Table of Contents

Introduction ◦ Preface – Page 1

◦ What does this book provide to the reader? – Page 2

◦ What does this book offer to the student or new graduated

biomed? - Page 3

◦ How does a new graduate prepare for an interview? – Page 3

◦ What does this book offer to the existing biomed? – Page 5

Chapter 1; The Biomedical Technologist ◦ An overview of a biomedical technologist/technician – Page 6

◦ What are the biomed’s responsibilities – Page 7

◦ How a biomed is involved in patient care – Page 9

◦ A biomed’s typical day – Page 12

◦ What is preventative maintenance (PM)? – Page 14

Chapter 2; Hospital Departments & their devices ◦ Departments and the biomed – Page 17

◦ Departments and their devices – Page 17

Chapter 3; The ADT (Patient Demographics) ◦ Quick points – Page 28

◦ Challenge questions – Page 29

◦ Clinical Information – Page 30

◦ The HL7 Standard – Page 31

◦ Common Features of the ADT System – Page 32

◦ The biomed and the ADT System – Page 35

◦ Challenge answers – Page 36

Chapter 4; Electrical Safety ◦ Quick points – Page 37

◦ Challenge questions – Page 38

◦ The basics of electrical safety – Page 39

◦ The electrical safety checks & safety analyzer – Page 48

◦ Electrical safety standards – Page 53

◦ Isolated power systems – Page 56

◦ Challenge answers – Page 58

Chapter 5: Patient monitors

Patient monitors and simulators overview ◦ Quick points – Page 60

◦ Challenge questions – Page 61

◦ Clinical information and parameter detection – Page 62

◦ Common features of the parameters – Page 69

◦ User setup: Patient Monitors – Page 70

◦ How to test/PM the patient monitor - Page 71

◦ Challenge answers – Page 75

Patient Monitors – ECG Parameter ◦ Quick Points – Page 77

◦ Challenge Questions – Page 78

◦ Clinical Information and Parameter Detection – Page 79

◦ Skin Preparation and Electrodes – Page 92

◦ Common Functions of ECG Monitors – Page 94

◦ User Setup: ECG parameter – Page 98

◦ How to Test/PM the ECG Parameter – Page 99

◦ Quick Service Tips – Page 105

◦ Challenge Answers – Page 108

Patient Monitors – RESP Parameter ◦ Quick Points – Page 110

◦ Challenge Questions – Page 111

◦ Clinical Information and Parameter Detection – Page 112

◦ Common Features of the RESP Parameter – Page 114

◦ User Setup: RESP Parameter – Page 116

◦ How to Test/PM the RESP Parameter – Page 117

◦ Quick Service Tips – Page 121

◦ Challenge Answers – Page 123

Patient Monitors; TEMP Parameter ◦ Quick Points – Page 125

◦ Challenge Questions – Page 126

◦ Clinical Information and Parameter Detection – Page 127

◦ Common Features of the TEMP Parameter – Page 129

◦ User Setup: TEMP Parameter – Page 130

◦ How to Test/PM the TEMP Parameter – Page 131

◦ Quick Service Tips – Page 135

◦ Challenge Answers – Page 136

Patient Monitors; NIBP Parameter ◦ Quick Points – Page 137

◦ Challenge Questions – Page 138

◦ Clinical Information and Parameter Detection – Page 139

◦ Common Features of the NIBP Parameter – Page 143

◦ User Setup: NIBP Parameter – Page 145

◦ How to Test/PM the NIBP Parameter - 146

◦ Quick Service Tips – Page 151

◦ Challenge Answers – Page 153

Patient Monitors; IBP Parameter ◦ Quick Points – Page 155

◦ Challenge Questions – Page 157

◦ Clinical Information and Parameter Detection – Page 158

◦ Common Features of the IBP Parameter – Page 165

◦ User Setup: IBP Parameter – Page 167

◦ How to Test/PM the IBP Parameter – Page 168

◦ Quick Service Tips – Page 172

◦ Challenge Answers – Page 173

Patient Monitors; SpO2 Parameter ◦ Quick Points – Page 174

◦ Challenge Questions – Page 175

◦ Clinical Information and Parameter Detection – Page 176

◦ Common Features of the SpO2 Parameter – Page 179

◦ User Setup: SpO2 Parameter - 182

◦ How to Test/PM the SpO2 Parameter – Page 183

◦ Quick Service Tips - 188

◦ Challenge Answers – Page 191

Patient Monitors; CO Parameter ◦ Quick Points – Page 193

◦ Challenge Questions – Page 194

◦ Clinical Information and Parameter Detection – Page 195

◦ Common Features of the CO Parameter – Page 199

◦ User Setup: CO Parameter – Page 200

◦ How to Test/PM the CO Parameter – Page 202

◦ Quick Service Tips – Page 206

◦ Challenge Answers – Page 208

Central Stations for Patient Monitors ◦ Quick Points – Page 210

◦ Challenge Questions – Page 211

◦ How it works: central station for patient monitors – Page 212

◦ Basic User Setup – Page 219

◦ The Basic Troubleshooting Tools – Page 220

◦ Central Station for Patient Monitors Issues – Page 225

◦ Preventative Maintenance - Page 229

◦ Challenge Answers – Page 231

Central Stations for Telemetry ◦ Quick Points – Page 232

◦ Challenge Questions – Page 233

◦ How it works: central station for telemetry – Page 234

◦ Basic User Setup – Page 239

◦ The Basic Troubleshooting Tools – Page 240

◦ Central Station for Telemetry Issues – Page 246

◦ Preventative Maintenance – Page 251

◦ Challenge Answers – Page 253

Chapter 6; Infusion Pumps ◦ Quick Points – Page 255

◦ Infusion pumps challenge questions – Page 256

◦ Clinical Information – Page 257

◦ Common features of the infusion pump – Page 258

◦ User setup: infusion pumps – Page 261

◦ How to test/pm the infusion pump – Page 262

◦ Quick service tips – Page 268

◦ Challenge Answers - 270

Chapter 7; Cardiology

Defibrillators ◦ Quick Points – Page 272

◦ Challenge Questions – Page 273

◦ Clinical information and how defibrillators work – Page 275

◦ Common functions of defibrillators - 285

◦ User setup: Manual mode – Page 292

◦ User setup: AED mode – Page 293

◦ User setup: Elective Cardioversion mode – Page 294

◦ User setup: Pacer mode – Page 295

◦ How to test/pm a defibrillator – Page 296

◦ Quick Service Tips – Page 307

◦ Challenge Answers – Page 312

Electrocardiographs ◦ Quick Points – Page 314

◦ Challenge Questions – Page 315

◦ Clinical Information and Parameter Detection - 316

◦ Skin preparation and electrodes – Page 329

◦ Common functions of electrocardiographs – Page 331

◦ User setup: electrocardiograph – Page 333

◦ How to test/pm the electrocardiograph – Page 334

◦ Quick Service Tips – Page 339

◦ Challenge Answers – Page 341

Holter Monitor Systems ◦ Quick Points – Page 343

◦ Challenge Questions – Page 344

◦ Clinical Information and Parameter Detection – Page 345

◦ Skin Preparation and Electrodes – Page 360

◦ Common Functions of the Holter monitor – Page 361

◦ User Setup: Holter monitor – Page 363

◦ How to Test/PM the Holter monitor – Page 364

◦ Quick Service Tips – Page 367

◦ Challenge Answers - 369

Treadmill Systems ◦ Quick Points – Page 371

◦ Challenge Questions – Page 372

◦ Clinical information and parameter detection – Page 373

◦ Skin preparation and electrodes – Page 387

◦ Common functions of a treadmill stress test system – Page 388

◦ User setup: stress test system – Page 391

◦ How to test/pm the stress test system - 392

◦ Quick Service Tips – Page 400

◦ Challenge Answers – Page 403

Chapter 8; Operating Room (OR)

Blood Warmers ◦ Quick Points – Page 405

◦ Challenge Questions – Page 406

◦ Clinical information – Page 407

◦ Common features of a blood warmer – Page 409

◦ How to Test/PM – Page 410

◦ Quick Service Tips – Page 413

◦ Challenge Answers – Page 414

Electrosurgery Units ◦ Quick Points – Page 415

◦ Challenge Questions – Page 416

◦ How It Works – Page 417

◦ Common features of electrosurgery – Page 418

◦ User Setup (monopolar) – Page 422

◦ How to test/pm an electrosurgery unit – Page 423

◦ Quick Service Tips – Page 427

◦ Challenge Answers – Page 429

Anesthesia ◦ Quick Points – Page 431

◦ Challenge Questions – Page 433

◦ Clinical Information – Page 434

◦ Common Features of the anesthesia device – Page 437

◦ User checkout of the anesthesia device – Page 451

◦ How to Test/PM – Page 454

◦ Challenge Answers – Page 456

Chapter 9; Neonatal

Fetal Monitors ◦ Quick Points – Page 458

◦ Challenge Questions – Page 459

◦ Clinical information and parameter detection – Page 460

◦ Common features of fetal monitors – Page 465

◦ User setup: fetal monitors (external) – Page 469

◦ How to test/pm the fetal monitor – Page 470

◦ Quick Service Tips – Page 476

◦ Challenge Answers – Page 478

Infant Incubators/Phototherapy ◦ Quick Points – Page 479

◦ Challenge Questions – Page 480

◦ Clinical information and how it works – Page 481

◦ Common functions of infant incubator – Page 484

◦ User setup: infant incubator – Page 489

◦ How to test/pm the infant incubator – Page 490

◦ Quick Service Tips – Page 499

◦ Challenge Answers – Page 500

Infant Radiant Warmers ◦ Quick Points – Page 502

◦ Challenge Questions – Page 503

◦ Clinical information and how it works – Page 504

◦ Common functions of an infant radiant warmer – Page 506

◦ User setup: infant radiant warmer – Page 509

◦ How to test/pm the infant radiant warmer – Page 510

◦ Quick Service Tips – Page 516

◦ Challenge Answers – Page 517

Chapter 10; Respiratory

Ventilators ◦ Quick Points – Page 519

◦ Challenge Questions – Page 520

◦ Clinical Information – Page 521

◦ Common Features of the ventilators – Page 528

◦ Pre-use check of the ventilator – Page 530

◦ How to Test/PM – Page 531

◦ Challenge Answers – Page 532

Chapter 11; Hemodialysis ◦ Quick Points – Page 533

◦ Challenge Questions – Page 534

◦ Clinical Information – Page 535

◦ Common Features of the Hemodialysis system – Page 539

◦ User Setup: Hemodialysis – Page 545

◦ How to Test/PM the Hemodialysis – Page 546

◦ Quick Service Tips – Page 553

◦ Challenge Answers – Page 555

Chapter 12; Physiotherapy

Biofeedback ◦ Quick Points – Page 558

◦ Challenge questions – Page 559

◦ Clinical Information – Page 560

◦ Common features – Page 561

◦ How to test/pm – Page 562

◦ Challenge Answers – Page 565

SW Diathermy ◦ Quick Points – Page 566

◦ Challenge questions – Page 567

◦ Clinical Information – Page 568

◦ Common features – Page 571

◦ How to test/pm – Page 572

◦ Challenge Answers – Page 575

Interferential ◦ Quick Points – Page 576

◦ Challenge questions – Page 577

◦ Clinical Information – Page 578

◦ Common features – Page 581

◦ How to test/pm – Page 582

◦ Quick service tips - 584

◦ Challenge Answers – Page 585

TENS ◦ Quick Points – Page 586

◦ Challenge questions – Page 587

◦ Clinical Information – Page 588

◦ Common features – Page 591

◦ How to test/pm – Page 592

◦ Quick service tips - 595

◦ Challenge Answers - 597

Traction ◦ Quick Points – Page 598

◦ Challenge questions – Page 599

◦ Clinical Information – Page 600

◦ Common features – Page 602

◦ How to test/pm – Page 603

◦ Challenge Answers – Page 606

Ultrasound ◦ Quick Points – Page 607

◦ Challenge questions – Page 608

◦ Clinical Information – Page 609

◦ Common features – Page 611

◦ How to test/pm – Page 612

◦ Quick service tips – Page 615

◦ Challenge Answers – Page 617

Wax Baths ◦ Quick Points – Page 618

◦ Challenge questions – Page 619

◦ Clinical Information – Page 620

◦ Common features – Page 621

◦ How to test/pm – Page 622

◦ Quick service tips – Page 624

◦ Challenge Answers – Page 626

Chapter 13; Laboratory

Anaerobic Systems ◦ Quick Points – Page 627

◦ Challenge questions – Page 628

◦ Clinical Information – Page 629

◦ Common features – Page 631

◦ How to test/pm – Page 633

◦ Quick service tips – Page 637

◦ Challenge Answers – Page 638

Blood Gas Analyzers ◦ Quick Points – Page 639

◦ Challenge questions – Page 640

◦ Clinical Information – Page 641

◦ Common features – Page 644

◦ How to test/pm – Page 646

◦ Quick service tips – Page 649

◦ Challenge Answers – Page 650

Cell Washers ◦ Quick Points – Page 651

◦ Challenge questions – Page 652

◦ Clinical Information – Page 653

◦ Common features – Page 658

◦ How to test/pm - 659

◦ Quick service tips – Page 662

◦ Challenge Answers – Page 663

Centrifuges ◦ Quick Points – Page 664

◦ Challenge questions – Page 665

◦ Clinical Information – Page 666

◦ Common features – Page 669

◦ How to test/pm – Page 670

◦ Quick service tips – Page 674

◦ Challenge Answers – Page 675

Coagulation Analyzers ◦ Quick Points – Page 676

◦ Challenge questions – Page 677

◦ Clinical Information – Page 678

◦ Common features – Page 681

◦ How to test/pm – Page 682

◦ Quick service tips – Page 685

◦ Challenge Answers – Page 686

Flame Photometers ◦ Quick Points – Page 687

◦ Challenge questions – Page 688

◦ Clinical Information – Page 689

◦ Common features – Page 692

◦ How to test/pm – Page 693

◦ Quick service tips – Page 696

◦ Challenge Answers – Page 697

Media Sterilizers ◦ Quick Points – Page 699

◦ Challenge questions – Page 700

◦ Clinical Information – Page 701

◦ Common features – Page 703

◦ How to test/pm – Page 704

◦ Quick service tips – Page 707

◦ Challenge Answers – Page 708

Chapter 14; Diagnostic Imaging

CR/DR/RF/MG/XA; X-Ray imaging modalities ◦ Quick Points – Page 709

◦ Challenge questions – Page 711

◦ X-Ray Clinical Information – Page 712

◦ X-Ray Technology Information – Page 719

◦ X-Ray Image Quality – Page 728

◦ X-Ray setup: Acquiring a radiograph using CR – Page 732

◦ X-Ray setup: Acquiring a radiograph using DR – Page 733

◦ How to test/pm the X-Ray device – Page 734

◦ Challenge Answers – Page 739

CT; Computed Topography ◦ Quick Points – Page 741

◦ Challenge questions – Page 743

◦ CT Clinical Information - Page 744

◦ CT Technology Information – Page 751

◦ CT Image Quality – Page 757

◦ CT scanning parameters – Page 763

◦ CT setup: Acquiring the images – Page 767

◦ How to test/pm the CT – Page 769

◦ Challenge Answers – Page 775

MRI; Magnetic Resonance ◦ Quick Points – Page 778

◦ Challenge questions – Page 781

◦ MRI Clinical Information – Page 782

◦ MRI Technology Information – Page 786

◦ MRI Image Quality – Page 797

◦ MRI scanning parameters – Page 805

◦ MRI setup: Acquiring the images – Page 808

◦ How to test/pm the MRI – Page 811

◦ Challenge Answers – Page 819

US; Ultrasound ◦ Quick Points – Page 821

◦ Challenge questions – Page 823

◦ US Clinical Information – Page 824

◦ US Technology Information – Page 830

◦ US Image Quality – Page 834

◦ US setup: Acquiring the images – Page 837

◦ How to test/pm the US – Page 839

◦ Challenge Answers – Page 843

NM; Nuclear Medicine ◦ Quick Points – Page 845

◦ Challenge questions – Page 847

◦ NM Clinical Information – Page 848

◦ NM Technology Information – Page 856

◦ NM Image Quality – Page 862

◦ NM setup: Acquiring the images – Page 868

◦ How to test/pm the NM – Page 870

◦ Challenge Answers – Page 874

PACS Systems ◦ Quick Points – Page 876

◦ Challenge questions – Page 877

◦ Overview of a PACS system – Page 878

◦ PACS Workstations – Page 879

◦ PACS Display – Page 882

◦ PACS Application – Page 886

◦ PACS Workflow – Page 888

◦ PACS Administration – Page 890

◦ PACS Systems: DI vs. Cardiology – Page 893

◦ PACS Servers – Page 894

◦ The HL7 standard – Page 895

◦ The DICOM standard – Page 896

◦ Challenge Answers – Page 899