Philips IntelliVue User manual

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IntelliVue Information Center

INSTRUCTIONS FOR USE

Release E

English

Printing History

Notice

Instructions for use Equipment specifications are subject to alteration without notice. All changes

will be in compliance with regulations governing manufacture of medical equipment.

Printed in the USA. Document number

All rights are reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder.

Unauthorized copying of this publication may not only infringe copyright but also reduce the ability of Philips Electronics to provide accurate and up-to-date information to users and operators alike.

Printing History

New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Note that pages which are rearranged due to changes on a previous page are not considered revised.

The docume ntation printing date and part number indicate its current edition. The printing date changes when a new edition is printed. (Minor corrections and updates which are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical changes are incorporated.

First Edition................................................. ...... ...........................December, 2002

Warnings

The warnings described below refer to the following devices:

• IntelliVue M3150 Information Center

• IntelliVue M3151 Information Center Client

• Philips Recorder

WarningWarning

Some pace pulses can be difficult to reject. When this happens, the pulses are counted as a QRS complex, and could result in an incorrect HR and misdetection of cardiac arrest or some arrhythmias. Keep pacemaker patients under close observation. See Chapter 5, “ST/AR Arrhythmia Monitoring,” for specific warnings about monitoring paced patients.

WarningWarning

This device provides ST level change information; th e clinical significance of the ST level change information should be determined by a physician.

WarningWarning

Always confirm Information Center observations with clinical observation of patient at the bedside before administering interventions.

iii

About this Book

Overview This User’s Guide can be used with the family of IntelliVue Information Centers

and the Philips Recorder. The IntelliVue Information Centers include the:

• IntelliVue M3150 Information Center

• IntelliVue M3151 Information Center Client

The terms “Information Center” and “central” are used throughout this book to refer to all three models listed above. Specific differences between the various models are noted in the text where applicable.

This User’s Guide contains information specific to the Information Center including information on performing day-to-day tasks and troubleshooting common problems, as well as detailed information about all clinical applications. It also provides a complete list of alarm and INOP messages and configuration choices. Sections that contain information about telemetry have this telemetry transmitter icon next to the title:

Note—For specific information on using the Philips Telemetry System, please

refer to the your Philips Telemetry System Instructions for Use manual. The on-line Information Center Help provides a Quick Guide for completing

basic tasks and troubleshooting problems. The on-line Quick Guide also provides user information for the Philips Telemetry System.

Note—Not all functionality described in this manual may be available to you.

For information about your computer, printer, or other hardware, please consult the accompanying documentation. To verify that the device is installed and working correctly see the “Performance Assurance” section of the Philips Information Center Service Manual.

About this Book

Document Conventions

Procedures

Procedures are indicated in text by the heading “Task Summary” followed by the following table:

Step Action

1 2 3

Bold Typeface

Objects of actions in procedures appear in example:

Click the

Warnings

WarningWarning

Warnings are information you sh ould know to avoid i njurin g patien ts and personnel.

Cautions

Update button.

bold typeface. Note the following

Caution

Cautions are information you should know to avoid damaging your equipment and software.

Notes

Note—Notes contain additional i nformation on the Information Center usage.

About this Book

Contents

1. Introduction to the Information Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

The IntelliVue Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Philips Patient Care System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

IntelliVue Clinical Network with Database Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Large Network Central Database System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 -7

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

The Information Center Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Recordings and Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11

Point-of-Care Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11

Information Center Display Screens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

System Message Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Patient Sectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Patient Sector Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Patient Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Single Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Dual Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Information/Icons on the Patient Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Adjustments on the Patient Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Patient Window Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Application Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22

Basic Task Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Using Standby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

Telemetry, M3 and IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25

Other Bedside Monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25

EASI 12-lead Review and Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-26

Task Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-26

Viewing Other Patients over the IntelliVue Clinical Network . . . . . . . . . . . . . . . . . . . . . . . . . .1-28

Viewing a Bed Temporarily. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-28

Task Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-28

Overview Beds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 9

Types of Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

Full Control if Multiple Viewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-30

Consulting Beds over the Philips CareNet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30

Contents-1

Consulting Beds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30

Guidelines for Ensuring Correct Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

Optimizing Wireless System Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32

Minimizing Data Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32

Low Signal Strength . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-32

Interference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-32

Wireless System Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-33

Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-34

Using the On-line Help/Quick Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

2. Patient Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

With M3 or IntelliVue Patient Monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

With Other Bedsides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

Changing Patient Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

With M3 or IntelliVue Patient Monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

Resolving Conflicts with M3 or IntelliVue Patient Monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Care Groups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -12

Setting up a Care Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12

Assigning a Bed to a Care Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Viewing Care Groups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -18

With M3 and IntelliVue Patient Monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18

With Other Bedsides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19

Discharging for Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-21

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -21

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-21

Transferring Patient Data to a New Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -23

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-23

Contents-2

Fixed and Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26

Fixed Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26

Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26

Assigning a Bed and/or Equipment to a Sector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-27

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-27

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-28

Changing Equipment for a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-29

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-29

Patient Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-29

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31

Assigning an Overview Bed to a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-32

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-32

Fixed monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-32

Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-32

Overview Bed Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-32

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-33

Clearing (Unassigning) a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-34

Fixed Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-34

Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-34

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-34

3. Recordings and Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2

Types of Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Alarm Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4

Making a Delayed Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6

Action of Patient Sector Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Making an Alarm/Delayed Recording Continuous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Extending a Delayed Recording at the M3 Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Making a Delayed Recording for All Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Saving a Strip from the Patient Sector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Selecting the Waves that are Saved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Making Real-Time Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Controls and Indicators on the Philips 2-Channel Recorder Module . . . . . . . . . . . . . . . . . . . . .3-11

Contents-3

Controls and Indicators on the M3160A 4-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . .3-12

Recording Priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

Recording Status Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Main Screen Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Recorder Messages at the M3 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15

Annotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Re-Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Loading Paper into the 2-Channel Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17

Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19

Loading Paper into the 4-Channel Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20

Philips 2-Channel Recorder Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22

M3160A 4-Channel Recorder Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23

Ordering Information for Supplies for Recorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23

Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23

Cleaning Kit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23

Printing Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24

Printer Status Message. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24

Printer Messages at the M3 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24

Cleaning the Philips 2-Channel Recorder Printhead. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3- 25

4. Alarm Management and Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

M3 Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2

IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

Alarm Levels and Priorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Active Alarm Sound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6

Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Arrhythmia Alarm Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Arrhythmia INOP Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11

Alarm Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 -13

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 -13

Adjusting Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Turning Alarms On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-15

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16

Arrhythmia Analysis Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21

Alarm Adjustment Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

Timeout Periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23

Contents-4

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-23

Clearing the Timeout Period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24

Alarm Chaining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24

Alarm Groupings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24

Alarm Announcing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25

Alarm Behavior and Timeout periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25

Alarm Priority Chains. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26

Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28

Alarm Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28

Alarm Reminders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-31

Fast Alarm Review Disabled. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31

Fast Alarm Review Enabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31

Suspending/Unsuspending Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-32

Telemetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-32

Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-32

TeleMon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-32

Telemetry Smart Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-33

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-33

Automatically Set Smart Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33

Manually Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34

Smart Limits Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34

Adjusting the Alarm Tone Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35

Recording/Storing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-36

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-36

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-36

Storage of Arrhythmia Alarms at the Central. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37

5. ST/AR Arrhythmia Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Levels of Arrhythmia Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3

Basic Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3

Enhanced Arrhythmia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4

How the ST/AR Algorithm Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Ensuring Accurate Arrhythmia Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

Example of Optimized Non-Paced ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Contents-5

Example of Optimized Paced ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Aberrantly conducted beats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Atrial Fibrillation and Flutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Intermittent Bundle Branch Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Warnings for Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14

Repolarization Tails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16

Learning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-17

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 -17

Learning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-17

Single Lead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Multilead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Multilead Analysis With Changes in One Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

EASI ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

Monitoring During Leads Off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19

Fallback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 -19

Multilead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19

Singlelead Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19

EASI ECG Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19

Extended Monitoring (Telemetry) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19

Status Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20

Rhythm Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20

Ectopic Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22

False Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24

6. Patient Data Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

The Information Center Review Windows. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Review Window Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4

Using Strips in Review Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Using Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10

Fast Alarm Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17

Trend Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 -19

Trend Review with Graphic Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-19

Trend Review with Tabular Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-24

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 -24

Contents-6

Cursor/Event Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-24

Event Bars. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25

Using Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28

Strip Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28

Event Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-29

Wave Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-31

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-31

Navigation Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-31

No Data/Invalid Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-32

Using Wave Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-33

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36

Strip Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36

Duration Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-37

ST Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-38

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-38

Navigation Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

Using the ST Cursor Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-40

Using ST Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-40

12-Lead Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-42

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-42

12-Lead Review with 12 Lead Captures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-42

Using this Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-42

EASI Derived 12-Lead Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-44

Navigation Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-44

Using This Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45

12-Lead Export Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-46

Export Data to Holter System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-48

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-48

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-48

Changing the Waves that are Stored . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-50

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-50

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-50

Scheduled Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-52

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-52

All Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-52

Trend Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-54

Alarm Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-56

Event Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-57

Wave Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-58

Contents-7

Summary/Unit Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-60

Information Center Web Access. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-62

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 -62

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-63

Accessing the Information Center Web. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-63

Notes on Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-65

Multilead ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-65

Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-65

Trend Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-66

Displaying Data in Tabular Format. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-66

Event Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-66

Wave Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 -67

ST Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-67

12-Lead Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-67

7. ST for Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

The Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Information Center’s ST/AR ST Algorithm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

Displayed ST Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7- 4

EASI ST Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

Enabling ST Review for Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Adjusting Measurement Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

CANNOT ANALYZE ST INOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

ST Data Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

8. Alarm Paging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Setting Up Caregivers and Receivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3

Removing Receivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Changing a Caregiver/Receiver Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6

Assigning Patients to Caregivers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7

Contents-8

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7

Automatic Alarm Paging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

INOPs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

Manual Paging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11

Sending Text Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

9. Information Center Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Information Center Unit Settings Menus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Accessing the Unit Settings Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4

Using the Unit Settings Menus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5

Printing the Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5

Arrhythmia Alarms Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

Record/Store/Page Alarms Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-10

ST Unit Settings (telemetry) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-13

Trend Groups Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-15

Event Groups Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-22

Stored Waves Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-27

Scheduled Reports Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-29

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-29

Printing Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-29

All Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-31

Trend Report Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-33

Alarm Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-35

Event Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-36

Wave Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-37

Summary Report Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-38

Recording Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-39

Volume Control Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-40

Telemetry Frequency Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-41

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-41

Learning a New Transmitter Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-41

Radio Frequency (RF) Trouble Shooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-42

Enabling the RF INOP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-42

Contents-9

10. Information Center

Safety and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Regulatory and Safety Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Declaration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Authorized EU Representative. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2

Avoiding EMI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3

Information Center Software Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-4

M3150 Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 0-5

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5

Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

M3151 Information Center Client. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6

Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6

M3154 Database Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-7

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-7

Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

M3169 Small Database Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-8

Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Release E Hardware Performance Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9

ECG Performance Disclosure/Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-14

Specifications for the Philips 2-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-17

Declaration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-17

Specifications for the M3160A 4-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-18

Installation Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-19

Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-19

Archetypical Input Power Source Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-19

Grounding Information Center and Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-19

Condensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-20

Explanation of Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-20

During Power Transitions/Loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-22

If Connection to the M3154/M3169 Database Server is Lost. . . . . . . . . . . . . . . . . . . . . . . . . . 10-23

Local Database Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-23

Remote Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-25

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-25

A. Trend Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Contents-10

B. Event Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

Defined Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

Alarm Defined Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-4

C. ST/AR Configuration Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

First Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Second Character Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Third and Fourth Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4

Fifth Character Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-7

Sixth Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-9

Seventh Character Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-12

D. Sales and Support Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1

Contents-11

Contents-12

Introduction to the Information

Center

This chapter provides an overview of the IntelliVue Information Center. It includes the following sections:

• The IntelliVue Information Center. . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

• Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

• The Information Center Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

• Information Center Display Screens. . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

• Using Standby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

• EASI 12-lead Review and Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

• Viewing Other Patients over the IntelliVue Clinical Network. . . . . . 1-28

• Consulting Beds over the Philips CareNet . . . . . . . . . . . . . . . . . . . . . 1-30

• Optimizing Wireless System Performance. . . . . . . . . . . . . . . . . . . . . 1-32

• Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-34

• Using the On-line Help/Quick Guide. . . . . . . . . . . . . . . . . . . . . . . . . 1-35

Introduction

Introduction to the Information Center 1-1

The IntelliVue Information Center

The IntelliVue Information Center is part of the Philips Patient Care System. The IntelliVue Information Center consists of:

• the Information Center Software, including the ST/AR ST Segment and Arrhythmia Algorithm Software

•the NT Workstation

• an uninterruptible power supply (UPS)

• the Philips Recorder

• accessory printer (optional)

There are two different models to meet your specific patient monitoring needs. These include the:

• IntelliVue M3150 Information Center

• IntelliVue M3151 Information Center Client

Note—In this book the term “Information Center” is used for both models.

Differences in features or functionality are called out where appropriate. For a description of the features and available options with each of the models

refer to Chapter 10, “Information Center Safety and Specifications.”

Philips Patient Care System

1-2 Introduction to the Information Center

The Information Center displays information via the Philips Ca reNet network and/or IntelliVue Clinical Network, received from point-of-care equipment connected to the network.

The illustrations on the following pages show an Philips Patient Care System with an Philips CareNet network and the IntelliVue Clinical Network .

The IntelliVue Information Center

Information Center

Information Center Software

Printer

Workstation

4-Channel

Recorder

2-Channel Recorder

UPS

Point-of-Care Equipment

Philips Telemetry System

Philips CareNet Switch

Philips Compatible Bedside Monitors

Philips Patient Care System with CareNet

Introduction to the Information Center

1-3

The IntelliVue Information Center

Information Center

Information Center Software

Printer

NT Workstation

UPS

Point-of-Care Equipment

IntelliVue

Clinical N et w ork

Switch

Wireless M3 /In te lliV ue

Patient Monitors

Access Point

Wired M3/IntelliVue Patient Monitors

4-Channel

Recorder

2-Channel Recorder

Philips Patient Care System with IntelliVue Clinical Network

1-4 Introduction to the Information Center

The IntelliVue Information Center

IntelliVue Clinical Network with Database Server

The IntelliVue M3185 Clinical Network with the M3154 Database Server or the M3169 Database Server, enables transmission of data between centrals, providing access to both real-time and stored data within and across clinical units. The patient data storage includes full disclosure waveforms and physiologic parameters for up to 48 hours per patient, up to 4 waves per patient, and up to 150 30-second alarm records and saved strips, with up to 4 waves per event.

The IntelliVue Clinical Network with the M3169 Database server stores data for up to 48 pati ents and supports up to 3 M3150 Information Centers for monitoring patie nts and up to 3 M3151 Information Center Cl i ent s f or revi ewi ng patient d a t a .

The IntelliVue Clinical Network with the M3154 Database Server stores data for up to 96 pati ents and supports up to 8 M3150 Information Centers for monitoring patie nts and up to 8 M3151 Information Center Cl i ent s f or revi ewi ng patient d a t a .

The IntelliVue Clinical Network is based on industry standard component s and cabling.

The following illustration shows an example of a IntelliVue Clinical Network connecting centrals in separate clinical units.

Introduction to the Information Center

1-5

The IntelliVue Information Center

CCU

Philips Compatible Bedside Monitors

Wireless M3/IntelliVue Patient Monitors

Information

Center

Philips

CareNet

Switch

Philips Telem etry System

Access Point

Intellivue

Clinical Network

Switch 1

Intellivue

Clinical Netwo rk

Switch 2

Work Area

Information

Center Client

Information Center Client

Physician’s Offic

Information

Center Client

Information

Center

Wired M3/IntelliV ue Patient Monitors

Philips Patient Care System with IntelliVue Clinical Network and Database Server

1-6 Introduction to the Information Center

M3154/M3169 Database Server

The IntelliVue Information Center

Large Network Central Database System

The Large Network Central D atabase System a l lows up to 10 M3154 Database Servers to be interconnected on the hospital network. This connectivity provides clinicians with the ability to transfer patients across care units that are on separate database servers. In addition, for systems with the M3185 Application Server, the Large Network Central Database System allows you to view, through the Information Center Web Access, near-realtime waves, parameters and alarms, as well as review all retrospective data for up to 960 patients across care units that are on separate database servers (see “Information Center Web Access” on page 6-62).

The following illustration shows an example of a Large Network Central Database System.

Introduction to the Information Center

1-7

The IntelliVue Information Center

CCU

Philips Compatible Bedside Monitors

Wireless M3/IntelliVue Patient Mon itors

Wired M3/IntelliVue Patient Monitors

ICU

Philips Compatible Bedside Monitors

Information

Philips

CareNet

Switch

Philips Telemetry

Access Point

Information

Philips

CareNet

Switch

Center

System

Center

IntelliVue

Clinical

Network

Switch

IntelliVue Clinical Network Core Switch

M3154 Database

IntelliVue

Clinical

Network

Switch

Work Area

Information Center Clients

Physician’s Office

Information

Center Client

Work Area

Information Center Clients

Hospital Network

Stepdown

Wireless M3/IntelliVu e Patient Monitors

Wired M3/IntelliVue Patient Monitors

Philips Patient Care System with Large Network Central Database System

1-8 Introduction to the Information Center

Philips Telemetry

System

Access Point

Information

Center

IntelliVue Clinical Network Core Switch

M3154 Database

Physician’s Office

Information

Center Client

Intended Use

The intended use of the Information Center Software is to display physiologic waves, parameters, and trends, format data for strip chart recordings and printed reports, and provide the secondary annunciation of alarms from other networked medical devices at a centralized location. The Information Center Software provides for the retrospective review of alarms, physiologic waves and parameters from its database.

An additional intended use of the Information Center Software is to provide primary annunciation of alarms and configuration and control access for networked telemetry monitors.

This product is not intended for home use. Rx only.

Introduction to the Information Center

1-9

The Information Center Features

The Information Center Software allows you to:

• View waves and physiological parameter information sent over the monitoring network. Up to 24 waves can be displayed on a si ngle main screen. Up to 32 waves can be displayed on dual displays with two main screens.

• Be alerted to patient alarms that have been detected by networked monitoring devices and respond to the alarms.

• Perform ST/AR multilead arrhythmia analysis on up to two leads of ECG. ST/AR ST segment monitoring provides ST elevation and depression measurements for telemetry-monitored patients.

Note—ST/AR analysis for M3 and IntelliVue Patient Monitors is done at

the monitor. ST analysis for all bedside monitors is done at the monitor.

• Make strip chart recordings on a Philips Recorder and (if a printer is available) printed reports requested from the point-of-care and/or the Information Center.

• Access a retrospective review of up to 48 hours of patient data, including full disclosure waves and parameters, alarms, ST segments, events, trends, EASI derive d reconstructe d 12 lead ECG and captured conventional 12 lead ECG.

• View real-time data for a patient being monitored by another Information Center connected via Philips CareNet. If connected via the IntelliVue Clinical Network, you can view both real-time and stored data for a patient monitored on another central, and that central can be in the same clinical unit or in another unit.

• Provide the clinical operator with secondary notification of patient alarms and wave snippets on a small paging device through the integration of the Data Critical Statview with the Information Center.

1-10 Introduction to the Information Center

™ paging syst em (avai lable in limited geographi es)

The Information Center Feature s

• Provide the management of grouping of beds per nursing assignment

(‘Care Groups’). A single Care Group is typically named for a caregiver who is responsible for multiple patients within a single care unit. A Care Group can be assigned a color that will display as the background for the bed label on the Information Center. Color by Care Group helps the caregiver to quickly identify beds within their Care Group.

• Export ECG waveform data from the Information Center to an Zymed

Holter for Windows

™ - Model 2010 for analysis.

Recordings and Reports

Point-ofCare Equipment

Recordings can be requested from the Information Center or from networked products.

If a printer is connected, reports requested from the Information Center or from networked products can be printed.

The Information Center communicates with the following monitoring devices:

• Bedside monitors: IntelliVue Patient Monitor, CMS, V26 and V24, M3

(wired and wireless), and Compact Configurable Monitor 78352C/54C.

Note—In this book the term “M3” refers to Revision D.0 of the M2, M3,

and M4 bedside monitors. Differences in features or functionality are called out where appropriate.

• Philips Telemetry System and Hewlett-Packard M1403 Digital UHF

Telemetry System with Option C03. The telemetry system must be Release C or greater. If the Philips transmitter is connected to the TeleMon bedside monitor, it is referred to as “docked”.

Introduction to the Information Center

1-11

The Information Center Features

The Information Center provides the following functionality for point-of-care equipment connected via Philips CareNet or the IntelliVue Clinical Network.

M3 Bedside Monitors

Function

connected via the IntelliVue Clinical Network

Bedside Monitors connected via Philips CareNet

Telemetry

IntelliVue Patient Monitors connected via the IntelliVue Clinical Network

Central monitoring (patient management alarm annunciation, etc.)

ST/AR Arrhythmia monitoring at the central

Arrhythmia control and review at the bedside.

ST/AR ST segment monitoring at the central

Yes Yes Yes Yes

No -- provid ed by bedside monitor.

Yes Yes Yes -- ST/AR

Arrhythmia functionality is available at the central but is provided by the bedside monitor.

Arrhythmia contro l is at the bedside; review is available

Yes - CMS patient monitors must be Rev. C or greater.

N.A. Yes

at the bedside and at the central.

No - if present, ST segment monitoring is provided from the bedside.

Yes - with limited functionality at the Information Center.

Yes No - if present,

ST segment monitoring is provided f rom the bedside.

Primarily provided from the bedside.

1-12 Introduction to the Information Center

Function

M3 Bedside Monitors connected via the IntelliVue Clinical Network

Bedside Monitors connected via Philips CareNet

The Information Center Feature s

IntelliVue Patient Monitors

Telemetry

connected via the IntelliVue Clinical Network

ST trends and waves in ST Review

EASI

ECG

capability

Central printing of recordings and repo rts requested from the point-of-care

Yes Yes Yes Yes

No Yes - CMS patient

Yes Yes monitors must be Rev. B.0 or greater. V26 and V24 monitors must be Rev. C.0 or greater.

Yes

Note—Reports are

not available if requested from M3 wireless monitors to be printed at the central printer. However, they can be printed on a

Yes Yes -

recordings via

patient button

on transmitter

(if configured)

or from

TeleMon (if

transmitter

docked).

local printer.

EASI is a trademark of Zymed Inc.

Yes

Introduction to the Information Center

1-13

Information Center Display Screens

The Information Center has two types of screens on the display:

• The Main Screen, or resting display, (illustration below) which has patient sectors; no windows are open.

• The Patient Window, which displays data for a patient. You perform most tasks either on the Patient Window or other application windows that you access from the Patient Window.

Main Screen The Main Screen displays real-time waves, numerics, and alarms from multiple

patients. It can be configured to show up to 32 waves in either single - or dualcolumn configurations.

System

Message Area

System Message Area

xx xxxxxxxxx xx xxxx

xxx x

Sectors

xxx x

No Bed

XX XX

xx xx

XX XX

xxx x

Date and Time

xxxxx

XX XX

Main Screen

An area at the top of the screen displays system status messages, date and time and any name that may be associated with this central, for example, “CCU Hallway1”.

1-14 Introduction to the Information Center

Information Center Display Screens

Patient

Sectors

Up to 16 patients can be displayed on the Main Screen. The number of waves and amount of information in a sector depends on the size of the sector. All waves are 3.3 seconds in length in a dual-column format and 7.0 seconds in length in a single-column format (at 25 mm/s speed -- waves at 12.5 mm/s are twice as long).

In addition to the bed label, waves, and numerics, the information that displays in a sector can include:

• Patient name, if configured.

• Heart Rate alarm limits, if configured (not available for M3 monitors).

• First line of screen notes, if configured.

• Paced indicator (if set).

• Alarms off indicators and alarm and INOP messages (if applicable).

• The icon to the right of the bed label for telemetry monitored patients.

Note—If the telemetry transmitter is docked at TeleMon, the icon will

have a box around it.

• If the M3 or IntelliVue Patient Monitor is connected to a wireless

IntelliVue Clinical Network, there is a wireless equipment icon to the right of the bed label.

• An “*” to the left of the bed label for overview beds (see page 1-28).

• A in the upper right-hand corner to indicate that a conflict exists

between patient data at the Information Center and patient data at the M3 or IntelliVue Patient Monitor.

When the cursor is positioned over the bed label, the following information is displayed:

• Transmitter number, if telemetry monitored.

• Monitor label (number), if M3 or IntelliVue Patient Monitor.

When the Patient Window is open, the bed label in the sector for the open Patient Window has a dashed line around it. For beds assigned to a Care Group (see “Care Groups” on page 2-12) the bed label in the patient sector will display the selected color as the background for the bed label. For beds not assigned to a Care Group, or beds who have the color black assigned, the bed label has white text on black background.

Introduction to the Information Center

1-15

Information Center Display Screens

Patient Sec tor

Buttons

All tasks start in the patient sector. Normally, there are no buttons visible in the sector. Buttons in the sector are activated when the cursor is in the sector. The sector is then outlined, and the buttons become visible.

There are two buttons available from the patient sector. One is the

Window

button, which accesses the Patient Window. The other depends on how

Patient

your system is configured. The following table explains the button labels.

Condition Button Label Action when Button Clicked

No alarm pending

Record

Starts a delayed non-continuous (timed) recording (can also click anywhere in the sector except the Patient Window button).

Save

Generates the saving of a 30-second strip in Alarm Review (can also click anywhere in the sector except the Patient Window button).

Record and Save

Starts a delayed non-continuous (timed) recording as well as the saving of a strip (can also click anywhere in the sector except the Patient Window button).

Alarm pending

Silence

Turns the alarm sound off, and the sector changes to its normal color (can also click anywhere in the sector except the Patient Window button).

Silence/Review

Turns the alarm sound off and the sector changes to its normal color and opens a Patient Window with the Fast Alarm Review for that alarm.

Note—Can click anywhere in the sector

(except on a button) to turn the alarm sound off without displaying the alarm.

Note—Your central may be configured to not allow silencing of bedside

alarms at the Information Center. In this case a Silence button will only appear for telemetry beds. In the case of M3 and IntelliVue Patient Monitors, alarms can be silenced at the central if both the central and M3 or IntelliVue Patient Monitor are configured with remote silence enabled. If this is not the configuration, the Silence button is present at the central, but is not active.

1-16 Introduction to the Information Center

Information Center Display Screens

Condition Button Label Action when Button Clicked

Bed in Standby

Resume monitoring

Bedside Monitor (other than M3 or IntelliVue Patient Monitor): button is greyed out, indicating that monitoring must be resumed at the bedside. Telemetry, M3, and IntelliVue Patient Monitors: takes the bed out of Standby, and the button reverts to t he no rmal label .

Note—If the transmitter is docked at

TeleMon, the bed cannot be put in Standby.

Note—If there is no bed assigned to a sector, the Sector Setup button is

displayed instead of the Patient Window button. Cl icki ng this button accesses the appropriate page of the Sector Setup Window.

Introduction to the Information Center

1-17

Information Center Display Screens

System Message Area

Patient Window

Single Display When a Patient Window or an application window is open, all the patient sectors

are still visible in the top half of the screen, but are compressed (see the illustration below). The Patient Window allows you to view up to 4 waves at a time.

Date and Time

XXX

XXXXXXXX XXXX

XXX

59 0

XX XX

XXX

XXXX XXXXX

XXX

XXXXX XXXXX

XXXX

XXXXX

XX XXXX

XXXXX

Patient Window

Compressed Patient Sectors

Basic Task Buttons

XX XXX XXX

XXx

XX SS SSSS

XXXX XXXX

Application Button s

XXXXX XXX

XX l

XXXXSSS XXXXXXXX

XXX

54 0

Display with Patient Window Open

Dual Displays Dual displays offer the advantage of enabling clinicians to view the Patient

Window and the data review applications on a full screen. You can view up to 7 waves at a time (may be up to 6 with EASI ECG). A dual display system can be configured with one or with two main screens.

Patient Window Buttons

Basic Task Button

1-18 Introduction to the Information Center

Information Center Display Screens

One Main Screen

One display is used for the Main Screen, and the other is used for a full-screen Patient Window or application window.

Two Main Screens

• Both displays have patient sectors when Main Screen is active. For

example, for a 16-patient central, the Main Screen of each display includes 8 sectors. This feature is available for 8, 12, and 16-patient centrals.

• When an application window is open, all the sectors move to one display,

and the second display has the full-screen application window. To remove the application window, click the Main Screen button.

Main Screen

Application Window open

53 0

Introduction to the Information Center

1-19

Information Center Display Screens

Information/

Icons on the

Patient

Window

Adjustments

on the Patient

Window

Some of the information/icons that can be displayed in the patient secto r also appear on the Patient Window:

• Telemetry icon -- upper left corner

• Wireless bedside icon -- upper left corner

• Screen Notes (if available) -- all text that was entered in the Admit Window -- bottom of sector

• Paced indicator (if applicable) -- upper left corner

Depending on the equipment assigned to a sector, clinicians can make the following adjustments on the Patient Window to parameters:

• Telemetry beds

– the lead/label for the primary and secondary ECG lead – the size of the primary and secondary ECG waves (on the display

and recordings) – the heart rate alarm limits – SpO2 alarm limits (if SpO2 is on)

• Bedside monitors with EASI ECG capability – the size of the primary and secondary ECG waves (on the central

display and recordings)

• IntelliVue Patient Monitors – the size of the ECG waves (on the central display and recordings) – the heart rate alarm limits

Note—If EASI EC G is being used, t he label “EASI” is displaye d below the

primary waveform.

Patient

Window

The Patient Window provides the following buttons that allow you to perform actions within the Patient Window:

Buttons

Button Description

Continuous Recording Allows you to select waves to continuously

Stop Stops any continuous recording in progress.

1-20 Introduction to the Information Center

record.

Information Center Display Screens

Button Description

Suspend Alarms and Unsuspend Alarms

Suspends/unsuspends alarms at the Information Center.

(telemetry only)

NBP Alarms

(telemetry docked at TeleMon only)

Arrhythmia Analysis Displays up to two “live” delayed waves,

Allows you to adjust NBP alarms.

with beat labels. The beat labels represent analysis of both the primary and secondary waves. See Chapter 5, “ST/AR Arrhythmia Monitoring” for additional information on arrhythmia monitoring.

Multilead ECG

(if not using EASI ECG)

Displays a snapshot of up to six leads of ECG, plus a 10-second rhythm stri p. You can use this window to verify that the ECG waves are optimized for arrhythmia monitoring.

12-Lead ECG

(if using EASI ECG)

Displays the 12 leads derived from the EASI ECG system, plus a 10-second rhythm strip. From this window, you can print a 12-lead report.

More Waves Displays additional waves, if available. If

none available, displays the Arrhythmia analysis data (see “Arrhythmia Analysis”, above).

Introduction to the Information Center

1-21

Information Center Display Screens

Application

Buttons

When the Patient Window or an application window is open, a “task bar” at the bottom of the screen allows access to other Information Center applications for that bed. There are two rows in the task bar.

Top Row

The buttons in the top row change with the active application to provide access to related applications. The buttons in the table below appear on the Patient Window.

Button Description

Discharge Accesses the Discharge Window to clear the patient data and

return alarm limits controlled at the central to unit settings.

Sector Setup Accesses the Sector Setup Window to clear the sector and

assign an overview bed. Additional functionality depends on whether the central is fixed or flexible. See “Fixed and Flexible Monitoring” on page 2-26.

Standby Accesses the Standby Window, enabling you to suspend

monitoring for telemetry, M3 beds, and IntelliVue Patient Monitors when the patient is temporarily off the unit or out of antenna range. Enables you to resume monitoring when the patient returns. For bedside monitors other than the M3 or IntelliVue Patient Monitor, you must put bedside monitor in Standby and resume monitoring at the bedside.

Wave Review Accesses full disclosure.

1-22 Introduction to the Information Center

Information Center Display Screens

Bottom Row

The buttons in the bottom row are available no matter which application is active.

Button Description

Basic Task

Buttons

Arrhythmia Alarms

Accesses a window to adjust arrhythmia monitoring for a patient. This button is not available for M3 monitors

Trend Review

Alarm Review

Admit

Accesses graphical and/or tabular trends. Accesses stored alarm events and user-saved strips. Accesses the Admit Window to enter the patient name

and other data.

All Controls

Provides access to the full array of clinical and support functions.

Note—A list of the applications associated with each button is displayed when

the mouse cursor rests on the button for approximately 10 seconds.

In addition to the buttons in the task bar, the following basic task buttons are always available, no matter which window is open.

Button Description

Main Screen

Closes the open window and b ri ng s you b ack t o t he resting display.

Patient Window

Patient List

Brings up the Patient Window when another application is open.

Allows you to switch the patient in the open window (the application does not change). See “Viewing a Bed Temporarily” on page 1-28.

Introduction to the Information Center

1-23

Using Standby

Button Description

Using Standby

Telemetry, M3 and IntelliVue Patient Monitors

Help

Standby is used to suspend monitoring for a patient. Control of the Standby function depends on the monitoring device being used.

Standby is used to temporarily suspend monitoring, for example, when the patient goes out of antenna range. In addition, when the patient is discharged, the bed can be put in Standby until the new patient is connected.

If a printer is available, starts a printout of the screen or a report. This key is avail abl e only for t h e Arrhythmia Analysis and Multilead ECG Patient windows, data review applications, and unit settings windows.

Note—If a printer is not available or is not

configured, the print key is greyed out. Brings up the on-l ine Hel p Wind ow (see “U sing the

On-line Help/Quick Guide” on page 1-35).

1-24 Introduction to the Information Center

Using Standby

Task Summary Place the bed in Standby and resume monitoring by performing the following

steps:

Step Action

1 On the Patient Window, click the

appropriate location, then on

Standby button. Click on the

Suspend Monitoring. The message

“TELEMETRY STANDBY” or “MONITOR STANDBY” and location, if selected, are displayed in the sector.

2 The bed can be taken out of Standby by placing the cursor in the

Other Bedside Monitors

sector and clicking on the

The bed is put in Standby and taken out of Standby at the bedside monitor. At the central, you can select the location that is displayed in the sector, along with the Standby message.

Resume Monitoring button.

Task Summary Select the Standby location by performing the following steps:

Step Action

1 On the Patient Window, click the

location from the list.

The “MONITOR STANDBY” message and

Standby button. Select the

location, if selected, are displayed in the sector.

Note—At the central, when the cursor is placed in the sector, a

Resume Monitoring button is available. Clicking on it reminds you

to take the bed out of Standby.

Introduction to the Information Center

1-25

EASI 12-lead Review and Report

If the monitoring device has EASI 12-lead capability, you can view all available leads from the Patient Window. In addition, you can request a 12-lead report.

Note—EASI derived 12-lead ECG’s and their measurements are approximations

to conventional 12-lead ECG’s and should not be used for diagnostic interpretations.

Task Summary

Display the 12-leads and print a report by performing the following steps:

Step Action

1 On the Patient Window, click the

second ECG wave is displayed for each of the derived 12 leads.

Note—It is not possible to display the derived 12-lead waves if there

is an INOP condition in any lead. To view the EASI AI, AS, and ES leads, click on 3 EASI Leads.

12-Lead ECG button. A 2.5

1-26 Introduction to the Information Center

Step Action

2To:

• View the most recent ECG data -- click

• Change the wave layout -- click on the wave layout on the top right side of the window then select wave format (3x4, 6x2, or 12x1) from the list that displays. In 3x4 layout an additional rhythm lead displays.

• Change the size of the waves -- click on the cal bar and select the size of the wave you want from the list that displays (x1/2, x1, x2, x4).

• Change the wave speed (25 mm/s or 50 mm/s) -- click on the speed on the bottom right of the window and select the speed from the list that displays. When you select a different speed the window re-displays with the selected speed.

EASI 12-lead Review and Report

Update Waves.

3 To print a report click the

Print button at the top of the window. The

report shows all of the monitored vital signs, the 12 leads, and the high pass and low pass bandwidth frequencies with:

• 3 rows x 4 columns -- showing 12 2.5-second waves and a 10second rhythm strip at the bottom of the page

• 6 rows x 2 columns -- showing 12 5-second waves

• 12 rows x 1 column -- showing 12 7-second waves.

Introduction to the Information Center

1-27

Viewing Other Patients over the IntelliVue Clinical Network

Viewing Other Patients over the Inte l liVue Clinica l Net wor k

Information Centers and Clients on the IntelliVue Clinical Network enable you to view both real-time and stored patient data for patients monitored by other centrals on the IntelliVue Clinical Network.

There are two ways to do this:

• View the bed temporarily, in the Patient Window You select the patient via the Patient List. You can then monitor the patient or review the data for that bed until you change to another patient or go to the Main Screen. If configured, you may also be able to admit, discharge, and transfer data for that bed.

• Overview a bed in a sector on your central You use Sector Setup to overview a bed that is monitored by another networked central. The actions allowed for overvi ew beds depend on how the system is configured. See “Types of Access” on page 1-29.

Viewing a Bed Temporarily

Task

You can view data temporarily for any bed monitored by another networked central. This feature enables you to view patients that are in other clinical units or that are being monitored by another central in your un it.

View other patients temporarily by performing the following steps:

Summary

Step

1-28 Introduction to the Information Center

Action

1 Click the Patient Window button in any sector to bring up a Patient

Window.

2 On the Patient Window, click the bed label at the left in the title bar

to display the Patient List. The beds listed are those that are displayed on this central.

Viewing Other Patients over the IntelliVue Clinical Network

Overview Beds

Step

You can overview a bed on your Main Screen that is monitored by another networked central. See Chapter 2, “Patient Management” for information on assigning overview beds.

Action

3 Click the button to the left of the Patient List for the unit you want.

The Patient List will now contain all beds currently monitored in the unit you selected.

Note—Click on your unit name to access patients on other centrals

in your unit.

4 Click on the bed you want. That patient’s data will be displayed in

the Patient Window. You can then access any other window for that patient.

5 You can then access data for another patient or click Main Screen to

remove the window.

Note—You don’t have to return to the Patient Window. For

example, if you are on the Alarm Review Window, you can remain there and change the patient you are viewing. Other windows you access will then be for that patient.

Types of Access

Each central on the IntelliVue Clinical Network can be configured to specify the following types of access control of beds monitored by another central:

• Full Control (read-write) access -- you can view patient data and change

measurement controls (such as alarm limits).

– Telemetry Setup controls are for that central only. – Functions that affect the central as a whole, rather than a specific

bed, such as volume control are accessible for the local central only.

• Read-Only access -- you can view patient data, but measurement controls

cannot be changed. The controls that are available are:

– Record button in the Patient Sector – Continuous Recording in the Patient Window – Arrhythmia Analysis Windows -- Update Waves (but not Relearn) – Alarm Review -- navigation and record or print alarm. – Event and Wave Review -- navigation.

Introduction to the Information Center

1-29

Consulting Beds over the Philip s CareN et

– Trend Review -- navigation. – ST Review - - navigation, superimpose – Record All (from All Controls) – Sector Setup

• No access -- you cannot access any bed on that central.

Full Control if Multiple Viewers

Since more than one Information Center can have access to a bed at the same time, there may be situations when two or more clinicians are viewing information for the same patient at the same time. If multiple clinicians have full control access to the same patient, then, in general, the last operation wins.

Consulting Beds over the Philips CareNet

If you have a Information Center on the Philips CareNet and you have flexible monitoring configured, you can view real-time patient data for patients monitored by other centrals on the same CareNet. You do this by assigning a sector as a consulting bed.

Consulting Beds

To assign a consulting bed, you assign a sector on the Main Screen to display that bed. You can use either an empty sector, or you can clear a sector that is currently being used. See “Assigning a Bed and/or Equipment to a Sector” on page 2-27 for a task summary.

The following functions are available from consulting beds:

• Main Screen: same as monitoring central, except there will not be a pacing indicator. You can make a recording from the patient sector -- you cannot save a strip (if the system is configured for Save or Record and Save from the sector). You can also silence alarms.

• Alarm recordings (as configured in the consulting central’s Record/Store Unit Settings).

– If a yellow alarm condition persists after the inhibitory period ends

and the alarm is generated again, that alarm will not produce a recording at the consulting central.

– If there are multiple red alarms, the consulting central records the

highest priority alarm.

1-30 Introduction to the Information Center

Consulting Beds over the Philips CareNet

• Patient Window: controls for Continuous Recording, the Patient List,

Main Screen button, and All Controls button.

Note— For EASI monitored patients, the leads displayed are fixed at lead

II and V2. The ST values correspond to primary and secondary ECG waves displayed at the monitoring central and are reflected as ST 1 and ST 2. For non-EASI monitored patients, the leads and ST values correspond to the primary and secondary ECG waves displayed at the monitoring central.

• Sector Setup Window: Clear Sector tab (if bed assigned), or Assign Bed/

Equipment tab (if no bed assigned).

• All Controls: Sector Setup button, Volume Control butto n, ser vice-related

applications.

• The on-line Help function is available, where applicable.

Guidelines for Ensuring Correct Data

If a bed is monitored by one Information Center and is a consulting bed on another Information Center, it is important to ensure that patient data is labeled correctly. To do this, follow the guidelines listed below. For these examples, the monitoring (primary) central is “Central 1” and the consulting central is “Central 2”.

On Central 1, when you are going to begin monitoring a new patient:

1. On Central 2, use

Clear Sector in Sector Setup to clear any consulting

sectors that have the bed label or the equipment for the new patient.

2. On Central 1, admit the patient.

3. On Central 2, use

Assign Bed and Equipment in Sector Setup to assign

the new patient’s bed and equipment.

On Central 1, before you change the equipment and/or bed label for this patient:

1. On Central 2, use

Clear Sector to empty the sector that is consulting the

patient.

2. On Central 1, make the changes (bed, equipment, or both) for the patient.

3. On Central 2, use

Assign Bed and Equipment in Sector Setup to assign

the same bed and/or equipment for the patient.

On Central 1, before you discharge this patient:

On Central 2, use

Clear Sector to empty the sector that is viewing the patient.

Introduction to the Information Center

1-31

Optimizing Wireless System Performance

Bedside monitors with a wireless connection to the IntelliVue Clin ical Network have their advantages, however the flexibility the wireless link offers is not without its challenges. The reliability and quality of the wireless signal transmission through the air and hospital walls are governed by a number of variables that can be difficult to control. A wireless connection from a bedside cannot be as dependable as a wired connection.

The effect of low signal strength and interference on the display of the patient information from a wireless bedside at the central station can range from a momentary period to a lengthy period of data loss. Although data loss due to the wireless link may be occurring at the central station, monitoring and alarming continue at the bedside (this differs from telemetry where monitoring and alarming occur in the central station, so when data loss due to the wireless link occurs, monitoring cannot continue).

Minimizing Data Loss

Low Signal

Strength

Interference

1-32 Introduction to the Information Center

In order to minimize data loss at the central station due to low signal strength and interference, there are several things a hospital should do.

Devices called “Access Points” are used to receive the radio signals from the bedsides. A wireless bedside must be within the coverage area of an associated access point for proper operation. When a wireless bedside is taken out of the designated coverage area, data loss at the central station will increase.

WarningWarning

Various equipment and/or electrical or medical devices that operate in the

2.4 to 2.48 GHz range could interfere with radio transmission of important medical data to the central station. Facilities utilizing wireless devices need to manage the use of these devices for safe operation.

The effect of interference on the amount of data loss at the central station depends on the strength, type and proximity of the interfering device to the wireless bedside or access point. Any wireless device operating between 2.4 and

2.48 GHz can cause interference with the monitoring wireless network. Likely sources of interference include microwave ovens, other vendors’ wireless

Optimizing Wireless System Performance

networks, wireless telephone headsets, certain cellular telephones, handheld computers, transceiver devices, and Bluetooth devices . In cases where the sou rce of interference is known, removing the device or moving it away from the wireless bedside or access point will improve the system’s performance.

Since the wireless network used for monitoring emits radio frequencies, it is also possible for it to interfere with other devices (for example, programmers for cardiac pacemakers). Contact the manufacturers of other equipment used in the vicinity of the monitoring wireless network for information on possible susceptibility to these frequencies.

It is the hospital’s responsibility to keep track of all of the wireless devices in use in the hospital, and manage their use for safe operation.

Wireless System Messages

Message Possible Cause What to Do

Excessive wireless data loss

Excessive wireless interference

The system continually monitors the signal quality sent from wireless monitors. When data transfer from one or more monitors across the wireless link is compromised due to interference or too many transmitting devices, the system displays one of the following messages at the top of the screen.

Data loss (no signal or excessive dropout of signal) because of too many monitors using an Access Point, excessive interference, or weak signal.

Dropout of signal on one or more monitors due to interference of the signal, e.g., microwave oven interference.

• Turn off unused monitors.

• If a microwave is in use, move

• Locate and remove source of

• If condit ion persists, contact

• Make sure all microwave

• Turn off unused monitors.

• Locate and remove source of

• If condit ion persists, contact

monitors away from the microwave signals.

interference.

service.

ovens are turned off or at least 20 feet from the monitors.

interference.

service.

Introduction to the Information Center

1-33

Configuration

Message Possible Cause What to Do

Weak radio signal

Configuration

Excessive occurrence of dropped messages and weak (wireless) radio errors have occurred between one or more wireless M3/M4 bedsides and an access point. This could happen due to a device being marginally out of range of an access point or because of some signal attenuator, for example a monitor being behind a large metal cabinet.

The Information Center Software is shipped with factory defaults. At installation, (or at any time after installation), the Information Center Software can be configured with defaults for the unit in which it is installed.

In addition, adjustments such as changes to alarms being stored and recorded can be made on a per patient basis.

• Move the monitor within range of an access point.

• If condit ion persists, contact service.

See Chapter 9, “Information Center Configuration,” for a list of factory defaults and configuration choices.

1-34 Introduction to the Information Center

Using the On-line Help/Quick Guide

An on-line Help feature is a Quick Guide that is always available to answer questions and provide information on using the Information Center.

There are two types of information available:

• Context-Sensitive: This is information you get when you first click the Help button. It tells you about the window you’re looking at.

• Task and Problem-Solving Quick Guide: This is infor mation on performing tasks and troubleshooting problems. To get to this type of information, click Quick Guide on any Help Window. You’ll get the Quick Guide Menu. Click on an item to get to that topic.

In the Help windows, text in green (and underlined) indicates that you can click on it and get more information.

Note—To print a topic, click the right mouse button and select Print Topics.

Using the On-line Help/Quick Guide

Introduction to the Information Center

1-35

Using the On-line Help/Quick Guide

1-36 Introduction to the Information Center

Patient Management

This chapter describes how to manage p at ient data us i ng the Information Center. It includes the following sections:

• Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

• Admitting a Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

• Changing Patient Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

• Resolving Conflicts with M3 or IntelliVue Patient Monitors . . . . . . . 2-9

• Care Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

• Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18

• Discharging for Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21

• Transferring Patient Data to a New Bed. . . . . . . . . . . . . . . . . . . . . . . 2-23

• Fixed and Flexible Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26

• Assigning a Bed and/or Equipment to a Sector . . . . . . . . . . . . . . . . . 2-27

• Changing Equipment for a Sector. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-29

• Assigning an Overview Bed to a Sector. . . . . . . . . . . . . . . . . . . . . . . 2-32

• Clearing (Unassigning) a Sector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-34

Introduction

Patient Management 2-1

Introduction

The Information Center provides the following applications to manage patients:

Application Description

Admit The Admit application connects all stored data to a

patient’s name and puts the name on the display, recordings, and reports. See “Admitting a Patient” on page 2-3 for information on admitting patient to the Information Center.

Discharge The Discharge application clears a patient’s name and

data from the central database and returns central settings to unit defaults. See “Discharging a Patient” on page 2-18 for information on discharging patients.

Sector Setup The Sector Setup application allows you to:

• Assign a bed and or equipment to a sector (flexible monitoring only). See page 2-27.

• Change the equipment for a sector (flexible monitoring only). See page 2-29.

• Assign an overview bed to a sector. See page 2-32.

• Unassign (clear) a sector. See page 2-34.

For patients connected to M3 and IntelliVue Patient Monitors, you can admit, discharge, transfer, or update patients from either the bedside or the Information Center. When you admit or discharge a patient being monitored by an M3 or IntelliVue Patient Monitor on the Information Center that patient is also admitted or discharged on the bedside.

Note—A related application is Stored Waves. When the patient is first co nnected

(or at any time) you can change the waves that are stored in the database. See “Changing the Waves that are Stored” on page 6-50 for more information.

2-2 Patient Management

Admitting a Patient

Overview You must admit a patient to the Information Center in order for the name to

appear on the display, recordings, or reports. You admit a patient by using the Admit Window.

With M3 or

IntelliVue

Patient

Monitors

With Other

Bedsides

For patients connected to a M3 or a IntelliVue Patient Monitor you can admit the patient at either the bedside or at the Information Center. When you admit the patient on the Information Center that patient is also admitted to the bedside monitor. The patient name, medical record number, paced status, patient category, screen notes, and Care Group assignment are communicated to the bedside monitor. For IntelliVue Patient Monitors the additional fields of patient weight, height, gender, and date of birth are communicated to the bedside.

The Information Center communicates a patient’s name and medical record number to the bedside monitor. Other patient information must be entered at the bedside, however. Information entered on the Admit window at the bedside monitor is not displayed at the central.

Patient Management

2-3

Admitting a Patient

Task Summary

Since data collection starts when a patient is connected to the monitor, it is important that you perform a discharge prior to connecting a new patient. See “Discharging a Patient” on page 2-18 for information on discharging patients.

Admit a patient to the Information Center by performing the following step s:

Step

Action

1 On the Patient Window for the bed you want to admit, click on the

Admit button.

Note—If the bed to which you want to admit this patient does not

appear on the display and you have flexible monitoring, you can display the bed by using the Sector Setup Window. See “Assigning a Bed and/or Equipment to a Sector” on page 2-27.

2 If this patient is on telemetry, be sure the label on the transmitter

matches the transmitter label in the Equipment field. If the label does not match and you have:

Fixed Monitoring

You must either change the transmitter or admit to the bed label with that transmitter assigned to it.

Flexible Monitoring

If another patient is not currently admitted to a bed assigned to this equipmen t , you can assign t he equipment t o this bed by usi ng the Sector Setup Window. See “Changing Equipment for a Sector” on page 2-29.

2-4 Patient Management

Admitting a Patient

Step

Action

3 On the Admit Window specify a patient to admit by either:

• typing a 1- to 18-character first and last name in the appropriate

Patient Name fields. Only the last name is required. You can use the Tab key to move from field to field. To avoid any potential conflicts, be sure to enter a unique patient name in the name fields.

• clicking on a patient name in the Transfer List. If the patient

is in a different care unit, first click on the unit, then on the name. See “Transferring Patient Data to a New Bed” on page 2-23.

Note—The Transfer List contains a listing of up to four discharged

patients per Information Center for which data from previous monitoring has been saved. When you select a name from the Transfer List and then click the Admit Patient butt on, any data since you began monitoring will be erased, and the saved patient data will be retrieved. If you want to keep the current monitoring data, do not use the Transfer List.

If the patient’s first and last name is 18 characters or less, the Information Center communicates the patient’s entire name to the bedside monitor. If the patient’s name is longer than 18 characters, the Information Center communicates the first 18 characters of the patient’s last name to the bedside monitor.

4 Enter a 1- to 12-character medical record number for this patient in

the Medica l Re cor d Nu mbe r field. The central co mmunicates the medical record number to the bedside monitor.

Patient Management

2-5

Admitting a Patient

Step

Action

5 If the patient has a cardiac pacemaker (including demand, fixed, or

any type), click on Patient Paced to display a checkmark in the box. This enables the ST/AR algorithm to detect and reject pace pulses (spikes) from the HR count.

WarningWarning

If you do not have a checkmark in the Patient Paced box, pace pulses could be detected as beats and the monitor may not alarm for an asystole condition. Keep pacemaker patients under close observation. See Chapter 5, “ST/AR Arrhythmia Monitoring,” for specific warnings about monitoring paced patients.

Note—When Patient Paced is checked, the word “Paced” displays

in the lower right corner of the sector and the upper left corner of the Patient Window. If the bed is a consulting bed for a central on Philips CareNet, the word “Paced” does not appear.

If the patient is on a bedside monitor, and arrhythmia analys i s is off, this field is greyed out.

6 Specify what type of patient this is in the Patient Category field.

Your choices include:

• Adult

• Pediatric (if selected, telemetry ST monitoring is not available)

• Neonatal (bedside monitors only) The patient category you select affects arrhythmia analysis and alarm limits. If the patient category is changed for a bedside monitored patient be sure to check the alarm settings at the bedside.

Note—For M3 and IntelliVue Pat ie nt Mon i tors , chan gi ng th e pati ent

category does not change alarm limits. You should check for correct alarm limits at the bedside monitor.

2-6 Patient Management

Admitting a Patient

Step

Action

7 Specify the patient’s birth date in the Date of Birth field. You can

specify the date by entering a numeric date or by selecting the date by clicking on the calendar.

Note—The calendar only allows you to specify the birth date by

clicking on the appropriate date on the calendar. You cannot enter text into the calendar.

8 Enter the patient’s weight in the Weight field. Depending on how

your system is configured, valid values are:

• Adult/Pediatric— 0 to 999 lbs or 0 to 450 kg

• Neonatal—0 to 9999 g

9 Enter the patient’s height in the Height field. Depending on how

your system is configured, valid values are 0 to 99 in or 0 to 250 cm.

10 Specify a gender in the Gender field by selecting the gender using

the drop down arrow.

11 If you would like to associate text (for example the physician’s

name) with this patient, enter the text in the Screen Notes field. You can enter up to 60 characters. The first 34 characters you enter will appear in the patient sector when in the Main Screen (if configured). All the text will display in the Patient Window.

Note—If the monitoring device is the M3 or IntelliVue Patient

Monitor, the screen notes text will be displayed in the Admit window. If a previous s creen not e w as ent ered, it will be overwritten by the text entered at the central.

12 Assign this patient to a Care Group if desired by selecting the Care

Group from Care Group field. See “Care Groups” on page 2-12.

13 R eview all the fields to be sure they are correct then click the

Admit Patient button. The Information Center admits the patient.

Note—If paging is available on your system, after admitting the patient, you can

assign the patient to a clinician’s receiver (pager). See “Assigning Patients to Caregivers” on page 8-7.

Patient Management

2-7

Changing Patient Information

Overview You can change patient information such as patient’s name, Care Group

assignment, and medical number by using the Admit Window.

With M3 or

IntelliVue

Patient

Monitors

Task Summary

For patients connected to a M3 or a IntelliVue Patient Monitor you can change the patient information at either the bedside or at the Information Center. When you change the patient in form atio n on t he I nfo rmati on Cent er th at i nfo rmati on is also changes on the bedside monitor. The patient name, medical record number, paced status, patient category, screen notes, and Care Group assignment are communicated to the bedside monitor. In general, any fields changed at either the Information Center or the M3/IntelliVue Patient Monitors will be copied to the other device. The last entry wins. For IntelliVue Patient Monitors the additional fields of pa tient weight, height, gender, and date of birth are communicated to the bedside.

Change patient information by performing the following steps:

Step

Action

1 On the Patient Window for the bed for which you want to change

information, click on the Admit button.

2 On the Admit Window change the patient information in the

appropriate fields. For information on specific fields see “Admitting a Patient” on page 2-3.

3 When you have finished modifying the patient information click the

Update button.

Note—Changing the patient name affects all stored data, not just the

data from the update time forward.

2-8 Patient Management

Resolving Conflicts with M3 or IntelliVue Patient Monitors

Overview Since you can admit, discharge, or transfer patients from both the Information

Center or the M3 and IntelliVue Patient Monitor, a possibility exists that the information between the two systems does not match . If us er inter vention is required a icon displays in the patient sector for the patient when data between the Information Center and the bedside do not match. In addition, when in the Admit or Discharge windows, a Conflict Resolution screen will display on the Information Center where you can resolve the conflict manually.

WarningWarning

It is important to resolve the conflicts as soon as they are identified. Failure to do so could result in using incorrect/confusing data to make clinical decisions. Certain settings, for example, Paced and Patient Category between the Information Center and the bedside may not match. If the Paced status setting is set incorrectly the system could mistake a pace pulse for a QRS and fail to alarm in the case of asystole. It is important that the Patient Category is set correctly so the ECG can be analyzed correctly and initial arrhythmia alarm limits set.

In addition if conflicts are not resolved as soon as they are identified patient identifiers (for example, patient name, medical record number) will not be available through Information Center Web.

Patient Management

2-9

Resolving Conflicts with M3 or IntelliV ue Patie nt Mon ito rs

Task Summary

When the Conflict Resolution window displays, resolve the conf lict by performing one of the following:

If you want to then . . .

Use the patient information from the Information Center.

Click the Use Information Center button. The patient information is retrieved from the Information Center and you return to the Admit/ Discharge/Transfer window.

When you choose this option the Information Center settings, including patient category, are applied to the bedside monitor. Any stored bedside data is cleared. The patient category setting applies to the algorithms used to process incoming patient data.

Verify that all bedside alarm settings, including arrhythmia alarm settings, are correct.

2-10 Patient Management

Resolving Conflicts with M3 or IntelliVue Patient Monitors

If you want to then . . .

Use the patient information from the bedside

Click the Use Bedside Monitor button. The patient information is retrieved from the bedside and you return to the Admit/Discharge/ Transfer window. When you choose this option the bedside settings are applied to the Information Center. Any stored Information Center data is cleared.

Verify that all bedside alarm settings, including arrhythmia alarm settings, are correct.

You do not want the patient information from either the Information Center or the bedside.

Click the Clear and Begin New Patient button. Patient information and stored data at both the Information Center and th e beds ide is cleared and you return to the Admit/ Discharge/Transfer window where you can enter new patient information.

Note—In the event that a patient is admitted on both the IntelliVue Patient

Monitor and the Information Cent er and t h ere are n o dif ference s between patient name, medical record number, paced or patient category but there are differences for date of birth, gender, weight, or height the IntelliVue Patient Monitor bedside value is always used.

Patient Management

2-11

Care Groups

Overview Care Groups allow you to as sociate one or m ore beds with a group. A single

Care Group is assigned to one nurse who is responsible for multiple patients within a single care unit. A Care Group can have a specific color associated with it. When a color is assigned to a particular care Group the color appears as the background for the bed label on the Information Center. Color by bed label helps the nurse to quickly identify patients in his/her Care Group.

Up to 12 beds can be assigned to a single Care Group and there can be up to 18 Care Groups in a unit. When a bed is assigned to a Care Group the bed remains in that Care Group across equipment changes, standby/resume, patient admit or discharge, and power cycles. A bed assigned to a Care Group is removed from that Care Group when the bed is unassigned from the Information Center that was monitoring that bed or if the bed label is changed.

With M3 or IntelliVue Patient Monitors

With M3 or IntelliVue Patient Monitors, you can use Care Groups to notify the nurse of any alarms for the patients in their Care Group through alarm overview at the bedside. In addition, the nurse can see the current alarm status of each of the patients within the same Care Group at the bedside (see your appropriate bedside user documentation for details).

Setting up a

To set up a Care Group perform the following steps:

Care Group

Step Action

2-12 Patient Management

1 From the All Controls window click the Care Group button under

Patient Management. The Care Group Set t ings window displays.

2 On the Care Group Settings window click on the Setup tab. 3 Click the New Care Group button. 4 Enter a 1 to 18-character name for the Care Group you are setting

up in the Name field. To avoid any potential confusion when identifying Care Groups in the system, the name you specify in this field must be unique.

Step Action

5 If this is a Care Group with M3 or IntelliVue Patient Monitors,

specify the Auto Alarm setting for this Care Group (see your bedside monitor User’s Guide) by clicking on the appropriate radio button in the Auto-alarm field. Choices are:

Choice Description

Disabled Selecting this option turns off the Auto

Alarm Pop-up feature at the bedside. Warning—If the bedside overview status

bar is not enabled and Auto Alarm Pop-up is disabled, alarming beds will not be visible in overview at the bedside. Do not disable the Auto Alarm Pop-up if you use overview at the bedside as your primary monitoring source. You must enable Auto Alarm Pop-up at both the Information Center and the bedside in order for this feature to work. At the bedside, you can turn auto pop-up on/of f on a per bed b asis .

Care Groups

Red Selecting this option causes an Auto

Alarm Pop-up window to display at the bedside when beds in this Care Group have a red alarm condition.

Red and Yellow Selecting this option causes an Auto

Alarm Pop-up window to display at the bedside when beds in this Care Group have a yellow alarm condition or greater.

Patient Management

2-13

Care Groups

Step Action

6 If this is a Care Group with M3 or IntelliVue Patient Monitors,

specify whether a prompt tone will be audible at the bedside when beds in this Care Group have an alarm condition by clicking on the appropriate radio button in the Prompt-tone field. If you select Disabled, no tone will be audible at the bedside when a bed in this Care Group has an alarm condition.

7 Assign a color to this particular Care Group by clicking on a color

in the Assign Central Color field. The color you assign will appear as the background for the bed label on the Information Center.

Note—If you do not want to assign a color to this Care Group click

on the color black in the Assign Central Color field. When you select the color black no color displays as the background or th e bed label.

8 Click the OK button. The Information Center sets up the Care

Group with the choices you selected.

9 If you would like to set up another Care Group, click on the New

Care Group button and repeat Steps 1 through 8.

10 When you are done setting up Car e Groups retur n to the All

2-14 Patient Management

Controls window by clicking the All Controls button or go to another Care Group Settings window by clicking on the appropriate tab on the top of the window.

Care Groups

Assigning a Bed to a Care Group

From the Admit Window

You can assign a specific patient to a Care Group when admitting the patient or updating patient information in the Admit window by selecting the Care Gr oup from the Caregroup field. See page 2-3 for information on using the Admit window.

From All Controls

To assign a bed(s) to a Care Group from the All Controls window perform the following steps:

Step Action

1 From the All Controls window click the Care Group button. The

Care Grou p Settings wind ow displays.

2 Select the Care Group that contains the beds you want to assign

from the Source Care Group drop-down list. If the bed is not currently assigned to a Care Group select “Unassigned” fr om the Source Care Group list.

3 From the Source Care Group Current Beds field, highlight the

name of the patient/bed you want to assign to the Care Group.

Note—You can select all the beds in the Current Beds field by

clicking t he Select All Beds button or select more than one bed by holding down the Shift key. You can assign up to 12 beds to a single Care Group.

Note—For M3 and IntelliVue Patient Monitors, the order in which

you assign beds does not necessarily dictate the order in which they will display in the alarm reflector at the bedside.

4 Select the Care Group to which you want to assign this bed(s) from

the Target Care Group drop-down list.

5 Click the Move button to move the bed(s) to the Target C are

Group.

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Care Groups

Step Action

6 Click the Update button to assign the bed(s) to the selected Care

Group.

Note—Clicking the Cancel button before you click the Update

button cancels changes and returns the Care Group Settings window to the state it was in upon entry.

7 When you are done assigning beds to a Care Group return to the All

Controls window by clicking the All Controls button on the bottom of the screen or go to another Care Group Settings window by clicking on the appropriate tab on the top of the window.

Note—

If you have sectors assigned for consulting beds (see page 1-30) it is possible to assign the consulting bed to a different Care Group than the primary Information Center for the bed. This would result in same bed being assigned to two different Care Group. You should, therefore, only assign patients to Care Groups at the primary Information Center.

Viewing

To view beds assigned to a Care Group perform the following steps:

Care Groups

2-16 Patient Management

Step Action

1 From the All Controls window click the Care Group button. 2 On the Care Group Settings window click on the View tab. The

Care Group Settings window displays the Care Group settings corresponding to the current bed. A list of all beds assigned to the Care Group appears on the right side of the window.

Step Action

If you would like to view

Care Groups

then . . .

the Care Group settings for a particular bed

highlight the Care Group for the bed of interest then click on the plus sign. The Care Group settings for the bed display.

all the Care Groups currently assigned to a unit

on the left side of the window, click on the plus sign next to All. All bed assignments for all Care Groups in the unit display.

a specific Care Group on the left side of the window, click

on the plus sign next to All then click on the plus sign next to the Care Group of interest. The settings for that Care Group display.

Note—You can print a report of all of the Care Groups in the system

by clicking the Print bu tton.

4 When you are done viewing Care Groups return to the All Controls

window by clicking the All Controls button on the bottom of th e screen or go to another Care Group Settings window by clicking on the appropriate tab on the top of the window.

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Discharging a Patient

Overview Important—Discharging from the central clears the central database for a bed. At

that point, data storag e beg ins for t hat bed . F or thi s reaso n, you sh oul d per form a discharge prior to connecting a new patient. This ensures that data from a previous patient is not mixed with the data from the new patient. It also ensures that alarm limits controlled at the Information Center go back to unit settings.

When you enter the Discharge Window, you are given the choice of saving, removing the patient data, or if this is an M3 or an IntelliVue Patient Monitor, discharging for transpor t .

If you save the data, the patient’s name appears in the “Transfer List” in the Admit Window. It can then be retrieved if the patient is re-admitted, or, if the central is connected via the IntelliVue Clinical Network or connected to a Large Network Central Database System, it can be retrieved if the patient is transferred to another unit.

If you discharge for transport, the Information Center discharges the patient on the Information Center and stores the patient data but does not discharge the patient from the bedside monitor. See “Discharging for Transport” on page 2-21.

With M3 and

IntelliVue

Patient

Monitors

2-18 Patient Management

If this is a patient connected to an M3 or IntelliVue Patient Monitor, discharging the patient at the Information Center also discharges them from the bedside monitor and clears both databases. All monitor and measurement server settings are reset to their defaults including arrhythmia settings. With IntelliVue Patient Monitors your monitor can be set up with predefined monitor configurations called profiles. Depending on how your monitor is set up when you discharge a patient the monitor either continues with the previous profile, or resets to the default profile configured for that monitor. Refer to your bedside documentation for details.

Discharging a Patient

With Other

Bedsides

Task Summary

If this is a bedside monitor other than the M3 or IntelliVue Patient Monitor, discharging a patient from the Information Center clears the patient name and medical record number at the bedside monitor. You must, however, discharge the patient at both the Information Center and the bedside monitor to clear both databases. Discharge the patient from the Information Center first, then from the bedside. When you discharge a patient from the Information Center, all pending reports are cancelled, arrhythmia alarm settings go back to Unit Settings and any screen notes are cleared. The settings for alarms controlled at the bedside (for example, HR limits) do not change -- to set these alarms back to the defaults, consult your bedside monitor documentation.

Discharge a patient by performing the following steps:

Step

Action

1 From the Patient Window click the Discharge button. 2 Unassign the Care Group associated with this patient, if desir e d, by

clicking in the Unassign Caregroup checkbox.

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Discharging a Patient

Step

Action

3 On the Discharge Window specify whether you want to save or

remove the patient data associated with this patient after discharge or, if this is an M3 or IntelliVue Patient Monitor, to discharge for transport by clicking on the appropriate button.

Specify Save Data with Discharge (only available for admitted patients) if this patient will be transferred to another bed/un it or r e admitted soon and you want to save the data. If you are transferring the patient to a unit over a large network, select the unit to which to transfer the data by clicking on the unit name in the Transfer Destination list before clicking the Save Data with Discharge button. The maximum number of patients for whom data can be saved is four per central unless the central is connected to the M3154 Database Server in which case the maximum number of patients is four times the number of Information Centers. Only select this option if the patient will be transferred/readmitted soon. If the list is full, the oldest patient data will be removed and the new patient data will be added.

Specify Discharge and Remove Data if you want to discard the patient’s data (the patient’s name will not be available on the Transfer List).

Specify Discharge for Transport if this is an M3 or IntelliVue Patient Monitor and you are moving the patient to a new location with either the monitor or measurement server. See “Discharging for Transport” on page 2-21 for information on using this option.

4 When the central prompts you whether you are sure you want to

Note—If you have flexible monitoring and want to use a telemetry transmitter in

a different bed, you must clear the sector after discharging the patient. If you don’t, the transmitter will not be available for any other bed. You clear the sector by using the Clear Sector page in Sector Setup -- see “Clearing (Unassigning) a Sector” on page 2-34.

If a patient has been admitted, you must discharge the patient in order to clear the sector.

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discharge this patient, click the OK button. The central discharges this patient with the option you selected in Step 3 and returns you to the Patient Window.

Discharging for Transport

Discharging for T r ansport

Overview For those times when you want to transport the patient and use the monitor at the

new location a discharge option, Discharge for Transport, is available. The Discharge for Transport option is for patients being monitored by an M3 or IntelliVue Patient Monitor operating via a wired connection to the IntelliVue Clinical Network. The Discharge for Transport option discharges the patient on the Information Center and stores the patient data but does not discharge the patient from the bedside monitor. When you monitor the patient in a different location and reconnect the monitor to the network the bed will automatically be admitted on the Information Center at the new location.

Note—The Discharge for Transport option is not available for transporting

patients to units connected to other database servers across a Large Network Central Database System.

Task Summary

To transport a patient using the Discharge to Transport perform the following steps:

Step Action

1 Prepare the patient for transport. 2 From the Patient Window click the Discharge button. The

Discharge window displays.

3 From the Discharge window click the Discharge for Transport

button. The Information Center mo ves the pati ent data to the t ransfer list and the message “No patient admitted” displays in the bed’s sector.

Note—Alternatively, the Transfer key on the M3 or IntelliVue

Patient Monitor can be selected.

4 Disconnect the monitor from wall power and the network. If you

transporting an IntelliVue Patient Monitor patient with a Measurement Server disconnect the Measurement Server from the monitor.

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2-21

Discharging for Transport

Step Action

5 If you have flexible monitoring, clear the sector by using the Sector

Setup window. See page 2-34 for information on clearing a sector.

6 Move the patient with the monitor or Measurement Server to the

new locat ion.

7 If you have flexible monitoring, at the new location as sign the bed

label and monitor label by using Sector Setup window. See page 2-27 for information on assigning equi pment.

8 Reconnect to wall power and the network at the new location. For

patients with a Measurement Server, reconnect the Measurement Server to the new monitor. The Information Center retrieves the patient information from the monitor and re-admits the patient to the new bed.

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Transferring Patient Data to a New Bed

Overview The Information Center allows you to transfer a patient to another bed without

losing patient data. Transferring data involves two steps; discharging the patient from the current bed using the Discharge Window; then re-admitting the patient to the new bed using the Transfer List in the Admit Window.

The sector for the destination bed must have equipment associated with it (bedside monitor or a transmitter).

Note—If the central is connected via Philips CareNet, the new bed must be on

the same central. If the central is connected via the IntelliVue Clinical Network, the new bed can be on any central on the IntelliVue Clinical Network or if the central is connected via the Large Network Central Database System the new bed can be on any central connected to the large network. A large network is a option where multiple database servers can be interconnected on the hospital network. This connectivity provides clinicians with the ability to transfer patients across care units that are on separate database servers. A patient can be transferred to any bed that does not have a patient admitted. However, both the bed and the equipment must be assigned to the sector to which you are transferring a patient. If no bed and/or equipment is assigned you must first assign the bed and/or equipment using the Sector Setup Window then transfer the patient. See “Assigning a Bed and/or Equipment to a Sector” on page 2-27.

Task Summary

Transfer data for a patient by performing the following steps:

Step

Action

1 On the Patient Window click the Discharge button. 2 If you are transferring the patient to a unit over a Large Network

Central Database System, select the unit to which to transfer the data by clicking on the unit name in the Transfer Destination list.

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Transferring Patient Data to a New Bed

Step

Action

3 On the Discharge Window specify that you want to save the patient

data associated with this patient after discharge by clicking on the Save Data with Discharge button.

This ensures that patient data is retained and remains intact when the patient is moved to the new bed. The data that is saved includes:

• Patient’s name and ID.

• Alarm history (50 or 150 alarms).

• Events and trends (and ST data for telemetry beds) going back 24/48 hours and full disclosure waves going back 1/24/48 hours. The amount of data that can be retrieved depends on when the re-admission is done. For example, if a patient is readmitted 10 hours after discharge (and your system has 24 hour trend storage), 14 hours of trends are available on readmission.

Note—For bedside monitors other than the M3 or IntelliVue Patient

Monitor, you still have to discharge the patient at the bedside monitor to clear the bedside database and reset bedside alarm limits.

4 When the central prompts you whether you are sure you want to

discharge this patient click the OK button. The central discharges this patient and returns you to the Patient Window.

5 On the Patient Window click the Admit Patient button.

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Note—If you have flexible monitoring and want to use this

equipment for a different bed, you must clear the sector after discharging the patient. If you don’t, the equipment will not be available for any other bed. You clear the sector by using the Clear Sector page in Sector Setup -- see “Clearing (Unassigning) a Sector” on page 2-34.

Transferring Patient Data to a New Bed

Step

Action

6 On the Admit Window, click on the patient’s name in the Transfer

List.

Note—The names that are displayed when you first enter the Admit

Window are the names of patients that were discharged from this central. To see the names for all centrals in your care unit, click on your unit name. To see names for centrals in another unit, click on that unit name.

7 Click the Admit Patient button. The transfer is now complete.

Note—You cannot modify any of the patient data until after you

click the Admit Patient button. Change the patient information, if needed, and click Update.

Important—When a patient is admitted from the Transfer List, the

Paced status is not retrieved -- it is set to NO for all monitoring devices. If the patient is paced, change it after you click the Admit Patient button.

Note—When transferring patients across a Large Network Central Database

System you can check the status of the transfer in the Transfer Status window. Access the Transfer Status window by clicking the Transfer Status button on the All Controls window.

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2-25

Fixed and Flexible Monitoring

The functions available to manage the beds on the Main Screen and the equipment for those beds depend on whether the central is configured for fixed or flexible monitoring.

Changes are made through the Sector Setup Window. You can access the Sector Setup Window via the task bar button on the Patient Window or Patient Management applications, or via All Controls.

Fixed Monitoring

Flexible Monitoring

Fixed monitoring is typically configured for units where the number of beds equals the number of sectors on the Main Display. The equipment assigned to a sector cannot be changed.

With fixed monitoring you can temporarily view other beds in the Patient Window. (See “Viewing a Bed Temporarily” on page 1-28 for instructions.)

In addition, if a sector is configured as an overview (blank) sector at installation, you can display any bed on the network. If the cursor is placed in an empty sector, the Sector Setup button is displayed. Clicki ng thi s but ton brings up the Overview Bed page, where you can select the bed.

With flexible monitoring, bed and equipment changes are possible. An example of a unit with flexible monitoring is the unit that has both bedside monitors and telemetry beds. Units may need to change patients back and forth between bedside monitoring and telemetry. Flexible monitoring allows you to make the appropriate equipment changes. Another example of a unit with flexible monitoring is the telemetry unit that has more beds than sectors on the Main Screen. Flexible monitoring allows the unit to make bed label changes as needed. For example, transmitters can be assigned to different beds as necessary.

If your system is configured for flexible monitoring, you can transition between SDN based equipment (for example, telemetry) and IntelliVue Clinical Network-connected wired and wireless bedsides on the same Information Center.

As with fixed monitoring, if your central is connected to other centrals, you can use patient sectors to display overview/consulting beds for patients monitored by those centrals.

Note—All wireless M3 bedside monitors will automatically be configured for

flexible monitoring.

2-26 Patient Management

Assigning a Bed and/or Equipment to a Sector

Overview If your system is configured for flexible monitoring, the Information Center

allows you to assign a bed and/or equipment to an empty sector. For centrals connected via the IntelliVue Clinical Network: you use the Assign

Bed/ Equipment page to change the bed and/or equipment that is being monitored in the sector.

For centrals connected via Philips CareNet: you use the Assign Bed/Equipment page not only to change the bed and/or equipment that is being monitored in the sector, but also to assign a sector to be a consulting bed. This enables you to view real-time patient data for a bed that is being monitored by a primary central. Information on assigning consulting beds can be found in “Chapter 1. Introduction to the Information Center” on page 1-1.

You assign a bed and/or equipment for a sector by using the Sector Setup Window.

If the sector is empty When the cursor is placed in the sector, one butto n app ears in th e sector, Sector Setup. Clicking on this brings you directly to the Assign Bed/Equipment page

of the Sector Setup Window.

If there is a bed and equipment assigned

You must first use the Clear Sector page of the Sector Setup Window to clear the sector. See “Clearing (Unassigning) a Sector” on page 2-34. Then, you use the Assign Bed/Equipment page to assign the bed.

Note—You can use Assign Bed/Equipment to move a telemetry-monitored

patient to another bed and preserve all settings (including alarm limits) as well as the patient's history. If this central is connected via Philips CareNet, the new bed must be on a central that is connected to the same CareNet switch. If this central is connected via the IntelliVue Clinical Network, the new bed can be on any central that is connected to the IntelliVue Clinical Network. You can do this whether or not the patient has been admitted.

You can access the Sector Setup Window via the task bar button on the Patient Window or Patient Management applications, or via All Controls

Patient Management

2-27

Assigning a Bed and/or Equipment to a Sector

Task Summary

Assign a bed/equipment to a sector by performing the following steps:

Step

Action

1 On the Patient Window for the appropriate sector, click on the

Sector Setup button.

2 On the Sector Setup Wind ow s elect th e Ass i gn Bed /E quipment page

by clicking on the Assign Bed/Equipment tab.

Note—If you have flexible monitoring, this page displays

automatically when you select Sector Setup for sectors that currently do not have a bed and/or equipment assigned to them.

3 Select the bed you want to assign to the sector by clicking on a bed

name from the list.

Note—The only beds that appear in the list are beds not currently

displayed. Some beds may not be from your unit. Be sure to select the correct bed label. If the equipment moves between multiple Information Centers, for example an M3 monitor, the equipment will need to be cleared from the other Information Center before y ou can assign it.

4 Select the equipment you want to assign to the sector by clicking the

appropriate equipment from the list.

5 Once the necessary selections are made and verified, click the OK

2-28 Patient Management

button. The Information Center assigns the bed/equipment to the sector. Once you have assigned equipment to the sector, you can admit a patient to that bed. See “Admitting a Patient” on page 2-3.

Note—Clicking the Cancel button cancels your changes and returns

you to the Assign Bed/Equipment page.

Changing Equipment for a Sector

Overview The equipment assigned to the bed can be a bedside monitor or telemetry

transmitter. If your system is configured for flexible monitoring, you can change the equipment that is currently assigned to a bed. You change the equipment assigned by using the Change Equipment page in the Sector Setup Window.

Note—You can identify the transmitter label that is currently assigned to a bed

by placing your cursor over the bed label in the sector. When you place your cursor over the bed label a pop-up box indicates the transmitter label.

Patient

Settings

When you change the equipment assigned to a bed a short gap occurs in the wave data for the patient and the following occurs to patient settings:

• Transmitter to transmitter

All patient settings remain the same as before the equipment change. If using Philips transmitters, the items controlled by the Wave Viewer or

TeleMon depend on how the transmitter is set up. For example, the SpO sample rate will be the one configured for the transmitter you are changing to.

• Bedside monitors (other than M3/IntelliVue Patient Monitors) to telemetry

All existing arrhythmia settings remain the same. Settings that wer e not previously being monitored (for example, SpO2 and ST) default to the unit settings.

• Telemetry to bedside monitor other than M3/IntelliVue Patient Monitor

All existing arrhythmia settings remain the same. However, the local bedside settings for all oth er param eters, including high and l ow HR alarm limits, go into effect. In addition, if telemetry ST segment monitoring was enabled, it is turned off (ST monitoring can be enabled at the bedside, if it is available).

Patient Management

2-29

Changing Equipment for a Sector

• Bedside/Telemetry to M3/IntelliVue Patient Monitor

All parameter settings will be those in the M3/IntelliVue Patient Monitor. If there are discrepancies in patient demographics, patient category or paced status a icon will display in the upper right-hand corner of the patient sector to indicate that a conflict exists. You will need to go to the Admit Window and resolve the conflict. See “Resolving Conf licts with M3 or IntelliVue Patient Monitors” on page 2-9.

Note—Differences in the height, weight, date of birth, or gender fields at

the Information Center and these fields at the IntelliVue Patient Monitor will not cause a conflict to occur. If there are height, weight, date of birth, or gender fields, then the IntelliVue Patient Monitor value is always used.

• M3/IntelliVue Patient Monitor to M3/IntelliVue Patient Monitor

All parameter settings will be those in the new bedside monitor. If there are discrepancies in patient demographics, patient category or paced status a icon will disp lay in the upper right-hand corner of the patient sector to indicate that a conflict exists. You will need to go to the Admit Window and resolve the conflict. See “Resolving Conflicts with M3 or IntelliVue Patient Monitors” on page 2-9.

Note—Differences in the height, weight, date of birth, or gender fields at

differences between the

• M3 bedside monitor to telemetry

• IntelliVue Patient Monitor to telemetry

2-30 Patient Management

All parameter settings will be those in the Information Center.

All existing arrhythmia settings remain the same, except the settings f or Multilead, Singlelead, or Arrhythmia off. The Multilead, Singlelead, or Arrhythmia Off settings reflect the setting of the transmitter when it was last used. Settings that were not previously monitored (for example, SpO2 and ST) default to unit settings.

Changing Equipment for a Sector

Task Summary

Change equipment assigned to a sector by performing the foll owi ng st eps :

Step

Action

1 On the Patient Window for the appropriate sector, click on the

Sector Setup button.

2 On the Sector Setup Window select the Change Equipment page by

clicking on the Change Equipment tab.

Note—If you have flexible monitoring, this page displays

automatically when you select Sector Setup for sectors that currently have a bed and equipment assigned to them.

3 On the Change Equipment page select the new equipment you want

to assign to this sector by clicking on the Bedside Monitor or the transmitter label on the new equipment list.

Note—Only transmitters that are unassigned to a bed are in the

equipment list. If the transmitter you will be using to monitor a patient is not on the list, check that it is not assigned to a bed (put the cursor over the bed label to see the transmitter number). If the transmitter is assigned to a bed, use the Clear Sector tab to clear the sector. The transmitter will then be available for assignment to the new bed.

If the equipment moves between multiple Information Centers, for example an M3 monitor, the equipment will need to be cleared from the other Information Center before you can assign it.

4 Verify that the bed and equipment you have selected are correct,

then click the OK button. The bed and/or equipment will be changed for the sector. If the B eds ide Monitor you s elected is an M3 or IntelliVue Patient Monitor proceed to Step 5.

Note—Clicking the Cancel button cancels your changes and returns

you to the Change Equipment page.

5 If the Bedside Monitor is an M3 or IntelliVue Patient Monitor verify

that the patient information/settings in the Admit Window are correct. Resolve any conflicts if necessary. See “Resolving Conflicts with M3 or IntelliVue Patient Monitors” on page 2-9.

Patient Management

2-31

Assigning an Overview Bed to a Sector

Note—

If using Overview while equipment change is taking place, the data from

these beds may momentarily not be available.

Assigning an Overview Bed to a Sector

Overview If your central is connected to the IntelliVue Clinical Network, you can assign

an overview bed to a sector. An overview bed is a bed that is currently being monitored by another connected Information Center (the primary central).

You assign an overview bed to a sector by using the Overview Bed page in the Sector Setup Window. Sectors that have no bed label assi gned cont ain a Sector

Setup button from which you can directly access the Sector Setup Window.

Fixed monitoring

Flexible Monitoring

Overview Bed Controls

You can overview a bed in a sector if a sector is configured as an overview (blank) sector at installation. If the sector already has an o verv iew be d, yo u mu st clear the sector before assigning another overview bed. See “Clearing (Unassigning) a Sector” on page 2-34.

You can assign an overview bed to a sector for:

• Sectors that currently do not have bed/equipment assigned.

• Sectors that display a bed label but do not have equipment assigned.

The controls available when viewing an overview bed depend upon how your system is configured and whether you have Read-Only or Full Control access. Read-Only access means you can view the patient data but cannot make any changes. Full Control access means you can view the patient data and make changes. For more information, see “Types of Access” on page 1-29.

2-32 Patient Management

Assigning an Overview Bed to a Sector

Task Summary

To assign a sector to a bed currently being monitored by another connected central perform the following steps:

Step

Action

1 On the Patient Window for the appropriate sector, click on the

Sector Setup button.

2 On the Sector Setup Window select the Overview Bed page by

clicking on the Overview Bed tab.

Note—If fixed monitoring, the Overview Bed page is automatically

displayed for a blank sector.

3 Select the unit you want, then the bed you want to overview by

clicking a bed name from the list.

4 Click the OK button. The Information Center assigns an overview

bed to the sector.

Note—Clicking the Cancel button cancels your changes and returns

you to the Overview Bed page.

Patient Management

2-33

Clearing (Unassigning) a Sector

Fixed Monitoring

Flexible Monitoring

Task Summary

If your system is configured for fixed monitoring, you must clear the current overview bed before assigning another overview bed to that sector.

If your system is configured for flexible monitoring, you use Clear Sector to remove the bed/equipment that is currently displayed in a sector.

Note—If a patient is admitted to the bed, you must first discharge the patient

before clearing the sector. See “Discharging a Patient” on page 2-18. When the sector is empty, you can:

– Assign a new bed/equipment to monitor a bed.

– Overview a bed being monitored by another connected Information

Center.

Important—For M3/M4 or IntelliVue Patient Monitors, when you clear the

sector the bed will no longer be available for Overview at other bedsides. See your user documentation for information on using Overview at the M3/M4 or IntelliVue Patient Monitor.

You clear a sector by using the Clear Sector page in the Sector Setup Window.

Clear a sector by performing the following steps:

Step

Action

1 On the Patient Window for the appropriate sector, click on the

2-34 Patient Management

Sector Setup button.

Clearing (Unassigning) a Sector

Step

Action

2 On the Sector Setup Window select the Clear Sector page by

clicking on the Clear Sector tab.

3 On the confirmation box that displays click the OK button. The

Information Center clears the bed/equipment assignment from this sector and returns you to the Main Screen.

WarningWarning

Clearing a sector can stop monitoring for a bed. Therefore, be sure to check that the sector you will clear is no longer monitoring a patient.

Note—Clicking the Cancel button resets the sector assignment to

its initial condition.

Patient Management

2-35

Clearing (Unassigning) a Sector

2-36 Patient Management

Recordings and Report s

This chapter describes the Information Center recordings and reports. It includes the following sections:

• Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

• Making a Delayed Recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

• Saving a Strip from the Patient Sector . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

• Making Real-Time Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

• Controls and Indicators on the Philips 2-C hann el Recorder Modul e. 3-11

• Controls and Indicators on the M3160A 4-Channel Recorder. . . . . . 3-12

• Recording Priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

• Recording Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

• Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16

• Loading Paper into the 2-Channel Recorder. . . . . . . . . . . . . . . . . . . . 3-17

• Loading Paper into the 4-Channel Recorder. . . . . . . . . . . . . . . . . . . . 3-20

• Philips 2-Channel Recorder Connections. . . . . . . . . . . . . . . . . . . . . . 3-22

• M3160A 4-Channel Recorder Connections . . . . . . . . . . . . . . . . . . . . 3-23

• Ordering Information for Supplies for Recorders. . . . . . . . . . . . . . . . 3-23

• Printing Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24

• Cleaning the Philips 2-Channel Recorder Printhead . . . . . . . . . . . . . 3-25

Introduction

Recordings and Reports 3-1

Introduction

The intended use of the Philips Recorder is to provide hardcopy of text, graphics, and wave data for the Information Center.

You can initiate recordings and reports (if a printer is available) from the Information Center or from the bedside. See page 3-24 for bedside monitors from which printing requests cannot be made.

You can make recordings on the Philips 2-Channel Recorder or the M3160A 4Channel Recorder if the 4-Channel Recorder is available on your system. The Philips 2-Channel Recorder consists of the M1116B strip chart recorder m odu le housed in a rack. The Philips Recorder rack can contain up to three recorder modules. Recordings can be automatically generated by alarm events or you can manually request them. Delayed recordings contain the primary and secondary waves selected at the bedside, or, for te lemet ry , on t he Pa ti ent Wi nd ow. D el ayed recordings, for bedsides other than the Intellivue Patient Monitors, are always made on the Philips 2-Channel Recorder. IntelliVue Patient Monitors can make delayed recordings on the Philips 2-Channel Recorder or the M3160A 4Channel Recorder if the 4-Channel Recorder is available on your system. Real time recordings can be made on the Philips 2-Channel Recorder or the M3160A 4-Channel Recorder if the 4-Channel Recorder. The clinician selects the waves for real-time recordings. Continuous recordings can have overlapping waves. The 2- channel recorder speed is configured at 6.25mm/s, 25 mm/s, or 50 mm/s. The 4-channel recorder speed is configured at 12.5mm/s, 25 mm/s, or 50 mm/s,

The central can be configured so that clicking in the patient sector has the following action:

• initiates a delayed recording (not available on 4-channel recorders).

• saves a strip in Alarm Review and Event Review.

• both initiates a delayed recording and saves a strip. The Philips Recorders are not intended for home use. Rx only.

3-2 Recordings and Reports

Introduction

Types of Recordings

The following types of recordings can be made at the central.

Recording Description

Alarm An alarm recording is a timed non-continuous

recording that is generated automatically (if configured) when an alarm occurs. The recording shows waves bot h before and af ter the alarm was announced. Alarm recordings can be made continuous from the recorder and can be extended from M3 bedside monitors. Alarm recordings are made on the 2-Channel Recorder.

Delayed A delayed recording is a timed non-continuous

recording that shows wav es both before and af ter it is initiated. Delayed recordings can be made continuous from the recorder, and can be extended from M3 bedside monitors. Delayed recordings are made on the Philips 2-Channel Recorder.

Real-time A real-time recording is a continuous recording

that shows waves that occur af ter yo u reques t the recording. Real-time recordings must be manually stopped. Real-time recordings can be directed to the Philips 2-Channel Recorder or the M3160A 4-Channel Recorder if the 4-Channel Recorder is available on your system.

Reports

Procedure A procedure recording is a timed r ecording made

from the bedside (for example, cardiac output).

Recordings and Reports

3-3

Introduction

Alarm Recordings

You can turn off the recording of specific alarms in the Record/Store Window. See “Chapter 4. Alarm Management and Setup”.

The waves that are recorded are based on the waves

• Primary wave (usually ECG)

• Wave corresponding to the alarming parameter. If only the primary wave

is available, a 40-mm single-channel recording is generated.

Note—In order for an alarm recording generated from the M3 or the IntelliVue

Patient Monitor to be made at the central, the recording must be configured On at both the bedside and the central (in the Record/Store Alarm Window).

Arrhythmia Alarm Recordings

If an arrhythmia alarm recording is running for a patient and other arrhythmia alarms occur for the same patient (with the same waves), the recording will be extended to include the superseding alarms.

3-4 Recordings and Reports

Making a Delayed Recording

Overview A delayed recording is a non-continuous, timed recording that shows waves

prior to your record request along with a few seconds of waveforms after your request. You can make a delayed recording for one patient or for all patients. Delayed recordings contain the primary and secondary waves selected at the bedside, or, for telemetry, on the Patient Window. Delayed recordings always print on the Philips 2-Channel Recorder.

Note—

– For EASI CMS and V24 bedsides, if your system is configured for

second ECG the secondary wave will always be the second channel of ECG regardless of the secondary wave selected at the CMS or V24 bedside.

– For M3 bedside monitors, waves for delayed recordings are not

selectable. The pre-set waves for recording are: ECG CH-1 and Invasive Pressure-1. If Invasive Pressure-1 is not available, the following waves are substituted (by the following pre-set priority): Invasive Pressure-2, CO2, ECG CH-2, ECG CH-3, Pleth, Resp.

– For IntelliVue Patient Monitors, the waves that are recorded are

those that are configured for recording at the IntelliVue Patient Monitor. For IntelliVue Patient Monitors, when selecting waves for recording only select waves that are available to you at the Information Center and are visually present in the patient window. If you select waves that are not available at the Information Center, the Information Center will substitute the primary ECG and the highest priority bedside wave on the recording. See your IntelliVue Patient Monitor user documentation for details.

Delayed recordings can be initiated from the central, or from the bedside. For telemetry patients, a Nurse Call recording can be initiated when the Patient Button on the telemetry transmitter is pressed (if configured and turned on).

The length of the recording and the waves are pre-set for your unit. Factory defaults are 10 seconds pre-event and 2 seconds post-event. In the example below the arrow indicates when the recording was requested.

Recordings and Reports

Reports

3-5

Making a Delayed Recording

10 seconds PRE-EVENT + 2 seconds POST-EVENT = 12 seconds TOTAL RECORDING

Note—The actual length of a delayed recording may be longer that the pre-set

length to allow for all of the annotations to be printed. In timed recordings, since the number of seconds of pre-event and post-event wave(s) are pre-set for your unit, if the event is longer than this amount of time, you will not capture the entire event. Use Wave Review to see the entire event. See “Wave Review” on page 6-31.

Task Summary

When you request a delayed recording the Philips Information Cen ter beg in s recording the waves for the sector(s) you selected and stops automatically.

If your system is set up to produce a delayed recording, the label on the button in the patient sector that appears when the cursor is in the sector will be

Record and Save. You request a delayed reco rding by per formi ng the fol lowing

step:

Step

1 Click on the button (or anywhere in the sector except the Patient

3-6 Recordings and Reports

Action

Window

Record or

button).

Making a Delayed Recording

Action of Patient Sector Button

Making an Alarm/ Delayed Recording Continuous

Depending on how your system is configured, clicking a button in the patient sector initiates a delayed reco rding or the saving of a strip. The action of the button is shown by the button label.

The labels are:

•

Record -- this generates a paper recording of the primary and secondary

waves.

•

Save -- this generates a 30-second strip saved in Alarm Review and Event

Review.

•

Record and Save -- this generates both a paper recording and a strip in

Alarm Review and Event Review.

Note—Strips can be viewed in Alarm Review if “ALL ALARMS” or “USER-

SAVED STRIPS” is selected. Strips can be viewed in Event Review if “USERSAVED STRIPS” is displayed.

The number of user-saved strips is limited (10 if your Alarm Review has a 50record capacity, or 30 i f your Alarm Review has a 150-record capacity). If the maximum number of strips is reached, when a new strip is saved, the oldest saved strip is automatically deleted.

You can make an alarm or delayed recording continuous while the recording is printing by pressing t he RUN/CO NT key on the recor der module. To terminate a recording, press the STOP key on the recorder module.

If the recording was queued (e.g., because the recorder was busy or out of paper), it cannot be made continuous.

Reports

Extending a Delayed Recording at the M3 Monitor

You can extend a delayed recording requested from the bedside by pressing the

Delayed Recording button on the M3 monitor. This causes the recording to run,

then be extended by a pre-set number of seconds. That is, if the recording is preset to run for 12 seconds, the recording will be extended an additional 12 seconds. The recording will be extended for each time the button is pressed.

If the recording was queued (for example, because the recorder was busy or out of paper), it cannot be extended.

Recordings and Reports

3-7

Saving a Strip from the Patient Sector

Making a Delayed Recording for All Beds

Regardless of whether or not your system is set up to allow delayed recordings initiated from the patient sector, you can make a delayed recording for all beds that are displayed. You request a delayed recording for all sectors by performing the following steps:

Step

Action

1 Get to the All Controls Window for any sector. 2 Click the

a delayed recording for all sectors that currently have patient data.

Note—Sectors without beds or equipment assigned will not have a

recording printed.

Record All button in the title bar. The central will initiate

Saving a Strip from the Patient Sector

Overview Your system can be configured to allow you to click a button in the patient

sector to quickly capture 30 seconds of waveforms that are saved in the database. You can view these saved strips in either Alarm Review or Event Review. The strip contains 20 seconds of w ave before the b utton was clicked, and 10 seconds after.

Task Summary

Selecting the

Waves that are

Saved

3-8 Recordings and Reports

If your system is set up to allow saving of strips, the label on the button in the patient sector that appears when the cursor is in the sector will be

Record and Save. To save a strip, click on the button (or anywhere in the sector

except the

The waves that are saved can be selected on a per patient basis in the Stored Waves Window, Alarm Waves tab. See “Changing the Waves that are Stored” on page 6-50.

Save or

Patient Window button).

Making Real- Time Recordings

Making Real-Time Recordings

Overview A real-time recording is a continuous recording that shows waves that occur

after you request the recording. You select the waves to record and have to manually stop real-time recordings.

Task Summary

Make a real-time recording by performing the following steps:

Step

Action

1 In the Patient Window click on the Continuous Recording

button. The Philips Information Center displays a pop-up box.

2 If a 4-channel recorder is available in your unit, specify whether this

recording is going to the 2-channel or 4-channel recorder by clicking on the appropriate radio button in the Recorder Type field. Clicking the 4 Channel button directs the recording to the 4channel recorder. Clicking the 2 Channel button directs the recording to the 2-channel recorder.

3 Select the waves to record by selecting the waves from the Wave

Settings drop-down list.

Note—You can make wave one an arrhythmia wave by clicking on

the Beat Labels box.

Note—For IntelliVue Patient Monitors, when selecting waves for

recording only select waves that are available to you at the Information Center. Selecting waves that are monitored but not displayed in the Patient Window would result in blank sectors appearing in the recording.

Reports

Recordings and Reports

3-9

Making Real- Time Recordings

Step

Action

4 Specify whether to overlap the waves or not by clicking on the

Overlap box. With the 2-channel recorder:

• No overlap -- no waves overlapped. The size of the grid is 40

mm for one wave, 20 mm for two waves.

• Overlap -- overlap two waves in one 40 mm sector.

With the 4-channel recorder:

• No overlap -- no waves overlapped. The size of each grid is

100/(number waves selected).

• Overlap -- produces a recording of Wave 1 (50 mm) above

Wave 2-4 (50 mm).

5 Click the Record button. The recording begins and continues until

you click the Stop butt on in t h e Con tin uous Recording box or press Stop on the recorder module.

3-10 Recordings and Reports

Philips IntelliVue User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Introduction to the Information Center 1-1

The IntelliVue Information Center

Philips Patient Care System

IntelliVue Clinical Network with Database Server

Large Network Central Database System

Intended Use

The Information Center Features

Recordings and Reports

Information Center Display Screens

System Message Area

Main Screen

Patient Window

Single Display When a Patient Window or an application window is open, all the patient sectors

Dual Displays Dual displays offer the advantage of enabling clinicians to view the Patient

Using Standby

Telemetry, M3 and IntelliVue Patient Monitors

Task Summary Place the bed in Standby and resume monitoring by performing the following

Other Bedside Monitors

Task Summary Select the Standby location by performing the following steps:

EASI 12-lead Review and Report

Task Summary

Viewing Other Patients over the IntelliVue Clinical Network

Viewing a Bed Temporarily

Overview Beds

Types of Access

Consulting Beds over the Philip s CareN et

Full Control if Multiple Viewers

Consulting Beds

Guidelines for Ensuring Correct Data

Optimizing Wireless System Performance

Minimizing Data Loss

Interference

Wireless System Messages

Configuration

Using the On-line Help/Quick Guide

Patient Management

Introduction

Admitting a Patient

Overview You must admit a patient to the Information Center in order for the name to

Task Summary

Changing Patient Information

Overview You can change patient information such as patient’s name, Care Group

Task Summary

Resolving Conflicts with M3 or IntelliVue Patient Monitors

Overview Since you can admit, discharge, or transfer patients from both the Information

Task Summary

Care Groups

Overview Care Groups allow you to as sociate one or m ore beds with a group. A single

Assigning a Bed to a Care Group

Discharging a Patient

Overview Important—Discharging from the central clears the central database for a bed. At

Task Summary

Discharging for Transport

Overview For those times when you want to transport the patient and use the monitor at the

Task Summary

Transferring Patient Data to a New Bed

Overview The Information Center allows you to transfer a patient to another bed without

Task Summary

Fixed and Flexible Monitoring

Fixed Monitoring

Flexible Monitoring

Assigning a Bed and/or Equipment to a Sector

Overview If your system is configured for flexible monitoring, the Information Center

Task Summary

Changing Equipment for a Sector

Overview The equipment assigned to the bed can be a bedside monitor or telemetry

Task Summary

Assigning an Overview Bed to a Sector

Overview If your central is connected to the IntelliVue Clinical Network, you can assign

Fixed monitoring

Flexible Monitoring

Overview Bed Controls

Task Summary

Clearing (Unassigning) a Sector

Fixed Monitoring

Flexible Monitoring