED QUESTIONS COVER & NON-TAB Pacemakers TRIM Problem: If the monitor is NOT detecting pacemaker activity: Why is the monitor double-counting the heart rate, • Ensure the Pace Detection mode is on (the Pace alarming for a low heart rate or not detecting pacemaker detection program is enabled in the ECG spikes? parameter window).
- Page 95 TRIM COVER & NON-TAB TRIM Problem: Problem: Why are my NBP readings inaccurate? Why do the MAP readings for the calculated not match the NBP MAP from the monitor reading? Answer: The monitor is unable to detect adequate pulsations or is Answer: detecting excessive movement.
- Page 96 TRIM TROUBLESHOOTING and FREQUENTLY ASKED QUESTIONS COVER & NON-TAB TRIM Problem: Intervention: Why is the monitor displaying a only MAP Check for proper cuff size and placement. measurement? Minimize patient movement during measurement. Blood pressure cuff should have bladder width that Answer: is 40% of the arm circumference at the greatest diameter of the arm with a bladder length of 80% of...
- Page 97 TRIM COVER & NON-TAB TRIM Problem: Problem: Why does the monitor not display an SPO reading after Why is the SPO parameter window not displayed after changing the Masimo probe site? connecting the SPO interface cable and probe? Answer: Answer: The Masimo probe is not recognized by the monitor.
- Page 98 TRIM TROUBLESHOOTING and FREQUENTLY ASKED QUESTIONS COVER & NON-TAB Invasive Pressures TRIM Problem: Problem: Why do I have different values between my Arterial, Why is the monitor alarming DISCONNECTED? Non-Invasive (oscillometric), and Non-Invasive (auscultated) BP readings? Answer: The arterial disconnect alarm found in the ART or FEM Answer: menu is on.
- Page 99 TRIM COVER & NON-TAB Invasive Pressures TRIM Problem: Problem: Why does the monitor continue to read INFLATE Why is the invasive waveform overshooting the scales? BALLOON after the balloon has been inflated? Answer: Answer: A new scale needs to be selected to accomodate the The monitor must detect a 30% change in the waveform change of the pressure reading.
- Page 100 TRIM TROUBLESHOOTING and FREQUENTLY ASKED QUESTIONS COVER & NON-TAB Invasive Pressures TRIM Problem: Problem: How does the caregiver print out pulmonary artery What is the difference between the ZERO ALL hard key wedge waveform without ECG waveform? and the ZERO menu option under the invasive pressure (ART) parameter window? Answer: Answer:...
- Page 101 TRIM COVER & NON-TAB TRIM Cardiac Output Problem: Problem: Why does the monitor continue to display a PLEASE Why does the monitor calculating a CO without any WAIT or UNSTABLE BT message? solution being injected? Answer: Answer: The monitor is searching for a stable baseline The monitor is sensing a change in the patient’s blood temperature.
- Page 102 TRIM TROUBLESHOOTING and FREQUENTLY ASKED QUESTIONS COVER & NON-TAB Alarms TRIM Problem: Problem: What does ARRHY SUSPEND mean? What are the specific criteria for the different arrhythmia conditions? Answer: Answer: Certain conditions suspend arrhythmia analysis. When suspended, arrhythmia conditions are not detected and EK Pro, the arrhythmia interpretation program, uses alarms associated with arrhythmias do not occur.
- Page 103 TRIM COVER & NON-TAB Alarms TRIM Problem: Problem: Why would the monitor alarm for a low heart rate or Why is the monitor not calling PAUSE when the patient high heart rate, but not store in Alarm History? is experiencing frequent pauses? Answer: Answer: Parameter alarms (i.e., limit violations) do not store in...
- Page 104 TRIM COVER & NON-TAB TRIM COVER & NON-TAB TRIM TRIM...
- Page 105 All products or brand names are trademarks or registered trademarks of their respective companies. www.gemedical.com GE Healthcare reserves the right to make changes in specifications and features shown herein, or discontinue the products described at any time without notice or GE Medical Systems Information Technologies obligation.