Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
Connex® Vital Signs Monitor:Wireless Workflow Training
Spot, Intervals, & Continuous Monitoring Profiles
MC13844
Welcome!
Thank you for choosing Welch Allyn®Objectives:1. Review the wireless workflow used with the
Connex® Vital Signs Monitor (CVSM) to document vitals electronically.
2. Review the workflow steps for the following profiles:– Spot Check– Intervals Monitoring– Continuous Monitoring
3. Basic troubleshooting
MC13844
Table of Contents
• CVSM and Barcode Scanner
• Connectivity Symbols
• Spot Check: Workflow
• Review Tab
• Intervals– Workflow
– Automatic
– Program
– Sending
• Continuous– Screens
– Workflow
– Review Tab
– Pause/End Monitoring
• Manual Parameters
• Manual Override
• Switching Clinicians
• Clear Clinician ID
• Clear Patient ID
• Error Messages
– Clinician ID Match
– Clinician ID Required
– Patient ID Match
– Patient ID Required
3MC13844
CVSM and Barcode Scanner
4Return to Table of Contents MC13844
Connectivity Symbols
Wireless
Ethernet
Return to Table of Contents MC13844
or
1. Ensure Connectivity symbol is present
2. Touch Clinician Symbol
Spot Check: Workflow
Notes:• If clinician ID is not being captured, skip steps 2 and 3.
Return to Table of Contents MC13844
21
Spot Check: Workflow
Return to Table of Contents MC13844
Notes:• If clinician ID is not being captured, skip steps 2 and 3.
1. Ensure Connectivity symbol is present
2. Touch Clinician Symbol
3. Scan clinician IDfrom Clinician tab. Press OK to confirm.
Spot Check: Workflow
Return to Table of Contents MC13844
Notes:• If clinician ID is not being captured, skip steps 2 and 3.• Clinician ID appears top left of display as either a full name, abbreviation, ID, or symbol.• Patient ID appears bottom left of display as either a full name or abbreviation, along with the
patient ID number.
1. Ensure Connectivity symbol is present
2. Touch Clinician Symbol
3. Scan clinician IDfrom Clinician tab. Press OK to confirm.
4. Scan patient IDfrom Home tab.
5. Acquire desired vital signs (NIBP, SPO2, Pulse Rate, Temp) using proper technique
Return to Table of Contents MC13844
Spot Check: Workflow
Notes:
• Depending on configurations, clinician may also Manually Override parameters as needed.
6. Acquire desired vital signs (NIBP, SPO2, Pulse Rate, Temp) using proper technique.
7. Enter Manual Parameters (if applicable)
Return to Table of Contents MC13844
Spot Check: Workflow
Notes:
• Depending on configurations, clinician may also Manually Override parameters as needed (if applicable)
• All VS will remain on screen. Probe removal ensures that pressing Save clears Home screen entirely.
• Depending on configurations, pressing Save will send the vitals.
• The messages “Save successful” and “Send successful” will appear in status bar upon successful sending.
6. Acquire desired vital signs (NIBP, SPO2, Pulse Rate, Temp) using proper technique.
7. Enter Manual Parameters (if applicable)
8. After capturing all desired data, remove SpO2 probe.
9. Press Save to send vitals to EMR.
Return to Table of Contents MC13844
Spot Check: Workflow
Review Tab
Return to Table of Contents MC13844
• Review Tab holds 400 sets of saved vitals for up to 24 hours
• Depending upon device configuration, if readings sent successfully envelope will appear next to vitals OR readings will be cleared from review tab
• If a set of vitals did not send successfully (no envelope next to it or still in Review tab)
a. Select the set of vitals (place a check in the adjacent box)
b. Press Send, then OK to confirm (envelope will appear next to it when sent successfully)
Review Tab
Return to Table of Contents MC13844
• Review Tab holds 400 sets of saved vitals for up to 24 hours
• Depending upon device configuration, if readings sent successfully envelope will appear next to vitals OR readings will be cleared from review tab
a
b
Review Tab
Return to Table of Contents MC13844
• If a set of vitals did not send successfully (no envelope next to it or still in Review tab)
− Select the set of vitals (place a check in the adjacent box)
− Press Send, then OK to confirm (envelope will appear next to it when sent)
• To delete a set of vitals, select it and press Delete
• Review Tab holds 400 sets of saved vitals for up to 24 hours
• Depending upon device configuration, if readings sent successfully envelope will appear next to vitals OR readings will be cleared from review tab
Intervals: Workflow
Return to Table of Contents MC13844
1. Ensure Connectivity symbol is present
2. Touch Clinician symbol
Notes:• If clinician ID is not being captured, skip steps 2 and 3.
21
1. Ensure Connectivity symbol is present
2. Touch Clinician symbol
3. Scan Clinician IDfrom Clinician tab. Press Ok to confirm.
Intervals: Workflow
Return to Table of Contents MC13844
Notes:• If clinician ID is not being captured, skip steps 2 and 3.
1. Ensure Connectivity symbol is present
2. Touch Clinician symbol
3. Scan Clinician IDfrom Clinician tab. Press Ok to confirm.
4. Scan Patient ID from Home tab.
5. Apply desired accessories and touch interval icon.
Notes:• If clinician ID is not being captured, skip steps 2 and 3.• Clinician ID appears top left of display as either a full name, abbreviation, ID number, or symbol.• Patient ID appears bottom left of display as either a full name or abbreviation, along with patient ID number.• Clinician ID (if applicable) and Patient ID will remain on the display when Intervals are in use. See Clear Patient
ID, Clear Clinician ID, and Switching Clinicians for more information.
Intervals: Workflow
Return to Table of Contents MC13844
5
Intervals: Workflow
6. Select Automatic, Program or Stat.
Return to Table of Contents MC13844
Intervals: Workflow
6. Select Automatic, Program or Stat.
7. Adjust intervals as desired (see Intervals: Program slide) and ensure BP cuff on patient.
Return to Table of Contents MC13844
Intervals: Workflow
6. Select Automatic, Program or Stat.
7. Adjust intervals as desired (see Intervals: Program slide) and ensure BP cuff on patient.
8. Touch Start Intervals• Start Intervals button becomes Stop Intervals button
Return to Table of Contents MC13844
Intervals: Workflow
After pressing Start Intervals:
a. First BP starts immediately
b. Intervals symbol now displays countdown until next scheduled NIBP
c. Automatically acquired VS save to Review Tab
d. Taking extra sets of vitals does not alter intervals schedule
− Must press Save to chart extra sets
21Return to Table of Contents MC13844
b
c
d
Intervals: Workflow
After pressing Start Intervals:
• First BP starts immediately
• Intervals symbol now displays countdown until next scheduled NIBP
• Automatically acquired VS save to Review Tab
• Taking extra sets of vitals does not alter intervals schedule
− Must press Save to chart extra sets
To Stop Intervals, touch and then Stop Intervals button
22Return to Table of Contents MC13844
• Takes NIBP automatically at set frequency
– Frequency ranges from 1 – 240 minutes
Intervals: Automatic
23Return to Table of Contents MC13844
• Takes NIBP automatically at set frequency
– Frequency ranges from 1 – 240 minutes
• To set frequency:
– Touch white tile to use keypad, or touch arrows
Intervals: Automatic
24
Ex. Currently set to take NIBP automatically every 100 min.
Return to Table of Contents MC13844
25
Intervals: Program
• Takes NIBP automatically based on protocols at your facility– Up to 6 Programs can be entered
• To begin:– Set up new Interval Program or choose existing
Program
Return to Table of Contents MC13844
26
Intervals: Program
• Takes NIBP automatically based on protocols at your facility– Up to 6 Programs can be entered
• To begin:– Set up new Interval Program or choose existing
Program
For new Interval Program:
1. Touch any unnamedprogram (ex. Program 1)
2. Touch dropdown menu to set Frequency (ex. q15min)
3. Touch white number tile to enter Duration using keypad (ex. x2)
4. Touch title of program to rename
Return to Table of Contents MC13844
1
2 3
4
For new Interval Program:
1. Touch any unnamed program (ex. Program 1)
2. Touch dropdown menu to set Frequency (ex. q15min)
3. Touch white number tile to enter Duration using keypad (ex. x2)
4. Touch title of program to rename
27
Intervals: Program
Ex. Program 1q 15min x 2, thenq 60min x 8
Return to Table of Contents MC13844
• Takes NIBP automatically based on protocols at your facility– Up to 6 Programs can be entered
• To begin:– Set up new Interval Program or choose existing
Program
Intervals: Sending
Return to Table of Contents MC13844
1. Touch Review tab
2. Select vitals to send by touching adjacent boxes.
3. Touch Send, then OK to confirm
4. Envelope will appear next to successfully set VS
Notes:
• Depending upon device configuration, if readings sent successfully envelope will appear next to vitals and remain for 24 hours OR the readings will be cleared from review tab.
3
2
1
4
Intervals: Sending
Return to Table of Contents MC13844
1. Touch Review tab
2. Select vitals to send by touching adjacent boxes.
3. Touch Send, then OK to confirm
4. Envelope will appear next to successfully set VS
Notes:
• Depending upon device configuration, if readings sent successfully envelope will appear next to vitals and remain for 24 hours OR the readings will be cleared from review tab.
• Press Delete (instead of Send) to clear selected vitals from Review tab.
30
Continuous Monitoring Screens
Return to Table of Contents MC13844
RRa tile
EarlySense tile
etCO2 tile
Continuous: Workflow
Return to Table of Contents MC13844
1. Ensure Connectivity symbol is present
2. Touch Clinician symbol
Notes:• If clinician ID is not being captured, skip steps 2 and 3.
21
1. Ensure Connectivity symbol is present
2. Touch Clinician symbol
3. Scan clinician ID from Clinician tab. Press Okto confirm.
Continuous: Workflow
Return to Table of Contents MC13844
Notes:• If clinician ID is not being captured, skip steps 2 and 3.
Notes:• If clinician ID is not being captured, skip steps 2 and 3.• Clinician ID appears top left as either a full name, abbreviation, ID number, or symbol.• Patient ID appears bottom as either a full name or abbreviation, along with patient ID
number.
1. Ensure Wireless symbolis present
2. Touch Clinician symbol
3. Scan clinician ID from Clinician tab. Press Okto confirm.
4. Scan Patient ID from Home tab.
Continuous: Workflow
Return to Table of Contents MC13844
1. Ensure Wireless symbolis present
2. Touch Clinician symbol
3. Scan clinician ID from Clinician tab. Press Okto confirm.
4. Scan Patient ID from Home tab.
5. Acquire desired vital signs (NIBP & Temp) and/or apply desired continuous monitoring accessories (etCO2 sampling line, pulse ox,
EarlySense® sensor,
RRa® sensor).
6. Enter Manual Parameters (if applicable)
Continuous: Workflow
Notes:• If clinician ID is not being captured, skip steps 2 and 3.• Clinician ID appears top left as either a full name, abbreviation, ID number, or symbol.• Patient ID appears bottom left as either a full name or abbreviation, along with patient ID
number.• Clinician ID (if applicable) and Patient ID will remain on the display when Intervals are in use.
See Clear Patient ID, Clear Clinician ID, and Switching Clinicians for more information.
Return to Table of Contents MC13844
Continuous requires no Send button
• Vitals stream continuously from device
Your facility will provide instructions to pull desired vitals into patient’s chart
Continuous: Review Tab
35Return to Table of Contents MC13844
Continuous requires no Send button
• Vitals stream continuously from device
Your facility will provide instructions to pull desired vitals into patient’s chart
Review Tab:a. Touch Review tab to access trend table of all readings for current patient
b. Highlights vitals falling outside alarm parameters in red
c. Touch View drop down menu to configure time intervals displayed (Ex. See vitals q1hr)
d. Scroll through last 24 hours of patient measurements
Continuous: Review Tab
36Return to Table of Contents MC13844
a
b
c
d
To Pause or End Monitoring: 1. Touch Pause
Continuous: Pause/End Monitoring
37Return to Table of Contents MC13844
1
To Pause or End Monitoring: 1. Touch Pause2. Disconnect accessories from patient. Touch + to increase pause time (max 4 hrs)3. Reattach accessories and touch Resume Monitoring to return to monitoring patient4. OR touch End Monitoring to discontinue monitoring
Continuous: Pause/End Monitoring
38Return to Table of Contents MC13844
2
4
3
To Pause or End Monitoring: 1. Touch Pause2. Disconnect accessories from patient. Touch + to increase pause time (max 4 hrs)3. Reattach accessories and touch Resume Monitoring to return to monitoring patient 4. OR touch End Monitoring to discontinue monitoring
• Choose New Patient (device will stay on and clear all data from current patient) or Power Down (device will power off)
Continuous: Pause/End Monitoring
39Return to Table of Contents MC13844
Manual Parameters
40
To enter Manual Parameters/Custom Modifiers in any profile:
1. Touch Manual Parameters box
Return to Table of Contents MC13844
To enter Manual Parameters/Custom Modifiers in any profile:
1. Touch Manual Parameters box
2. Touch a box to (a) type in value with keypad or (b)select from dropdown menu.
3. Press OK to confirm entries
Manual Parameters
41
Note: HT, WT, Pain, RR, and other custom modifiers /manual parameters will depend on facility’s chosen device configuration.
Return to Table of Contents MC13844
2b
2a
3
Manual Override
To manually override a VS (in any profile):• Press and hold inside that tile to bring up keypad, type in new value, press OK
− (Ex. Manually auscultated BP)*This feature’s availability depends on facility’s chosen device configuration.
Return to Table of Contents MC13844
• When using Intervals or Continuous profile, follow these steps to switch the clinician identified as taking vitals
• Note: Both the clinician beginning his/her shift and clinician giving report should be at bedside for this process
1. Touch Clinician Symbol
Switching Clinicians
43Return to Table of Contents MC13844
• When using Intervals or Continuous profile, follow these steps to switch the clinicianidentified as taking vitals
• Note: Both the clinician beginning his/her shift and clinician giving report should be at bedside for this process
1. Touch Clinician Symbol
2. Press Clear
Switching Clinicians
44Return to Table of Contents MC13844
1. Touch Clinician Symbol
2. Press Clear
3. Oncoming (new) clinician scan clinician ID
Switching Clinicians
45Return to Table of Contents MC13844
• When using Intervals or Continuous profile, follow these steps to switch the clinicianidentified as taking vitals
• Note: Both the clinician beginning his/her shift and clinician giving report should be at bedside for this process
1. Touch Clinician Symbol
2. Press Clear
3. Oncoming (new) clinician scan clinician ID
4. Press OK to return to Home screen
Switching Clinicians
46Return to Table of Contents MC13844
• When using Intervals or Continuous profile, follow these steps to switch the clinicianidentified as taking vitals
• Note: Both the clinician beginning his/her shift and clinician giving report should be at bedside for this process
• New ID will display in ID field• If enabled, Clinician Name will be
pulled from EMR after pressing OK
Switching Clinicians
47Return to Table of Contents MC13844
1. Touch Clinician Symbol
2. Press Clear
3. Oncoming (new) clinician scan clinician ID
4. Press OK to return to Home screen
5. Visually confirm correct clinician displayed
• When using Intervals or Continuous profile, follow these steps to switch the clinicianidentified as taking vitals
• Note: Both the clinician beginning his/her shift and clinician giving report should be at bedside for this process
Clear Clinician ID
48Return to Table of Contents MC13844
Follow these instructions to clear the Clinician ID if:
• Clinician is scanned, but then decides not to take vitals
• When Intervals monitoring has been stopped and clinician needs to clear ID (log out)
Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
1. Touch Clinician Symbol
Clear Clinician ID
49Return to Table of Contents MC13844
Follow these instructions to clear the Clinician ID if:
• Clinician is scanned, but then decides not to take vitals
• When Intervals monitoring has been stopped and clinician needs to clear ID (log out)
Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
1. Touch Clinician Symbol
2. Touch Clear to clear clinician info
Follow these instructions to clear the Clinician ID if:
• Clinician is scanned, but then decides not to take vitals
• When Intervals monitoring has been stopped and clinician needs to clear ID (log out)
Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
1. Touch Clinician Symbol
2. Touch Clear to clear clinician info
3. Touch OK to return to Home screen
Clear Clinician ID
50Return to Table of Contents MC13844
Follow these instructions to clear the Clinician ID if:
• Clinician is scanned, but then decides not to take vitals
• When Intervals monitoring has been stopped and clinician needs to clear ID (log out)
Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
Clear Clinician ID
51Return to Table of Contents MC13844
1. Touch Clinician Symbol
2. Touch Clear to clear clinician info
3. Touch OK to return to Home screen
4. Visually confirm Clinician ID cleared from screen
• If patient is scanned, but clinician decides not to take vitals, follow these instructions to clear out the patient’s information
• Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
1. Touch Patient type
Clear Patient ID
52Return to Table of Contents MC13844
• If patient is scanned, but clinician decides not to take vitals, follow these instructions to clear out the patient’s information
• Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
1. Touch Patient type
2. Touch Clear to clear patient info
Clear Patient ID
53Return to Table of Contents MC13844
• If patient is scanned, but clinician decides not to take vitals, follow these instructions to clear out the patient’s information
• Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
1. Touch Patient type
2. Touch Clear to clear patient info
3. Touch OK to return to Home screen
Clear Patient ID
54Return to Table of Contents MC13844
• If patient is scanned, but clinician decides not to take vitals, follow these instructions to clear out the patient’s information
• Note: Powering down the CVSM will also clear the Patient ID, Clinician ID, and all vitals on the screen.
Clear Patient ID
55Return to Table of Contents MC13844
1. Touch Patient type
2. Touch Clear to clear patient info
3. Touch OK to return to Home screen
4. Visually confirm patient ID cleared
Error Messages: Clinician ID Match
56
• Occurs when CVSM is unable to match scanned clinician ID with database
• Verify Connectivity Symbol is present before scanning clinician
• Touch Clinician Symbol before scanning and ensure correct Clinician ID barcode is being scanned
• See ID Clinician slide to review steps to properly ID clinician and retry
Return to Table of Contents MC13844
Error Messages: Clinician ID Required
57
• Verify Connectivity Symbol is present
• Ensure Clinician Symbol was pressed prior to scanning Clinician ID
• Verify Clinician ID appears in appropriate field on the Home screen
• See ID Clinician slide to review steps to properly ID clinician and retry
Return to Table of ContentsReturn to Table of Contents MC13844
Error Messages: Patient ID Match
58
• Occurs when CVSM is unable to match scanned patient ID with patient information in EMR
• Ensure connectivity symbol is present before scanning patient
• Ensure correct Patient ID barcode is being scanned from Home screen
• See ID patient slide to review steps to properly ID patient and retry
Return to Table of Contents MC13844
Error Messages: Patient ID Required
59
• Ensure Patient ID barcode scanned from Home screen
• Verify Patient ID appears in the appropriate field on the Home screen
• See ID patient slide to review steps to properly ID patient and retry
Return to Table of Contents MC13844
Resources
Thank you for choosing
Customer Care:1-800-535-6663
Website:www.welchallyn.com
55Return to Table of Contents MC13844