Mindray ePM 10M, Operator'S Manual

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Clinical Assistive Applications (CAA)
The Clinical Assistive Applications (CAA) function integrates some commonly used clinical guidelines and tools
into the monitor. It puts the currently monitoring parameter measurements together and provides
comprehensive analysis results.
CAA is not intended to replace the competent judgment of a clinician. It must be used in conjunction with
observation of clinical signs and symptoms.
22.1 Early Warning Score (EWS)
The Early Warning Scores (EWS) can help you recognize the early sign of deterioration in patients based on vital
signs and clinical observations. Depending on the score calculated, appropriate recommendations are
displayed.
The monitor supports the following scores:
■ MEWS (Modified Early Warning Score)
■ NEWS (National Early Warning Score)
■ NEWS2 (National Early Warning Score 2)
■ Custom Score
There are two types of scoring tools:
■ Total score: A subscore is given for each parameter based on the measured or entered value. When all the
required parameters are entered or measured, the subscores are added together to calculate the total early
warning score. Each subscore has a color coding to indicate associated level of risk, When the total score is
outside of the thresholds, actions are recommended. MEWS, NEWS and NEWS2 can give total scores.
■ IPS (individual parameter score): A color-coded score is given for each parameter based on the measured or
entered value. Each parameter has upper and lower thresholds. When an individual parameter measured
or entered is outside of the thresholds, actions are recommended.
Custom Score is based on user-defined parameters. It can be a total score or an IPS, depending on the
configuation.
MEWS, NEWS and NEWS2 are intended for adult patients only. The patient category applied to the Custom Score
is defined by Mindray Clinical Score Configuration Tool. For more information, see
Mindray Clinical Scoring Config
Tool Instruction for Use.
WARNING
•
The EWS function is not intended for pediatric and neonatal patients.
•
EWS should not be used as the sole basis for diagnosis or therapy decisions. It is not intended to
replace the competent judgment of a clinician.The EWS scores and recommended actions must be
used in conjunction with observation of clinical signs and symptoms.
•
MEWS and NEWS are not applicable to pregnant woman, COPD (Chronic Obstructive Pulmonary
Disease) patients and patients under 16 years old. NEWS2 is not applicable to pregnant woman and
patients under 16 years old.
NOTE
•
A license is required for the EWS function.