Welch Allyn FN802FH Propaq 802 LTRN User Manual part 6 of 10

Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 6 of 10

Users Manual part 6 of 10

477Monitoring in Communication with AcuityAbout Wireless Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77Establishing Communication with Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78Monitoring a Patient Outside of Network Range. . . . . . . . . . . . . . . . . . . . . . . . .79About Acuity Message Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79About Wireless MonitoringThe model 802LTRN (wireless) monitor can operate either in standalone mode or in communication with a Welch Allyn Acuity Central Station. (For information about standalone monitoring, see “Standalone Monitoring” on page 49.)While the wireless monitor is connected to the FlexNet network, patient data gathered by the monitor is continuously stored at Acuity. At the Acuity station you can access this patient information and perform administrative functions, including the following:• Admit, transfer, and discharge a patient in the Acuity unit.• Edit the patient description (name, physician, and so on).• Review and print patient data such as trends and waveforms.For more information about Acuity and the FlexNet wireless network, refer to Acuity Directions For Use. WARNING When monitoring a patient who has a pacemaker, position the monitor to maintain a minimum distance of 6 inches (16 cm) between the monitor and the pacemaker. If you have any reason to suspect that the monitor is interfering with the pacemaker, immediately turn the monitor off and provide appropriate patient care. The Health Industry Manufacturers Association recommends this minimum distance (6 inches or 16 cm) between a hand-held wireless radio and a pacemaker, which is consistent with the independent research by, and recommendations of, Wireless Technology Research.WARNING When considering a treatment protocol that involves wireless communication of patient data, be aware of this limitation: When the monitor is not connected to the network by wireless connection:Acuity does not receive patient alarms or alerts from the monitor.Acuity does not perform arrhythmia and ST analysis on patient data and therefore does not generate related alarms.
78 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs MonitorEstablishing Communication with AcuityIf the monitor is enabled for communication with Acuity, communication is established automatically whenever the monitor is within range of the network.The monitor always indicates the status of the connection:Figure 75. Connection Status IndicatorVerify that the monitor, within a minute or two, displays to indicate that the connection to Acuity has been established.Upon connecting to the network, the monitor uploads the following data to Acuity:• Patient information and trends stored at the monitor before the network connection was established.• Monitor settings.WARNING If you establish a USB link to any active host while the monitor is in network communication with Acuity, the wireless connection is lost.Note When the monitor is used in Canada:To provide maximum shielding (to prevent radio interference to the licensed service), the monitor is intended to be operated indoors and away from windows. Radio equipment (or its transmit antenna) that is installed outdoors is subject to licensing.Afin de fournir un écran de blindage maximal (pour empêcher que cet appareil cause du brouillage au service faisant l’objet d’une licence), l’appareil doit être utilisé à l’intérieur et devrait être placé loin des fenêtres. Si le matériel (ou son antenne d’émission) est installé à l’extérieur, il doit faire l’objet d’une licence.%140/7880 12 97HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/min NIBP mmHg (102)@2:47P Manual Resp/min SpO2 II 1mV/cmThe monitor is associated with the network and is communicating with Acuity.(Flashing) The monitor is associated with the network but is not communicating with Acuity.(Continuous) The monitor is not associated with the network and is not communicating with Acuity.The monitor is not enabled for communication with Acuity.(blank)The monitor is communicating via USB cable with a PC.
Directions for Use Monitoring in Communication with Acuity 79At the same time, Acuity downloads some configuration settings to the monitor. (See “About Acuity-Defined Configuration” on page 113.)For information on monitoring vital signs, see the following:Monitoring a Patient Outside of Network RangeMonitoring continues locally when the monitored patient goes outside of the range of the network. The monitor provides local Resp, NIBP, HR/PR and SpO2 alarms or equipment alerts. The following also happens:• An alert occurs at Acuity with the message DROPOUT.• An alert occurs at the monitor with the message Check Acuity/network connection.• The monitor emits audible alert tones.• The appropriate caregiver presses to acknowledge the alert.When the monitored patient is again within network range, the monitor reconnects to the network and wireless monitoring resumes.About Acuity Message MenusWhen the monitor first establishes communication with Acuity and the clinician selects to start a new patient, the monitor presents a series of screens to determine the location (unit and room number) and the name and ID number of the monitored patient. If the patient is already known to Acuity, you can select the identifying information from a series of lists. If the patient is new to Acuity, you provide the information.If the clinician is continuing to monitor the same patient, these Acuity message menus are not presented.First, the monitor displays a list of units (Figure 76). Highlight the unit for this patient and press .ECG/Resp “Monitoring ECG and Resp” on page 55SpO2“Monitoring SpO2” on page 64NIBP “Monitoring Blood Pressure (NIBP)” on page 69Note When the monitor is outside of network range, battery operating time is reduced.Note When communication with the network is re-established, trends data is uploaded to Acuity but snapshot data is not.Note Some of these menus can contain lists that are too long to fit on the screen. To view or highlight list items that are not on the screen, press or repeatedly as needed scroll the list.
80 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs MonitorFigure 76. Acuity Unit ListThe monitor then displays a list of patients (Figure 77). • If the patient’s name is already on the list, highlight the name and press . • If it is not, highlight Enter new patient, press , and use the information entry screen (Figure 46 on page 51) to enter the patient’s name and/or ID number (if either is known).Figure 77. Acuity Patient ListIf you select the name of an existing patient, the monitor displays a list of rooms (Figure 78). Select the patient’s room.Figure 78. Acuity Room ListII 1mV/cm II 1mV/cm HR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 % % STEWART, ANN STEWART, ANN 7762940 7762940 12:41:32 12:41:32 Adult Adult Rm 263Rm 263SELECT SELECT UNIT UNIT Emergency DepartmentEmergency DepartmentPediatric Pediatric 80 80 12 12 97 97 II 1mV/cm II 1mV/cm 7762940, STEWART, ANN 7762940, STEWART, ANN 3398290, TAYLOR, MIKE 3398290, TAYLOR, MIKE HR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 % % STEWART, ANN STEWART, ANN 7762940 7762940 12:41:32 12:41:32 Adult Adult Rm 263Rm 263SELECT SELECT PATIENT PATIENT Enter new patient Enter new patient 4727937, BENET, CLAUDE 4727937, BENET, CLAUDE 9542683, MERKER, HANS 9542683, MERKER, HANS 80 80 12 12 97 97 II 1mV/cm II 1mV/cm 1306B1306B1306C1306CHR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 % % STEWART, ANN STEWART, ANN 7762940 7762940 12:41:32 12:41:32 Adult Adult Rm 263Rm 263SELECT SELECT ROOM ROOM Enter new room Enter new room 1304D1304D1306A1306A1306D1306D80 80 12 12 97 97
Directions for Use Monitoring in Communication with Acuity 81If Communication is Interrupted During MonitoringIf communicated monitoring has begun and communication is then interrupted, the monitor displays an alert message (Figure 79).Figure 79. Alert Message: Communications FaultPress to clear the message.When the monitor re-establishes communication with Acuity (after an interruption of at least 30 seconds), it prompts you to confirm that the patient being monitored is the same patient that was being monitored when communication was interrupted (Figure 80).Figure 80. Same Patient QueryPress to confirm.Note If the communication interruption lasts less than 30 seconds, or if you save, cycle power, and reestablish communication within 30 seconds, this confirmation is not required.aVR 2mV/cm aVR 2mV/cm HR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 % % STEWART, ANN STEWART, ANN 7762940 7762940 12:41:32 12:41:32 Adult Adult Rm 263Rm 263EQUIPMENT ALERT EQUIPMENT ALERT Communications fault Communications fault Check Acuity/network connection Check Acuity/network connection Acknowledge Acknowledge 80 80 12 12 97 97 aVR 2mV/cm aVR 2mV/cm HR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 % % STEWART, ANN STEWART, ANN 7762940 7762940 12:41:32 12:41:32 Adult Adult Rm 263Rm 263CONFIRM PATIENT? CONFIRM PATIENT? TO 7762940 ED 263 TO 7762940 ED 263 YES YES NEW UNIT NEW UNIT IS THIS MONITOR STILL CONNECTED IS THIS MONITOR STILL CONNECTED ANN STEWART ANN STEWART NO NO NEW ROOM NEW ROOM 80 80 12 12 97 97
82 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs MonitorTo access the Acuity Menu after connection has been established:1. Highlight and press . The Wireless Mode popup menu appears (Figure 82).2. Highlight Acuity Menu and press .Figure 81. Acuity MenuYou can use the Acuity Menu (Figure 81) to end the telemetry session (END TELE), assign the patient to a new room (NEW ROOM), transfer the patient to another unit (TRANSFER), enter the name and ID of a new patient (NEW PATIENT), or update the information for the current patient (PATIENT INFO).To close the Acuity Menu, highlight EXIT and press .Note Depending on the level of network traffic, some interactions between the monitor and Acuity can take a few seconds to complete.II 1mV/cm II 1mV/cm TRANSFER TRANSFER NEW PATIENT NEW PATIENT 80 80 HR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 12 12 97 97 % % STEWART, ANN STEWART, ANN 7762940 7762940 12:41:32 12:41:32 Adult Adult Rm 263Rm 263ACUITY ACUITY MENU MENU EXIT EXIT END TELE END TELE NEW ROOM NEW ROOM PATIENT INFO PATIENT INFO
Directions for Use Monitoring in Communication with Acuity 83To Disconnect From the Network1. Highlight and press .2. Highlight Disconnect (Figure 82), press , and confirm.Figure 82. Wireless Mode: Disconnect changes to and the message ‘DISCONNECTED’ appears (Figure 83), alternating with the patient ID number.Figure 83. Patient Disconnected from the NetworkTo Reconnect a Patient to the Network1. Highlight and press . 2. Highlight Reconnect and press . The monitor prompts you for information about the connection and the patient.3. Provide the information requested.Note Disconnecting the monitor from the network while the monitor is outside of network range greatly extends battery life. However, connection with the network must first have been established before this is possible.Note If you disconnect from the network and then turn off the monitor before reconnecting, and if you then select Continue Patient when you again turn on the monitor, the monitor powers up in the disconnected state.% 80 80 12 12 97 97STEWART, ANNSTEWART, ANN7762940776294015:20:2815:20:28AdultAdultRm ED 263Rm ED 263HR/minHR/minNIBP mmHgNIBP mmHgResp/minResp/minSpO2SpO2II 1mV/cmII 1mV/cmWireless ModeWireless ModeExitExitDisconnectDisconnectAcuity MenuAcuity MenuWireless Drop-Down Menu% % 80 80 12 12 97 97 STEWART, ANN STEWART, ANN DISCONNECTED DISCONNECTED 15:20:28 15:20:28 Adult Adult Rm 263Rm 263HR/min HR/min NIBP mmHg NIBP mmHg Resp/min Resp/min SpO2 SpO2 II 1mV/cm II 1mV/cm
84 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor

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