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GE DASH 3000 V5, Quick Reference Manual

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GE DASH 3000 V5 Quick Reference Manual Download Page 91

TAB
TRIM

COVER &
NON-TAB
TRIM

TAB
TRIM

COVER &
NON-TAB
TRIM

TROUBLESHOOTING and

FREQUENTLY ASKED QUESTIONS

ECG

Problem:

Why is the monitor alarming for asystole, bradycardia,
pause or inaccurate heart rate when a visible QRS is
present?

Answer:

The monitor may not be seeing sufficient QRS

amplitude in all analyzed leads.  Multiple leads
(I, II, III and V) are used for arrhythmia processing.
For best results, a 1.0 mV amplitude in all analyzed leads
is recommended.

Intervention:

■

Check the ECG signal acquired from the patient:

•

Review the 

VIEW ALL ECG

 option to assess the

amplitude of the QRS complexes.  A minimum of

0.5 mV amplitude in all analyzed ECG waveforms

at normal size (1x) is required for QRS detection.

For best results, a 1.0 mV amplitude in all

analyzed leads is recommended.  Amplitude is

viewed in one direction (positive or negative).

For borderline signals, validate the ECG

waveform on a graph.

•

If the amplitude is low in any analyzed leads,

perform skin preparation and adjust electrode

placement.  When adjusting placement, utilize

fresh electrodes.

–

Increasing the amplitude >2X when using the

ECG SIZE 

option is for the clinicians viewing

only.  It will not affect the ECG analysis.

–

It may be beneficial to move the V-Lead

electrode (chest lead) to an alternate precordial

electrode placement to improve detection.

(continued on back of card)

Summary of Contents for DASH 3000 V5

Page 1: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM BEDSIDE MONITORING Dash 3000 4000 V5 Quick Reference Guide 2004 General Electric Company PN 0304 CS QRGD Rev A 2018408 010 ...

Page 2: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM BEDSIDE MONITORING Dash 3000 4000 V5 Quick Reference Guide ...

Page 3: ... NON TAB TRIM Waveforms Parameter Windows Basic Use Admit Discharge Components Display Date Time Unit Name Bed Number Patient Name Parameter Window More Menus Waveforms Unit Name Bed Number Patient Name ECG Parameter Window Time Date More Menus ...

Page 4: ...highlighting and selecting menu options Turn the Trim Knob to highlight desired menu options Once you have highlighted the menu option press to select NBP GO STOP Starts and Stops NBP TRIM KNOB Turn and Push GRAPH GO STOP Starts and Stops Manual Strips and Print Window ZERO ALL Zeros Invasive Pressures POWER Turns Display On or Off SILENCE ALARM Silences and Pauses Alarms Also Serves as a Quick Ad...

Page 5: ...he ECG signal is being acquired from a cable attached to the patient and connected to a bedside monitor Telemetry This means that the ECG signal is being acquired from a telemetry transmitter transceiver This patient is able to ambulate without being limited by a cable TTX Refers to a telemetry transmitter transceiver BROWN CO Temp GREEN ECG YELLOW CO2 BLACK NBP BLUE SPO2 RED Invasive Pressures ...

Page 6: ...larm Silence and Alarm Pause Pressing the Silence Alarm key twice if an alarm is sounding will start an ALARM PAUSE The length of pause will vary depending on the monitor s mode The message ALARM PAUSE will appear on the display NOTE Alarm Pause Lengths Adult ICU Mode 5 minutes Neonatal ICU Mode 3 minutes Operating Room Mode 5 minutes 15 minutes Alarm Paused permanent pause Alarms will reactivate ...

Page 7: ...re capability and does not accommodate telemetry To Admit a Patient Select MORE MENUS Select ADMIT MENU Select ADMIT PATIENT NOTE The Admit key on the front of the monitor can also be used to admit the monitor To Discharge a Patient Remove all ECG leads from the patient Select MORE MENUS Select ADMIT MENU Select DISCHARGE PATIENT Turn the Trim Knob to move the cursor in front of Discharge and pres...

Page 8: ...ed Rotate the Trim Knob control to move the pointer repeat the press turn press process to enter characters or make selections Select RETURN after all information is entered Select desired option SAVE CHANGES or DO NOT SAVE CHANGES Recall Defaults This menu allows the clinician to recall previously named monitor defaults while monitoring an admitted patient Up to five sets of defaults can be progr...

Page 9: ...his step is not required when using wireless Dash monitors It is required for all other Dash monitors Push the Power button to activate the display Select MORE MENUS Select ADMIT MENU Select SET UNIT NAME From the information window move cursor in front of the desired unit Select BED SET NUMBER From the information window move cursor in front of the desired bed number Select ADMIT PATIENT NOTE If ...

Page 10: ...ove the cursor in front of Discharge and press to select A message DISCHARGED and ALL ALARMS OFF will appear on the display when the monitor is in a discharged mode NOTE It is recommended to leave the network cable plugged in and the Dash display on for two minutes following discharge if applicable Push the Power button to turn the display off Store the monitor with AC power cord plugged in and di...

Page 11: ...S Select ADMIT MENU Select ADMIT PATIENT To Change the ECG Source from Hardwire to Telemetry Select MORE MENUS Select ADMIT MENU Select ECG SOURCE Turn the Trim Knob to move the cursor in front of the desired telemetry transmitter transceiver number or Monitor Discharge Telem for hardwire capability from the information window and press to select NOTE If the Telemetry transmitter transceiver is be...

Page 12: ...ption and press to select Return Exit to Main Menu Monitor Discharges only the bedside monitor Telemetry Discharges patient from telemetry Both Discharges both the monitor and telemetry A message DISCHARGED and ALL ALARMS OFF will appear on the display when the monitor is in a discharged mode NOTE When discharging ONLY the bedside monitor all stored vital sign data will be deleted The only data wh...

Page 13: ...sh monitors Push the Power button to activate the display Select MORE MENUS Select ADMIT MENU Select SET UNIT NAME From the information window move cursor in front of the desired unit Select SET BED NUMBER From the information window move cursor in front of the desired bed number Select ECG SOURCE From the information window move cursor in front of the desired transmitter transceiver or monitor ha...

Page 14: ...nt from telemetry Both Discharges both the monitor and telemetry NOTE When discharging ONLY the bedside monitor all stored vital sign data will be deleted The only data which remain available will be HR ST PVC and Alarm Histories A message DISCHARGED and ALL ALARMS OFF will appear on the display when the monitor is in a discharged mode Push the Display On Off button to turn the display off NOTE It...

Page 15: ...s QRS Indicator ECG Skin Preparation and Lead Placement The quality of the signal received from the electrodes is a direct result of skin prep and lead placement Clip or shave hair from application sites Gently rub the area with a gauze pad to remove dead skin cells Cleanse site with alcohol or mild soap and water Dry skin completely Apply electrodes according to manufacturers recommendations ...

Page 16: ...pup menu opens Move the cursor in front of the desired display lead and press to select Select MAIN MENU to exit Size Changes the size of all ECG waveforms displayed and graphed 1X is the standard size NOTE At least a 0 5 millivolt QRS complex at standard size is needed for beat detection To Adjust ECG Size Select ECG Select ECG SIZE Turn the Trim Knob to highlight desired selection and press to s...

Page 17: ...the ECG parameter window when pace detection is enabled An will appear if a paced beat is detected Pace 2 Mode Analyzes waveforms with the added capability of minimizing the chance of counting severe residual pacemaker energy as a QRS complex Pace 2 may not adequately detect all QRS morphologies Arrhythmia calls such as Asystole or Pause may be made with heart rate identified as less than actual N...

Page 18: ...de is activated All detected pacemaker spikes will appear upright uniform and white on the display screen If the monitor is not adequately detecting pacemaker spikes as evidenced by heart rate double counting pacemaker spikes not detected alarms for low heart rate or asystole it is recommended that you change the electrode placement to a recommended configuration After changing electrode placement...

Page 19: ...TAB TRIM TAB TRIM COVER NON TAB TRIM Limits To Change the ECG Alarm Limit Select ECG Select ECG LIMITS Select desired alarm limit Turn the Trim Knob to the desired alarm limit and press to select Select MAIN MENU to exit ...

Page 20: ... Arrhythmia Arrhythmia processing can be manually changed to one of the following conditions Full Expands detection to all arrhythmia conditions defined by the software level Lethal Arrhythmia processing is limited to Asystole VFib VTac and VTach Off Disables all arrhythmia alarms Parameter alarms remain active To Change the Arrhythmia Processing Mode Select ECG Select ARRHYTHMIA Turn the Trim Kno...

Page 21: ...nt has changed A change in the ECG pattern could result in Incorrect arrhythmia calls Loss of ST measurement Inaccurate heart rate detection To Relearn the ECG Waveform Select the ECG parameter window Select RELEARN The ECG parameter window will replace the HR with an X and the message Learning will appear above the display lead Select MAIN MENU to exit Turning the ECG Parameter Off or On See moni...

Page 22: ...mpared to other lead vectors Provides a Smart Lead Fail feature where the failed lead is identified and if available another lead is provided for display Continue arrhythmia processing after a lead change Single Lead Analysis uses only the top displayed lead to process heart rate and arrhythmia information Single lead analysis can be beneficial when troubleshooting heart rate and arrhythmia alarms...

Page 23: ...acts the analysis Height Weight Location ID Identifies origin of 12 lead to MUSE for transmission Set in defaults For rover modes set in admit menu Site Number Identifies hospital to MUSE for transmission Set in defaults NOTE Depending on facility policy other fields may be required i e Technician ID Optional Field Order Number continued on next card V1 Fourth intercostal space at the right sterna...

Page 24: ...or printing options include the following Transmit Print Send 12 lead for storage to MUSE and print copy to laser printer Transmit Send 12 lead for storage to MUSE No printed copy on unit Print Print copy to laser printer on unit No 12 lead stored at MUSE Delete Erase the analysis without storing or printing Return Exit to 12 lead menu 12 Lead is completed The last 12 lead analysis window is avail...

Page 25: ...lt configuration NOTE The accuracy of the ST Analysis is dependent on the placement of the electrodes ST Trends and Complexes The monitor has an ST display which consists of three 30 minute ST trends OR three ECG complexes A reference complex for each of the selected leads is displayed for visual reference purposes when ST is on The current complex is superimposed green over the reference complex ...

Page 26: ... ECG parameter window Select ST ANALYSIS Select TURN ST OFF Display automatically returns to the Main Menu To Turn ST Analysis Program On Select the ECG parameter window Select ST ANALYSIS ST complexes and numerics automatically appear on the display Select MAIN MENU to exit Select STORE NEW REFERENCES Select YES from the popup menu The reference complexes shown on the display will now reflect the...

Page 27: ...limits To Adjust All ST Limits Select the ECG parameter window Select ST ANALYSIS Select ADJUST ALL LIMITS Turn the Trim Knob to the desired limit and press to select All limits are automatically adjusted in the information window The monitor adjusts the low and high limits around the current value of the lead s Select MAIN MENU to exit ...

Page 28: ... the cursor in front of the desired V Lead and press to select NOTE With a 5 leadwire cable the V Lead is used in ST Analysis and arrhythmia analysis Changing this label changes the label on the V lead trend and complex NOTE With a 10 leadwire cable the V Lead is used for arrhythmia analysis only Changing this label DOES NOT change the label on the ST display Use the ST display menu to change the ...

Page 29: ...s and complexes display To Change the Displayed ST Leads Select the ECG parameter window Select ST ANALYSIS SelectST DISPLAY Turn the Trim Knob to deselect one of the three selections before selecting another Select MAIN MENU to exit NOTE A maximum of three choices can be selected for the ST Display ...

Page 30: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM ...

Page 31: ... is the mean arterial blood pressure The systolic and diastolic pressures are then determined NBP Display NBP Values Current systolic diastolic and mean values Limits and Units The upper and lower systolic alarm limits and units of measure may be displayed Countdown Timer When the NBP AUTO is selected the countdown timer shows the amount of time remaining until the next NBP measurement Time of Las...

Page 32: ...UTO A popup menu appears Select MAIN MENU to exit NOTE The NBP measurement for the auto option is set in the monitor defaults and can be timed in two different ways 1 Regular Timing NBP measurement is taken at a specific time interval regardless of the actual clock times 2 Clock Sync Timing NBP measurement is synchronized to specific clock times NOTE Turning the Auto mode Off then On restarts the ...

Page 33: ...rom the menu options to obtain all data Press the GRAPH GO STOP button on the monitor to print displayed vital signs Select MAIN MENU to exit NBP Limits Allows NBP alarm limits to be adjusted To Change NBP Limits Select the NBP Select NBP LIMITS Select the desired NBP limit Turn the Trim Knob to the desired limit and press to select Select MAIN MENU to exit NOTE The above steps apply to changes ma...

Page 34: ...d press to select Select MAIN MENU to exit NOTE The cuff size is automatically set if the patient s age is entered in the Admit Menu Clear NBP Reading This option removes the current NBP reading from the parameter window and vital signs history An X will replace the numeric values in the parameter window if no previous NBP reading is available To Clear NBP Reading in the Parameter Window Select th...

Page 35: ...obe placement and maintenance of probe position on the finger to prevent false SPO2 readings from ambient light interference There are three indications from the monitor that verify the quality of the data being displayed Signal Strength Indicators Three asterisks Good signal strength Two asterisks Adequate signal strength One asterisk Poor signal strength Quality of a Good SPO2 Waveform Noise or ...

Page 36: ...fore repositioning Reconnect the sensor to the cable after proper patient preparation and placement It is Important to be Aware of the Following when Monitoring SPO2 A poor SPO2 signal may result if the probe detector is exposed to strong ambient light When securing the probe ensure nothing is blocking the probe light detector Prolonged monitoring may require changing the probe site periodically M...

Page 37: ...op in saturation results in a change in pitch of the tone To Change the Rate Volume Select SPO2 Select RATE VOLUME Turn the Trim Knob to the desired SPO2 volume and press to select Select MAIN MENU to exit NOTE Turning the SPO2 rate volume on automatically turns the QRS volume off and vice versa NOTE When two SPO2 sites are being monitored the rate volume can only be turned on for one site at a ti...

Page 38: ... many seconds the collected SPO2 information is averaged Options for averaging times are 2 4 8 10 12 14 or 16 seconds Rejuvenating the Adhesive Properties of the Disposable Saturation Probe Rejuvenate the probe at least once per shift and PRN Rub the adhesive sides of the probes with an alcohol preparation pad After the probe has dried for at least one minute replace it on the site NOTE It is reco...

Page 39: ... automatically starts the relearning process Relearn Respiration This option may be necessary if the patient s breathing pattern has changed or the monitor is not calculating the respiratory rate correctly This process takes eight breaths to complete To Relearn the Respiration Select RESPIRATION Select RELEARN A learning message will appear in the respirations parameter window Select MAIN MENU to ...

Page 40: ...ercentage the greater the detection sensitivity To Change the Sensitivity Select RESPIRATIONS Select SENSITIVITY Turn the Trim Knob to the desired percent and press to select Select MAIN MENU to exit NOTE The RELEARN option will return the sensitivity to 40 Respiration Limits To Change the Respiration Limits Select RESPIRATIONS Select the desired respiratory rate limit Turn the Trim Knob to the de...

Page 41: ...layed in the temperature parameter window Temperature menu options include T1 This turns monitoring ON or OFF at temperature site 1 T2 This turns monitoring ON or OFF at temperature site 2 Units Switches the units of measure between Celsius and Fahrenheit To Change the Temperature Limits Select TEMPERATURE Select T1 or T2 Turn the Trim Knob to the desired temperature limit and press to select Sele...

Page 42: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM ...

Page 43: ...ressure monitoring securely connect the transducer cable into the appropriate red port on the side of the Dash monitor The invasive parameter window will automatically appear once the cable is plugged into the Dash monitor To discontinue invasive monitoring remove the cable from the monitor The parameter window will be removed from the display Preset names are assigned to each pressure port BP 1 A...

Page 44: ...erify the zero reference is established Close the transducer to air Once the transducer is closed the pressure numerics will be displayed NOTE Transducers can be zeroed individually under the appropriate parameter window menu option labeled ZERO NOTE A Smart BP feature is found in ART and FEM pressure menus This program is designed to reduce nuisance alarms associated with zeroing the transducer d...

Page 45: ...an displayed Invasive Pressures Cursor The cursor option places a moveable dashed horizontal line across the pressure waveform to give accurate values at selected points on the pressure waveform Numeric data is displayed to the right of the cursor To Use the Cursor Option Select the desired pressure parameter window Select CURSOR A popup menu opens indicating the available options Turn the Trim Kn...

Page 46: ...r Off Select ART or FEM parameter window Select SMART BP and press to select On Off status is noted in the menu option Select MAIN MENU to exit Disconnect Alarm A feature found in the ART and FEM pressure menus If the mean pressure falls below 25 mmHg and the disconnect alarm is on a Warning Alarm sounds and the message DISCONNECTED is displayed in the parameter window Check the patient immediatel...

Page 47: ...lect the appropriate parameter window Select LIMITS Select the appropriate limit systolic diastolic or mean Turn the Trim Knob to the desired limit and press to select Select MAIN MENU to exit Invasive Pressures Change Names Be sure that the invasive pressure parameter window is labeled correctly Having the invasive pressure port named properly is important for proper waveform processing and scali...

Page 48: ...l If the trigger is off of the R Wave review the patient s ECG leads and place the one with the greatest amplitude in the display top lead position If blood pressure is used to trigger the balloon the first red pressure port labeled ART will be used Cable the balloon pump to the monitor through the Defib Sync connector on the back of the monitor The Parameter Window Displays Systolic Value Highest...

Page 49: ...ge accordingly the Wedge Processing message will not appear and you must use the manual mode for wedge measurements To Complete an Auto PA Wedge Select PA Select PA INSERT WEDGE Select MODE MANUAL this changes the mode to Auto An INFLATE BALLOON message appears in the PA parameter window Deflate the balloon PA Wedge Review Information window is automatically displayed To change the PA value select...

Page 50: ... Wedge Processing message will not appear and you must use the manual mode for wedge measurements To Complete a Manual PA Wedge Select PA Select PA INSERT WEDGE Verify that the MODE MANUAL is displayed Inflate the balloon Watch PA waveform for wedging Deflate the balloon Select REVIEW WEDGE The PA Wedge Review Information window is displayed Select MOVE WEDGE CURSOR Turn the Trim Knob to move the ...

Page 51: ...OUTPUT or CO Verify Menu options Use PAW PAD or LA for cardiac calculations Catheter type Injection Temp Size of catheter Injectate volume Computation constant NOTE If a Baxter Abbott Ohmeda or Arrow catheter is being used the software will automatically enter a computation constant If OTHER is selected as the catheter type the monitor will prompt the user to enter the Computation Constant manuall...

Page 52: ...ally deletes the first All trials are averaged and the data is stored in the cardiac calcs Select DELETE CO TRIALS Move the cursor in front of the trial that is to be deleted and press to highlight Move the cursor to RETURN and press to select NOTE Trials are deleted permanently Select CARDIAC CALCS Select CHANGE VALUE to edit or add unmonitored parameter values Move the cursor to RETURN and press...

Page 53: ...pses the monitor will cycle itself and the message PUSH CO NOW OR TURN AUTO ON is displayed A COMPUTING CO message is displayed and the washout curve begins to move across the display The message CO COMPLETE is displayed with the CO value NOTE Up to four trials are displayed in the trial window The fifth trial automatically deletes the first All trials are averaged and the data is stored in the ca...

Page 54: ...ystemic Vascular Resistance Index SVRI dyn sec cm 5 m2 SVR BSA Pulmonary Vascular Resistance PVR dyn sec cm 5 PAM PAW 79 92 CO Pulmonary Vascular Resistance Index PVRI dyn sec cm 5 m2 PVR BSA Left Ventricular Stroke Work Index LVSWI g m m 5 SV MAP PAW 0 0136 BSA Right Ventricular Stroke Work Index RVSWI g m m 5 SV PAM CVP 0 0136 BSA If using pulmonary artery diastolic PAD pressure or left atrial L...

Page 55: ...trol Alarm Structure The monitor s alarm structure is divided into two classifications Patient Status Alarms Triggered by a patient condition which exceeds a parameter limit or by an arrhythmia condition System Status Alarms Triggered by a mechanical or electrical problem lead failure arrhythmia suspend Key Icons Key Icons ...

Page 56: ...label and limit violations NOTE Only arrhythmia alarm waveforms are stored in alarm history No information is stored in the alarm history for parameter alarms Alarm Pause Breakthrough The Alarm Pause Breakthrough feature allows any crisis alarm to break through or interrupt an alarm pause with an audible alarm When a crisis alarm breaks through the alarm pause feature the alarms will sound and the...

Page 57: ...rm limit adjustment and press to highlight parameter label Turn Trim Knob to highlight HIGH LIMIT or LOW LIMIT and press to select Turn Trim Knob to change limit and press to select Turn Trim Knob to highlight PARAMETER LABEL and press to select Move the cursor in front of RETURN to close window and press to select and close window Select MORE MENUS Select MAIN MENU to exit NOTE Parameter alarm li...

Page 58: ...EVEL An information window is displayed Turn the Trim Knob to the desired alarm level Crisis Warning Advisory or Message and press to select Move the cursor in front of RETURN and press to select and close the window Select MAIN MENU to exit NOTE Any changes made with the Arrhythmia Alarm Level menu options are temporary and return to the default settings upon patient discharge NOTE Asystole and V...

Page 59: ...ETER ALARM LEVEL An information window is displayed Move the cursor in front of the Parameter to be changed and press to highlight Turn the Trim Knob to the desired level Crisis Warning Advisory or Message and press to select Move the cursor in front of RETURN and press to select and close the window Select Main Menu to exit NOTE Any changes made with the Parameter Alarm Level menu options are tem...

Page 60: ...m History Alarm History See Patient Data Tab Display Off Alarm Pause This option allows the user to disconnect the patient from the monitor for an extended period of time There are several alarm pause choices available Display Off Alarm Pause This option turns off the bedside monitor and pauses the alarms at both the bedside and the central station for an indefinite period of time Monitor Pause Th...

Page 61: ...lect PATIENT DATA SelectALARM HISTORY An information window is displayed Move the cursor in front of the desired event to be viewed Press the Trim Knob to view a 10 second condensed window of the arrhythmia Press GRAPH GO STOP on the monitor to print the displayed arrhythmia Select MAIN MENU to return NOTE Ten seconds of three ECG leads or two ECG leads and the ART waveform are displayed in a comp...

Page 62: ...is displayed Select the desired time interval This menu option allows the selection of time interval between the data Select VIEW OLDER VIEW NEWER This menu option moves the displayed data either backward or forward in time if data are available Select PAGE UP PAGE DOWN menu option allows for viewing of information that is not able to be displayed on a single page Press the Trim Knob to view a 10 ...

Page 63: ...iew Older View Newer This option moves the displayed date either backward or forward in time if data is available Select Parameters This option allows parameters to be chosen for graphic trends display To Select Parameters Turn Trim Knob to highlight SELECT PARAMETERS An information window is displayed with all the parameter options Turn Trim Knob and move the cursor in front of the desired parame...

Page 64: ...NAME and press to select Scroll to the desired drug and press to select Repeat the above procedure to enter the following values Weight Solution volume Drug quantity NOTE When using the option of Drug A B C D unspecified drugs be sure to select the proper drug administration units for the medication Select the appropriate drug units for the medication Scroll to the desired dose and press to select...

Page 65: ...le Complete drug dose calculation Select titration table and an information window will appear The calculated dose appears in the center of the table To change the table range repeat the drug dose calculation procedure and enter a different dose to be calculated Press the GRAPH GO STOP button on the monitor to print the displayed titration table Select MAIN MENU to exit ...

Page 66: ...e 20 most current Cardiac Calculations are stored To Review Stored Cardiac Calculations Select MORE MENUS Select PATIENT DATA Select CARDIAC CALCS Review Cardiac Calculations Press the GRAPH GO STOP button on the monitor to print the displayed calculations Select MAIN MENU to exit ...

Page 67: ...rm positions on the display To Turn Waveforms On Off Select MORE MENUS SelectMONITOR SETUP Select WAVEFORMS ON OFF Select the desired waveform 1 thru 6 Turn Trim Knob to move the cursor in front of the desired waveform and press to select Select ALIGN WAVEFORMS to align with parameter windows Select MAIN MENU to exit ...

Page 68: ... information window appears with available options Turn Trim Knob to move the cursor in front of the desired parameter and press to select Select RETURN to close window Select MAIN MENU to exit NOTE The ECG parameter can be turned off When the ECG parameter is turned off the SPO2 parameter is the primary parameter for monitoring a patient The SPO2 and SPO2 Rate parameter alarms default automatical...

Page 69: ... To print an information window Press the GRAPH GO STOP button on the front of the monitor Changing Graphing Waveform Leads To Change the Leads that are being Graphed Select MORE MENUS SelectMONITOR SETUP SelectGRAPH SETUP Select waveform 2 3 or 4 to change graphing waveforms Turn Trim Knob to move the cursor in front of the desired waveform and press to select Select MAIN MENU to exit ...

Page 70: ...s the GRAPH GO STOP button on the monitor to stop the graph NOTE This option is also available in the PA Insert Wedge menu Graph Location To Change the Graph Locations Select MORE MENUS SelectMONITOR SETUP SelectGRAPH SETUP Select GRAPH LOCATION Select MANUAL ALARM or PRINT WINDOW GRAPH LOCATION An information window is displayed with a list of available writers Turn Trim Knob to move the cursor t...

Page 71: ...aph To Change a Timed Graph Select MORE MENUS SelectMONITOR SETUP SelectGRAPH SETUP Select TIMED GRAPH Highlight desired waveforms to be graphed Highlight GRAPH Turn Trim Knob to move the cursor to select the desired time and press to select Select MAIN MENU to exit ...

Page 72: ...o Change from Six Individual Waveforms to Three Select MORE MENUS SelectMONITOR SETUP SelectDISPLAY From popup menu select INDIVIDUAL 3 WAVEFORMS NOTE If additional waveform parameters are added the display must be changed back to INDIVIDUAL 6 WAVEFORM in order to view all waveforms on the display Individual 6 Display A maximum of six waveforms and eight parameter windows can be displayed with eac...

Page 73: ...ired bed and press to select The display will be divided into two with the Viewed Patient on the left the message VIEWED PATIENT will be displayed on the bottom and the current monitored bed on the right To Remove the Viewed Patient Select MORE MENUS Select VIEW OTHER PATIENTS Select a bed to view Note that the cursor is in front of the Viewed Patient and press to select The Viewed Patient will be...

Page 74: ...is activated selected beds in alarm will automatically pop up A split screen on the host monitor shows real time information along with a popup menu related to the alarm bed The user can graph the alarm silence the alarm pull up vital signs or graphic trends from the popup menu To Set Up AVOA XM at the Host Monitor Select MORE MENUS Select VIEW OTHER PATIENTS Select VIEW ON ALARM OPTIONS ...

Page 75: ...function CURRENT CONFIGURATIONS displays the current AVOA settings for the host monitor which beds are selected to view on alarm and at which alarm levels When Viewing an Alarm Bed MAIN MENU closes the split patient view and returns to the main display RETURN closes the split patient view and returns to the VIEW OTHER PATIENTS menu GRAPH 20 SEC starts a 20 second graph strip of the viewed patient ...

Page 76: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM ...

Page 77: ...emote display communication links See Dash Port 2 Docking Station operation instructions for more detailed information Equipment Overview Front View Security Lever Slide left to lock the monitor onto the docking station then slide right to unlock the monitor AC Mains Power Indicator Illuminates green when AC power is applied to the docking station Communication Indicator Green LED A steady green c...

Page 78: ...Network Video Out Connector Connect to a compatible remote display The remote display allows you to display the Dash monitor screen items in a larger size Auxiliary 1 2 Connectors Connect to a compatible auxiliary device that is supported by the Dash monitor and by the docking station See Compatible Auxiliary Devices on Dash Port 2 Docking Station Operator Instructions AC Power Connector Insert AC...

Page 79: ...secured to the docking station Verify the security lever starts in the unlock far right position Position the front of the Dash monitor onto the front channel of the docking station Hold onto the monitor and allow the weight of the monitor to descend firmly onto the docking station The security lever should move automatically to the central position and lock the monitor into place Try to pivot the...

Page 80: ...he green colored communication indicator is illuminated on the docking station To verify the Ethernet connection to the Unity Network is working view a remote bed To verify the connection to the remote display is working view the text and waveform data shown on the remote display NOTE Some Dash 2000 monitors do not support the docking station s Ethernet or auxiliary communication links See Dash Mo...

Page 81: ...B TRIM Hold onto the monitor Slide and hold the security lever in the unlock far right position Disconnecting the Monitor Pivot the monitor forward to release it from the locking mechanism Use both hands to remove the monitor from the docking station ...

Page 82: ...ting PROBLEM SOLUTION CAUSE The docking station s amber colored communication indicator IS flashing Use a monitor that is fully compatible with the docking station The monitor does not support the remote display and auxiliary two communication links The docking station s communication indicator IS NOT illuminated Use the Dash 2000 monitor that has the communication PCB installed The Dash 2000 moni...

Page 83: ...for configuration recommendations The auxiliary device may need to be configured to function with the docking station Connect the docking station to an electrical power outlet The electrical power outlet does not have power 1 Verify the electrical power outlet is functioning by connecting a known good device to the outlet 2 If the known good device does not work then plug the docking station into ...

Page 84: ...ting the Monitor 1 Verify the security lever starts in the far right position BEFORE placing the monitor onto the docking station 2 Verify the monitor is seated properly on the docking station 3 Move the security lever to the far left position 4 If the monitor cannot be properly secured to the docking station replace the defective docking station The monitor is defective The docking station has a ...

Page 85: ...as CapnoFlex LF CO2 Setup Procedure Caution Do not use this module on patients that cannot tolerate the removal of 50ml 1 min from their total minute ventilation 1 Plug the module into the CO2 connector yellow port on the Dash monitor The CO2 parameter window will automatically display once the module is connected The message WARMING UP will be displayed for approximately two minutes after the mod...

Page 86: ... but not the patient Select CO2 parameter window Select CALIBRATE SAMPLE LINE SelectREADY The message CALIBRATING will be displayed Connect the cannula to the patient after CHECK SAMPLE LINE message appears NOTE Refer to manufacturers recommendations for cannula application CO2 Menu with Calibrate Sample Line CO2 Parameter Window with Check Adapter Adapter Cal Message CO2 Parameter Window with Cal...

Page 87: ...played on the screen To Adjust CO2 Parameter Limits Select the CO2 parameter window Select the CO2 LIMITS Select desired limit to be adjusted Expired CO2 Inspired CO2 Respiration Rate No Breath Rotate the Trim Knob until the desired limit is displayed Press the Trim Knob to confirm change and close menu Repeat the procedure to adjust other CO2 parameter limits Respiration Rate Limits and Units Ins...

Page 88: ...he cannula Connect the cannula to the module and calibrate CO2 Parameter Menu Options Units Change the units of measure for Expired CO2 and Inspired CO2 CO2 Scale Selects a scale for the displayed CO2 capnogram CO2 Limits Displays a new menu and information window to adjust Expired CO2 Inspired CO2 Respiration Rate and No Breath limits O2 Compensation Compensates for effects of O2 on CO2 reading C...

Page 89: ...TO ZERO CELL option from the CO2 parameter window Popup menu opens with READY or ABORT Select READY The message Calibrating appears When calibration is complete 0 appears Remove sensor from the 0 cell and place it on the REF cell An EXP value of 38 mmHg 2 mmHg is displayed If the value is not within this range the sensor is out of tolerance and should be replaced Snap mainstream adapter into senso...

Page 90: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM Optional Equipment ...

Page 91: ...itude of the QRS complexes A minimum of 0 5 mV amplitude in all analyzed ECG waveforms at normal size 1x is required for QRS detection For best results a 1 0 mV amplitude in all analyzed leads is recommended Amplitude is viewed in one direction positive or negative For borderline signals validate the ECG waveform on a graph If the amplitude is low in any analyzed leads perform skin preparation and...

Page 92: ...re now updated If the Problem Continues Select the ECG Parameter Window Select VIEW ALL ECG to determine the best display lead Select the lead with the greatest amplitude Remember that a minimum of 0 5 mV of amplitude in one direction positive or negative is required for QRS detection Select DISPLAY LEAD II Select the desired display lead Select LD ANALYSIS MULTI LEAD Select SINGLE LEAD All arrhyt...

Page 93: ...sh electrodes It may be beneficial to move the V Lead electrode chest lead to an alternate precordial electrode placement to improve detection Relearn It is important to RELEARN anytime the electrode configuration is adjusted Select the ECG Parameter window Select RELEARN Remember to ensure that there is a clean ECG signal displayed when relearning a rhythm If the Problem Continues Select the ECG ...

Page 94: ...itor is NOT detecting pacemaker activity Ensure the Pace Detection mode is on the Pace detection program is enabled in the ECG parameter window Perform skin preparation and reposition fresh electrodes Refer to Electrode Placement for Pacemaker Patients under the Pacemaker tab or refer to the Operator manual The V Lead chest lead can be repositioned to any of the precordial sites Select RELEARN Ass...

Page 95: ...e NBP value Minimize patient movement during assessment Watch for pulsus paradoxes Check for a leak in the cuff or tubing Patient may have a weak pulse Calibration may be necessary Confirm Blood Pressure utilizing the ausculatory method Problem Why do the MAP readings for the calculated not match the NBP MAP from the monitor reading Answer The formula used to calculate assumes the ausculative meas...

Page 96: ...steps due to noise If the calculated values for the systolic and diastolic are determined to be too close to the MAP value The BP questions the accuracy of the values and displays only the MAP as a safety mechanism This MAP reading is accurate and appropriate for clinical use Intervention Check for proper cuff size and placement Minimize patient movement during measurement Blood pressure cuff shou...

Page 97: ...nect the sensor to the interface cable after proper patient preparation and placement Problem Why is the SPO2 parameter window not displayed after connecting the SPO2 interface cable and probe Answer No SPO2 data is displayed due to a hardware failure or an unrecognized or defective probe Intervention Ensure the probe is attached to the interface cable and the monitor Change the probe Change the c...

Page 98: ...blood pressure These differences occur because DIRECT methods measure PRESSURE and INDIRECT methods measure FLOW In addition differences occur because the location of measurement used is generally not identical in both methods i e brachial artery for NBP vs radial artery for invasive pressure monitoring Problem Why is the monitor alarming DISCONNECTED Answer The arterial disconnect alarm found in ...

Page 99: ...UESTIONS Problem Why is the invasive waveform overshooting the scales Answer A new scale needs to be selected to accomodate the change of the pressure reading If Auto Scale was previously selected this would have used the current waveform reading as a reference when this function was requested If the waveform readings have fluctuated a larger range scale or reselecting Auto Scale will reset the sc...

Page 100: ...being generated Proceed to perform wedge procedure When adequate strip information has been obtained select hard key GRAPH GO STOP to terminate the graph Problem What is the difference between the ZERO ALL hard key and the ZERO menu option under the invasive pressure ART parameter window Answer The ZERO ALL hard key on the front of your monitor will zero any invasive line that is open to air So if...

Page 101: ...nt amount of Respiratory Variation Rapid IV Solutions Infusion Check the injectate temperature IT A minimum temperature difference of 10 Celsius is recommended between the patient blood temperature and solution temperature Replace the Injectate Temperature cable The Swan Ganz Catheter itself may be damaged Problem Why does the monitor calculating a CO without any solution being injected Answer The...

Page 102: ...quality of the ECG signal improves There is a visual message ARRHY SUSPEND displayed in the patient window and the event line It is essential that this issue is resolved to resume ARRHYTHMIA PROCESSING ALARMS Intervention Check lead placement Perform skin preparation Replace adjust electrode placement Problem What are the specific criteria for the different arrhythmia conditions Answer EK Pro the ...

Page 103: ...sis Warning or Advisory level Problem Why is the monitor not calling PAUSE when the patient is experiencing frequent pauses Answer The current criteria for the PAUSE may not be exceeded The PAUSE alarm in the Dash monitor allows the clinician to define the pause alarm intervals for individual patients Intervention Review the Arrhythmia Alarm Levels in the Alarm Control menu to ensure it is listed ...

Page 104: ...TAB TRIM COVER NON TAB TRIM TAB TRIM COVER NON TAB TRIM ...

Page 105: ...available in all countries Contact your local GE Healthcare representative for more information All products or brand names are trademarks or registered trademarks of their respective companies GE Healthcare reserves the right to make changes in specifications and features shown herein or discontinue the products described at any time without notice or obligation Contact your GE Healthcare represe...

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