CARESCAPE Monitor B650 Skills Checklist 1st Edition Dec 2009

Skills Checklist

System introduction 3

NA Topic

Recommended reading in User’s Manual

A. System hardware Monitor

System introduction:

• Monitor front panel • Monitor back panel • Monitor side views

Display

System introduction:

• Secondary display Module frame

System introduction:

• Pivoting module frame Hemodynamic multiparameter modules

System introduction > Acquisition modules:

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PSM

• Acquisition modules*

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hemodynamic E-modules

• E-PSMP front view*

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PDM

• E-PRESTN front view* • PDM front view* Monitoring basics:

• Connecting a PSM or PDM • Removing a PSM or PDM • Connecting other E-modules than PSM

• Removing other E-modules than PSM

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Skills Checklist

3

NA Topic

Recommended reading in User’s Manual

Other modules -

E-modules

System introduction -> Acquisition modules:

• Other hemodynamic modules • Gas acquisition modules • SpO2 E-modules • Speciality modules

Input devices

System introduction:

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Barcode reader

• Barcode reader

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Keyboard

• Keyboard

-

Mouse

• Mouse

-

Remote control

• Remote control

Printers

Printing:

-

Recorder

• Recorder functions

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Laser printer

• Laser printer functions • Printing waveforms manually

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3

NA Topic

Recommended reading in User’s Manual

B. System software Main menu

Monitoring basics:

• Main screen layout • Main menu buttons and control keys

Parameter windows

Monitoring basics:

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Upper parameter windows

• Main screen layout

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Lower parameter windows

• Selecting parameters to the

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Minitrends/split screen

• Upper parameter area

Setting up the monitor before use: screen

• Lower parameter area • Understanding parameter windows

• Setting up a split screen * Check to see which modules have been purchased by your facility.

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Skills Checklist

Alarms 3 NA Topic A. Alarm overview

Recommended reading in User’s Manual Alarms:

• Alarm warnings: Missed alarm • Alarms overview • Alarm icons display on the screen • Physiological alarms’ activation criteria B. Physiological/Technical alarms

Alarms:

C. Alarm priorities - High

Alarms:

- Medium

• Alarm conditions • Alarm priority levels • Alarm priority escalation

- Low - Escalating D. Audible and visual alarms

Alarms:

• Audible alarm signals • Alarm tones • Alarm messages • Audible and visual alarm signals

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3 NA Topic E. Parameter alarm limits

Recommended reading in User’s Manual Alarms:

• Setting parameter alarm limits • Automatic alarm limitsSetting alarm limits automatically F. Turning alarms on and off

Alarms:

• Setting parameter alarm limits • Alarm locks Parameter chapters G. Silencing alarms

Alarms:

• Turning on/off audible alarms • Breakthrough alarms • Pause Audio Alarm behaviors

Starting and ending monitoring 3 NA Topic A. Admission/New case

Recommended reading in User’s Manual Starting and ending monitoring:

• Starting monitoring • Continuing monitoring B. Standby mode NOTE: Not available in OR and PACU software packages. C. Discharge/Reset case

Starting and ending monitoring:

• Starting standby • Ending standby Starting and ending monitoring:

• Resetting a case/discharging a patient

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Skills Checklist

Trends and snapshots 3

NA

Topic

Recommended reading in User’s Manual

A. Trends - Graphic trends

Trends and snapshots:

• Viewing graphic trends

- Numeric trends

• Viewing numeric trends

- Event trends

• Event trends

B. Snapshots - Manual - Automatic

Trends and snapshots:

• Creating snapshots manually • Automatic snapshots • ST snapshots

C. Minitrends

Trends and snapshots:

• Minitrend split screen

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ECG 3 NA Topic A. General overview

Recommended reading in User’s Manual ECG:

• ECG points to note • ECG measurement limitations • ECG measurement checks • Safety precautions B. Skin preparation and lead placement - Skin preparation - 3-lead placement - 5-lead placement - 6-lead placement - 10-lead placement

ECG:

• Preparing the patient’s electrode sites

• Applying the electrodes to the patient

• 3-leadwire or 5-leadwire ECG electrode placement

• 6-leadwire ECG electrode placement

• Cardiac monitoring 10-leadwire ECG electrode placement C. Select display leads

ECG:

• Selecting the first three displayed ECG waveforms D. ECG waveform size

ECG:

• Selecting the ECG waveform size E. Learning/relearning

ECG:

• Relearn the patient’s QRS pattern F. 12 Lead (if applicable)

ECG:

• 12 lead ECG analysis

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Skills Checklist

3 NA Topic G. Pacemaker function

Recommended reading in User’s Manual ECG:

• Pacemaker detection H. Arrhythmia detection

ECG > Arrhythmia detection:

• Setting arrhythmia alarms • Lethal, ventricular, and atrial arrhythmia alarm conditions

• Arrhythmia alarm messages I. ST segment analysis

ECG:

• ST detection J. QT analysis

ECG > QT detection:

• Starting the QT/QTc measurement

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Impedance respiration 3 NA Topic A. General overview

Recommended reading in User’s Manual Impedance respiration: • Respiration points to note

• Respiration measurement limitations

• Respiration measurement checks

• Safety precautions B. Turning respiration on/off

Impedance respiration: • Turning on the respiration measurement

C. Lead placement

Impedance respiration: • Preparing the patient’s electrode sites

• Respiration lead I electrode placement

• Respiration lead II electrode placement

• Respiration lead RL-LL electrode placement D. Alternate lead selection (if applicable)

Impedance respiration: • Respiration lead and breath detection

• Selecting the respiration lead

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3 NA Topic E. Waveform size

Recommended reading in User’s Manual Impedance respiration:

• Selecting the respiration waveform size F. Waveform sweep speed

Impedance respiration:

• Selecting the waveform sweep speed G. Waveform sensitivity

Impedance respiration:

• Selecting waveform sensitivity

SpO2 3 NA Topic A. General overview

Recommended reading in User’s Manual Pulse oximetry (SpO2):

• SpO2 points to note • SpO2 measurement limitations • SpO2 measurement checks • Safety precautions • Preparing the patient for SpO2 measurement B. Signal strength indicators

Pulse oximetry (SpO2):

• SpO2 measurement on the monitor screen C. Waveform size

Pulse oximetry (SpO2):

• Changing the SpO2 waveform size

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Skills Checklist

Non-invasive blood pressure 3

NA Topic A. General overview

Recommended reading in User’s Manual Non-invasive blood pressure (NIBP):

• NIBP points to note • NIBP measurement limitations • NIBP measurement checks • Safety precautions B. Cuff application

Non-invasive blood pressure (NIBP):

• Preparing the patient for a NIBP measurement C. Single NIBP measurement

Non-invasive blood pressure (NIBP):

• Starting or stopping a single NIBP measurement D. Automatic NIBP measurements

Non-invasive blood pressure (NIBP):

• Starting or stopping automatic NIBP measurements

• Setting the cycle time between NIBP measurements

• Setting NIBP Auto E. Stat mode

Non-invasive blood pressure (NIBP):

• Starting or stopping a Stat NIBP measurement F. Venous stasis (if applicable)

Non-invasive blood pressure (NIBP):

• Venous stasis

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Invasive blood pressures 3

NA Topic A. General overview

Recommended reading in User’s Manual Invasive blood pressures:

• Invasive blood pressure points to note

• Invasive blood pressure measurement limitations

• Invasive blood pressure measurement checks

• Safety precautions • Invasive blood pressure equipment to patient connection B. Zeroing

Invasive blood pressures:

• Zeroing invasive blood pressure transducers C. BP channel/site selection

Invasive blood pressures:

• Selecting an invasive blood pressure channel label D. Waveform size

Invasive blood pressures:

• Selecting the size of the invasive blood pressure waveform E. Pulmonary capillary wedge Invasive blood pressures: pressure (PCWP) measurement • Pulmonary capillary wedge pressure (PCWP) measurement

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Skills Checklist

Temperature 3

NA

Topic

Recommended reading in User’s Manual

A. General overview

Temperature:

• Temperature points to note • Temperature measurement limitations

• Temperature measurement checks

• Safety precautions • Preparing the patient for a temperature measurement B. Initiate temperature monitoring

Temperature:

• Starting the temperature measurement

C. Temperature site names

Temperature:

• Changing the temperature site label

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Skills Checklist

Cardiac output 3

NA

Topic

Recommended reading in User’s Manual

A. General overview

Cardiac output (C.O.):

• C.O. points to note • C.O. measurement limitations • C.O. measurement checks • Safety precautions • Preparing for a C.O. measurement B. C.O. setup

Cardiac output (C.O.):

• Selecting a C.O. catheter • Setting the C.O. injectate volume • Setting the C.O. computation constant

• Selecting the type of C.O. injectate probe C. Obtaining a C.O.

Cardiac output (C.O.):

• Taking an automatic C.O. measurement

• Taking a manual C.O. measurement D. Editing C.O. trials

Cardiac output (C.O.):

• Averaging the C.O. measurements • Editing the C.O. average E. Hemodynamic calculations

Hemodynamic, oxygenation or ventilation calculations:

• Viewing calculation values • Editing calculation input values • Saving calculation values • Printing calculations

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Skills Checklist

SvO2 3

NA

Topic

Recommended reading in User’s Manual

A. General overview

Mixed venous oxygen saturation (SvO2):

• SvO2 points to note • SvO2 measurement limitations • SvO2 measurement checks • Safety precautions B. Setup

Mixed venous oxygen saturation (SvO2):

• SvO2 equipment to patient connection C. Calibration

Mixed venous oxygen saturation (SvO2):

• Calibrating a new SvO2 catheter In Vitro

• Calibrating SvO2 In Vivo D. Signal quality indicators Mixed venous oxygen saturation (SvO2):

• SvO2 measurement on the monitor screen

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Skills Checklist

Airway gases with E-modules 3

NA

Topic

Recommended reading in User’s Manual

A. General overview

Airway gases:

• Airway gases points to note when using E-modules

• Airway gases measurement limitations

• Airway gases measurement checks

• Safety precautions B. Airway gas setup

Airway gases with E-modules:

• Airway gases equipment to patient connection with E-modules, anesthesia setup

• Airway gases equipment to patient connection with E-modules, critical care setup

• Alternative airway gases patient connections with E-modules

• Airway gases measurement setup with E-modules C. Calibration

Airway gases with E-modules:

• Gas calibration for E-modules D. CO2 waveform size (scale)

Airway gases with E-modules:

• Selecting the CO2 scale E. Waveform sweep speed

Airway gases with E-modules:

• Selecting the CO2 sweep speed F. Measuring O2

Airway gases with E-modules:

• O2 measurement with compact airway modules

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Skills Checklist

3

NA

Topic

Recommended reading in User’s Manual

G. O2 waveform size (scale)

Airway gases with E-modules:

• Selecting the O2 scale H. O2 waveform sweep speed Airway gases with E-modules:

• Selecting the O2 sweep speed I. Measuring N2O

Airway gases with E-modules:

• Anesthetic agent and N2O measurement with compact airway modules J. Anesthetic agent waveform size (scale)

Airway gases with E-modules:

K. Anesthetic agent waveform sweep speed

Airway gases with E-modules:

• Selecting the agent scale • Selecting the agent sweep speed

Patient Spirometry 3 NA Topic A. General overview

Recommended reading in User’s Manual Patient Spirometry:

• Patient Spirometry points to note • Patient Spirometry measurement limitations

• Patient Spirometry measurement checks

• Safety precautions

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3 NA Topic B. Setup

Recommended reading in User’s Manual Patient Spirometry:

• Preparing the Patient Spirometry connection C. Waveform size (scale)

Patient Spirometry:

• Selecting the Patient Spirometry scales D. Waveform sweep speed

Patient Spirometry:

• Selecting the Patient Spirometry sweep speeds

Gas exchange 3 NA Topic A. General overview

Recommended reading in User’s Manual Gas exchange:

• Gas exchange points to note • Gas exchange measurement limitations • Gas exchange measurement checks • Preparing the gas exchange connections B. Measurement settings

Gas exchange:

• Gas exchange settings

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Skills Checklist

Entropy NOTE: This measurement is available in OR and PACU software packages only.

3 NA Topic A. General overview

Recommended reading in User’s Manual Entropy:

• Entropy points to note • Entropy measurement limitations • Entropy measurement checks • Safety precautions B. Skin preparation and lead placement

Entropy:

• Entropy equipment to patient connection

• Preparing the patient for Entropy measurement C. Display format

Entropy:

• Selecting the display format for Entropy D. Waveform size (scale)

Entropy:

• Selecting the Entropy scale E. Waveform sweep speed

Entropy:

• Selecting the EEG sweep speed

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