Welch Allyn FN802FH Propaq 802 LTRN User Manual part 6 of 10
Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 6 of 10
Contents
Users Manual part 6 of 10
77 Monitoring in Communication with Acuity About Wireless Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 Establishing Communication with Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Monitoring a Patient Outside of Network Range. . . . . . . . . . . . . . . . . . . . . . . . .79 About Acuity Message Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 About Wireless Monitoring The 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 Monitor 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. Establishing Communication with Acuity If 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 Indicator (blank) The monitor is not enabled for communication with Acuity. The monitor is communicating via USB cable with a PC. The 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. HALL, ROBERT E. 3456187 Adult II 3:00:06P Rm 239 1mV/cm Verify that the monitor, within a minute or two, displays to Acuity has been established. to indicate that the connection 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. 12 80 140/78 97 Resp/min SpO2 NIBP mmHg (102) HR/min @2:47P Manual Directions for Use Monitoring in Communication with Acuity 79 At 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: ECG/Resp “Monitoring ECG and Resp” on page 55 SpO2 “Monitoring SpO2” on page 64 NIBP “Monitoring Blood Pressure (NIBP)” on page 69 Monitoring a Patient Outside of Network Range Monitoring 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 Note to acknowledge the alert. When the monitor is outside of network range, battery operating time is reduced. When the monitored patient is again within network range, the monitor reconnects to the network and wireless monitoring resumes. Note When communication with the network is re-established, trends data is uploaded to Acuity but snapshot data is not. About Acuity Message Menus When 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. 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. First, the monitor displays a list of units (Figure 76). Highlight the unit for this patient and press . 80 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor Figure 76. Acuity Unit List STEWART, ANN 7762940 Adult II 12:41:32 Rm 263 1mV/cm 80 HR/min 12 Resp/min NIBP mmHg SELECT UNIT Emergency Department Pediatric 97 % SpO2 The 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 List STEWART, ANN 7762940 Adult II 12:41:32 Rm 263 1mV/cm 80 HR/min 12 Resp/min NIBP mmHg SELECT PATIENT Enter new patient 4727937, BENET, CLAUDE 9542683, MERKER, HANS 7762940, STEWART, ANN 3398290, TAYLOR, MIKE 97 % SpO2 If 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 List STEWART, ANN 7762940 Adult II 12:41:32 Rm 263 1mV/cm 80 HR/min NIBP mmHg SELECT ROOM Enter new room 1304D 1306A 1306B 1306C 1306D 12 Resp/min 97 % SpO2 Directions for Use Monitoring in Communication with Acuity 81 If Communication is Interrupted During Monitoring If communicated monitoring has begun and communication is then interrupted, the monitor displays an alert message (Figure 79). Figure 79. Alert Message: Communications Fault STEWART, ANN 7762940 Adult aVR 80 HR/min 12:41:32 Rm 263 2mV/cm NIBP mmHg 12 Resp/min 97 % SpO2 EQUIPMENT ALERT Communications fault Check Acuity/network connection Acknowledge Press 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). 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. Figure 80. Same Patient Query STEWART, ANN 7762940 Adult aVR 80 HR/min 2mV/cm NIBP mmHg 12 Resp/min CONFIRM PATIENT? IS THIS MONITOR STILL CONNECTED TO 7762940 ED 263 ANN STEWART YES NO NEW ROOM NEW UNIT Press 12:41:32 Rm 263 to confirm. 97 % SpO2 82 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor To access the Acuity Menu after connection has been established: 1. Highlight and press . The Wireless Mode popup menu appears (Figure 82). Depending on the level of network traffic, some interactions between the monitor and Acuity can take a few seconds to complete. Note 2. Highlight Acuity Menu and press Figure 81. Acuity Menu STEWART, ANN 7762940 Adult II 12:41:32 Rm 263 1mV/cm 80 HR/min NIBP mmHg ACUITY MENU EXIT END TELE NEW ROOM TRANSFER NEW PATIENT PATIENT INFO 12 Resp/min 97 % SpO2 You 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 Directions for Use Monitoring in Communication with Acuity 83 To Disconnect From the Network 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 1. Highlight and press 2. Highlight Disconnect (Figure 82), press , and confirm. Figure 82. Wireless Mode: Disconnect STEWART, ANN 7762940 II 15:20:28 Wireless Rm ED 263 Mode Exit Disconnect Acuity Menu Adult 1mV/cm Wireless Drop-Down Menu 80 HR/min NIBP mmHg 12 97 % Resp/min SpO2 changes to and the message ‘DISCONNECTED’ appears (Figure 83), alternating with the patient ID number. Figure 83. Patient Disconnected from the Network STEWART, ANN DISCONNECTED Adult II 15:20:28 Rm 263 1mV/cm 80 HR/min Note NIBP mmHg 12 97 % Resp/min SpO2 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. To Reconnect a Patient to the Network 1. 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. 84 Monitoring in Communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor
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