Welch Allyn FN802FH Propaq 802 LTRN User Manual part 4 of 10
Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 4 of 10
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Users Manual part 4 of 10
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| Document ID | 611431 |
| Application ID | 9RmYdEp/GGY5QzqlKSQLYQ== |
| Document Description | Users Manual part 4 of 10 |
| Short Term Confidential | No |
| Permanent Confidential | No |
| Supercede | No |
| Document Type | User Manual |
| Display Format | Adobe Acrobat PDF - pdf |
| Filesize | 228.39kB (2854901 bits) |
| Date Submitted | 2005-12-14 00:00:00 |
| Date Available | 2005-12-14 00:00:00 |
| Creation Date | 2005-10-31 09:25:36 |
| Producing Software | Acrobat Distiller 7.0.5 (Windows) |
| Document Lastmod | 2005-12-14 14:53:39 |
| Document Title | Directions for Use, Welch Allyn Propaq LT Vital Signs Monitor (810-1702-00 Rev A) |
| Document Creator | FrameMaker 7.1 |
| Document Author: | Welch Allyn |
Directions for Use Overview of Monitor Operation Assembling the Large Color Display Refer to Figure 22, Figure 23 on page 30, or Figure 24 on page 31. Figure 22. Mounting the Interface Box (with Face Plate) on the Large Display Mounting Bracket 60-mm screws 620-0431-00 40-mm screws 620-0432-00 Long cables between box and cradle: 008-0946-00 (USB) 008-0948-00 (Power) 29 30 Overview of Monitor Operation Figure 23. Mounting the Interface Box on the Cradle 40-mm screws 620-0432-00 18-mm screws 620-0433-00 Short cables between box and cradle: 008-0947-00 (USB) 008-0949-00 (AC Power) Welch Allyn Propaq LT Vital Signs Monitor Directions for Use Overview of Monitor Operation Figure 24. Mounting the Interface Box and the Cradle on the Large Display Mounting Bracket 60-mm screws 620-0431-00 40-mm screws 620-0432-00 Short cables between box and cradle: 008-0947-00 (USB) 008-0949-00 (AC Power) 31 32 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor About Navigation You navigate the monitor screens using and (display button). and (arrow buttons), (action button), Using the Arrow Buttons Use and to do the following: • Highlight an item on the display. (See “Using the Highlights” on page 33.) • Select options from a control menu. • Use • Use and and to select options from a pop-up menu. to change the values of numeric parameters. Using the Action Button Use to do the following: • Display the control menu for a blue-highlighted item. • Return from a control menu to the primary display. • Access the Setup menu when Setup is highlighted. • Display tabular and graphical trends when Trends is highlighted. • Display snapshots when Snapshot is highlighted. • Turn on the display or the back light if either has been turned off by a time-out. • Display a pop-up menu. Using the Display Button Use to do the following: • Cycle through the configured display formats. • Return from a control menu to the primary display. • Close a pop-up menu. Directions for Use Overview of Monitor Operation 33 Using the Highlights Every screen contains a single element—the current context—highlighted by a blue field. Some screens also contain elements—parameter values—highlighted by a green field. About Blue Highlights A blue highlight identifies the current context. For example, Figure 25 illustrates a highlighted row in a trends display and a highlighted setting in the Waveform Size menu. Figure 25. Examples of Highlighted Elements HALL, ROBERT E. 3456187 Adult II 12:41:32 Rm 239 Drop-down menu 1mV/cm Tabular Time 12:41 12:40 12:39 12:38 12:38 12:37 12:36 12 SEARCH % Resp/min SpO2 80 140/78 HR/min NIBP mmHg 125 122 100 75 50 25 130/65 (93) n/a 112/87 (87) n/a n/a 192/110 (130) n/a n/a 22 18 16 17 19 19 98 99 98 99 100 n/a 98 Highlights Waveform Size 0.2 mV/cm 0.5 mV/cm 1 mV/cm 2 mV/cm 4 mV/cm 8 mV/cm Vital-signs display In a display screen (see “About Display Formats” on page 21), pressing causes the monitor to replace the current screen with another screen related to the current context. For example, if SpO2 is highlighted in the Two Waveforms display (Figure 26) and you press ... Figure 26. Using the Action Button ( HALL, ROBERT E. 3456187 Adult 3:00:06P Rm 239 II 1mV/cm (Two Waveforms display) SpO2 2x 12 97 % 80 140/78 NIBP mmHg (102) Resp/min SpO2 HR/min With SpO2 highlighted, press @2:47P Manual ...the monitor presents the SpO2 control menu (Figure 27). About Green Highlights Green highlights identify the current values of multiple parameters within a given context. For example, in the control menu shown in Figure 27, the current settings of the SpO2 parameters are highlighted in green. 34 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor Menus Using Control Menus Figure 27. SpO2 Control Menu (Example) HALL, ROBERT E. 3456187 Adult 3:00:06P Rm 239 II 1mV/cm Control context Parameters Current settings 80 HR/min SpO2 Exit 140/78 12 NIBP mmHg (102) Resp/min SpO2 Monitoring Upper Alarm Upper Limit Lower Alarm Lower Limit HP/PR Tone Trends 97 % SpO2 Off On Standby Off On 100 Off On 90 Off Low Med High Snapshots Control menu Setup A control menu includes a topic name for the current context (for example, SpO2); a column of parameters with one highlighted (for example, SpO2 Monitoring); and a column of options, with one item in each set of options highlighted (for example, Standby, On, 100, On, 90, Low). The blue highlight indicates the parameter currently enabled for modification. The green highlights indicate the current settings for all parameters in the menu. At the bottom of the screen for all control menus are links to Exit, Trends, Snapshots, and Setup. Exit Return to the vital-signs display. Trends View a tabular history. Snapshots View a series of 21-second waveform snapshots of the current patient’s vital signs. Setup Access the setup menu. (See “To Access the Setup Menus” on page 38.) Directions for Use Overview of Monitor Operation 35 Example: Using a Control Menu Using the example (Figure 27), you would do the following to raise the SpO2 lower alarm limit to 95 (Step 1) and shut off the HR/PR tone (Step 2): 1. With SpO2 Monitoring highlighted, scroll (using ) to highlight Lower Limit, and press as many times as needed to raise this alarm limit to 95. Note If you decrease an upper alarm limit to a value almost as low as the lower limit, the lower limit decreases so that it is always lower than the upper limit. If you increase a lower alarm limit to a value almost as high as the upper limit, the upper limit increases so that it is always higher than the lower limit. 2. Scroll (using highlight Off. Note or as many times as needed to When you change a setting (for example, by turning off an alarm limit or by increasing or decreasing an alarm limit), the change takes effect immediately. 3. Press Note ) to HR/PR Tone, and press either or to exit the control screen and return to the vital-signs display. When you exit a control menu, the values displayed at the time you exit are the values in effect for the monitor. If you change a parameter setting and then decide before exiting the control menu to keep the previous setting values, you must return the parameters to the original values before you exit the control menu. About the HR/PR Control Menu Parameter Options Parameter Options Upper Alarm Off On Lower Alarm Off On Upper Limits Adult Pediatric Neonate HR/PR Tone Lower Limits 27 - 300 beats/minute 27 - 300 beats/minute 27 - 300 beats/minute Off Low Med High Adult Pediatric Neonate Selected Source 25 - 298 beats/minute 25 - 298 beats/minute 25 - 298 beats/minute ECG SpO2 About the SpO2 Control Menu Parameter Options Parameter Options SpO2 Monitoring Off On Standby HR/PR Tone Off Low Med High Upper Alarm Off On Lower Alarm Off On Upper Limit Adult Pediatric Neonate Lower Limit 52% - 100% 52% - 100% 52% - 100% Adult Pediatric Neonate 50% - 98% 50% - 98% 50% - 98% 36 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor About the NIBP Control Menu The NIBP control (Figure 28) has four submenus: Manometer, Systolic, Diastolic, and Mean. Press or to select a submenu. Figure 28. NIBP Control Menu STEWART, ANN 7762940 Adult II 3:00:06P Rm 263 1mV/cm 80 HR/min 140/78 12 NIBP mmHg (102) Resp/min NIBP Manometer Systolic Upper Sys Alarm Off Upper Sys Limit 220 Lower Sys Alarm Off 75 Lower Sys Limit NIBP Mode Auto Auto Interval (min) 1 2 Exit Note Trends Diastolic On 97 % SpO2 Mean On Manual Turbo 3 5 10 15 30 60 Snapshots Setup For manometer information, see “To Use the Digital Manometer” on page 73. Parameter Options Parameter Systolic Upper Sys Alarm Off On Upper Sys Limit Adult Pediatric Neonate NIBP Mode Systolic Lower Sys Alarm 32 - 260 mmHg 32 - 160 mmHg 27 - 120 mmHg Auto Manual Turbo Off On Upper Dia Limit Adult Pediatric Neonate NIBP Mode Adult Pediatric Neonate Auto Interval (min) NIBP Mode 1 2 3 5 10 15 30 60 Lower Dia Alarm Off On Lower Dia Limit 22 - 235 mmHg 17 - 130 mmHg 12 - 105 mmHg Auto Manual Turbo Off On Upper MAP Limit Adult Pediatric Neonate 30 - 258 mmHg 30 - 158 mmHg 25 - 118 mmHg Diastolic Adult Pediatric Neonate Auto Interval (min) MAP Upper MAP Alarm Off On Lower Sys Limit Diastolic Upper Dia Alarm Options 20 - 233 mmHg 15 - 128 mmHg 10 - 103 mmHg 1 2 3 5 10 15 30 60 MAP Lower MAP Alarm Off On Lower MAP Limit 22 - 255 mmHg 17 - 140 mmHg 12 - 110 mmHg Auto Manual Turbo Adult Pediatric Neonate Auto Interval (min) 20 - 253 mmHg 15 - 138 mmHg 10 - 108 mmHg 1 2 3 5 10 15 30 60 Directions for Use Overview of Monitor Operation About the Resp Control Menu Parameter Options Parameter Options Resp Monitoring Off On Lower Alarm Off On Upper Alarm Off On Lower Limit Upper Limit Adult 2 - 148 Adult 4 - 150 Pediatric 2 - 148 Pediatric 4 - 150 Neonate 3 - 148 Neonate 5 - 150 Ld1 (RA-LA) Ld2 (RA-LL) Resp Lead Using Setup Menus Use the Setup menus to define settings for monitor behavior. Setting Options Setting Options Alarms NIBP Suspend Audible Alarms Off, On (with a time value) NIBP Format SD, SD(m), sd(M) Alarm Tone Low, Medium, High NIBP Units mmHg, kPa ECG Smartcuf (available in 2006) Off, On Resp Monitoring Off, On Timings ECG Bandwidth Monitor, Extended Back Light Time Out (Min) 2, 5, 10, 15, 30, On, Off Power Source Filter 60 Hz, 50 Hz, Off Display Time Out (Min) 2, 5, 10, 15, 30, On Pacer Indicator Off, On Demo Mode Disabled, Low, High 37 38 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor To Access the Setup Menus From any main display screen (such as Large Numerics, Dual Waveform...): 1. Highlight 2. Press , HR/PR, SpO2, NIBP, Resp, or 3. Highlight Setup (at the bottom of the screen) and press Figure 29. Setup Menus ID: 01018VDO9PBH SIMULATION II 3:00:06P Adult Rm 239 Setup 1mV/cm 80 HR/min 12 Resp/min NIBP mmHg Setup Alarms ECG NIBP Timings Service Suspend Audible Alarms Off Alarm Tone Low Exit Note Trends 97 % SpO2 On (90 sec) Med Snapshots High Setup If you change parameter settings and then change the patient mode (from adult to pediatric, for example): • all parameters are reset to the configuration default values for the new patient mode • all stored patient data is lost WARNING The Setup menus are also used to access the Service menu. Do not enter the Service menu unless you are a qualified service person. Directions for Use Overview of Monitor Operation 39 About Monitor Information Screens Both the start-up information screen and the monitoring information screen provide information about the monitor. To View the Start Up Information Screen From the power-on screen (Figure 7 on page 14), highlight Info. Figure 30. Start-Up Information Welch Allyn Propaq 802LTRN Serial# F82C0DD5 V1.00.00 Portland Westside Emergency Department PtldWstsdED10Jun05.mnt Ann Jones, MD 503-530-0101 x9999 Patient Mode Adult Snapshots none saved Wireless Communications Enabled Start New Patient Info Welch Allyn Propaq 802LT0N Serial# AB72383-1 V1.00.00 Portland Westside Emergency Department PtldWstsdED10Jun05.mnt Ann Jones, MD 503-530-0101 x9999 Patient Mode Adult Snapshots 14 of 20 saved Wireless Communications Disabled Demo Start New Patient Continue Patient Info Demo The start-up information screen provides the following: • Monitor type (LTRN=wireless, LT0N=standalone), serial #, and software version # (V X.XX.XX) • Medical facility name and department • Configuration file name • Contact person’s name and telephone number • Current patient mode (Adult, Pediatric, Neonate) • Number of data snapshots saved (0 - 20) • Network communications status (Enabled, Disabled) To exit the start-up information screen, do one of the following: • Highlight Continue Patient or Start New Patient to start monitoring. • Highlight Demo to enter Demo mode. • Press to turn off the monitor. 40 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor To View the Monitoring Information Screen Highlight (in the upper right corner of the vital-signs display) and press Figure 31. Monitoring Information HALL, ROBERT E. 3456187 Adult II 12:41:32 Rm 239 1mV/cm 80 (100) 12 HR/min NIBP mmHg (148-86) Resp/min Portland Westside Emergency Department PtldWstsdED10Jun05.mnt Ann Jones, MD 503-530-0101 x9999 Exit Trends 97 % SpO2 Snapshots Setup The monitoring information screen provides the following information: • Continuous numeric and waveform display of patient vital signs • Medical facility name and unit • Configuration file name. • Contact person’s name and telephone number To exit the monitoring information screen, do one of the following: • To return to the primary display, press • To see a tabular display of vital signs, highlight Trends and press • To view saved snapshots of vital signs, highlight Snapshots and press • To view the Setup menu, highlight Setup and press • To turn off the monitor, press , or highlight Exit and press Directions for Use Overview of Monitor Operation 41 Using Demo Mode In Demo mode, the monitor displays simulated patient data for all vital signs. You can use Demo mode to practice taking vital-signs measurements, modifying alarm limits and other settings, cycling through display formats, and responding to alarm conditions. To start Demo mode, all of the following must be true: • The power-on screen is displayed. • The monitor is not in NIBP Auto mode. • Patient data was deleted when the monitor was last shut down; that is, the monitor contains no stored patient data. • The SpO2 and ECG cables are not connected to the monitor. To Enter Demo Mode Low 1. Verify that the SpO2 and ECG cables are not connected to the monitor. 2. Cycle the monitor off (deleting any saved data) and then on again. 3. When the main screen appears, highlight Demo (Figure 32) and press Note If you enter Demo mode with an SpO2 or ECG cable connected, the monitor enters Demo mode for only a second or two before shutting down and powering up in monitor mode. If you are in Demo mode and you connect an SpO2 or ECG cable or select NIBP auto mode, the monitor shuts down and powers up to the start-up screen. Figure 32. Power-On Screen: Demo Highlighted No data saved. Select ( ) to enter Demo Mode (unplug patient cables) Start New Patient Info Demo Demo mode is indicated by the message ‘SIMULATION’ in the upper left corner of the screen (Figure 33). If the monitor is connected to Acuity, ‘SIMULATION’ also appears on the Acuity display. 42 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor Figure 33. Demo Mode: Initial Display ID: 01018VDO9PBH SIMULATION 3:00:06P Adult Rm 239 80 97 12 HR/min SpO2 NIBP mmHg Resp/min When you enter Demo mode, the monitor is in ‘Demo Mode Low’. The simulated vital signs of the patient are steady and do not cause any alarms at the default alarm limit settings. You can explore the monitor displays and menus, and you can change the same settings and values in Demo mode that you can change in normal mode. In Demo Mode Low, if you adjust the alarm limits to put the simulated patient’s vital signs out of limits, the monitor simulates an alarm condition. Another way to simulate an alarm condition is to switch the monitor to Demo Mode High, which uses higher numeric values. To Switch to Demo Mode High 1. Access the Setup menu. (“To Access the Setup Menus” on page 38.) 2. Press to highlight Timings (Figure 34). Figure 34. Setup: Timings ID: 01018VDO9PBH SIMULATION II 3:00:06P Adult Rm 239 1mV/cm 80 HR/min NIBP mmHg Setup Alarms ECG Backlight Timeout (min) Display Timeout (min) Demo Mode Exit Trends 12 Resp/min 97 % SpO2 NIBP Timings Service 2 5 10 15 30 On Off 2 5 10 15 30 On Off Low High Snapshots Setup Timings Default Demo mode (Low) Directions for Use Overview of Monitor Operation 43 The Timings menu specifies the Demo mode—Demo Mode Low, which simulates normal vital signs, and Demo Mode High, which simulates a higher heart rate (HR), higher respiration rate (Resp), and lower oxygen saturation (SpO2). 3. Press to highlight Demo Mode, and press or to highlight High (Figure 35). Figure 35. Setup: Timings: Demo Mode High ID: 01018VDO9PBH SIMULATION II 3:00:06P Adult Rm 239 1mV/cm 80 HR/min Setup Alarms ECG NIBP Timings Service Backlight Timeout (min) Display Timeout (min) Demo Mode Exit Trends 4. Press or 97 % SpO2 12 Resp/min NIBP mmHg Demo Mode: High 2 5 10 15 30 On Off 2 5 10 15 30 On Off Low High Snapshots Setup to return to the main display (Figure 36). Figure 36. Demo Mode High: Initial Display ID: 01018VDO9PBH SIMULATION 3:00:06P Adult Rm 239 80 97 12 HR/min NIBP mmHg SpO2 Resp/min The monitor generates an alarm within seconds of reading this new set of simulated vital signs. The red alarm indicator (Figure 37) illuminates and flashes, the numerics for all violating vital signs—HR, SpO2, and Resp—turn red and flash, and the highlight moves to the most recent alarming numeric. 44 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor Figure 37. Demo Mode High: Simulated Alarm Condition Flashing red: patient alarm HR limit violation (red) ID: 01018VDO9PBH HALL,( ROBERT E. Select ) for controls 3:00:06P Adult3456187 Rm 239 3:00:06P Adult, Rm 239 125 88 31 II 1mV/cm SpO2 HR/min 2x SpO2 limit violation (red) Resp limit violation (red) SpO2 40/ 78 12 97 80 140 97% NIBP SpO2 NIBPmmHg mmHg(102) Resp/min Resp/min HR/min @2:47P S Manual With the monitor simulating an alarm, you can practice responding to alarms. (See “Responding to an Alarm” on page 90.) To Exit Demo Mode Press . The Demo Mode Power Off screen appears (Figure 38). Figure 38. Demo Mode Power Off ID: 01018VDO9PBH SIMULATION 15:01:24 Adult Rm 239 You have pressed the Power Off button. Select ( ) to delete patient data and shut down. Delete & Shut Down Cancel Setup • To shut down the monitor, press . (No data can be saved from Demo mode.) • To resume Demo mode, highlight Cancel and press • To access the Setup menu, highlight Setup and press Directions for Use Overview of Monitor Operation 45 Power Saving To maximize battery life, the monitor display shuts off when the following conditions are all true: • No button press for a period of n seconds. (n is configurable.) See “Timing Out the Display and the Back Light” on page 23. • No active alarms or alerts • No Acuity Message window • No Patient ID entry window Turning Off the Monitor To Turn Off the Monitor Press The Power Off screen appears (Figure 39): Figure 39. Power Off Screen HALL, ROBERT E. 3456187 Adult 15:01:24 Rm 239 You have pressed the Power Off button. There is patient data stored for Hall, Robert E. ID: 3456187 Select ( ) to delete patient data and shut down. Delete & Shut Down Save & Shut Down Cancel Setup Highlight the desired action and press Note If you press to power down before leaving the power-on screen (Figure 7 on page 14), the monitor shuts down without presenting the screen shown above. Communicating with an Acuity Central Station See “Monitoring in Communication with Acuity” on page 77, and see Acuity Directions for Use. About Error Detection The monitor can detect conditions that prevent it from operating properly. If this occurs, it displays an error message and number. Follow the directions displayed on the screen. 46 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor Transporting the Monitor with the Patient An ambulatory patient can wear or carry the monitor using the Wearable Strap or the Patient Carry Strap (optional accessories). Medical personnel can use the Transport Stretcher Carry Strap to keep the monitor with a patient during stretcher transport. WARNING When the patient is wearing or carrying the monitor, carefully route any patient cabling to reduce the possibility of patient entanglement or strangulation. Use the supplied garment clips to secure the cable properly. WARNING When positioning straps on the patient, make sure the straps do not entangle the patient’s neck or cause choking. WARNING Make sure the straps do not restrict the movement of the patient’s limbs or create a hazard for the patient when the patient is walking or moving. WARNING Never use a strap to carry or pick up both the monitor and the cradle. The straps are not intended to support, and cannot support, the combined weight of the monitor and the cradle. To Attach the Wearable Strap WARNING Do not put the wearable strap on the patient while the patient is in bed. The intended use of the wearable strap is to keep the monitor—without the cradle—with the patient when the patient is ambulatory. Figure 40. Patient-Wearable Strap 1. Place the wearable strap on the sitting or standing patient and adjust all components for a comfortable, secure fit (Figure 40 left). 2. Connect the wearable strap securely to the monitor strap mounts (Figure 40 right). 3. Carefully arrange the strap and the monitor on the patient to avoid bruising or other skin injuries. Directions for Use Overview of Monitor Operation 47 To Use the Patient Carry Strap (Figure 41) WARNING Do not use the patient carry strap to lift or carry both the monitor and the cradle. The patient carry strap is not intended to support (and cannot support) the weight of both the monitor and the cradle. Attempting to carry both the monitor and the cradle with a patient carry strap could lead to patient injury and to damage to the monitor and the cradle. 1. Remove the monitor from the cradle. 2. Detach any monitor cables from such accessories as an IV pole. 3. Verify that all cables are disentangled from the bed and any bedside tables. 4. Connect the ends of the carry strap to the strap mounts on the monitor. Figure 41. Patient Carry Strap To Use the Transport Stretcher Carry Strap (Figure 42) 1. With the monitor facing away from the stretcher and the patient, attach one end of the strap to a monitor strap mount. 2. Run the monitor strap under the stretcher restraint straps, near the patient’s waist. 3. Attach the other end of the strap to the other strap mount. Figure 42. Monitor Secured to the Patient During Stretcher Transport 4. Before transporting the patient, verify that all monitor cables are clear. 48 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs Monitor
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