connex® spot monitor (csm) 1.x software version
TRANSCRIPT
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Connex® Spot Monitor (CSM) 1.22 Software Version
Clinical In-Service Presentation
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Table of Contents
• Device Overview & Intended Use• Mobile Stand Options
– MS3 Classic Mobile Stand– Accessory Power Management (APM) Stand– Mobile Work Station (MWS) Stand
• CSM Exterior• Power On• Screen Lock Mode• Clinician Login Screen • Home Screen
– Device Status Area – Content Area – Navigation Area
• Profiles – Switching Profiles– Spot Profile– Intervals Profile
• Clinician Login using Clinician Symbol• Patient Identification• Non-Invasive Blood Pressure (NIBP)
– Start/Stop– Results– Technology– Proper Technique– Interval BPs– Interval BP Set Up– Automatic Intervals – Program Intervals
• Pulse Oximetry (SpO2 ) and Pulse Rate (PR)– Technique, Storage, and Technology– Intervals
• Temperature– Technology– Probe Covers (SureTemp® Plus)– Probe Covers (Braun)– Braun Technique– Braun Interferences– Braun Contraindications and Tips– SureTemp® Plus Oral– SureTemp® Plus Oral Interferences– SureTemp® Plus Axillary– SureTemp® Plus Rectal
• Alarm Management– Adjusting Alarms– Silencing Alarms
• Custom Modifiers and Manual Entry• Manual Parameters• Early Warning Scores (EWS)
– Summary Screen• Saving/Clearing Vital Signs• Review Tab
– Multiple Patient View– Single Patient View
• Clinician Sign Out• Power Down/Sleep• Cleaning
– Compatible Wipes and Solutions• Support Resources
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Device Overview & Intended Use
Use to obtain vital signs and other parameters
• Adults (>12 yrs)
• Pediatric (29 days-12 yrs)
• Neonate (<28 days)
Note: To change patient type, touch “Patient” tab and select Patient Type from the dropdown list
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Mobile Stand Options
Connex Spot Monitor (CSM) can be mounted on one of three mobile stands:
1. MS3 Classic Mobile Stand
2. APM Mobile Stand
3. MWS Stand
Both have WhisperDrive™ wheels for smooth, quiet maneuverability
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Accessory basket
SpO2 cable wrap
SpO2 sensor hanger
MS3 Classic Mobile Stand
Note: one of three mobile stand options
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Accessory Power Management (APM) Mobile Stand
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Night light
Accessory compartments
SpO2 sensor and cable holder
Cleaning wipes holder
Work surface/integrated extended battery
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Mobile Work Station (MWS) Stand
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Accessory compartments
SpO2 sensor and cable holder
Cleaning wipes holder
Work surface/integrated extended battery
Note: one of three mobile stand options
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CSM Exterior
Blood Pressure Tubing
Power Cord SpO2 Cable
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Power On
Power On
Press Power Button
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Screen Lock Mode
Unlock Screen:
1. Touch the “Lock” icon
2. Follow Clinician login process
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• Protects patient-identifiable information during use
• Increases visibility of vitals
• Appears after a configurable amount of time
Note: (if applicable to your facility) Screen Lock mode initiated by configurable period of inactivity or via a manual lock decision
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Optional clinician login screen restricts access to protected health information
Note: Not applicable to all facilities
Clinician Login Screen
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To sign in using clinician login screen:
1. Scan clinician barcode or touch Clinician ID box to type in ID
2. Touch Password box to type in password (if applicable)
3. Touch Sign in to activate Profile selection area
4. Select desired profile
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Home Screen
Home screen divided into three sections:
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Device Status Area
Content Area
Navigation Area
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Home Screen: Device Status Area
Provides device status information, including:• Clinician ID• Device location (i.e. nursing unit)• Time• Connection status (i.e. Ethernet, Wireless, USB, or Bluetooth®)• Profile Selection (i.e. Spot, Office, or Intervals)• Battery status• Alarms and Messages
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Home Screen: Content Area
Displays:
• Patient information (if applicable)
• Vital signs
• Modifiers (if applicable)
• Manual parameters (if applicable)
• Early Warning Scores (if applicable)
• Clear and Next buttons
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Home Screen: Navigation Area
Displays:
• Navigation tabs for a variety of information
• Tabs available depend on which profile is selected
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To change Profiles:
1. Touch current profile shown in Device Status Area
2. Choose desired profile
• Your choices may include:
− Spot − Intervals − AND/OR Office
Note: Available profiles depend on facility’s chosen settings
Note: If profile changed while acquiring patient measurements or while unsaved patient measurements are displayed, measurements are deleted
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Profiles: Switching Profiles
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Features:• No alarms
• No BP intervals
• Early Warning Scores (if applicable)
• Custom Modifiers and Manual Parameters (if applicable)
Profiles: Spot Profile
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Note: Take SpO2 sensor OFF prior to saving readings
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Note: SpO2 sensor stays ON when touching SAVE
Features:• Interval BPs
• Parameter alarms
• Early Warning Scores (if applicable)
• Custom Modifiers and Manual Parameters (if applicable)
Profiles: Intervals Profile
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Clinician Login using Clinician Symbol
To sign in using clinician symbol:
1. Touch the clinician symbol
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Note: Clinician ID will appear next to clinician symbol once clinician has successfully signed in
Clinician Login using Clinician Symbol
To sign in using clinician symbol:
1. Touch clinician symbol
2. Scan clinician ID using barcode scanner ortouch Clinician ID box to manually enter ID and password (if applicable)
3. Touch Sign in to return to Home screen
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Patient Identification
• Identify a patient before taking vital signs (VS) by scanning patient’s armband from Home screen
• Patient name/ID will appear in patient ID section of Content Area
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Stop NIBP:
• Touch to cancel BP in progress
Non-Invasive Blood Pressure (NIBP): Start/Stop
Start NIBP:
• Touch to initiate BP
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NIBP: Results
• Static (one-time) pulse rate generated from cuff’s BP reading unless SpO2
probe used on patient− Displays SOURCE: NIBP
• Touch NIBP cell to toggle between SYS/DIA reading and MAP
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NIBP: Technology
With a two-lumen BP hose, the CSM utilizes SureBP® Technology
• SureBP® captures BP on cuff inflation– Reading takes approx. 15 seconds!
– Reverts to Step Deflation method (BP on cuff deflation):• In times of extreme movement• Artifact• Neonate mode• If programmed to do so via Advanced Settings
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NIBP: Proper Technique
Cuff on bare arm
Align Artery Index Marker with brachial artery
Properly sized cuff
No more than two fingers between cuff and arm
Allow patient to sit quietly for a few minutes
Back supported, legs uncrossed
Arm supported at heart level
Patient sitting quietly and not moving
For more information on Blood Pressure technique, go to:https://www.youtube.com/watch?v=ScbFRb1dKc4&index=21&list=PLkXnwokwhxrU8d-LnfwYy2Lsjzqa2z7kX
If using Welch Allyn FlexiPort® cuff, place port to outside of patient’s body
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Initiating Interval BPs:
1. Touch symbol
• To use interval BPs the device must be in Intervals Profile– See Switching Profiles for instructions
• Depending on facility’s chosen settings, the device may require a patient and/or a clinician logged in before Intervals may be initiated
NIBP: Interval BPs
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Initiating Interval BPs:
1. Touch symbol
2. Choose automatic, program, or STAT
3. Adjustintervals/program*
4. Ensure selected
5. Touch• To use interval BPs the device must be in Intervals Profile
– See Switching Profiles for instructions
• Depending on facility’s chosen settings, the device may require a patient and/or a clinician logged in before Intervals may be initiated
• *Note: See following slides for detailed instructions on adjusting intervals
NIBP: Interval BPs
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NIBP: Interval BPs
After pressing Start Intervals:
• First BP starts immediately
• Intervals symbol now displays count-down until next scheduled NIBP
• Automatically acquired VS save to Review Tab
• Taking extra sets of vitals does not alter intervals schedule
− Must press Save to chart extra sets
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To Stop Intervals, touch and then Stop Intervals button
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Switching between automatic, program, and STAT:
- Touch Interval BP type button
- Toggle between options until desired type selected
NIBP: Interval BP Set Up
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• Takes NIBP automatically at set frequency
– Frequency ranges from 1 – 240 minutes
• To set frequency:
– Touch white tile to use keypad, or touch arrows
NIBP: Automatic Intervals
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Ex. Currently set to take NIBP automatically every 15 min
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• Takes NIBP automatically based on protocols at your facility– Up to 5 Programs can be entered, 6th will always
remain customizable by end user
• To begin:– Set up new Interval Program or choose existing
Program
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NIBP: Program Intervals
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For new Interval Program:
1. Touch Program 6
2. Touch line 1 to set its frequency and duration
• Takes NIBP automatically based on protocols at your facility– Up to 5 Programs can be entered, 6th will always
remain customizable by end user
• To begin:– Set up new Interval Program or choose existing
Program
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NIBP: Program Intervals
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For new Interval Program:
1. Touch Program 6
2. Touch line 1 to set its frequency and duration
3. Keypad appears. Type in Interval (ex. Q15min) then touch Frequency box andtype in (ex. X8)
4. Press OK to confirm and select next line
• Takes NIBP automatically based on protocols at your facility– Up to 5 Programs can be entered, 6th will always
remain customizable by end user
• To begin:– Set up new Interval Program or choose existing
Program
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NIBP: Program Intervals
Ex. Program 1q 15 min x 8, thenq 30 min x 4, then q 60 min x 4, then q 120 min x2
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For new Interval Program:
1. Touch Program 6
2. Touch line 1 to set its frequency and duration
3. Keypad appears. Type in Interval (ex. Q15min) then touch Frequency box andtype in (ex. X8)
4. Press OK to confirm and select next line
• Takes NIBP automatically based on protocols at your facility– Up to 5 Programs can be entered, 6th will always
remain customizable by end user
• To begin:– Set up new Interval Program or choose existing
Program
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NIBP: Program Intervals
Ex. Program 1q 15 min x 8, thenq 30 min x 4, then q 60 min x 4, then q 120 min x2
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• Touch SpO2 cell to toggle between large number reading and pleth waveform
Pulse Oximetry (SpO2 ) and Pulse Rate (PR)
Place pulse ox on patient’s finger to obtain SpO2 and PR
• Pulse Rate derived from pulse ox when in use– Displays SOURCE: SpO2
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SpO2 and PR: Technique, Storage, and Technology
To obtain most accurate SpO2 and PR, ensure:
Clean sensor (use alcohol pad)
Warm, perfused extremity
No nail polish or artificial nails
Placement on opposite extremity of NIBP cuff
When not in use, place pulse ox back
in holster
Nonin ®PureSat®
Technology options
Nellcor®
Masimo®
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Initiating Interval SpO2 :
1. Touch on Home screen
2. Choose automatic, program, or STAT
3. Adjust intervals as desired
4. Ensure selected and
deselected
5. Touch
Interval SpO2 allows clinician to take interval O2 sats without also taking interval BPs.
SpO2: Intervals
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Temperature
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Home Screen displays:
• Temperature in facility’s chosen unit of measure
• Converted temperature underneath
• Method used to obtain temperature
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Temperature: Technology
Braun ThermoScan®
PRO 6000 Tympanic
Two options for thermometry:
SureTemp® Plus Oral/Axillary
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Temperature: Probe Covers (SureTemp)
• Only use covers designed specifically for Welch Allyn thermometers
– Using other brands or types can cause damageand/or inaccurate readings
• All probe covers are single use only
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Temperature: Probe Covers (Braun)
• Only use covers designed specifically for Braun thermometers
– Using other brands or types can cause damageand/or inaccurate readings
• All probe covers are single use only
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Remove thermometer from cradle
Push probe tip into box to apply new probe cover
Wait for ready light and beep
Place probe snugly in ear canal
Direct probe at opposite temple
Press and release Measure button
Long beep and steady green ExacTempTM light signal end
Press Probe Cover Ejector button to remove cover
Temperature: Braun Technique
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For persons wearing hearing aids or in extreme ambient temperatures, remove the hearing aid or the individual from the situation and wait 20 minutes prior to taking a temperature.
The following external factors may influence ear temperatures:
Used probe cover
Wet/dirty/damaged lens
Lying on a pillow
Hearing aid*
The following external factors DO NOT influence ear temperatures:
Ambient temperature
Moderate cerumen (ear wax)
Otitis media (ear infection)
Tympanostomy tubes
Temperature: Braun Interferences
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Temperature: Braun Contraindications and Tips
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Complete ear canal occlusion due to cerumen (ear wax) can result in lower temperature readings
Use untreated ear if ear drops/medications have been placed in ear canal
The following are contraindications to the use of tympanic thermometry:
Patient exhibiting symptoms of chronic or acute inflammatory condition of external ear canal
Certain facial or ear deformities
Blood/drainage in external ear canal
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Temperature: SureTemp® Plus Oral
Oral Temperatures:
1. Pull probe from well, apply Welch Allyn probe cover
2. Ensure Oral mode displayed
3. Place probe in sublingual pocket
4. Thermometer beeps when reading complete (4-6 sec)
5. Press top of probe to release cover, then return probe to well
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Temperature: SureTemp® Plus Oral Interferences
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The following interfere with obtaining an accurate oral temperature for at least 20 minutes
Eating food Chewing gum or mints
Ingesting hot or cold liquids
Brushing teeth/mouth care
Smoking Performing strenuous activity
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Temperature: SureTemp® Plus Axillary
Axillary Temperature:1. Pull probe from well, apply
Welch Allyn probe cover
2. Press Mode twice to select Adult Axillary
3. Place probe vertically in axilla against bare skin
– Think: “Align with the spine”
4. Thermometer will beep when reading complete (12-15 sec)
5. Press top of probe to release cover, then return probe to well
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Temperature: SureTemp® Plus Rectal
Rectal Temperature:
1. Insert red probe and well into device
2. Pull probe from well, apply Welch Allyn probe cover
3. If needed, apply small amount of lubrication
4. Place probe 3/8” into rectum
– Insert to line on tip of thermometer for adults, less for peds.
5. Thermometer will beep when reading complete (10-15 sec)
6. Press top of probe to release cover, then return probe to well
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Adjusting alarms:1. Touch bell in desired
parameter tile
Alarm Management: Adjusting Alarms
• Higher and lower alarm parameters displayed on Home screen when using Intervals profile only.
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Adjusting alarms:1. Touch bell in desired
parameter tile
2. Touch number to be changed and type in desired alarm limit, then press OK• Arrows may also be
used to make incremental changes
3. Touch to turn on/off alarm*• While off, no visual or
audible alarm signals will occur for that parameter
4. Press Home tab when complete to return to Home screen and confirm changes
• Higher and lower alarm parameters displayed on Home screen when using Intervals profile only.
*Note: Ability to turn on/off alarms dependent upon facility’s chosen settings
Alarm Management: Adjusting Alarms
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Alarm Management: Silencing Alarms
To silence an alarm:• Touch the triangle once or touch the highlighted parameter to silence for
one minute– Depending on facility’s settings, tapping the triangle twice will silence
it for longer than one minute
• Alarm will disappear when patient condition resolved or alarm limit adjusted accordingly
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To enter Modifiers from Spot or Intervals profile:
1. Take all desired VS
2. Press and hold a particular vital signs tileEx. Press and hold NIBP to enter blood pressure modifiers, such as patient position or cuff site
Custom Modifiers
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Note: Availability of custom modifier options will depend on facility’s chosen device configurations.
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• Individual parameter modifiers screen displays:
– keypad for manual entry (if applicable) on the left • Utilized when another method or device is used to obtain VS
– options for extra information that adds to, or “modifies” that specific VS on the right
• Availability of modifiers depends on the facility’s chosen configurations
Custom Modifiers and Manual Entry
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To Manually Enter VS and/or Enter Modifiers:
1. To manually enter a VS, touch text box and type in desired value.
2. To manually enter modifiers:
a. Touch text boxesto type in numeric value)
b. Touch dropdown menus to select appropriate choice • Shown: Type of BP device –
Wrist, Manual, Automatic, Other
c. Use side scroll bar to view additional modifiers (if applicable)
3. Press OK to confirm return to Home screen
2a
2b
2c
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After required parameters and other desired information entered:
1. Touch manual parameter ribbon
2. Enter desired information
3. Press OK to return to Home screen
• Additional parameters include extra information that may be entered, but do not specifically relate to one of the four VS taken on the CSM
• Available parameters depend on facility’s chosen configuration
• An asterisk (*) beside a manual parameter indicates it is required by the facility
Manual Parameters
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Calculating EWS:
1. After all VS taken and Manual Parameters/ Modifiers entered, press EWS button (*if applicable)
• Calculate Early Warning Scores at point-of-care using CSM
• Scoring system customized by facility
• Clinician chooses one of up to three different protocols per set of vitals taken
• Note: EWS only available in Spot and Intervals Profiles
Early Warning Scores (EWS)
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Calculating EWS:
1. After all VS taken and Manual Parameters/ Modifiers entered, press EWS button (*if applicable)
2. Choose desired EWS program (if applicable)
3. Enter required information to complete EWS protocol
4. Press Next to continue to enter information and/or return to Home
• Calculate Early Warning Scores at point-of-care using CSM
• Scoring system customized by facility
• Clinician chooses one of up to three different protocols per set of vitals taken
• Note: EWS only available in Spot and Intervals Profiles
EWS
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Home screen now displays:
• All VS taken
• Modifiers (if applicable) next to corresponding VS
• Manual parameters (if applicable)
• EWS
• To clear all vital signs from the screen and save to device’s memory (Review tab), press
• To clear all vital signs without saving, press
Saving/Clearing Vital Signs
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Once all EWS information is taken/entered, pressing save brings up a summary screen displaying:• Color-coded individual parameter scores • Required response• Total calculated (aggregate) score
Note: colors, required response, and scoring customized by facility
EWS: Summary Screen
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Press Next to confirm information and return to Home Screen
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Review saved vitals:• Touch Review tab
Review Tab
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Review saved vitals:• Touch Review tab
Send vitals*:• Select check box next to
desired set(s)
• Press Send
• Envelope indicates vitals successfully sent
– VS may clear from Review when successfully sent instead, depending on hospital’s chosen settings
*Note: Sending only available if connected to EMR
Delete vitals:• Select check box next to
desired set(s)
• Press Delete
• Review tab holds up to 400 sets of vitals for 24 hours– Can view multiple patients or single patient
• Displays Date/Time and vitals saved
• If CSM connected to Electronic Medical Record (EMR), and patient armband scanned, patient name or ID number will display under Patient column (depending on facility’s chosen settings)
Review Tab: Multiple Patient View
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Review Tab: Single Patient View
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• Select patient’s name to see single patient view
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Review Tab: Single Patient View
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• Select patient’s name to see single patient view
• Displays:
– All VS taken on selected patient
– Measurements that triggered an alarm are highlighted
Note: Only available if patient ID being used
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Review Tab: Single Patient View
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• Readings cannot be sent or deleted from single patient view
• Touch to return to multi-patient view
• Touch Home tab to return to Home screen
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To log clinician out:
1. Touch Clinician symbol to open Clinician menu
2. Touch
Note: Powering down CSM will also clear clinician ID
Clinician Sign Out
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Touch Power Button
Power Down/Sleep
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Power Down/Sleep
Power Down:Touch to shut down
Sleep:Touch to turn off screen
Cancel:Touch to return to
Home
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CSM and mobile stand:
• Clean on a routine basis according to your facility’s protocols and standards
Accessories:
• See Directions for Use (DFU) for cleaning instructions
Do not submerge or spray anything directly onto device
Cleaning
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Cleaning: Compatible Wipes and Solutions
Wipes
Accel® INTERVention™ Germicidal Cleaner
Accel® TB Oxiver® TB
CaviWipes® Sani-Cloth® Plus
Cleancide® Sani-Cloth® Bleach
Clinell® Universal Wipes Super Sani-Cloth®
Clorox® HealthCare Bleach Tuffie5 Cleaning Wipes
Solutions (applied to a clean cloth)
Super HDQ® L10 - Dilution rate of ½ oz per gallon of water (1:256)
Virex® II (256) - Dilution rate of ½ ozper gallon of water (1:256)
10% bleach solution (.5% - 1% sodium hypochlorite)
70% isopropyl alcohol solution
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Customer Care:
1-800-535-6663
Website:
www.welchallyn.com
Directions for Use:https://www.welchallyn.com/content/dam/welchallyn/documents/sap-documents/LIT/80019/80019224LITPDF.pdf
Quick Reference Guide:http://www.welchallyn.com/content/dam/welchallyn/documents/sap-documents/LIT/80019/80019624LITPDF.pdf
Blood Pressure Accuracy and Variability – Quick Reference:http://www.welchallyn.com/content/dam/welchallyn/documents/upload-docs/Training-and-Use/Quick-Reference-Guide/MC4978_Blood-Pressure-Accuracy-and-Variability_Quick-Reference-Guide.pdf
Support Resources
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