Welch Allyn FN802FH Propaq 802 LTRN User Manual part 8 of 10
Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 8 of 10
Contents
Users Manual part 8 of 10
95 Storing and Reviewing Patient Data Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 Capturing a Data Snapshot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Reviewing Data at the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Reviewing Data at a PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Reviewing Data at Acuity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Overview The monitor stores up to 24 hours (at one-minute intervals) of trends information for the patient being monitored. When data storage is at capacity, the data from each new reading replaces the data from the oldest. Table 10. Store and Review Patient Data All Monitors Type of Data TRENDS • Tabular or graphical. • Include maximum of 24 hours of trend data taken at: 1-minute intervals NIBP and SpO2 Spot Checks Snapshots Wireless Monitor Up to 96 hours (depends on Acuity system) of full disclosure data includes: • numerics and waveforms • status SNAPSHOTS • 21 seconds of numeric and waveform data: 14 seconds before and 7 seconds after the snapshot request. to take snapshots. (Maximum: 5 snapshots • Press per minute.) • Maximum of 20 snapshots stored. At capacity, each new snapshot overwrites the oldest. Where Stored Monitor Acuity via wireless communication Where Reviewed Monitor Printer (with AutoPrint) Acuity 96 Storing and Reviewing Patient Data Welch Allyn Propaq LT Vital Signs Monitor Capturing a Data Snapshot HALL, ROBERT E. 3456187 Adult, 3:00:06P Rm 239 II 1mV/cm SpO2 2x 40/78 78 12 97% 80 140 97 NIBP mmHg (102) Resp/min SpO2 HR/min @2:47P Manual Propaq LT Press to take a Snapshot Press to capture a 21-second period of numeric and waveform patient data. The monitor captures the 14 seconds preceding and the 7 seconds following the button press. The monitor can store 20 snapshots. After 20 snapshots have been taken, each new snapshot replaces the oldest snapshot in memory. Reviewing Data at the Monitor Snapshots and trend data can be reviewed at the monitor. Reviewing Snapshots To Review Snapshots From any main display screen (such as Large Numerics, Dual Waveform...): 1. Highlight 2. Press , HR/PR, SpO2, NIBP, Resp, or 3. Highlight Snapshots and press . The Snapshots display appears (Figure 90). Figure 90. Snapshots Display STEWART, ANN 7762940 15:14:28 Adult Rm 263 Snapshots 80 12 97 % HR/min NIBP mmHg Resp/min SpO2 80 n/a 12 97 II 1mV/cm #5 of 5 2/21/05 1 Sec after 14:34:58 Directions for Use Storing and Reviewing Patient Data 97 4. The monitor first displays Select. With Select highlighted, press to view the list of up to 20 snapshots. To view another snapshot, highlight the snapshot menu (#5 of 5 in the example above), press , and highlight any of the available snapshots. The blue markers at the bottom of the waveform display represent one-second intervals. The numeric data above the waveform represents the patient’s vital signs measured at a specific time relative to that indicated in the lower right corner. For example: In Figure 90, the data was measured at “1 Sec after” 14:34:58. 5. To view the waveform and the numeric data for a specific time within the 21 seconds of data, highlight 1 Sec after and then use or scroll the display to the desired time. For example, to see the vital signs taken five seconds after the trigger point of the snapshot, highlight 1 Sec after and press and hold as needed to increment the display (Figure 91) to 5 Sec after. Figure 91. Snapshots Display: 5 Seconds After the Button Press STEWART, ANN 7762940 15:14:28 Adult Rm 263 Snapshots 80 12 97 % HR/min NIBP mmHg Resp/min SpO2 80 n/a 12 97 II 1mV/cm #5 of 5 2/21/05 5 Sec after 14:34:58 6. To change the source of the displayed waveform, see “To Change the Waveform Selection” on page 59. 7. To change the size of the waveform, see “To Change the Waveform Size” on page 60. 8. From this display, you can switch to another type of display or you can exit and return to the primary display. To do this, highlight Snapshots and press . The Trends menu appears (Figure 92), from which you can exit or switch to another display—Tabular, Tabular and Waveform, or Graphical. To switch to the split display, for example, highlight Tab/Wave and press . 98 Storing and Reviewing Patient Data Welch Allyn Propaq LT Vital Signs Monitor Figure 92. Snapshots Display: Switching to Another Display STEWART, ANN 7762940 15:14:28 Adult Trends Snapshots Tabular Tab/Wave Graphical II Snapshots Exit Rm 263 80 12 97 % HR/min NIBP mmHg Resp/min SpO2 80 n/a 12 97 1mV/cm #5 of 5 2/21/05 5 Sec after 14:34:58 Reviewing Trends To Review Trends From any main display screen (such as Large Numerics, Dual Waveform...): 1. Highlight 2. Press , HR/PR, SpO2, NIBP, Resp, or 3. Highlight Trends and press Use and . The Trends display appears. to scroll through the list of trends. • Red indicates an alarm. • indicates that a snapshot exists for this trend. Highlight view the snapshot. • indicates that the snapshot for this trend was overwritten with a more recent snapshot and is not available for viewing. • --- indicates a value below the monitor’s measurement range. • +++ indicates a value above the monitor’s measurement range. • ??? indicates an undetermined value. and press to Directions for Use Storing and Reviewing Patient Data Figure 93. Trends Display, 1-Minute Interval STEWART, ANN 7762940 Adult 120/72(88) 04:45:10P Rm 263 Tabular 59 14 98 Time HR/min NIBP mmHg Resp/min SpO2 4:42P 4:41P 4:40P 4:40P 4:39P 4:39P 4:38P 4:37P 4:36P 4:35P 4:35P 4:34P 60 58 59 59 60 60 59 60 60 60 60 59 121/73(89) 119/72(88) 120/72(88) 120/72(88) 118/71(87) 118/71(87) 120/71(88) 119/71(87) 117/70(86) 120/72(88) 120/72(88) 119/72(88) 14 13 14 14 13 14 14 14 13 14 13 13 99 98 98 99 98 98 98 99 98 98 99 98 4. Highlight and view any available reading in tabular or graphical format. Changing the Trends Display Interval To Change the Trend Display Interval 1. Highlight Time and press Figure 94. View Interval Menu, 1-Minute Interval Selected STEWART, ANN 7762940 Adult 120/72(88) 04:45:12P Rm 263 Tabular 59 14 98 Time HR/min NIBP mmHg Resp/min SpO2 View Interval 1 min 4:42P 5 min 4:41P 10 min 4:40P 15 min 4:40P 30 min 4:39P 60 min 4:39P 4:38P 4:37P 4:36P 4:35P 4:35P 4:34P 60 58 59 59 60 60 59 60 60 60 60 59 121/73(89) 119/72(88) 120/72(88) 120/72(88) 118/71(87) 118/71(87) 120/71(88) 119/71(87) 117/70(86) 120/72(88) 120/72(88) 119/72(88) 14 13 14 14 13 14 14 14 13 14 13 13 99 98 98 99 98 98 98 99 98 98 99 98 99 100 Storing and Reviewing Patient Data Welch Allyn Propaq LT Vital Signs Monitor 2. Highlight the interval you want (Figure 95)... Figure 95. View Interval Menu, 10-Minute Interval Highlighted STEWART, ANN 7762940 Adult 120/72(88) 04:45:15P Rm 263 Tabular 59 14 98 Time HR/min NIBP mmHg Resp/min SpO2 View Interval 1 min 4:42P 5 min 4:41P 10 min 4:40P 15 min 4:40P 30 min 4:39P 60 min 4:39P 4:38P 4:37P 4:36P 4:35P 4:35P 4:34P 60 58 59 59 60 60 59 60 60 60 60 59 3. ...and press 121/73(89) 119/72(88) 120/72(88) 120/72(88) 118/71(87) 118/71(87) 120/71(88) 119/71(87) 117/70(86) 120/72(88) 120/72(88) 119/72(88) 14 13 14 14 13 14 14 14 13 14 13 13 99 98 98 99 98 98 98 99 98 98 99 98 Figure 96. Trends Display, 10-Minute Interval STEWART, ANN 7762940 Adult 119/72(88) 04:45:17P Rm 263 Tabular 60 14 98 Time HR/min NIBP mmHg Resp/min SpO2 4:40P 4:40P 4:39P 4:35P 4:30P 4:20P 4:10P 4:00P 3:59P 3:50P 3:40P 3:30P 59 59 60 59 58 60 59 60 59 59 60 60 120/72(88) 120/72(88) 118/71(87) 120/72(88) 119/71(87) 120/72(88) 120/71(88) 121/73(89) 119/71(87) 119/72(88) 118/71(87) 120/71(88) 13 14 13 14 14 14 14 13 14 14 13 14 98 98 98 98 99 98 98 98 98 98 99 99 Directions for Use Storing and Reviewing Patient Data Measurement Anomalies in the Trends Display Figure 97. Trends Display with Measurement Anomalies STEWART, ANN 7762940 Adult 120/72(88) 04:45:10P Rm 263 Tabular 59 14 98 Time HR/min NIBP mmHg Resp/min SpO2 4:42P 4:41P 4:40P 4:40P 4:39P 4:39P 4:39P 4:37P 4:36P 4:35P 4:35P 4:34P 60 58 59 59 60 +++ 60 60 --60 60 59 121/73(89) 119/72(88) 120/72(88) 192/110(130) 118/71(87) 118/71(87) ???/???(???) 119/71(87) 117/70(86) 120/72(88) 120/72(88) 119/72(88) 14 13 14 14 13 14 14 14 13 14 13 13 99 98 98 98 98 98 98 99 98 98 99 98 +++ Measurement above monitor limits for the parameter. --- Measurement below monitor limits for the parameter. ??? Measurement undetermined. red text Patient alarm condition. Reviewing Data at a PC See “Printing Patient Data” on page 103. Reviewing Data at Acuity See the Acuity Directions For Use. 101 102 Storing and Reviewing Patient Data Welch Allyn Propaq LT Vital Signs Monitor 103 Printing Patient Data Overview The AutoPrint utility uploads from the monitor to the PC, either manually or automatically, trend data and snapshots stored by the monitor for the current or most recent patient. The PC then prints the data on the configured laser printer. Note Use only a laser printer. The monitor can store a large amount of data. If you use any other type of printer, it can take a long time to print all of the data. Note If you attempt to print patient data during the first minute of monitoring, before the monitor has recorded a snapshot or generated a trend, the monitor might display the message, "File transfer failure". If this occurs, cancel the AutoPrint operation and continue monitoring. Note The following message might appear when AutoPrint starts: “To help protect your computer, Windows Firewall has blocked some features of this program. Do you want to keep blocking this program?” To prevent this message from appearing again, select Unblock. Note AutoPrint works only when the monitor is powered on. This feature helps you be certain that only the data for the current patient is being printed or, if no patient is being monitored, that only the data for the last patient monitored is being printed. Note If the monitor is off when it is placed in the cradle, AutoPrint is disabled. To enable AutoPrint, turn the monitor on and select Continue Patient. Note If you turn the monitor on and select Start New Patient, all stored patient data is deleted from the monitor and cannot be printed. 104 Printing Patient Data Welch Allyn Propaq LT Vital Signs Monitor The printed data includes the following: Trends print-out: • Up to 24 hours of HR/PR, RR/BR, and SpO2 trends (one set of measurements per row, with a 15-minute interval between rows). • SpO2 spot checks and NIBP measurements, interspersed among the rows of trends data. In the Snapshots print-out: • Up to twenty snapshots (21-second intervals of full-disclosure patient data, including waveforms and numerics). • The utility extracts the available ECG Leads from the patient data and prints a page of strips for each snapshot. Depending on the number of ECG Leads available, the strips may contain 21 seconds of data for one or three Leads of ECG data. The utility supports US Letter and European A4 page sizes. Printing To print the patient data stored in a monitor: 1. Install the AutoPrint Utility on a PC. a. Insert the Propaq LT Monitor PC Utility Program in the CD-ROM drive of the PC. b. Follow the on-screen instructions to install the AutoPrint Utility. 2. Connect the PC to a cradle (Propaq LT Monitor Charging/Communications Cradle), using the supplied USB cable. Each time a monitor is inserted into this cradle while the cradle is connected via USB cable to the PC, the patient data stored in the monitor is printed on the default printer. Patients monitored continuously for 24 hours typically generate enough data for a 2or 3-page trends table of two panels per page. For example, a 24-hour report with the following data (192 rows) would cover three pages: • 96 rows of vital-signs data (4 intervals/hr = 4 rows per hour) for 24 hours • 48 NIBP readings (2/hr) • 48 SpO2 spot-check readings (2/hr) Directions for Use Printing Patient Data 105 Figure 98 shows a typical printout. • Text in italic font indicates one of the trends measurements taken at 15-minute intervals. • Text in bold font indicates an NIBP measurement or an SpO2 spot check. • White text in a black box indicates an alarm condition—a measurement that is outside of alarm limits. --- indicates a measurement value below the monitor’s measurement range. +++ indicates a measurement value above the monitor’s measurement range. ??? indicates an undetermined measurement value. Figure 98. Printout (Trends Page) Monday, June 20, 2005 09:23:28 HALL, ROBERT E. Name 3456187 Patient ID # 09:23 Time Tabular Trend Adult HR/PR RR/BR SpO2 HH:MM BPM 09:30 09:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:31 11:32 11:32 11:33 11:34 11:34 11:35 11:36 11:37 11:41 11:43 11:44 11:45 239 Location Br/M 65 14 72 15 67 15 72 16 71 15 79 16 73 16 66 14 67 15 79 71 71 67 71 75 66 67 63 67 69 72 OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF 69 OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF 86 96 98 OFF NIBP mmHg OFF OFF OFF OFF OFF OFF OFF OFF OFF 131 / 88 ( 99 ) 117 / 80 ( 91 ) 124 / 86 ( 97 ) 126 / 82 ( 95 ) 125 / 84 ( 95 ) 117 / 80 ( 90 ) 118 / 82 ( 93 ) 119 / 82 ( 92 ) 125 / 83 ( 94 ) OFF OFF 132 / 88 ( 101 ) OFF Trend rows at 15-minute intervals NIBP measurements without SpO2 SpO2 spot check- alarm condition SpO2 spot check - normal NIBP measurement with SpO2 Final trend row 1 of 1 Page 11:51 106 Printing Patient Data Welch Allyn Propaq LT Vital Signs Monitor Figure 99. Printout (Snapshots Page) Monday, June 20, 2005 11:44:55 HALL, ROBERT E. Name 3456187 Patient ID # 239 Location 1 of 1 Page Snapshot 25 mm/sec Adult 11:44:55 HR = 58 RR = OFF SpO2 = OFF NIBP = OFF RR = 16 SpO2 = OFF NIBP = OFF RR = 15 SpO2 = OFF NIBP = OFF II 1.00mV 11:45:02 III 1.00mV V 1.00mV 11:45:02 HR = 60 II 1.00mV 11:45:09 III 1.00mV V 1.00mV 11:45:09 HR = 60 II 1.00mV SNAPSHOT INITIATED III 1.00mV V 1.00mV 11:45:16 Directions for Use Printing Patient Data 107 AutoPrint Options Enable/Disable AutoPrint To enable or disable the AutoPrint function: 1. Start -> All Programs -> Welch Allyn -> Propaq LT Monitor -> AutoPrint On-Off Figure 100. AutoPrint On/Off 2. Click On or Off. You can use the AutoPrint Utility to print automatically (the default function) or manually. Printing Manually To print manually: 1. Start -> All Programs -> Welch Allyn -> Propaq LT Monitor -> AutoPrint On-Off 2. Click Off. 3. Start -> All Programs -> Welch Allyn -> Propaq LT Monitor -> Print Snapshots and Trends 108 Printing Patient Data Welch Allyn Propaq LT Vital Signs Monitor Canceling a Print Request When the utility receives a print request, it immediately uploads patient data from the monitor to the PC and presents a print dialog. You have 10 seconds to cancel the print request (which automatically exits the AutoPrint Utility). If you do not cancel, the utility prints the patient data. When Uploading is Complete When the data has been uploaded and sent to the printer, the utility presents the options to reprint the current data, print the data from another monitor, or exit the utility. If you select to reprint, the data is printed again. If you select to print data from another monitor, the utility prompts you to replace the monitor in the cradle with another monitor. Note When the utility uploads the patient data from the monitor to the PC for printing, the data is deleted from the monitor. If you insert another monitor and upload the data from it, the data from the previous upload is lost. If you select to exit, the utility exits. If you do nothing for one minute after the data is uploaded to the PC, the utility exits. Directions for Use Printing Patient Data 109 Creating a PDF of Patient Data This procedure requires a PC connected to a monitor and cradle via a USB cable. The Welch Allyn AutoPrint Utility must be installed on the PC, but not running. The cradle must include the USB data transfer option. To Create a PDF of Patient Data 1. On the PC, install a PDF writer tool. Many PDF writer tools are available. For example, you can find PDF writer tools at the following web locations: • www.pdf995.com • www.cutepdf.com • www.adobe.com Welch Allyn does not recommend one PDF writer tool over another. 2. On the PC, change the default printer to the newly installed PDF writer, as follows: a. Open the Control Panel. b. Double-click Printers and Faxes. 110 Printing Patient Data c. Welch Allyn Propaq LT Vital Signs Monitor In the Printer and Faxes dialog, right-click on the newly installed PDF writer and check Set as Default. 3. On the PC, start the AutoPrint Utility: Start > Programs > Welch Allyn > Propaq LT AutoPrint Utility The AutoPrint Utility immediately begins transferring data files from the monitor to the PC. 4. Individually save as a PDF file each snapshot file uploaded from the monitor. These saved PDF files can now be printed, emailed, or viewed on-screen.
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