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Measuring temperature, Printing, Standby mode – Welch Allyn 1500 Patient Monitor, Quick Reference Card - Quick Reference Guide User Manual

Page 2: Reviewing trends, Cleaning the monitor, Measuring respirations, Measuring invasive pressures, Measuring etco2

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8500 SW Creekside Place • Beaverton, OR 97008

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©2010, Welch Allyn, Inc. All rights reserved. MC 8825 09/2011

To Set Arrhythmia Settings

1. The arrhythmia menu entry is only displayed when the full

arrhythmia option is enabled.

2. When the device is connected to Acuity, the Arrhythmia/

ST menus are not available on the device as this is done by

Acuity.

3. To Change Arrhythmia Settings:

a. Press the Setup button

b. Select Arrhythmia

c. Arrhythmia Screen displays. Turn the Trim knob to

highlight desired option and press the Trim knob. Rotate

the knob to make changes and then Press in the knob.

Then press OK.

To Enable ST Analysis

1. To enable ST analysis:

a. Press the Setup button

b. Use the trim knob to highlight and select Parameters.

c. Use the trim knob to highlight and select “Yes”.

d. Use the trim knob to highlight and select OK.

Measuring Temperature

1. Depending on the sensor type, the sensor can be applied to

the ear, the skin or to the rectum.

2. To achieve a reliable measured value, independent of the

measuring site, the measurement duration must be at least 2

minutes.

Printing

1. Press the Print Button

2. An auto printout can also be obtained when a limit is

violated. This is also defined in system setup.

3. To change printer option

a. Press the Setup button

b. Use the trim knob to highlight Recorder and push knob

c. Use the trim knob to make changes to the waveform,

recording time, and recording delay.

d. Highlight and select OK.

4. To change printer paper.

a. Pull the locking catch to the front. The paper tray is

unlocked.

b. Pull the paper tray out.

c. Insert paper and pull the beginning of the paper out.

Make sure that the paper mark is facing to the top.

d. Reinsert and close the tray. Be sure that the paper lies

exactly between the rails.

Standby Mode

1. This mode is selected to temporarily interrupt the monitoring of the

patient until ready to resume. All patient data is saved.

2. When the Standby button

is pressed, a black screen with

“Standby Mode Press any key to resume monitoring” is displayed:

a. In standby mode, vital signs data and alarms are no longer

displayed or collected.

b. When monitoring is resumed, the user is prompted to confirm

the same patient: If no is selected, patient data is deleted.

c. If a patient has not been confirmed, all patient data is lost when

standby mode is entered.

d. When the monitor is connected to Acuity, different options are

given (see above).

Reviewing Trends

1. The measured values are entered in the set intervals and

additionally after every manual NIBP measurement. The monitor

can store 24 hours of trends at 1-minute intervals.

2. Trend data is deleted when a new patient is entered.

3. When the memory is full, the oldest trend data is overwritten.

4. The display interval for the table can be selected using the Trend

button.

5. 1 minute, 5 minute, 15 minute, 1 hour, and 4 hour intervals can be

selected.

6. Displaying trend data

a. Press the Trend button

b. Previous measurements are displayed using the up/down icons.

c. Use the trim knob to select the trend display interval with the

pull down menu in the Interval setting.

d. The Clear option deletes all trend data.

e. The Print option prints all displayed trend data.

Cleaning the Monitor

1. To clean the monitor or any accessories, follow these steps:

a. Wipe the equipment with a cloth slightly moistened (not wet)

with one of the approved cleaning solutions; 70% solution

isopropyl alcohol, neutral mild detergent solution, all products

designed for cleaning plastic

2. Thoroughly wipe off any excess cleaning solution. Do not let the

cleaning solution run into or accumulate in connector openings,

latches, or crevices. If liquid gets into connectors, dry the area with

warm air and then check the equipment to confirm that it operates

properly.

NOTE:

Never use any of the following solutions or similar products to

clean the equipment: ethyl alcohol, ethanol, acetone, hexane, abrasive

or scouring powder or material, any cleaning material that damages

plastic.

Measuring Respirations

1. The RR measurement field is not displayed if the etCO2

field is active. If the RR is measured via the ECG instead of

etCO2, the etCO2 measurement field must be deactivated as

follows:

a. Press the Setup button

b. Select Parameters

c. Deactivate etCO2 by selecting “No”.

NOTE:

The RR signal is measured via the R (RA) and F (LL)

electrodes of the ECG cable (impedance measurement). After

the patient is connected, about 30 seconds can elapse before a

reliable value is displayed.

iii. Check electrode status. Ensure the green On is

displayed for all electrodes – this indicates that the

electrode resistance is within acceptable range to

obtain a valid reading.

NOTE:

If all appear Off and patient is connected to all their

leads, check the RL and LL. If either of these is not seated

correctly or a signal is not being received from these, all leads

will show off on the device.

iv. Select Start 12-lead Resting ECG. The message Rest

ECG Analysis - in Progress is displayed while the

resting ECG is being taken. This is followed by Rest

ECG - Complete.

v. The resting ECG remains in memory until a new

patient is defined or the ECG is overwritten with a

new recording.

vi. To print the 12-Lead at the device after it has been run

and sent to acuity: select and press the “print 12-lead

resting ECG” option. It will then print at the device.

Measuring Invasive Pressures

1. Changing IBP Settings

a. Select the P1 or P2 measurement field using the trim knob. A

white frame appears around the measurement field.

b. Press the trim knob to display the menu.

c. Scroll down to the desired parameter and press the trim

knob to make changes.

2. IBP Zero Set

a. Zero Set must be carried out before every application.

b. To prevent incorrect measurement readings due to the sensor’s

physical null drift, calibrate the sensor every 24 hours.

c. Move to the desired IBP measurement field (P1, P2) using

the trim knob.

d. Press the trim knob to display the IBP menu.

e. Select Zero Set with the trim knob and press to carry out

the zeroing.

f. The message “P1 Zeroing” appears followed briefly by

“P1 Zero OK”.

NOTE:

Carefully read the manufacturer’s instructions before

using the invasive blood pressure kit.

NOTE:

When applying the kit to the patient, make sure that

absolutely no air penetrates the system.

NOTE:

The kit and operating procedure vary according to

manufacturer. Please consult the manufacturer’s documentation

for connection.

NOTE:

P1 is the only connection that can determine the HR/PR source.

Measuring etCO2

1. If the etCO2 measurement field is not displayed it means that

it is not enabled in the parameter settings.

2. To Enable etCO2

a. Press the Setup button.

b. Use the trim knob to highlight and select Parameters.

c. Use the trim knob to highlight and select “Yes”.

d. Use the trim knob to highlight and select OK.

NOTE:

The Oridion sensor is the only approved sensor for

etCO2 monitoring.

3. Preparing the Oridion sensor

a. During nebulization or suction for Intubated patients,

in order to avoid moisture buildup and sampling line

occlusion, remove the sampling line luer connector from

the monitor.

b. Replace the sampling line according to hospital protocol

or when a blockage is indicated by the monitor.

c. When connecting a sampling line to the monitor, screw

the sampling line connecter clockwise into the monitor

CO2 port until it can no longer be turned.

d. When the Caution message “Blockage!” appears on the

screen indicating that the filter line which is attached

to the handheld monitor is blocked, the monitor’s CO2

pump will stop pumping the patient’s breath into the

monitor for testing.

i. Disconnect and reconnect the filter line.

ii. If the message still appears, disconnect and replace

the filter line. Once a working filter line is attached to

the handheld monitor, the pump will automatically

resume operation.