GE DASH 3000 V5, DASH 4000 V5 Quick Reference Manual

BEDSIDE MONITORING

Dash 3000/4000 V5

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Quick Reference Guide

© 2004 General Electric Company
PN: 0304-CS-QRGD Rev. A
2018408-010

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BEDSIDE MONITORING

Dash 3000/4000 V5

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Quick Reference Guide

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Components

■ Display

• Date

• Time

• Unit Name

• Bed Number

• Patient Name

• Parameter

Window

• More Menus

• Waveforms

Time / Date

ECG

Parameter

Window

Unit Name Bed Number

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Patient Name

Waveforms

More Menus

Basic Use/

Admit/Discharge

Parameter

Windows

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Basic Use/

Admit/Discharge

The Basics

■ Direct Action Keys

■ Operations

• Trim Knob: The Trim Knob

is found on the monitor or
remote control and is used for
highlighting and selecting
menu options.

– Turn the Trim Knob to

highlight desired menu
options.

– Once you have highlighted

the menu option, press to
select.

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POWER:

Tur ns

Display

On or Off

GRAPH GO/STOP:

Starts and Stops

Manual Strips

and Print Window.

NBP

GO/STOP:

Starts and
Stops NBP.

ZERO ALL:

Zeros

Invasive

Pressures.

SILENCE ALARM:

Silences and Pauses Alarms.

Also Serves as a
Quick Admit Key

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KNOB:

Turn and

Push.

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■ Patient Cable Connectors

• All patient cable connectors

are located on the side of the
monitor.

■ Definition of Terms

• Hardwire: This means that

the ECG signal is being
acquired from a cable
attached to the patient and
connected to a bedside
monitor.

• Telemetry: This means that

the ECG signal is being
acquired from a telemetry
transmitter/transceiver. This
patient is able to ambulate
without being limited by a
cable.

• TTX: Refers to a telemetry

transmitter/transceiver.

RED:

Invasive

Pressures

BLUE:

SPO

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BROWN:

2

CO / Temp

YELLOW:

CO

2

BLACK:

NBP

GREEN:

ECG

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■ Silence Alarm

• Pressing the Silence Alarm key

once will silence an active
alarm for one minute. The
message SILENCED will
appear on the display. Any
new alarm at an equal or
greater priority will sound.

NOTE: If Crisis Alarm Breakthrough is set in defaults, all crisis
alarms will break through Alarm Silence and Alarm Pause.

• Pressing the Silence Alarm key

twice if an alarm is sounding
will start an ALARM PAUSE.
The length of pause will vary
depending on the monitor’s
mode. The message ALARM
PAUSE will appear on the
display.

NOTE: Alarm Pause Lengths:

— Adult ICU Mode: 5 minutes.

— Neonatal ICU Mode: 3 minutes.

— Operating Room Mode: 5 minutes. 15 minutes,

Alarm Paused (permanent pause).

• Alarms will reactivate if the

Silence Alarm key is pressed
again.

• An Alarm Pause will

immediately be activated if
the Silence Alarm key is
pushed in the absence of an
alarm.

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Monitor Applications

The bedside monitor can be used in
four different ways depending on
hospital need. Differences between
each application will be apparent in
the monitor’s admit menu.

Standard

This application uses a monitor
mounted in a room. It has only
hardwire capability and does not
accommodate telemetry.

■ To Admit a Patient

• Select MORE MENUS.

• Select ADMIT MENU.

• Select ADMIT PATIENT.

NOTE: The Admit key, on the front of the monitor, can also be
used to admit the monitor.

■ To Discharge a Patient

• Remove all ECG leads from

the patient.

• Select MORE MENUS.

• Select ADMIT MENU.

• Select DISCHARGE

PATIENT.

• Turn the Trim Knob to move

the cursor in front of
Discharge and press to select.

• A message DISCHARGED

and ALL ALARMS OFF will
appear on the display when
the monitor is in a discharged
mode.

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■ How to Enter Demographic

Information:

• Select MORE MENUS.

• Select ADMIT MENU.

• Select CHANGE ADMIT

INFO. An information
window with menu options
is displayed.

• Rotate the Trim Knob

control to move the pointer
(>); repeat the press, turn,
press process to enter
characters or make
selections.

• Select RETURN after all

information is entered.

• Select desired option:

SAVE CHANGES or DO
NOT SAVE CHANGES.

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■ Recall Defaults:

• This menu allows the

clinician to recall previously
named monitor defaults
while monitoring an
admitted patient.

• Up to five sets of defaults

can be programmed.

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Rover

This application allows the monitor
to be moved or “roved” to the
patient’s bedside. It has only
hardwire capability and does not
accommodate telemetry.

■ To Admit a Patient

• Connect the AC Power source.

• Connect the Network cable.

NOTE: This step is not required when using wireless
Dash monitors. It is required for all other Dash
monitors.

• Push the Power button to

activate the display.

• Select MORE MENUS.

• Select ADMIT MENU.

• Select SET UNIT NAME.

• From the information window,

move cursor in front of the
desired unit.

• Select BED SET NUMBER.

• From the information window,

move cursor in front of the
desired bed number.

• Select ADMIT PATIENT.

NOTE: If the Unit Name or Bed Number windows do not
appear, check that the network cable is connected.

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Rover

■ To Discharge a Patient

• Remove all ECG leads from

the patient.

• Select MORE MENUS.

• Select ADMIT MENU.

• Select DISCHARGE

PATIENT.

• Turn the Trim Knob to move

the cursor in front of
Discharge and press to select.

• A message DISCHARGED

and ALL ALARMS OFF will
appear on the display when
the monitor is in a discharged
mode.

NOTE: It is recommended to leave the network cable plugged
in and the Dash display on for two minutes following
discharge (if applicable).

• Push the Power button to turn

the display off.

• Store the monitor with AC

power cord plugged in and
display off.

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Combo

This application uses a monitor
mounted in a room, but the ECG
data can be acquired from either a
hardwire cable from the monitor or
a telemetry transmitter/transceiver.

■ To Admit a Patient to

Hardwire

• Select MORE MENUS.

• Select ADMIT MENU.

• Select ADMIT PATIENT.

■ To Change the ECG

Source from Hardwire to
Telemetry

• Select MORE MENUS.

• Select ADMIT MENU.

• Select ECG SOURCE.

• Turn the Trim Knob to move

the cursor in front of the
desired telemetry transmitter/
transceiver number or
Monitor (Discharge Telem)
for hardwire capability from
the information window and
press to select.

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NOTE: If the Telemetry transmitter/transceiver is being used
for the ECG signal, the TTX number will appear in the ECG
parameter box.

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Combo

■ To Discharge a Patient:

• Remove all ECG leads from

the patient.

• Select MORE MENUS.

• Select ADMIT MENU.

• Select DISCHARGE

PATIENT.

• Turn the Trim Knob to move

the cursor in front of the
desired discharge option and
press to select.

– Return: Exit to Main Menu.
– Monitor: Discharges only

the bedside monitor.

– Telemetry: Discharges

patient from telemetry.

– Both: Discharges both the

monitor and telemetry.

• A message DISCHARGED

and ALL ALARMS OFF will
appear on the display when
the monitor is in a discharged
mode.

NOTE: When discharging ONLY the bedside monitor, all stored
vital sign data will be deleted. The only data which remain
available will be: HR, ST, PVC, and Alarm Histories.

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Rover-Combo

This application combines the
mobility feature of Rover
monitoring with the telemetry
capabilities of Combo monitoring.

■ To Admit a Patient

• Connect the AC Power source.

• Connect the Network cable.

NOTE: This step is not required when using wireless
Dash monitors. It is required for all other Dash
monitors.

• Push the Power button to

activate the display.

• Select MORE MENUS.

• Select ADMIT MENU.

• Select SET UNIT NAME.

• From the information window,

move cursor in front of the
desired unit.

• Select SET BED NUMBER.

• From the information window,

move cursor in front of the
desired bed number.

• Select ECG SOURCE.

• From the information window,

move cursor in front of the
desired transmitter/
transceiver or monitor
(hardwire) and press to select.

NOTE: If the Unit Name, Bed Number or ECG Source windows
do not appear, check that the network cable is connected.

• Select ADMIT PATIENT.

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Rover-Combo

■ To Discharge a Patient:

• Remove all ECG leads

from the patient.

• Select MORE MENUS.

• Select ADMIT MENU.

• Select DISCHARGE

PATIENT.

• Turn the Trim Knob to move

the cursor in front of the
desired discharge option and
press to select:

– Return: Exit to Main

Menu.

– Monitor: Discharges only

the bedside monitor.

– Telemetry: Discharges

patient from telemetry.

– Both: Discharges both the

monitor and telemetry.

NOTE: When discharging ONLY the bedside monitor, all stored
vital sign data will be deleted. The only data which remain
available will be: HR, ST, PVC, and Alarm Histories.

• A message DISCHARGED

and ALL ALARMS OFF will
appear on the display when
the monitor is in a discharged
mode.

• Push the Display On/Off

button to turn the display off.

NOTE: It is recommended to leave the network cable plugged
in and the Dash display on for two minutes following

discharge.

• Store the monitor with the AC

power cord plugged in and
the display off.

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ECG

■ Skin Preparation and Lead

Placement:

The quality of the signal
received from the electrodes is a
direct result of skin prep and
lead placement.

• Clip or shave hair from

application sites.

• Gently rub the area with a

gauze pad to remove dead
skin cells.

• Cleanse site with alcohol or

mild soap and water.

• Dry skin completely.

• Apply electrodes according

to manufacturers
recommendations.

Pace Detection

Indicators

PVC Count

(Full Arrhythmia Only)

ST Measurement

Point

QRS

Indicator

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Heart Rate

Heart Rate

Alarm Limits

ST Analysis Data

ECG/
Pace

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ECG/
Pace

■ Display Lead: Top or first lead

displayed on the bedside and
graphed with alarms and
manual prints.

• To Change the Display Lead:
– Select ECG.
– Select DISPLAY LEAD II.
– A popup menu opens.
– Move the cursor in front of

the desired display lead and
press to select.

– Select MAIN MENU to

exit.

■ Size: Changes the size of all

ECG waveforms displayed and
graphed. 1X is the standard
size.

NOTE: At least a 0.5 millivolt QRS complex at standard size is
needed for beat detection.

• To Adjust ECG Size:
– Select ECG.
– Select ECG SIZE.
– Turn the Trim Knob to

highlight desired selection
and press to select.

– Select MAIN MENU to

exit.

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■ Detect Pace: Turns pacemaker

detection On/Off.

• Two different options of

pacemaker modes are
available. The clinician must
judge which mode is best for
each patient. Pace 2 is the
recommended pacemaker
detection mode. Pace 1
should be used if Pace 2 does
not adequately detect
pacemaker spikes.

• To Activate or Deactivate the

Pacemaker Mode:

– Select ECG.
– Select DETECT PACE.
– Turn the Trim Knob in

front of the desired
pacemaker mode and press
to select.

– Select MAIN MENU to

exit.

NOTE: A “P” appears in the ECG parameter window when pace
detection is enabled. An “*” will appear if a paced beat is

detected.

■ Pace 2 Mode: Analyzes

waveforms with the added
capability of minimizing the
chance of counting severe
residual pacemaker energy as a
QRS complex. Pace 2 may not
adequately detect all QRS
morphologies. Arrhythmia calls
such as Asystole or Pause may
be made with heart rate
identified as less than actual.

NOTE: Pacemaker patients should be kept under close
observation.

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■ Pace 1 Mode: Analyzes the

presence of pacer spikes,
assesses the waveform for
residual pacemaker energy and
determines the presence of an
R-wave following the pacemaker
spike. If an event occurs during
the first few milliseconds
following the spike, it will be
counted as a paced spike.

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■ Guidelines for Successful

Pacemaker Monitoring:

• Multi-vector pace detection is

determined by simultaneous
analysis of the displayed ECG
Lead and the Vector Lead.

• Adequate pacemaker

detection is directly
dependant on the quality of
the ECG waveform. Proper
skin preparation and
electrode placement are
essential.

• Ensure that the pace detection

mode is activated.

• All detected pacemaker spikes

will appear upright, uniform
and white on the display
screen.

• If the monitor is not

adequately detecting
pacemaker spikes —
as evidenced by heart rate
double counting, pacemaker
spikes not detected, alarms for
low heart rate or asystole —
it is recommended that you
change the electrode
placement to a recommended
configuration.

• After changing electrode

placement, always RELEARN
the ECG waveform.
If adjusting the electrode
placement does not resolve
the detection issue, change
the pace detection mode to
Pace 1 and RELEARN.

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Recommended Alternative Lead Placements

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■ Limits:

• To Change the ECG Alarm

Limit:

– Select ECG.
– Select ECG LIMITS.
– Select desired alarm limit.
– Turn the Trim Knob to the

desired alarm limit and
press to select.

– Select MAIN MENU to

exit.

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■ View All ECG: Allows six leads

of ECG to be viewed on the
display.

• To View All ECG:
– Select ECG.
– Select VIEW ALL ECG.
– Six waveforms will be

displayed.

– Press GRAPH GO/STOP to

print displayed leads.

– Press the Trim Knob to

remove displayed leads.

– Select MAIN MENU to

exit.

■ Arrhythmia: Arrhythmia

processing can be manually
changed to one of the following
conditions:

• Full: Expands detection to all

arrhythmia conditions
defined by the software level.

• Lethal: Arrhythmia

processing is limited to
Asystole, VFib/VTac and
VTach.

• Off: Disables all arrhythmia

alarms. Parameter alarms
remain active.

• To Change the Arrhythmia

Processing Mode:

– Select ECG.
– Select ARRHYTHMIA.
– Turn the Trim Knob to

move the cursor in front of
the desired arrhythmia
processing mode and press
to select.

– Select MAIN MENU to

exit.

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■ Relearn: During ECG

monitoring, it may be necessary
to relearn the ECG waveform if
a change in the patient’s normal
ECG pattern has occurred, or
the electrode placement has
changed.

• A change in the ECG pattern

could result in:

– Incorrect arrhythmia calls.
– Loss of ST measurement.
– Inaccurate heart rate

detection.

• To Relearn the ECG

Waveform:

– Select the ECG parameter

window.

– Select RELEARN.
– The ECG parameter

window will replace the HR
with an “X” and the
message “Learning” will
appear above the display
lead.

– Select MAIN MENU to

exit.

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■ Turning the ECG Parameter

Off or On: See monitor setup
for details.

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■ Single Lead vs. Multi-Lead:

This option examines ECG
leads utilized for arrhythmia
analysis.

• Multi-Lead Analysis examines

ECG leads I, II, III and V to
help eliminate false alarms
and improve the ability of the
system to:

– Detect beats that occur

isoelectric to a single chest
lead.

– Discriminate artifact that

appears in one lead
compared to other lead
vectors.

– Provides a “Smart Lead

Fail” feature where the
failed lead is identified and,
if available, another lead is
provided for display.

– Continue arrhythmia

processing after a lead
change.

• Single Lead Analysis uses

only the top displayed lead
to process heart rate and
arrhythmia information.

• Single lead analysis can be

beneficial when
troubleshooting heart rate
and arrhythmia alarms.

• To Change to Single Lead

Analysis:

– Select the ECG Parameter

Window.

– Select LD ANALYSIS:

MULTI-LEAD.

– Move the cursor in front of

Single Lead and press to
select.

– Select MAIN MENU to

exit.

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12 Lead ECG Analysis

NOTE: For the most accurate serial comparison, use the same
electrode configuration used on previous analysis.

■ To Obtain a 12-Lead on a

Patient:

• Place patient in a supine

position.

• Correctly identify and apply

all 10 electrodes.

• Select the ECG Parameter

Window.

• Select 12 LEAD ECG

ANALYSIS.

NOTE: Accurate demographics must be entered to ensure
proper analysis.

• Select ADMIT INFO

• Select CHANGE ADMIT

INFO.

Electrode Placement

• Enter Information:

– First Name: Completely

entered.

– Last Name: Completely

entered.

– Patient ID: Facility Specific,

(i.e., Medical Record
Number, Social Security
Number, etc.)

– Sex

Front

Leads

V1 Fourth intercostal space at the right

V2 Fourth intercostal space at the left

V3 Midway, between locations V2 and

V4 Mid-clavicular line in the fifth

V5 Anterior axillary line on the same

V6 Mid-axillary line on the same

LA Left deltoid or left wrist.

RA Right deltoid or right wrist.

LL Left thigh or left ankle.

LA Right thigh or right ankle

12 Lead Electrode Placement

sternal border; right chest.

sternal border; left chest.

V4; left chest.

intercostal space; left chest.

horizontal level as V4; left chest.

horizontal level as V4 & V5; left chest.

– Birth Date
– Age: Correct age impacts

the analysis.

– Height
– Weight
– Location ID: Identifies

origin of 12-lead to MUSE
for transmission.
(Set in defaults. For rover
modes, set in admit menu).

– Site Number: Identifies

hospital to MUSE for
transmission.
(Set in defaults).

NOTE: Depending on facility policy, other fields may be
required; i.e., Technician ID, Optional Field, Order Number.

(continued on next card)

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ST

12 Lead ECG

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ST

12 Lead ECG

(continued from previous card)

• Select 12 LEAD ECG NOW.

Message appears:

“PERFORMING ANALYSIS.
Please wait…” After 30

seconds, an unconfirmed
12-lead ECG Analysis window
will appear.

• Transmission and/or printing

options include the following:

– Transmit–Print: Send

12 lead for storage to
MUSE and print copy to
laser printer.

– Transmit: Send

12 lead for storage to
MUSE. No printed copy
on unit.

– Print: Print copy to laser

printer on unit. No 12 lead
stored at MUSE.

– Delete: Erase the analysis

without storing or printing.

– Return: Exit to 12-lead

menu.

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12 Lead is completed. The last 12
lead analysis window is available for
review under REVIEW 12 LEAD

ECG TO TRANSMIT OR PRINT.

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ST Analysis

■ ST Menu Options:

• ST information with trends

and complexes may appear in
a waveform position.

• ST by lead data may appear

in the ECG Parameter
Window.

• The lead with the most

deviation from the isoelectric
line appears in the ECG
window. The ST value is
updated regularly and
changes to the alarming lead
when limits are exceeded.

NOTE: ST options may vary depending on monitor default
configuration.

NOTE: The accuracy of the ST Analysis is dependent on the
placement of the electrodes.

Pace Detection

Indicators

PVC Count

(Full Arrhythmia Only)

ST Measurement

Point

QRS

Indicator

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Heart Rate

Heart Rate

Alarm Limits

ST Analysis Data

■ ST Trends and Complexes

• The monitor has an ST

display which consists of
three 30-minute ST trends
OR three ECG complexes.

• A reference complex for each

of the selected leads is
displayed for visual reference
purposes when ST is on.

• The current complex is

superimposed (green) over
the reference complex (gray).

Data is outside of

the displayed

scale

The reference

complex is in back

of the current

complex

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■ Turn ST ON/OFF: Turns ST

analysis off and returns to the
main menu.

• To Turn ST Analysis

Program Off:

– Select the ECG parameter

window.

– Select ST ANALYSIS.
– Select TURN ST OFF.
– Display automatically

returns to the Main Menu.

• To Turn ST Analysis

Program On:

– Select the ECG parameter

window.

– Select ST ANALYSIS.
– ST complexes and numerics

automatically appear on the
display.

– Select MAIN MENU to

exit.

■ Store New References:

Displays a new set of reference
complexes on the screen to use
as a visual reference.

• To store new references:

– Select the ECG parameter

window.

– Select ST ANALYSIS.

– Select STORE NEW

REFERENCES.

– Select YES from the popup

menu.
The reference complexes

shown on the display will
now reflect the current
complexes.

– Select MAIN MENU to

exit.

NOTE: Selecting STORE NEW REFERENCE does not affect
actual ST processing, it is for visual reference only.

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■ ST Limits: Displays a menu

and information window to set
and adjust ST deviation limits.

• To Adjust All ST Limits:
– Select the ECG parameter

window.

– Select ST ANALYSIS.
– Select ADJUST ALL

LIMITS.

– Turn the Trim Knob to the

+ / – desired limit and
press to select.

– All limits are automatically

adjusted in the information
window.

– The monitor adjusts the low

and high limits around the
current value of the lead(s).

– Select MAIN MENU to

exit.

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■ Identify V Lead: Identifies the

V Lead being used for ECG and
ST analysis.

• To Change the V Lead:
– Select the ECG parameter

window.

– Select ST ANALYSIS.
– Select IDENTIFY V LEAD.
– Move the cursor in front of

the desired V Lead and
press to select.

NOTE: With a 5-leadwire cable, the V Lead is used in ST
Analysis and arrhythmia analysis.

Changing this label changes the label on the V-lead trend and
complex.

NOTE: With a 10-leadwire cable, the V Lead is used for
arrhythmia analysis only. Changing this label DOES NOT
change the label on the ST display. Use the ST display menu
to change the label.

– Select MAIN MENU to

exit.

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■ ST Display: Changes the leads

for the trends and complexes
display.

• To Change the Displayed ST

Leads:

– Select the ECG parameter

window.

– Select ST ANALYSIS.
– Select ST DISPLAY.
– Turn the Trim Knob to

deselect one of the three
selections before selecting
another.

– Select MAIN MENU to

exit.

NOTE: A maximum of three choices can be selected for the ST
Display.

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NBP

■ Non-Invasive Blood Pressure

(NBP): Non-invasive blood
pressure is measured using the
oscillometric method. The cuff
is inflated to occlude the artery
and then released in increments.
The monitor determines the
point of maximum pulsation,
which is the mean arterial blood
pressure. The systolic and
diastolic pressures are then
determined.

■ NBP: Display

• NBP Values: Current systolic,

diastolic, and mean values.

• Limits and Units: The upper

and lower systolic alarm limits
and units of measure may be
displayed.

• Countdown Timer: When the

NBP AUTO is selected, the

countdown timer shows the
amount of time remaining
until the next NBP
measurement.

Time of Last
Measurement
and Cuff Size

Countdown

Tim er

Systolic Value

Diastolic Value

Mean Value

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Limits

and Units

NBP

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NBP

■ NBP Go/Stop: The NBP

Go/Stop button on the monitor
is a quick way to start or stop a
blood pressure measurement.

■ NBP Auto: This option allows

the monitor to be programmed
to take NBP readings
automatically at specific time
intervals.

• To Program NBP for the

Auto Mode:

– Select the NBP.
– Select NBP AUTO.
– A popup menu appears.
– Select MAIN MENU to

exit.

NOTE:

The NBP measurement for the auto option is set in

the monitor defaults and can be timed in two different ways:

1.

Regular Timing:

time interval regardless of the actual clock times.

2.

Clock Sync Timing:

specific clock times.

NBP measurement is taken at a specific

NBP measurement is synchronized to

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NOTE: Turning the Auto mode Off, then On, restarts the timing
cycle.

NOTE: If a time interval greater than 60 minutes is selected,
AUTO is displayed in the NBP parameter window.

NBP GO/STOP:

Starts and Stops NBP.

COVER &
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TAB
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■ Review NBP: The monitor can

store up to 96 NBP readings for
review.

• To Review NBP Readings:
– Select the NBP.
– Select REVIEW NBP.
– An information window is

displayed.

– Select VIEW NEWER/

VIEW OLDER from the

menu options to obtain all
data.

– Press the GRAPH GO/

STOP button on the

monitor to print displayed
vital signs.

– Select MAIN MENU to

exit.

■ NBP Limits: Allows

NBP alarm limits to
be adjusted.

• To Change NBP

Limits:

– Select the NBP.
– Select NBP

LIMITS.

– Select the

desired NBP
limit.

– Turn the Trim

Knob to the
desired limit
and press to
select.

– Select MAIN

MENU to exit.

NOTE: The above steps apply to changes
made to systolic, diastolic and mean NBP
limits.

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■ Cuff Size: The cuff size option

determines the initial inflation
pressure. This option sets the
monitor for the appropriate cuff
inflation. Three options are
available:

• Adult: 160 mmHg.

• Pediatric: 140 mmHg.

• Neonatal: 125 mmHg.

With additional blood pressure
measurements the cuff inflation
pressure is 30 mmHg for Adults
and 25 mmHg for Pediatric/
Neonatal over the last systolic
blood pressures.

• To Change the Cuff Size:

– Select the NBP.
– Select CUFF SIZE.
– Move the cursor in front of

the desired cuff size and
press to select.

– Select MAIN MENU to

exit.

NOTE: The cuff size is automatically set if the patient’s age is
entered in the Admit Menu.

■ Clear NBP Reading: This

option removes the current NBP
reading from the parameter
window and vital signs history.
An “X” will replace the numeric
values in the parameter window
if no previous NBP reading is
available.

• To Clear NBP Reading in the

Parameter Window:

– Select the NBP.
– Select CLEAR NBP

READING.

– Xs will be placed in the

parameter window.

– Select Main Menu to exit.

NOTE: Clearing the NBP reading also removes the value from
the vital signs history.

NOTE: The NBP values change to Xs if no NBP monitor has
taken place for two hours in the Adult ICU mode, 15 minutes in
Operating Room mode and 12 hours in Neonatal ICU mode.

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SPO

2

■ SPO

monitoring is a

2

non-invasive technique used to
measure the amount of
oxygenated hemoglobin and
pulse rate by measuring
absorption of selected
wavelengths of light.

■ To activate SPO

securely connect the SPO

monitoring,

2

cable

2

into the appropriate blue port
on the Dash monitor. The SPO

2

parameter window will
automatically appear once the

probe is connected to the

SPO

2

cable and plugged into the
monitor.

■ To discontinue SPO

2

monitoring, remove the cable
from the monitor or disconnect
the SPO
The SPO

probe from the cable.

2

window will be

2

removed from the display.

NOTE: Correct probe placement and patient movement may
affect SPO2 signal quality and displayed numeric value.

Good clinical practice includes proper probe placement and
maintenance of probe position on the finger to prevent false
SPO2 readings from ambient light interference.

■ There are three indications from

the monitor that verify the
quality of the data being
displayed:

• Signal Strength Indicators:

– Three asterisks (***) =

Good signal strength.

– Two asterisks (**) =

Adequate signal strength.

– One asterisk (*) =

Poor signal strength.

• Quality of a Good SPO

Waveform:

– Noise or artifact may be

due to poor probe
placement or patient
movement.

2

Signal
Strength
Indicator

SPO

2

Value

Limits

and Units

Pulse Rate

Value

– Frequent, erratic changes in

the value or waveform may
indicate a poor signal.

NOTE: When using Masimo technology, the waveform cannot
be utilized as a quality indicator due to the fact that the
motion artifact is filtered.

• The Stability of the SPO

2

Numeric Value:

– Compare the heart rate in

the SPO

parameter

2

window with the heart rate
in the ECG parameter
window to confirm accuracy.

NOTE: It is critical to observe all three indicators at the same
time.

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SPO

2

TAB
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■ Patient Preparation for SPO

2

Monitoring:

• Choose the probe that is best

suited for your patient’s
needs: ear, finger, disposable,
reusable, etc.

• Clean the surface of the probe

before and after each patient
use.

• Following the instructions

provided with the probe,
correctly position and attach
the probe to your patient.

• When a Masimo sensor is

repositioned at any time,
disconnect the cable from the
sensor before repositioning.

• Reconnect the sensor to the

cable after proper patient
preparation and placement.

SPO

2

■ It is Important to be Aware

of the Following when
Monitoring SPO2:

• A poor SPO2 signal may result

if the probe detector is
exposed to strong ambient
light.

• When securing the probe,

ensure nothing is blocking the
probe light detector.

• Prolonged monitoring may

require changing the probe
site periodically. Monitor the
probe site. Move the probe if
there is any sign of skin
irritation or impaired
circulation.

• Change the probe site at least

EVERY FOUR HOURS to
prevent skin breakdown. With
neonate, you may need to
reduce application periods to
half the recommended time.

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TAB
TRIM

■ The Dash monitor incorporates

several different technology
options for interpreting SPO
values:

• Masimo Set

• Nellcor (Oxismart XL)

• GE

■ All SPO

technologies include

2

the following menu options:

• Size: Adjusts the size of the

displayed SPO2 waveform.
The default size is 1X.

To Change the Size:

– Select SPO

.

2

– Select SIZE.
– Turn the Trim Knob to

highlight the desired size
and press to select.

– Select MAIN MENU to

exit.

• Rate: A pulse rate is derived

from the SPO

signal and is

2

displayed in the parameter
window.

To Turn the Displayed Rate
On/Off:

– Select SPO

.

2

– Select RATE.
– This menu option directly

turns the rate option On or
Off.

– Select MAIN MENU to

exit.

2

SPO2 Menu — GE and Nellcor Probes

■ SPO

Rate Volume: The rate

2

volume turns on a tone that
sounds each time an SPO

pulse

2

is detected. This is a variable
pitch tone which changes as the
patient’s saturation level
changes. A drop in saturation
results in a change in pitch of
the tone.

• To Change the Rate Volume:

– Select SPO

.

2

– Select RATE VOLUME.
– Turn the Trim Knob to the

desired SPO

volume and

2

press to select.

– Select MAIN MENU to

exit.

NOTE: Turning the SPO2 rate volume on automatically turns
the QRS volume off and vice-versa.

NOTE: When two SPO2 sites are being monitored, the rate
volume can only be turned on for one site at a time.

■ SPO

Limits: Allows SPO

2

2

percent and rate alarm limits to
be adjusted.

• To Change SPO

– Select SPO
– Select SPO
– Select the desired SPO

Limits:

2

.

2

LIMITS.

2

2

limit.

– Turn the Trim Knob to the

desired SPO

limit and

2

press to select.

– Select MAIN MENU to

exit.

■ Persistent SPO

allows the SPO

2

2

parameter box to remain on the
display after the SPO

cable has

2

been disconnected. The
parameter box displays PROBE
OFF PATIENT the cable is
disconnected and an alarm
sounds at both the monitor and
central station. This option may
be turned on or off in the SPO2
menu if enabled in the defaults.

NOTE: The type of SPO2 technology available is based on
equipment purchased.

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■ SPO

— Masimo SET allows the

2

sensitivity and averaging times
to be adjusted:

• Sensitivity options include:

– Normal, for routine patient

monitoring purposes.

– Maximum for improved low

perfusion performance and
for faster tracking of SPO
changes.

– Averaging menu options

determine how many
seconds the collected SPO
information is averaged.
Options for averaging times
are: 2, 4, 8, 10, 12, 14, or
16 seconds.

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SPO2 Menu — Masimo SET Probes

■ Rejuvenating the Adhesive

Properties of the Disposable

2

2

Saturation Probe:

• Rejuvenate the probe at least

once per shift and PRN.

• Rub the adhesive sides of the

probes with an alcohol
preparation pad.

• After the probe has dried for

at least one minute, replace it
on the site.

NOTE: It is recommended that the adhesive tapes be changed
with every site change. Adhesive tape can not be rejuvenated.

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Respiratory Rate

■ Respirations are detected by

measuring thoracic
impedance. Respirations can
be monitored in Lead I for
chest breathers or Lead II for
abdominal breathers.

• To Change the Respiratory

Lead:

– Select RESPIRATION.
– Select LEAD.
– This option switches

between Lead I and
Lead II.

– Select MAIN MENU to

exit.

NOTE: Changing the leads automatically starts the relearning
process.

■ Relearn Respiration: This

option may be necessary if
the patient’s breathing
pattern has changed or the
monitor is not calculating the
respiratory rate correctly.
This process takes eight
breaths to complete.

• To Relearn the Respiration:

– Select RESPIRATION.
– Select RELEARN.
– A learning message will

appear in the respirations
parameter window.

– Select MAIN MENU to

exit.

Breath Indicator

Lead Monitored

Upper Chest Breathers — Lead I Abdominal Breathers — Lead II

Expiration MarkerInspiration Marker

Example of a Good Respiratory Waveform

Respiration Rate

Limits

and Units

TAB
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Respirations /

Temp

TAB
TRIM

■ Sensitivity: The monitor

automatically sets the
detection sensitivity at 40% of
the average amplitude. The
sensitivity may need to be
changed due to varying
amplitudes or artifact. The
lower the percentage, the
greater the detection
sensitivity.

• To Change the Sensitivity:

– Select RESPIRATIONS.
– Select SENSITIVITY.
– Turn the Trim Knob to the

desired percent and press
to select.

– Select MAIN MENU to

exit.

NOTE: The RELEARN option will return the sensitivity to 40%.

TAB
TRIM

Respirations /

Temp

COVER &
NON-TAB
TRIM

■ Respiration Limits:

• To Change the Respiration

Limits:

– Select RESPIRATIONS.
– Select the desired

respiratory rate limit.

– Turn the Trim Knob to the

desired respiratory rate and
press to select.

– Select MAIN MENU to

exit.

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TAB
TRIM

Temperature

■ Temperature monitoring can

be done using multiple sites
with internal or external
temperature sensors. The
temperature sites are
identified in the parameter
window as T1 and T2. Only
numeric information is
displayed in the temperature
parameter window.

• Temperature menu options

include:

– T1: This turns monitoring

ON or OFF at temperature
site 1.

– T2: This turns monitoring

ON or OFF at temperature
site 2.

– Units: Switches the units of

measure between Celsius
and Fahrenheit.

• To Change the Temperature

Limits:

– Select TEMPERATURE.
– Select T1 or T2.
– Turn the Trim Knob to the

desired temperature limit
and press to select.

– Select MAIN MENU to

exit.

Temp Value

Temp Sites and Units

TAB
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Temp Limits

for One Site

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TAB
TRIM

TAB
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TAB
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Invasive Pressures

■ The invasive pressure labels

are displayed on the monitor
with a number (1 – 4). These
numbers identify the location
in the Dash monitor.

A maximum of six waveforms
and eight parameters can be
displayed on the monitor
when using individual scale
mode.

■ Invasive Pressure —

Insertion.

• To activate invasive pressure

monitoring, securely connect
the transducer cable into the
appropriate red port on the
side of the Dash monitor.

– The invasive parameter

window will automatically
appear once the cable is
plugged into the Dash
monitor.

– To discontinue invasive

monitoring, remove the
cable from the monitor.
The parameter window
will be removed from
the display.

• Preset names are assigned

to each pressure port:

– BP 1: Arterial Line
– BP 2: PA Line

NOTE: Up to two additional Invasive Pressures can be
monitored when using bifurcated cable plugged into the
invasive ports. (Available with Masimo only).

ART

BP 1

ART

BP 2

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Invasive Pressure /

PA

TAB
TRIM

Pressure Menu Options:

■ Invasive Pressures —

Zeroing: In order to obtain
accurate pressure
measurements, it is important
to zero the transducers.
Transducers can be zeroed all
at once or individually.

• To Zero Pressure

Transducers:

– Open the transducers to air.
– Press the ZERO ALL

button on the monitor.

– Verify the zero reference is

established.

– Close the transducer to air.

Once the transducer is
closed, the pressure
numerics will be displayed.

NOTE: Transducers can be zeroed individually under the
appropriate parameter window menu option labeled ZERO.

NOTE: A Smart BP feature is found in ART and FEM pressure
menus. This program is designed to reduce nuisance alarms
associated with zeroing the transducer, drawing blood, etc.
The user is allowed 14 seconds for zeroing transducers and
two minutes for drawing blood before the alarms are
activated.

TAB
TRIM

Invasive Pressure /

PA

COVER &
NON-TAB
TRIM

ZERO ALL:

Zeros Invasive

Pressures.

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TAB
TRIM

■ Invasive Pressures — Scale:

• To Change the Scale of the

Pressure Waveform:

– Select the desired pressure

parameter window.

– Select SCALES.
– A popup menu opens

indicating the available
options.

– Move the cursor in front of

the desired scale and press
to select.

– Select MAIN MENU to

exit.

NOTE: AUTO is an option only if the pressure has been zeroed.
Auto-scaled waveforms graph differently than displayed.

■ Invasive Pressures —

Cursor:

• The cursor option places a

moveable, dashed, horizontal
line across the pressure
waveform to give accurate
values at selected points on
the pressure waveform.
Numeric data is displayed to
the right of the cursor.

• To Use the Cursor Option:

– Select the desired pressure

parameter window.

– Select CURSOR.
– A popup menu opens

indicating the available
options.

– Turn the Trim Knob to

move the cursor and press
to select.

– Select MAIN MENU to

exit.

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• To Remove the Cursor from

the Waveform:

– Select the desired pressure

parameter window.

– Select CLEAR CURSOR.
– This is a direct action menu

option.

– Select MAIN MENU to

exit.

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TAB
TRIM

■ Invasive Pressures —

Smart BP:

• Smart BP is a feature found in

the ART and FEM pressure
menus that reduces nuisance
alarms associated with zeroing
the transducer, fast flushing
and drawing blood.

• To Turn Smart BP On or Off:

– Select ART or FEM

parameter window.

– Select SMART BP and

press to select.

– On/Off status is noted in

the menu option.

– Select MAIN MENU to

exit.

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Smart BP

■ Disconnect Alarm:

• A feature found in the ART

and FEM pressure menus.

• If the mean pressure falls

below 25 mmHg and the
disconnect alarm is on, a
Warning Alarm sounds and
the message
DISCONNECTED is
displayed in the parameter
window.

• Check the patient

immediately in the event the
catheter has dislodged.

Disconnect Alarms

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TAB
TRIM

■ Graph BP Waveform

• To Graph Waveforms

(without ECG lead):

– Select MORE MENUS.
– Select MONITOR SETUP.
– Select GRAPH SETUP.
– Select GRAPH BP

INVASIVE.

– Highlight desired

waveforms to be graphed.

– Highlight GRAPH.
– Select MAIN MENU to

exit.

– Press the GRAPH GO/

STOP button on the

monitor to stop the graph.

NOTE: This feature is also available in the PA Insert/Wedge
menu.

■ Invasive Pressures —

Limits:

• To Change Invasive Line

Pressure Limits:

– Select the appropriate

parameter window.

– Select LIMITS.
– Select the appropriate limit

(systolic, diastolic or mean).

– Turn the Trim Knob to

the desired limit and press
to select.

– Select MAIN MENU to

exit.

■ Invasive Pressures —

Change Names:

• Be sure that the

invasive pressure
parameter window is
labeled correctly.
Having the invasive
pressure port named
properly is important
for proper waveform
processing and
scaling.

• To Change the Name:

– Select the desired

pressure parameter
window.

– Select NAME

CHANGE.

– A popup menu

opens, indicating
the available
options.

– Turn the cursor in

front of the desired
name and press to
select.

– Select MAIN

MENU to

exit.

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Graph BP Waveforms

Changing Pressure Limits

COVER &
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TAB
TRIM

■ Invasive Pressures — IABP:

• The IABP program

compensates for the
irregularities in the pressure
waveform caused by the use of
an intra-aortic balloon pump.

• To ensure that the trigger

signal is compatible with all
modes of the IABP, the signal
source used to trigger an
intra-aortic balloon pump
should be the pump itself.

• If the trigger is from the

monitor, be certain that the
manufacturer is compatible
with the GE Medical Systems
Information Technologies analog
output signal.

• If the trigger is off of the

R-Wave, review the patient’s
ECG leads and place the one
with the greatest amplitude in
the display (top) lead
position.

• If blood pressure is used to

trigger the balloon, the first
red pressure port labeled
ART will be used.

• Cable the balloon pump to

the monitor through the
Defib Sync connector on the
back of the monitor.

• The Parameter Window

Displays:

– Systolic Value = Highest

pressure in one cardiac
cycle.

– Diastolic Value = Lowest

pressure in one cardiac
cycle.

– Mean Value = Average

pressure in one cardiac
cycle.

NOTE: The values displayed will differ depending on the
timing of the pump.

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• To Turn the IABP Program

On:

– Select ART 1.
– Select IABP.
– On/Off status is noted in

the menu option.

– Select MAIN MENU to

exit.

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NON-TAB
TRIM

TAB
TRIM

PA

PA Insert/Wedge is a feature
found in the PA Invasive
Pressures Menu. There are two
modes for doing a PA Wedge
measurement: Auto and
Manual.

■ The Auto Mode allows a PA

Wedge measurement to be
performed without having to
touch the monitor after
starting the program. The
Manual Mode defaults when
the PA Insert/Wedge menu
option is selected.

NOTE: The monitor must detect a 30% change in the
waveform to measure a wedge. If the waveform does not
change accordingly, the Wedge Processing message will not
appear and you must use the manual mode for wedge
measurements.

• To Complete an Auto PA

Wedge:

– Select PA.
– Select PA INSERT/

WEDGE.

– Select MODE:MANUAL

(this changes the mode to
Auto).

– An INFLATE BALLOON

message appears in the PA
parameter window.

– Deflate the balloon.
– PA Wedge Review

Information window is
automatically displayed.

PA Wedge Review

– To change the PA value,

select MOVE WEDGE
CURSOR.

– Turn the Trim Knob to

move the cursor to the
desired position and press
to select.

PA Insert/Wedge

– Press the GRAPH GO/

STOP button on the

monitor to print window.

– Select MAIN MENU to

exit.

NOTE: The last PAW with a time stamp will be displayed in the
PA parameter window.

TAB
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NON-TAB
TRIM

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NON-TAB
TRIM

TAB
TRIM

■ The Manual Mode overrides

the Auto Mode and requires
additional steps at the
monitor to complete the
measurement. Under certain
patient conditions (valvular
disease or respiratory
variation in PA reading), the
monitor is unable to detect a
change in the waveform.

NOTE: The monitor must detect a 30% change in the
waveform to measure a wedge. If the waveform does not
change accordingly, the Wedge Processing message will not
appear and you must use the manual mode for wedge
measurements.

• To Complete a Manual PA

Wedge:

– Select PA.
– Select PA INSERT/

WEDGE.

– Verify that the

MODE:MANUAL is

displayed.

– Inflate the balloon.
– Watch PA waveform for

wedging.

– Deflate the balloon.
– Select REVIEW WEDGE.
– The PA Wedge Review

Information window is
displayed.

– Select MOVE WEDGE

CURSOR.

PA Wedge Review

– Turn the Trim Knob to

move the cursor to the
desired position and press
to select.

PA Insert/Wedge

– Press the GRAPH GO/

STOP button on the

monitor to print window.

– Select Main Menu to exit.

NOTE: The last PAW with a time stamp will be displayed in the
PA window.

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TAB
TRIM

Cardiac Output

■ The Cardiac Output Program

measures cardiac output by
use of a thermodilution
catheter.

■ To activate monitoring,

securely connect the cardiac
output patient cable into the
Temp/CO connector port on
the side of the Dash monitor.
The CO parameter window
will automatically appear one
the cable is plugged into the
monitor. The parameter
window displays the patient’s
blood temperature.

■ To discontinue CO

monitoring, remove the cable
from the monitor. The
parameter window will
be removed from the display.

• To Obtain a Cardiac Output

(CO):

– Select CARDIAC

OUTPUT or CO.

– Verify Menu options:

- Use PAW, PAD, or LA for

cardiac calculations.

- Catheter type.

- Injection Temp.

- Size of catheter.

- Injectate volume.

- Computation constant.

TAB
TRIM

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TRIM

NOTE: If a Baxter, Abbott, Ohmeda or Arrow catheter is being
used, the software will automatically enter a computation
constant. If OTHER is selected as the catheter type, the
monitor will prompt the user to enter the Computation
Constant manually based on the manufacturer’s
recommendations. If the catheter type is changed, the user is
prompted to verify all other options.

NOTE: The computation constant will read 0.000 when the
cable is first connected and prior to the first injection.

NOTE: When the computation constant is manually entered,
the other menu options (volume, temp and size) are not
needed. These menu options may be changed but will have no
effect on the software.

COVER &
NON-TAB
TRIM

Cardiac

Output

TAB
TRIM

• When the INJECT WHEN

READY is displayed, proceed

with injection.

• Seconds after injecting,

COMPUTING CO is
displayed.

• CO COMPLETE is displayed

with the CO value upon
completion and the data is
placed in the trial window.

NOTE: Up to four trials are displayed in the trial window, the
fifth trial automatically deletes the first. All trials are
averaged and the data is stored in the cardiac calcs.

• Select DELETE CO TRIALS.

• Move the cursor in front of

the trial that is to be deleted
and press to highlight.

• Move the cursor to RETURN

and press to select.

NOTE: Trials are deleted permanently.

TAB
TRIM

Cardiac

Output

COVER &
NON-TAB
TRIM

• Select CARDIAC CALCS.

• Select CHANGE VALUE to

edit or add unmonitored
parameter values.

• Move the cursor to RETURN

and press to select.

• Select SAVE CALCS.

• Select REVIEW CALCS.

• Select MAIN MENU to exit.

NOTE: The last average CO value, along with a time stamp,
will be displayed in the parameter window.

COVER &
NON-TAB
TRIM

TAB
TRIM

■ A Manual Cardiac Output

may be preferred for patients
with extreme blood
temperature fluctuations.

• Select CARDIAC OUTPUT

NOW from the Cardiac

Output menu.

• Watch for the INJECT NOW

message and inject desired
fluid volume.

NOTE: With this option, it is particularly important to inject
immediately upon seeing the INJECT NOW message. If too
much time elapses, the monitor will cycle itself and the

message PUSH CO NOW OR TURN AUTO ON is displayed.

• A COMPUTING CO message

is displayed and the washout
curve begins to move across
the display.

• The message

CO COMPLETE is displayed
with the CO value.

NOTE: Up to four trials are displayed in the trial window. The
fifth trial automatically deletes the first. All trials are
averaged and the data is stored in the cardiac calcs.

• Select CARDIAC CALCS.

• Select CHANGE VALUE to

exit or add unmonitored
parameter values.

• Move the cursor to RETURN

and press to select.

• Select SAVE CALC.

• Select REVIEW CALCS.

• Select MAIN MENU to exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

Calculated Parameters

Parameter Label Units Formula

TAB
TRIM

COVER &
NON-TAB
TRIM

Body Surface Area BSA m

2

Cardiac Index CI L/min/m

0.725

HT

2

• WT

CO/BSA

0.425

• 0.007185

Stroke Volume SV mL/beat CO/HR • 1000

Systemic Vascular Resistance SVR dyn • sec • cm

Systemic Vascular Resistance Index SVRI dyn • sec • cm-5 • m

Pulmonary Vascular Resistance PVR dyn • sec • cm

Pulmonary Vascular Resistance Index PVRI dyn • sec • cm-5 • m

Left Ventricular Stroke Work Index LVSWI g • m/m

Right Ventricular Stroke Work Index RVSWI g • m/m

*

If using pulmonary artery diastolic (PAD) pressure or left atrial (LA pressure, PAW will be substituted with PAD or LA.

-5

2

-5

2

-5

-5

[(MAP–CVP) • 79.92] / CO

[(PAM–PAW) • 79.92] / CO

[SV • (MAP–PAW) • 0.0136] / BSA*

[SV • (PAM–CVP) • 0.0136] / BSA*

SVR • BSA

PVR • BSA

COVER &
NON-TAB
TRIM

TAB
TRIM

Alarm Control

■ Alarm Structure: The monitor’s

alarm structure is divided into
two classifications:

• Patient Status Alarms:

Triggered by a patient
condition which exceeds a
parameter limit or by an
arrhythmia condition.

• System Status Alarms:

Triggered by a mechanical or
electrical problem (lead
failure, arrhythmia suspend).

TAB
TRIM

COVER &
NON-TAB
TRIM

Key Icons

Patient Status Alarms

Key Icons

System Status Alarms

COVER &
NON-TAB
TRIM

Alarm

Control

TAB
TRIM

■ Arrhythmia Alarms and

Parameter Alarms are very
different and help ensure alarm
processing of patient data.

• Arrhythmia Alarms: Refers to

the specific, interpretive, ECG
algorithm processing
conditions.

• Parameter Alarms: Refers to

the individual parameter
window label and limit
violations.

NOTE: Only arrhythmia alarm waveforms are stored in alarm
history. No information is stored in the alarm history for
parameter alarms.

■ Alarm Pause Breakthrough:

The Alarm Pause Breakthrough
feature allows any crisis alarm to
“break through” or interrupt an
alarm pause with an audible
alarm. When a crisis alarm
breaks through the alarm pause
feature, the alarms will sound
and the event will print, but no
storage of that event will be
found in the Alarm History.
This option is set up in the
monitor defaults.

TAB
TRIM

Alarm

Control

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ All Limits: This information

window shows all the high and
low alarm limits for all
parameters that are currently
being monitored.

• To Set Parameter Alarm

Limits:

– Select MORE MENUS.
– Select ALARM

CONTROL.

– Select ALL LIMITS.
– An Information Window is

displayed.

– Turn Trim Knob to move

the cursor in front of the

desired parameter that

requires an alarm limit

adjustment and press to

highlight parameter label.

– Turn Trim Knob to

highlight HIGH LIMIT or

LOW LIMIT and press to

select.

– Turn Trim Knob to change

limit and press to select.

– Turn Trim Knob to

highlight PARAMETER

LABEL and press to select.

– Move the cursor in front of

RETURN to close window

and press to select and
close window.

– Select MORE MENUS.
– Select MAIN MENU to

exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

NOTE: Parameter alarm limits can also be adjusted in the
individual parameter menus.

NOTE: Any changes made with the Parameter Alarm Level
menu options are temporary and return to the default settings
upon patient discharge.

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Arrhythmia Alarm Level:

This option allows the
arrhythmia alarm levels to be
viewed and changed.

• To Adjust Arrhythmia Alarm

Levels:

– Select MORE MENUS.
– Select ALARM

CONTROL.

– Select ARRHYTHMIA

ALARM LEVEL.

– An information window is

displayed.

– Turn the Trim Knob to the

desired alarm level (Crisis,
Warning, Advisory or
Message), and press to
select.

– Move the cursor in front of

RETURN and press to

select, and close the
window.

– Select MAIN MENU to

exit.

NOTE: Any changes made with the Arrhythmia Alarm Level
menu options are temporary and return to the default settings
upon patient discharge.

NOTE: Asystole and VFib/VTach cannot be moved from a Crisis
alarm level.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Parameter Alarm Level:

This option allows the
parameter alarm levels to be
viewed or reassigned to other
levels if desired.

• To Adjust Parameter Alarm

Levels:

– Select MORE MENUS.
– Select ALARM

CONTROL.

– Select PARAMETER

ALARM LEVEL.

– An information window is

displayed.

– Move the cursor in front of

the Parameter to be
changed and press to
highlight.

– Turn the Trim Knob to the

desired level (Crisis,
Warning, Advisory or
Message), and press to
select.

– Move the cursor in front of

RETURN and press to

select, and close the
window.

– Select Main Menu to exit.

NOTE: Any changes made with the Parameter Alarm Level
menu options are temporary and return to the default settings
upon patient discharge.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Alarm Volume: The alarm tone

volume can be adjusted at the
bedside.

• To Adjust Alarm Tone

Volume:

– Select MORE MENUS.
– Select ALARM

CONTROL.

– Select ALARM VOLUME.
– Turn the Trim Knob to the

desired alarm tone and
press to select.

– Select MAIN MENU to

exit.

NOTE: The alarm volume at the bedside monitor does not
affect the alarm volume at the central station.

NOTE: A minimum alarm volume can be set up in the monitor
defaults.

■ Clear Alarms: Allows for any

alarm information displayed in
the alarm parameter window to
be cleared from the display.

• To Clear Alarms:
– Select More Menus.
– Select Alarm Control.
– Select Clear Alarms.
– Information from the alarm

parameter window is
removed.

NOTE: Arrhythmia alarms are not deleted and can be found in
the Alarm History.

■ Alarm History: See Patient

Data Tab.

■ Display Off/Alarm Pause: This

option allows the user to
disconnect the patient from the
monitor for an extended period
of time. There are several alarm
pause choices available:

• Display Off/Alarm Pause:

This option turns off the
bedside monitor and pauses
the alarms at both the bedside
and the central station for an
indefinite period of time.

• Monitor Pause: This option

turns off the bedside monitor,
but allows alarm notification
to remain active at the central
station.

• To Activate the Display Off/

Alarm Pause Feature:

– Select MORE MENUS.
– Select ALARM

CONTROL.

– Select DISPLAY OFF/

ALARM PAUSE.

– Move the cursor in front of

the desired alarm pause
choice and press to select.

– The display screen is now

paused.

– Press the Power button on

the monitor to reactivate
the display and alarms.

NOTE: Pressing the Power Button will turn the Dash display off
and stop communication with the Central Station. Depending
on your configuration, a NO COMM alarm may sound.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Alarm History: Allows storage

of up to 36 arrhythmia
waveforms and 10 ST events
(including reference) that are set
in a Crisis, Warning, or Advisory
alarm level.

• To Retrieve Alarm History

Information:

– Select MORE MENUS.
– Select PATIENT DATA.
– Select ALARM HISTORY.
– An information window is

displayed.

– Move the cursor in front of

the desired event to be
viewed.

– Press the Trim Knob to view

a 10-second condensed
window of the arrhythmia.

– Press GRAPH GO/STOP

on the monitor to print the
displayed arrhythmia.

– Select MAIN MENU to

return.

NOTE: Ten seconds of three ECG leads or two ECG leads and
the ART waveform are displayed in a compressed format.

NOTE: Alarm History information can also be reviewed under
Alarm Control.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

Patient

Data

TAB
TRIM

■ Vital Signs: Provides 24 hours

of stored parameter data. In
addition, the last 20 cardiac
calculations and the last 10
pulmonary calculations are
stored.

• To Retrieve Vital Sign

Information:

– Select MORE MENUS.
– Select PATIENT DATA.
– Select VITAL SIGNS.
– An information window is

displayed.

– Select the desired time

interval. This menu option
allows the selection of time
interval between the data.

– Select VIEW OLDER/

VIEW NEWER. This

menu option moves the
displayed data either
backward or forward
in time, if data are
available.

– Select PAGE UP/PAGE

DOWN menu option allows

for viewing of information
that is not able to be
displayed on a single page.

– Press the Trim Knob to view

a 10-second condensed
window of the arrhythmia.

TAB
TRIM

Patient

Data

COVER &
NON-TAB
TRIM

– Press GRAPH GO/STOP

on the monitor to print
displayed vital signs.

– Select MAIN MENU to

return.

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Graphic Trends: Allows

graphic representation of data
over a specified period of time.

• To Retrieve Graphical

Trended Information:

– Select MORE MENUS.
– Select PATIENT DATA.
– Select GRAPHIC

TRENDS.

– An information window is

displayed with the graphic
trends that were last
selected.

– Select MAIN MENU to

return.

■ View Older/View Newer: This

option moves the displayed date
either backward or forward in
time if data is available.

TAB
TRIM

COVER &
NON-TAB
TRIM

■ Select Parameters: This option

allows parameters to be chosen
for graphic trends display:

• To Select Parameters:

– Turn Trim Knob to

highlight SELECT
PARAMETERS.

– An information window is

displayed with all the
parameter options.

– Turn Trim Knob and move

the cursor in front of the
desired parameter and
press to highlight.

– Select up to three

parameters using these
same steps.

– Move the cursor in front of

RETURN to close window.

– Select MAIN MENU to

exit.

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Dose Calculations: Provides a

method of determining drug
dosages. Different monitor
modes utilize different drug
libraries. The Adult Monitoring
Mode offers 21 different drugs
and four unspecified drugs,
while the Neonatal Monitoring
Mode offers 14 different drugs
and four unspecified drugs.

• To Obtain Dose Calculations:
– Select MORE MENUS.
– Select PATIENT DATA.
– Select DOSE CALCS.
– Select the CHANGE

VALUES option.

– Move the cursor to DRUG

NAME and press to select.

– Scroll to the desired drug

and press to select.

– Repeat the above procedure

to enter the following
values:

- Weight

- Solution volume

- Drug quantity

NOTE: When using the option of Drug A, B, C, D (unspecified
drugs), be sure to select the proper drug administration units
for the medication

– Select the appropriate drug

units for the medication.

– Scroll to the desired dose

and press to select.

– The infusion rate will be

automatically calculated
and displayed.

– Press the GRAPH GO/

STOP button on the

monitor to print the
displayed calculation.

TAB
TRIM

COVER &
NON-TAB
TRIM

– Move the cursor in front of

RETURN and press to

select.

– Select SAVE CALC store

dose calculation in monitor
(optional).

– Select MAIN MENU to

exit.

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Titration Table: A titration

table can be accessed after
completing a dose calculation.

• To Obtain Drug Titration

Table:

– Complete drug dose

calculation.

– Select titration table and an

information window will
appear.

– The calculated dose

appears in the center of the
table. To change the table
range, repeat the drug dose
calculation procedure and
enter a different dose to be
calculated.

– Press the GRAPH GO/

STOP button on the

monitor to print the
displayed titration table.

– Select MAIN MENU to

exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Cardiac Calculations: The

20 most current Cardiac
Calculations are stored.

• To Review Stored Cardiac

Calculations:

– Select MORE MENUS.
– Select PATIENT DATA.
– Select CARDIAC CALCS.
– Review Cardiac

Calculations.

– Press the GRAPH GO/

STOP button on the

monitor to print the
displayed calculations.

– Select MAIN MENU to

exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

Monitor Setup

■ Waveforms On/Off: Reassigns

waveform positions on the
display.

• To Turn Waveforms On/Off:
– Select MORE MENUS.
– Select MONITOR SETUP.
– Select WAVEFORMS ON/

OFF.

– Select the desired

waveform: 1 thru 6.

– Turn Trim Knob to move

the cursor in front of the
desired waveform and press
to select.

– Select ALIGN

WAVEFORMS to align with

parameter windows.

– Select MAIN MENU to

exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

Monitor

Setup

TAB
TRIM

■ Parameters On/Off: Adds or

removes parameter windows.

• To Turn Parameters On/Off:
– Select MORE MENUS.
– Select MONITOR SETUP.
– Select PARAMETERS ON/

OFF.

– An information window

appears with available
options.

– Turn Trim Knob to move

the cursor in front of the
desired parameter and
press to select.

– Select RETURN to close

window.

– Select MAIN MENU to

exit.

NOTE: The ECG parameter can be turned off. When the ECG
parameter is turned off, the SPO2 parameter is the primary
parameter for monitoring a patient. The SPO
parameter alarms default automatically to a warning.

and SPO2 Rate

2

TAB
TRIM

Monitor

Setup

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

Graph Setup

All Printing Options

■ Graph Go/Stop:

• To Print a Waveform Strip:
– Press the GRAPH GO/

STOP button on the front

of the monitor.

• To print an information

window:

– Press the GRAPH GO/

STOP button on the front

of the monitor.

■ Changing Graphing Waveform

Leads:

• To Change the Leads that are

being Graphed:

– Select MORE MENUS.
– Select MONITOR SETUP.
– Select GRAPH SETUP.
– Select waveform 2, 3, or 4

to change graphing
waveforms.

– Turn Trim Knob to move

the cursor in front of the
desired waveform and press
to select.

– Select MAIN MENU to

exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ BP Waveform:

• To Graph Waveforms

(without ECG lead):

– Select MORE MENUS.
– Select MONITOR SETUP.
– Select GRAPH SETUP.
– Select GRAPH BP

INVASIVE.

– Highlight desired

waveforms to be graphed.

– Highlight GRAPH.
– Select MAIN MENU to

exit.

– Press the GRAPH GO/

STOP button on the

monitor to stop the graph.

NOTE: This option is also available in the PA Insert/Wedge
menu.

TAB
TRIM

COVER &
NON-TAB
TRIM

■ Graph Location:

• To Change the Graph

Locations:

– Select MORE MENUS.
– Select MONITOR SETUP.
– Select GRAPH SETUP.
– Select GRAPH

LOCATION.

– Select MANUAL, ALARM

or PRINT WINDOW
GRAPH LOCATION.

An information window is
displayed with a list of
available writers.

– Turn Trim Knob to move

the cursor to select the
specific writer and press to
select.

– Select MAIN MENU to

exit.

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Timed Graph:

• To Change a Timed Graph:

– Select MORE MENUS.
– Select MONITOR SETUP.
– Select GRAPH SETUP.
– Select TIMED GRAPH.
– Highlight desired

waveforms to be graphed.

– Highlight GRAPH.
– Turn Trim Knob to move

the cursor to select the
desired time and press to
select.

– Select MAIN MENU to

exit.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

■ Display Mode: This option

controls the view of the display.

• Individual 3 Waveform:

When monitoring up to three
waveform parameters, the
three individual waveform
display options may be
selected. This will double the
size of displayed parameters
and automatically align
waveforms with their
respective parameter
windows. A maximum of ten
parameters and six waveforms
can be viewed in this mode.

• To Change from Six

Individual Waveforms to
Three:

– Select MORE MENUS.
– Select MONITOR SETUP.
– Select DISPLAY.
– From popup menu, select

INDIVIDUAL 3
WAVEFORMS.

NOTE: If additional waveform parameters are added, the
display must be changed back to INDIVIDUAL 6 WAVEFORM in
order to view all waveforms on the display.

• Individual 6 Display:

A maximum of six waveforms
and eight parameter windows
can be displayed with each
waveform having an
independent scale.

• Full Display:

A maximum of four (4)
waveforms can be displayed
on a full common scale.

TAB
TRIM

COVER &
NON-TAB
TRIM

• Full Grid Display:

This option allows for the
display to be on a full or
common scale with graticules
displayed on the screen.

COVER &
NON-TAB
TRIM

TAB
TRIM

View Other Patients

■ Allows patient data to be viewed

from another patient’s bedside.

• To View Another Patient:
– Select MORE MENUS.
– Select VIEW OTHER

PATIENTS.

– Select a bed to view.
– Turn the Trim Knob to

move the cursor in front of

the desired bed and press

to select

– The display will be divided

into two with the Viewed

Patient on the left,

(the message VIEWED

PATIENT will be displayed

on the bottom) and the

current monitored bed on

the right.

• To Remove the

Viewed Patient:

– Select MORE

MENUS.

– Select VIEW

OTHER

PATIENTS.

– Select a bed to view.
– Note that the cursor

is in front of the

Viewed Patient and

press to select

– The Viewed Patient

will be removed and

only the current

monitored bed will

be displayed.

TAB
TRIM

COVER &
NON-TAB
TRIM

Select a Bed to View Display

Viewed Patient Display

COVER &
NON-TAB
TRIM

View Other

Patients /

AVOA

TAB
TRIM

AVOA

(Future feature development —
requires purchased software option.)

■ When the Auto View On Alarm

(AVOA) feature is activated,
selected beds in alarm will
automatically pop up. A split
screen on the host monitor,
shows real-time information
along with a popup menu
related to the alarm bed.

The user can graph the alarm,
silence the alarm, pull up vital
signs or graphic trends from the
popup menu.

• To Set Up AVOA XM at the

Host Monitor:

– Select MORE MENUS.
– Select VIEW OTHER

PATIENTS.

– Select VIEW ON ALARM

OPTIONS.

TAB
TRIM

View Other

Patients /

AVOA

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

• The Following Choices Will

Appear in the Menu:

– VIEW OTHER BEDS ON

ALARM allows you to turn

the feature on or off at the
host monitor.

– SEND AUTO VIEWS

turns On/Off the host
bed’s broadcast of alarms
to other beds on the
network.

– ALERT TONE selects the

audio alert at On, Off, or
Repeating Tones.

– CONFIGURE AUTO

VIEW ON ALARM allows

you to select the care unit
and beds to view
automatically on alarm.
It also allows selection of
alarm levels to trigger this
function.

– CURRENT

CONFIGURATIONS

displays the current AVOA
settings for the host
monitor — which beds are
selected to view on alarm
and at which alarm levels.

• When Viewing an Alarm

Bed:

– MAIN MENU closes the

split patient view and
returns to the main
display.

– RETURN closes the split

patient view and returns to
the VIEW OTHER

PATIENTS menu.

– GRAPH 20 SEC starts a

20-second graph strip of
the viewed patient data.

– SILENCE silences the

viewed alarm bed for 60
seconds.

– LAST EVENT retrieves

the last arrhythmia event
from the viewed alarm
bed. Select OK to return
to the VIEW OTHER

PATIENTS menu.

– VITAL SIGNS displays

the vital signs for the
alarming bed.

– GRAPHIC TRENDS

displays the graphic trends
for the viewed alarm bed.

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

TAB
TRIM

COVER &
NON-TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

TAB
TRIM

COVER &
NON-TAB
TRIM

The docking station is a quick mount/dismount base for a Dash

®

patient monitor.

It gives the monitor easy connect/disconnect access to AC power, the Unity Network®, to a remote display,
and to auxiliary devices.

The docking station can be used with ALL Dash monitors. However, some Dash monitors DO NOT
support the docking station’s Ethernet Network, auxiliary 1, auxiliary 2, or remote display communication
links. See Dash® Port 2 Docking Station operation instructions for more detailed information.

Equipment Overview — Front View

①

Security Lever

Slide left to lock the monitor
onto the docking station, then
slide right to unlock the monitor.

➁

AC Mains Power Indicator

Illuminates green when AC power is
applied to the docking station.

➂

Communication Indicator

Green LED:

■ A steady green color indicates the

docking station has established
communication with the monitor.

Amber LED:

■ A flashing amber color indicates that

the docking station and the Dash
monitor are not compatible. See
“Troubleshooting” on the last card
in this section.

LOCK

UNLOCK

①

➁

➂

COVER &
NON-TAB
TRIM

DASH® Port 2 Docking Station

TAB
TRIM

DASH® Port 2 Docking Station

Equipment Overview — Back View

①

Ethernet Connector

Connect to the Unity Network

➁

Video Out Connector

Connect to a compatible remote
display. The remote display allows you
to display the Dash monitor screen
items in a larger size.

➂

Auxiliary 1 & 2 Connectors

Connect to a compatible auxiliary
device that is supported by the Dash
monitor and by the docking station.
See “Compatible Auxiliary Devices” on
Dash Port 2 Docking Station Operator
Instructions.

®

.

TAB
TRIM

COVER &
NON-TAB
TRIM

①➁

√

AC Power Connector

Insert AC power cable

➂√

Refer to Operators Manual for Any Specific Questions.

!

For Customer Support or Clinical Helpline,
Call: 1-800-558-7044.

COVER &
NON-TAB
TRIM

TAB
TRIM

Connecting the Monitor

Position and Lock the Monitor

Ensure the docking station is positioned a
safe distance AWAY from the patient while
connecting or disconnecting the monitor.

Hold onto the monitor’s handle when the
docking station’s security lever is in the
unlock position and until you verify the
monitor is properly secured to the docking
station.

①

Verify the security lever starts in the
unlock (far right) position.

TAB
TRIM

COVER &
NON-TAB
TRIM

①

➁

Position the front of the Dash monitor
onto the front channel of the docking
station.

➂

Hold onto the monitor and allow the
weight of the monitor to descend
firmly onto the docking station. The
security lever should move
automatically to the central position
and lock the monitor into place.

√

Try to pivot the monitor from front to
back to verify it is secure.

∞

Establish the monitor’s AC Power and
Communication Link.

(See procedure on next card)

➂

➁

COVER &
NON-TAB
TRIM

TAB
TRIM

Establish the Monitor’s AC Power and Communication Links

①

Slide the security lever to the far left
position.

TAB
TRIM

COVER &
NON-TAB
TRIM

➁

Verify the green-colored AC power
indicator is illuminated on both the
docking station and the monitor.

➂

Verify the green-colored
communication indicator is illuminated
on the docking station.*

√

To verify the Ethernet connection to
the Unity Network is working, view a
remote bed.*

∞

To verify the connection to the remote
display is working, view the text and
waveform data shown on the remote
display.

NOTE: Some Dash 2000 monitors do not

*

support the docking station’s Ethernet or
auxiliary communication links. See “Dash
Monitor Compatibility” of the Dash Port 2
Docking Station Operator Instructions.

➁

➂

①

➁

Refer to Operators Manual for Any Specific Questions.

!

For Customer Support or Clinical Helpline,
Call: 1-800-558-7044.

COVER &
NON-TAB
TRIM

TAB
TRIM

Disconnecting the Monitor

①

Hold onto the monitor.

➁

Slide and hold the security lever in the
unlock (far right) position.

①

➂

Pivot the monitor forward to release it
from the locking mechanism.

√

Use both hands to remove the monitor
from the docking station.

TAB
TRIM

COVER &
NON-TAB
TRIM

➁

➂

COVER &
NON-TAB
TRIM

TAB
TRIM

Troubleshooting

When troubleshooting problems, ALWAYS rule out that the easiest solution is NOT the cause of the problem.

■ Reattempt connectincting the Dash Monitor to the Dash Port 2.

■ Verify the power, network, display, and auxiliary device cables are securely connected to the equipment.

■ Verify the network, display, and auxiliary device cables are inserted into the correct equipment connectors. (See Back View card).

■ Verify the docking station’s security lever is in the far left position when a monitor is connected to the docking station.

(See “Establish the Monitor’s AC and Communication Links).

PROBLEM SOLUTIONCAUSE

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The docking station’s amber-colored
communication indicator IS flashing.

The docking station’s communication
indicator IS NOT illuminated.

The monitor IS NOT communicating with the
Unity Network.

■ The docking station’s green-colored

communication indicator IS illuminated.

The monitor does not support the remote
display and auxiliary two communication

Use a monitor that is fully compatible with the
docking station.

links.

The Dash 2000 monitor does not have the
communication PCB required to interface

Use the Dash 2000 monitor that has the
communication PCB installed.

with the docking station.

The network cable is damaged.

1. Disconnect the network cable from the

2. Remove the monitor from the docking station

3. If the monitor cannot view a remote bed from

4. If the monitor can view a remote bed from the

Refer to Operators Manual for Any Specific Questions.

!

For Customer Support or Clinical Helpline,
Call: 1-800-558-7044.

docking station.

and connect the network cable to the monitor.

the network, replace the network cable.

network, contact GE Service.

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Troubleshooting (continued)

PROBLEM SOLUTIONCAUSE

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The monitor IS NOT
communicating with the
auxiliary device.

auxiliary device.

The auxiliary cable is damaged. 1. Disconnect the auxiliary cable from the docking station.

The auxiliary device may need to be
configured to function with the
docking station.

The AC power indicator on
the monitor and docking
station IS NOT illuminated.

The docking station is not connected
to an electrical power outlet.

The electrical power outlet does not
have power.

The electrical power cable to the
docking station is defective.

The docking station is defective. 1. Verify the docking station is defective by connecting a known good

Use a monitor that supports the auxiliary device.The monitor does not support the

2. Connect the auxiliary cable to the monitor.

3. If the monitor cannot communicate with the auxiliary device, replace the
auxiliary cable.

See the Dash Patient Monitor operator’s manual and the operator’s manual
provided with the auxiliary device for configuration recommendations.

Connect the docking station to an electrical power outlet.

1. Verify the electrical power outlet is functioning by connecting a known
good device to the outlet.

2. If the known good device does not work, then plug the docking station
into a known good electrical power outlet.

1. Verify the electrical power cable is defective by connecting a known
good electrical power cable to the docking station.

2. If the docking station’s AC power indicator is now illuminated, replace
the defective power cable.

docking station.

2. If the docking station’s AC power indicator is now illuminated, replace
the defective docking station.

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Troubleshooting

(continued)

PROBLEM SOLUTIONCAUSE

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No electrical power is going to the monitor

The monitor is defective.
and the AC power indicators show the
following conditions:

■ The docking station’s AC power

indicator IS illuminated.

The docking station has a mechanical

failure.

■ The monitor’s AC power indicator

IS NOT illuminated.

The monitor is not properly secured to the
docking station.

The docking station’s clamping mechanism

is not properly engaged or is defective.

Have a qualified service personnel troubleshoot
and repair the equipment.

Have a qualified service personnel troubleshoot
and repair the equipment.

See “Connecting the Monitor”.

1. Verify the security lever starts in the far right
position BEFORE placing the monitor onto the
docking station.

2. Verify the monitor is seated properly on the
docking station.

3. Move the security lever to the far left position.

4. If the monitor cannot be properly secured to
the docking station, replace the defective
docking station.

Refer to Operators Manual for Any Specific Questions.

!

For Customer Support or Clinical Helpline,
Call: 1-800-558-7044.

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CapnoFlex LF CO2 is a continuous, non-invasive technique for determining
the concentration of carbon dioxide (CO

CapnoFlex LF CO2 Setup Procedure

Caution: Do not use this module on patients that cannot tolerate the removal of
50ml / 1 min from their total minute ventilation.

) in respiratory gas.

2

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CapnoFlex LF CO2 Module Connection to Dash Monitor

CapnoFlex LF CO

1. Plug the module into the CO

connector (yellow port)

2

on the Dash monitor

■

The CO2 parameter window will automatically display once the
module is connected.

■

The message “WARMING UP” will be displayed for approximately

two minutes after the module has been connected.

CO2 Parameter Window with Warming Up Message

Refer to Operators Manual for Any Specific Questions.

!

For Customer Support or Clinical Helpline,
Call: 1-800-558-7044.

2

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CapnoFlex LF CO

CapnoFlex LF CO2 Setup Procedure (continued).

CO2 Menu with Calibrate Sample Line

2. Complete the appropriate steps based
on the message appearing in the CO
parameter window.

CALIBRATE SAMPLE LINE

■

Connect the cannula to the module,
but not the patient.

■

Select CO2 parameter window.

■

Select CALIBRATE SAMPLE LINE.

■

Select READY.

The message “CALIBRATING” will be displayed.

■

Connect the cannula to the patient after
“CHECK SAMPLE LINE” message appears.

NOTE: Refer to manufacturers recommendations for cannula application.

Refer to Operators Manual for Any Specific Questions.

!

For Customer Support or Clinical Helpline,
Call: 1-800-558-7044.

2

CHECK ADAPTER/ADAPTER CAL

■

■

CO2 Parameter Window

with Check Adapter/

Adapter Cal Message

2

CO2 Parameter Window
with Calibrate Sample
Line Message

The module is ready for use.

Connect the patient sample line and the O
with a male adapter to the module and the patient.

tubing

2

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3. CO2 monitoring begins when the patient is

properly connected and a breath is detected.
Numerics will be displayed in the CO
parameter window and the CO

2

waveform may

2

be displayed on the screen.

To Adjust CO2 Parameter Limits:

■

Select the CO2 parameter window.

■

Select the CO2 LIMITS

■

Select desired limit to be adjusted
(Expired CO2, Inspired CO2,
Respiration Rate, No Breath).

■

Rotate the Trim Knob until the desired limit
is displayed.

■

Press the Trim Knob to confirm change and
close menu.

■

Repeat the procedure to adjust other CO
parameter limits.

2

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Respiration Rate

Limits
and Units

CO2 Parameter Window

Inspired and Expired CO2 Values

CapnoFlex LF CO

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CapnoFlex LF CO2 — Troubleshooting

CO2 Parameter Menu Options

■

Units: Change the units of measure for Expired

CO2 and Inspired CO2.

■

CO2 Scale: Selects a scale for the displayed CO

capnogram.

■

CO2 Limits: Displays a new menu and information

window to adjust Expired CO2, Inspired CO2,
Respiration Rate and No Breath limits.

■

O2 Compensation: Compensates for effects of

O2 on CO2 reading.

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■

CO2 Averaging: Opens a pop-up menu to select a

time for averaging CO2 readings.

■

2

Calibrate Sample Line: Opens a pop-up menu to

calibrate the sample line.

■

Speed: Change the sweep speed of the displayed

CO2 waveform.

Troubleshooting

MESSAGE PROBLEM SOLUTION

CHECK ADAPTER/

ADAPTER CAL

NOTE: Refer to the CO2 chapter of the Dash Patient Monitor Operators Manual for additional information

■

The cannula is not connected

■

The cannula is blocked

■

The module was calibrated
without the cannula connected

■

Connect cannula to the module

■

Replace the cannula

■

Connect the cannula to the
module and calibrate

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Modules

■ CO

■ Mainstream ETCO

NOTE: Once the CO2 cable is connected to the module, a

“Warming Up” message is displayed on the CO2 parameter
window, which takes approximately two minutes.

: End-tidal CO2 monitoring

2

is a continuous, non-invasive
technique for determining the
concentration of carbon dioxide.
The CO

level is measured by

2

the absorption of infrared light
of specific wavelengths in
respiratory gases.

Setup:

2

• Securely insert module into

the Dash monitor.

• Connect capnostat sensor

cable to module.

• To CAL SENSOR TO ZERO

CELL:

– Remove adapter from

sensor.

– Ensure cell windows are

clean and dry.

– Place sensor on the cell

marked “0”.

– Select the CO

parameter

2

window.

– Select the CAL SENSOR

TO ZERO CELL option

from the CO

parameter

2

window.

– Popup menu opens with

READY or ABORT.

– Select READY. The

message “Calibrating”
appears. When calibration
is complete, “0” appears.

– Remove sensor from the

“0” cell and place it on the
REF cell. An EXP value of

38 mmHg (+/– 2 mmHg) is
displayed. If the value is
not within this range, the
sensor is out of tolerance
and should be replaced.

• Snap mainstream adapter into

sensor and attach to ventilator
system.

Adapter calibration is required if:

• Adapter types are changed.

• Monitor displays: “CHECK

ADAPTER/ADAPTER CAL”

• To calibrate the adapter:

– Place the sensor and

adapter away from all
sources of CO

.

2

– With the adapter connected

to the sensor, and the
sensor connected to the
monitored, select the

CALIBRATE ADAPTER

option from the CO

menu.

2

A popup menu opens with

READY or ABORT.

– Select READY. The

message CALIBRATING is
displayed in the CO

2

parameter window. When
the calibration is complete,
the popup menu closes and
the message clears.

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Optional Equipment

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Optional Equipment

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ECG

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Problem:

Why is the monitor alarming for asystole, bradycardia,

Intervention:

■ Check the ECG signal acquired from the patient:

pause or inaccurate heart rate when a visible QRS is
present?

Answer:

The monitor may not be seeing sufficient QRS
amplitude in all analyzed leads. Multiple leads
(I, II, III and V) are used for arrhythmia processing.
For best results, a 1.0 mV amplitude in all analyzed leads
is recommended.

• Review the VIEW ALL ECG option to assess the

amplitude of the QRS complexes. A minimum of

0.5 mV amplitude in all analyzed ECG waveforms
at normal size (1x) is required for QRS detection.
For best results, a 1.0 mV amplitude in all
analyzed leads is recommended. Amplitude is
viewed in one direction (positive or negative).
For borderline signals, validate the ECG
waveform on a graph.

• If the amplitude is low in any analyzed leads,

perform skin preparation and adjust electrode
placement. When adjusting placement, utilize
fresh electrodes.

– Increasing the amplitude >2X when using the

ECG SIZE option is for the clinicians viewing

only. It will not affect the ECG analysis.

– It may be beneficial to move the V-Lead

electrode (chest lead) to an alternate precordial
electrode placement to improve detection.

(continued on back of card)

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

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(continued)

TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

ECG

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■ Relearn:

• It is important to RELEARN anytime the

electrode configuration is adjusted.

• Select the ECG parameter box.

• Select RELEARN.

• Remember to ensure that there is a clean ECG

signal displayed when relearning a rhythm.

• Current ECG templates are now updated.

■ If the Problem Continues:

• Select the ECG Parameter Window.

• Select VIEW ALL ECG to determine the best

display lead. Select the lead with the greatest
amplitude. (Remember that a minimum of

0.5 mV of amplitude in one direction, positive or
negative, is required for QRS detection).

• Select DISPLAY LEAD: II.

• Select the desired display lead.

• Select LD ANALYSIS MULTI-LEAD.

• Select SINGLE LEAD.

• All arrhythmia interpretations will now be based

on this single ECG lead.

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ECG

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Problem:

■ Relearn:

Why is the monitor calling VTach when a patient is not
in VTach?

Answer:

The monitoring system may be detecting a wider QRS or
artifact in some of the analyzed ECG waveforms. In
addition, the V-leads may be exhibiting polarity changes
which may occasionally cause an inaccurate call.

■ If the Problem Continues:

Intervention:

■ Check the ECG signal acquired from the patient:

• Review the VIEW ALL ECG option to assess the

width of the QRS complexes in all analyzed leads
(I, II, III and V).

• If artifact exists in any analyzed leads perform

skin preparation and adjust the electrode
placement. When adjusting placement, utilize
fresh electrodes.

• It may be beneficial to move the V-Lead electrode

(chest lead) to an alternate precordial electrode
placement to improve detection.

• It is important to RELEARN anytime the

electrode configuration is adjusted.

• Select the ECG Parameter window.

• Select RELEARN.

• Remember to ensure that there is a clean ECG

signal displayed when relearning a rhythm.

• Select the ECG Parameter Window.

• Select VIEW ALL ECG to determine the best

display lead. Select the lead with the greatest
amplitude. (Remember that a minimum of

0.5 mV of amplitude in one direction, positive or
negative, is required for QRS detection).

• Select DISPLAY LEAD: II.

• Select the desired display lead.

• Select LD ANALYSIS MULTI-LEAD.

• Select SINGLE LEAD.

• All arrhythmia interpretations will now be based

on this single ECG lead.

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

Pacemakers

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Problem:

Why is the monitor double-counting the heart rate,
alarming for a low heart rate or not detecting pacemaker
spikes?

Answer:

The monitor is not detecting the pacemaker activity.
Causes may include:

• Pace Program turned off.

• Pacemaker signal is too weak for detection by the

monitor.

• ECG signal is too weak for detection by the

monitor.

• Monitor is detecting atrial pacemaker artifact or

non-QRS features as beats.

Intervention:

■ Ensure the pace detection mode is selected. A “P”

should be present in the ECG parameter box. An
asterisk (
pacemaker spike is detected. Examine a graph strip

) will appear next to the “P” each time a

*

to verify pacemaker activity. The pacemaker spikes
will appear upright and uniform in amplitude.

■ If the monitor is NOT detecting pacemaker activity:

• Ensure the Pace Detection mode is on (the Pace

detection program is enabled in the ECG
parameter window).

• Perform skin preparation and reposition fresh

electrodes. (Refer to Electrode Placement for
Pacemaker Patients under the Pacemaker tab or
refer to the Operator manual).

The V-Lead (chest lead) can be repositioned to
any of the precordial sites.

• Select RELEARN.

■ Assess QRS amplitude if alarming for low heart

rate or asystole:

• Select VIEW ALL ECG to assess amplitude.

(Remember, a minimum of 0.5 mV of amplitude
in one direction, positive or negative, in all
analyzed leads is required for QRS detection).

• Perform skin preparation and reposition fresh

electrodes.

• Select RELEARN.

■ Adjust Pace Detection mode:

• Select ECG.

• Select DETECT PACE.

• Select PACE 1 or PACE 2. Pace 1 should be an

alternate if Pace 2 does not adequately detect
pacemaker activity. For low heart rate, select
Pace 1. For high heart rates, select Pace 2.

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NBP

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Problem:

Why are my NBP readings inaccurate?

Problem:

Why do the MAP readings for the calculated not match
the NBP MAP from the monitor reading?

Answer:

The monitor is unable to detect adequate pulsations or is
detecting excessive movement.

Answer:

The formula used to calculate assumes the ausculative
measurement was used to determine the SBP and DBP.

Intervention:

■ Check for proper cuff size. Make sure the cuff is not

too loose or too tight:

These numbers are used to calculate a MAP. When
utilizing the oscillometric method in the monitor, the
MAP is determined and the SBP and DBP are then
calculated.

• A cuff that is too small will give an erroneously

high value.

• A cuff that is too large, will give an erroneously

low value.

Intervention:

■ One method of determination should be selected as it

■ Check for residual air left in the cuff from the

previous measurement.

■ Make sure the cuff and heart are at the same level,

otherwise hydrostatic pressure will offset the NBP
value.

■ Minimize patient movement during assessment.

■ Watch for pulsus paradoxes.

■ Check for a leak in the cuff or tubing.

■ Patient may have a weak pulse.

■ Calibration may be necessary.

■ Confirm Blood Pressure utilizing the ausculatory

method.

is not possible to compare different measurement
methods.

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

NBP

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Problem:

Why is the monitor displaying a only MAP
measurement?

Intervention:

■ Check for proper cuff size and placement.

■ Minimize patient movement during measurement.

■ Blood pressure cuff should have bladder width that

Answer:

Oscillometric measurement is based on the fact that a
maximum cuff oscillation occurs at MAP. This means
that the signal should be the strongest and easiest to

■ Wrap cuff snugly around arm or limb (tight enough

measure at MAP. The DINAMAP algorithm is designed
to display only a MAP reading if the systolic blood
pressure (SBP) or diastolic blood pressure (DBP) values
are in question.

There are a couple of conditions which cause the values
to be in question:

■ Check for residual air left in the cuff from a previous

■ In low blood flow states, consider auscultation with

■ If the measured oscillations in the cuff are very small

and the algorithm has a difficult time matching
oscillations at the individual pressure steps due to
noise.

■ If the calculated values for the systolic and diastolic

are determined to be too close to the MAP value.

The BP questions the accuracy of the values and displays
only the MAP as a safety mechanism. This MAP reading
is accurate and appropriate for clinical use.

is 40% of the arm circumference at the greatest
diameter of the arm with a bladder length of 80% of
arm circumference at its greatest point.

to allow one finger to be slipped snugly under the
wrapped cuff).

measurement.

a manual cuff to verify reading.

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SPO

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Problem:

Why does the monitor not display an SPO

reading after

2

changing the Masimo probe site?

Answer:

The Masimo probe is not recognized by the monitor.

Intervention:

■ When a Masimo sensor is repositioned at any time,

disconnect the cable from the sensor before
repositioning.

■ Reconnect the sensor to the interface cable after

proper patient preparation and placement.

Problem:

Why is the SPO
connecting the SPO

parameter window not displayed after

2

interface cable and probe?

2

Answer:

No SPO

data is displayed due to a hardware failure, or

2

an unrecognized or defective probe.

Intervention:

■ Ensure the probe is attached to the interface cable

and the monitor.

■ Change the probe.

■ Change the cable.

■ If the issue remains, contact the hospital Biomedical

Engineering Department for service.

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

Invasive Pressures

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Problem:

Why do I have different values between my Arterial,
Non-Invasive (oscillometric), and Non-Invasive
(auscultated) BP readings?

Answer:

All three measurements use different technologies.

Intervention:

■ Auscultation and oscillometric are both INDIRECT

methods of measuring blood pressure. In
auscultation, changes in arterial sounds during cuff
deflation are related to systolic and diastolic
pressure. In oscillometric, changes in measured
pressure oscillations during cuff deflation are
related to systolic, mean and diastolic pressures.
Changes in the vascular tone of the arterial system
can cause these two indirect methods to differ from
one another AND from direst arterial pressure.
Invasive Arterial Blood Pressure is a DIRECT
method of measuring blood pressure. Differences are
expected between direct and indirect measurements
of blood pressure. These differences occur because
DIRECT methods measure PRESSURE and
INDIRECT methods measure FLOW. In addition,
differences occur because the location of
measurement used is generally not identical in both
methods, i.e., brachial artery for NBP vs. radial
artery for invasive pressure monitoring.

Problem:

Why is the monitor alarming DISCONNECTED?

Answer:

The arterial disconnect alarm found in the ART or FEM
menu is on. If the mean pressure falls below 25 mmHg
and the disconnect alarm is on, a warning alarm sounds
and the message “DISCONNECTED” is displayed in the
parameter window. When zeroing the line, the clinician
has 14 seconds to complete the process. After that time
period, the message and alarm will be activated.

Intervention:

■ If zeroing, close the stopcock. Once the monitor

detects the return of waveform and numeric data,
the alarm will reset.

■ Check the patient immediately in the event the

catheter has been dislodged.

■ The DISCONNECT ALARM may be turned off in

the arterial menu. Remember to monitor the patient
closely when turning this alarm off.

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Invasive Pressures

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Problem:

Why does the monitor continue to read INFLATE

Problem:

Why is the invasive waveform overshooting the scales?

BALLOON after the balloon has been inflated?

Answer:

Answer:

The monitor must detect a 30% change in the waveform
to measure a wedge. If the waveform does not change
accordingly, the WEDGE PROCESSING message will
not appear.

A new scale needs to be selected to accomodate the
change of the pressure reading. If Auto Scale was
previously selected, this would have used the current
waveform reading as a reference when this function was
requested. If the waveform readings have fluctuated, a
larger range scale or reselecting Auto Scale will reset the
scale for the current reading.

Intervention:

■ It would be recommended to complete a PA Wedge

utilizing the manual mode.

Problem:

When using a UAC, does it make a difference to label it
as an ART instead of UAC?

Answer:

No, it does not. But remember when looking up the
information under VITAL SIGNS or GRAPHIC
TRENDS, no data will be found under the displayed
label.

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

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TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

Invasive Pressures

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Problem:

What is the difference between the ZERO ALL hard key
and the ZERO menu option under the invasive pressure
(ART) parameter window?

Answer:

The ZERO ALL hard key on the front of your monitor
will zero any invasive line that is open to air. So, if the
caregiver would like to Zero one or multiple lines all at
once, open the transducer to air, and select ZERO ALL
hard key. If a transducer is closed, the text prompt
“Pressure” will be displayed in that parameter box. If
the caregiver is in an invasive parameter menu, the
ZERO menu option will only Zero that transducer when
it is open to air.

Problem:

How does the caregiver print out pulmonary artery
wedge waveform without ECG waveform?

Answer:

Select the PA parameter box. Select GRAPH BP
INVASIVE menu. Select and highlight PA. Then,

within the same menu, scroll up to select GRAPH. This
function will print out a continuous strip of the invasive
lines that were highlighted. On the top center of the
screen, that text “BP Graphing” will be displayed as the
graph is being generated. Proceed to perform wedge
procedure. When adequate strip information has been
obtained, select hard key GRAPH GO/STOP to
terminate the graph.

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