Welch Allyn Software version 8.2x - Manual

Directions for use Chapter 1 General information 3 General warnings and cautions Warnings Related to system components and configuration WARNING Use only accessories approved by Welch Allyn. The use of any other accessories can result in inaccurate patient data, can damage theequipment, and can void...

Directions for use Chapter 1 General information 5 Related to monitoring interruption WARNING Do not use the Arrhythmia Analysis or ST Analysis feature on neonates. The Arrhythmia Analysis and ST Analysis options are not intended foruse with neonatal patients. WARNING Keep all pacemaker patients und...

6 Chapter 1 General information Welch Allyn Acuity Central Monitoring System Cautions WARNING Whenever an interruption in Acuity System CPU operation occurs, please contact Welch Allyn Technical Service soon to ensure that your entiresystem has returned to normal operating condition and that it does...

Directions for use Chapter 1 General information 7 Acuity System compliance with safety standards The CE Mark and Notified Body Registration Number signify that the product meets all essentialrequirements of European Medical Device Directive 93/42/EEC. Table 1. Acuity System compliance with safety s...

8 Chapter 1 General information Welch Allyn Acuity Central Monitoring System Related documents Acuity and Mobile Acuity LT Central Monitoring Systems Directions for use Acuity and Mobile Acuity LT Central Monitoring Systems directions for use andin-service guide CD-ROM (multilanguage) Acuity and Mob...

2 9 Acuity System overview System configurations The Acuity System consists of an Acuity Central Station that receives, displays andanalyzes information from various wireless and hardwired monitoring devices. MobileAcuity LT Central Stations are laptop computers. Some Acuity Systems can send patient...

10 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Diagram of the System A. Hallway message panel Optional panels, located throughout a unit, visually indicate alarms and some alerts. B. Welch Allyn 1500 PatientMonitor Hardwired, full-featured monitors with 12-lead ECG ...

Directions for use Chapter 2 Acuity System overview 11 Networked Acuity System features Networked Acuity Systems include various features. This section presents these networkfeatures: • Remote Patient List Review (PLR) station • Paired system CPUs (high-availability pairs) Remote Patient List Review...

Directions for use Chapter 2 Acuity System overview 13 Flexible patient access (FPA) using virtual network computing (VNC) The flexible patient access option allows you to connect to a Patient List Remote using aVNC connection. Each purchased VNC license allows one VNC client to view real-time andfu...

16 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Central station screen Depending upon the selected screen view, the Acuity Central Station screen can includethese areas: • Map area • Virtual Monitor • Utility space • Waveform Windows area Note Depending upon the defa...

18 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System System screen views You can change the screen view of the Acuity Central Station display by clicking thesebuttons along the top left of the Acuity Central Station screen. Your system includes someor all of these choices...

Directions for use Chapter 2 Acuity System overview 19 System buttons The system buttons in the lower left corner of the Acuity Central Station screen providequick access to frequently used system-wide functions. The Patient List button opens the Patient List window, which enables you to preadmit, r...

20 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Central station map and status icons Your system includes a map that is similar to one of these examples. An Acuity CentralStation map shows status icons for these things: • System components • Each patient monitor (and...

22 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Waveform Window A Waveform Window is an abbreviated Virtual Monitor. To open a patient’s Waveform Window • On the Acuity Central Station screen map, click the patient’s map icon. A. Alarm limits Alarm limit settings B. ...

Directions for use Chapter 2 Acuity System overview 23 Virtual Monitor An Acuity System Virtual Monitor represents a patient monitor and the informationobtained from the monitor. The appearance and button sequences can differ from theactual patient monitor. Options or monitor functions that are not ...

24 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System To open a patient’s Virtual Monitor Take one of these steps at the Acuity Central Station screen: • Click the status icon in the patient’s Waveform Window. • Click the patient’s map icon. H. ECG lead The adjacent wavefo...

3 25 Admit and begin monitoring Preadmit a patient to Acuity System monitoring If you know a patient’s ID number before the patient is admitted, you can save time thatwould be spent later by preadmitting the patient at the Acuity Central Station. When a preadmitted patient arrives: • If the patient ...

26 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System To assign a room number for a preadmitted patient, via the Patient List 1. In the lower left corner of the Acuity Central Station screen, click . The Patient List window appears. 2. Select the patient’s name. 3. Cli...

Directions for use Chapter 3 Admit and begin monitoring 27 Readmit a discharged patient You can readmit a patient to the Acuity System if the patient’s name still remains in thePatient List. If a patient has been discharged from the Acuity System, but the system still holds thepatient’s data, the pa...

28 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Begin patient monitor communication with the system For information about patient monitors that are part of your Acuity System but are notshown in this chapter, consult the patient monitor manufacturer’s literature....

Directions for use Chapter 3 Admit and begin monitoring 31 Start communication between a wireless monitor and the system For information about patient monitors that are part of your Acuity System but are notshown in this chapter, consult the patient monitor manufacturer’s literature. Micropaq monito...

32 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System To enter patient information 1. If prompted, press to highlight the unit in which the patient will be monitored, and then press to select it. If the keys are locked, simultaneously hold down and to release the menus...

Directions for use Chapter 3 Admit and begin monitoring 33 Propaq LT monitor To start Propaq LT monitor communication with the Acuity System and connect thepatient to the monitor 1. Use a Propaq LT monitor that is designated for use within the Acuity System networkin which the patient will be monito...

Directions for use Chapter 3 Admit and begin monitoring 35 Wireless Propaq CS monitor To start wireless Propaq CS monitor communication with the system 1. Use a Propaq CS monitor that is designated for use within the Acuity System networkin which the patient will be monitored. 2. Verify that the Acu...

Directions for use Chapter 3 Admit and begin monitoring 37 Important considerations: connecting a monitor to the Acuity System Related to specific patient populations Related to wireless monitoring Related to hardwired monitoring Related to trends and alarm limits WARNING Always check patient mode i...

38 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Related to leads, cables and the ECG display WARNING Ensure that the Acuity System network cable is neither damaged nor broken. An Acuity System cable is the sole link between a hardwired monitorand an Acuity System...

4 43 Adjust monitoring settings andpatient information Set up typical monitoring at the Virtual Monitor This table presents typical monitoring functions that you can set up at the Acuity CentralStation using the Virtual Monitor. Note When a patient is intentionally disconnected from the central stat...

44 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Response time: SpO 2 and CO 2 Task Clicks at Virtual Monitor Notes (Propaq Encore and CSmonitors) Set SpO 2 response time. 1. SpO2 or SpO2/CO22. SpO23. MORE4. RESPONSE Can be changed also at ...

46 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Adjust a patient’s alarm limits In the Alarms Setup window, you can adjust a patient’s alarm limits individually or as agroup. To adjust a patient’s alarm limits 1. In the patient’s Virtual M...

Directions for use Chapter 4 Adjust monitoring settings and patient information 47 Important considerations: adjusting alarm limits \ WARNING Patients for whom alarming has been turned off must be kept under close physical surveillance. Turning off alarming disables both audio and visualalarm indica...

48 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Adjust general printing settings This section presents information about these tasks: • Setting preferences for a patient’s Acuity Central Station vital-signs printouts. • Coordinating printe...

Directions for use Chapter 4 Adjust monitoring settings and patient information 49 Adjust preferences for a patient’s central station printouts This section presents the Printouts Setup window, in which you can specify detailsregarding automatic central station printouts. To adjust preferences for a...

50 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Coordinate system print jobs and central station printers This section presents the Acuity Central Station Printer window, from which you cancoordinate printers and pending print jobs for the...

Directions for use Chapter 4 Adjust monitoring settings and patient information 51 Adjust a patient’s waveform displays You can select waveforms for display in a patient’s Virtual Monitor and Waveform Window. To adjust waveform displays for a patient’s Virtual Monitor You can select or deselect up t...

52 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Arrhythmia Analysis option The Acuity System Arrhythmia Analysis module analyzes patient ECG data to detectspecific changes in cardiac rhythms. The system uses up to three ECG leads to detect...

Directions for use Chapter 4 Adjust monitoring settings and patient information 53 relearn. An Arrhythmia Analysis function that causes the Acuity system to relearn a patient’s normal ECG rhythm. The Acuity System uses the relearned rhythm as aguideline to identify arrhythmia events (arrhythmia rele...

54 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Arrhythmia event definitions The Acuity System Arrhythmia Analysis module is not an atrial arrhythmia analysispackage. Depending upon which arrhythmia analysis option that your Acuity System ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 55 Lethal Arrhythmia Analysis option: events detected Table 4. Definitions of lethal arrhythmia events a a. Alarming for lethal arrhythmias cannot be turned off. Arrhythmia event and definition Waveform example VFib b (v...

56 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Full Arrhythmia Analysis option: additional events detected Table 5. Full Arrhythmia Analysis option: events detected in addition to lethal events Arrhythmia event and definition Waveform exa...

58 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Open an Arrhythmia Alarms Setup window In the Arrhythmia Alarms Setup window, you can adjust some or all these preferences fora patient, depending on your Arrhythmia Analysis option: • Turn o...

Directions for use Chapter 4 Adjust monitoring settings and patient information 59 Turn off alarming for all arrhythmia types except lethal arrhythmias To turn off alarming for all arrhythmia types except lethal arrhythmias (VFib,asystole and VTach) 1. In the patient’s Virtual Monitor, click Setup ,...

60 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Adjust a patient’s arrhythmia alarm limits To adjust a patient’s arrhythmia alarm limits 1. In the patient’s Virtual Monitor, click Setup , Arrhythmia Alarms . 2. Set alarm limits in one of t...

Directions for use Chapter 4 Adjust monitoring settings and patient information 61 Adjust preferences for a patient’s arrhythmia alarming To adjust preferences for a patient’s arrhythmia alarming 1. In the patient’s Virtual Monitor, click Setup , Arrhythmia Alarms . 2. Adjust preferences for alarmin...

Directions for use Chapter 4 Adjust monitoring settings and patient information 63 Initiate relearn of a patient’s ECG rhythm Description of the relearn function Relearn is an Arrhythmia Analysis function that causes the Acuity system to relearn apatient’s normal ECG rhythm. The Acuity System uses t...

Directions for use Chapter 4 Adjust monitoring settings and patient information 65 To initiate relearn of a patient’s ECG rhythm for arrhythmia and ST-segmentanalyses The relearn operation cannot be undone. 1. In the patient’s Virtual Monitor, click Setup , Arrhythmia Alarms . The Arrhythmia Alarms ...

66 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Important considerations: Arrhythmia Analysis Related to Arrhythmia Analysis options, patient populations and patient surveillance WARNING The Acuity System Arrhythmia Analysis options are no...

Directions for use Chapter 4 Adjust monitoring settings and patient information 67 Related to patient monitor heart rate indications Related to electrodes, leads and ECG display WARNING All heart rate alarms are valid, even if the HR value at the central station differs from that at the monitor. If ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 69 ST Analysis option The Acuity System ST Analysis option analyzes the ST segment of current ECG beatsrelative to the ST segment of a reference beat. Specifically, the system reports mm or mVof deviation between the cur...

70 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Examine the ST Analysis Setup window The ST Analysis Setup windows in this section are shown in alarm. To open an ST Analysis Setup window • In the patient’s Virtual Monitor, click Setup , ST...

Directions for use Chapter 4 Adjust monitoring settings and patient information 71 Turn on or off ST analysis To turn on or off ST analysis 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup window appears. 2. Click On or Off in the ST Analysis area. I. Measuremen...

72 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System View current beats and ST-segment deviation values To view current beats and ST-segment deviation values 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup...

Directions for use Chapter 4 Adjust monitoring settings and patient information 73 Set analysis preferences for a patient’s ST analysis To set analysis preferences for ST analysis 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup window appears. 2. Leads: In the ...

74 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Set alarm preferences for ST Analysis To set ST analysis alarm preferences 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup window appears. 2. Set alarm ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 75 Initiate a relearn of a patient’s reference beats for ST analysis Description of the Relearn function Arrhythmia and ST relearn is an Arrhythmia Analysis function that causes the Acuitysystem to relearn a patient’s no...

76 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System To initiate a relearn of a patient’s reference beats for ST-segment analysis The relearn operation cannot be undone . 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST A...

Directions for use Chapter 4 Adjust monitoring settings and patient information 77 Important considerations: ST Analysis WARNING Before you set customized alarm limits for a patient, confirm the patient’s ID and room number. Otherwise, customized limits might be lost. WARNING Do not use the Arrhythm...

Directions for use Chapter 4 Adjust monitoring settings and patient information 79 Edit patient information You can revise information within the Acuity System as follows: • Edit a patient name • Edit clinical information • Edit a patient ID (Add an amended patient ID) • Add a note to a patient’s Wa...

80 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Edit a patient ID number: add an amended (revised) patient ID Once a patient ID number is confirmed, it cannot be changed. However, if your AcuitySystem includes the amended ID feature, you c...

Directions for use Chapter 4 Adjust monitoring settings and patient information 81 Add or remove a note in a patient’s Waveform Window If you would like to attach a note or reminder to a patient’s Waveform Window, such aswhen the patient temporarily moves to another location, you can enter the infor...

5 83 Respond to alarms and alerts Overview of central station alarm and alert indications • Alarms indicate patient vital-sign violations by showing red window borders, iconsand vital-sign highlights. All alarms are associated with audible tones. • Alerts indicate equipment problems or low-level pat...

84 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Suspend an audible alarm or alert tone for 90 seconds All patient alarms and some alerts are associated with tones (for details, see Table 6 on page 95). You can silence tones temporarily from these places: • Acui...

Directions for use Chapter 5 Respond to alarms and alerts 85 Important considerations: suspending an audible alarm or alert tone Related to indications WARNING During an alarm or alert suspension period, be aware of new visual alarm indications that might occur on the patient monitor or Virtual Moni...

86 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Related to heart rate (HR) and arrhythmia alarms Related to NIBP alarms WARNING All heart rate alarms are valid, even if the HR value at the central station differs from that at the monitor. If your system include...

Directions for use Chapter 5 Respond to alarms and alerts 87 Remove a latched arrhythmia alarm If your Acuity System is configured to allow latched alarms, indications for certainarrhythmia alarms remain (or latch) in the Waveform Window, even after the alarmcondition has ceased. • Depending on conf...

88 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Respond to specific alarms and alerts This section describes a few of the Acuity System alarms and alerts and how to respondto them. Respond to a DROPOUT alert When there is a loss of bi-directional communication ...

Directions for use Chapter 5 Respond to alarms and alerts 89 Dismiss a CHECK PATIENT HR/PR alert A patient monitor uses a single lead to calculate heart rate, and an Acuity System with anArrhythmia Analysis option uses more sophisticated arrhythmia analysis algorithms. Thus the patient monitor and A...

90 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Dismiss an arrhythmia or ST alarm message When you suspend an arrhythmia or ST alarm, the audible alarm tone is suspended for 90seconds as usual. However, the Acuity System Virtual Monitor displays a visual messag...

Directions for use Chapter 5 Respond to alarms and alerts 91 Respond to a RELEARN alert WARNING In Acuity Systems that include an Arrhythmia option, a relearn function causes the system to relearn a patient's normal ECG rhythm. If thesystem learns an abnormal rhythm or learns a rhythm during noise, ...

92 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System To respond to a RELEARN alert 1. In the patient’s Virtual Monitor, carefully evaluate the new ECG rhythm to ensure thatthe Acuity System has learned an appropriate rhythm. 2. Check the relearned ECG rhythm in the ...

Directions for use Chapter 5 Respond to alarms and alerts 93 Respond to a CHECK LEADS alert The visual CHECK LEADS alert appears when the number of PVCs exceeds the normalranges of PVC activity. The alert remains for a brief period. To respond to a CHECK LEADS alert 1. Verify that the patient’s lead...

94 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Respond to an arrhythmia NOISE alert The visual NOISE alert occurs when the Acuity System can’t analyze arrhythmia becauseof excessive electrical noise. The Acuity System invalidates individual noisy leads and the...

Directions for use Chapter 5 Respond to alarms and alerts 95 Summary of Acuity System alarm and alert levels Alarm and alert levels determine which alarms or alerts are indicated if multiple alarms oralerts occur for a patient. This table shows a summary of alarm and alert levels. For acomplete list...

6 97 Review or print patient data Review patient data If your Acuity System includes the Full Disclosure option, waveforms and trendinformation for all patients are stored for a configurable period, up to 96 hours. Locate patient data This section describes how to locate data for a patient in any un...

98 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System To view the patient’s data 1. In the Patient List window or Other Patients Lists window, click a patient’s name inthe list. 2. Click one of these buttons: • Click Summary to view a summary of the patient’s monitor...

Directions for use Chapter 6 Review or print patient data 99 Review graphical trends In the Graphical Trends Review window, you can review and print data in these ways: • Scroll graphical trend data for up to five vital signs at once. • Locate red alarm periods along the trend graphs. • View event m...

100 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the graphical trends display and locate events To adjust the time period shown in the graphs area of the window 1. Under Time Span, click a button. Time markers show along the top of the graphs area. 2. Cl...

Directions for use Chapter 6 Review or print patient data 101 Review tabular trends and events In the Tabular Trends and Events Review window, you can review and print trends in theseways: • View vital-sign values and alarm events in a tabular format, at various intervals. • Click events in the list...

102 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the content of the tabular list To adjust the time period covered in the tabular list 1. Click a number under the time line to adjust the line’s scope, in hours. 2. On the time line, click an area in which...

Directions for use Chapter 6 Review or print patient data 103 Adjust the waveform display To display waveform(s) that correspond to a trend or event in the tabular list 1. In the list, locate a trend or event in which you are interested. 2. Click the trend or event. The corresponding waveform(s) app...

104 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Review waveforms (Full Disclosure option) In the Waveforms Review window, you can review and print the waveforms in theseways: • Scroll up to five vital-sign waveforms at once. • (Arrhythmia option) View normal a...

Directions for use Chapter 6 Review or print patient data 105 Display waveforms and events To select and adjust waveforms 1. Check up to five boxes to display waveforms for corresponding vital-signs and ECGlead sources. If the patient monitor includes SpO 2 Signal IQ detection and you check SpO 2 , ...

106 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System To locate and display alarm and event information 1. Along the top of the waveforms, click an event marker. • ▼ event markers show Relearn, Learning Done or Snapshot Print events. • ♥ event markers show that an a...

Directions for use Chapter 6 Review or print patient data 107 Review arrhythmia events (Arrhythmia Analysis option) In the Arrhythmia Events Review window, you can review and print arrhythmia events inthese ways: • List arrhythmia events and event counts, by type. • Review ECG waveforms associated w...

108 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Open an Arrhythmia Events Review window To open an Arrhythmia Events Review window 1. Open the window for one of these types of patients: • Current patient in local unit: In the patient’s Waveform Window, click ....

Directions for use Chapter 6 Review or print patient data 109 Adjust the content of both list sections To adjust the time period covered in both list sections 1. Click a number under the time line to adjust the line’s scope, in hours. 2. On the time line, click an area in which you are interested. E...

110 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the waveform display To display waveform(s) that correspond to an event 1. In the events list section, click an event. The corresponding waveform(s) appear in the waveform pane, and the blue cursor barindi...

112 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Review ST analysis information This section explains how to review ST analysis review information. In the ST AnalysisSetup window, you can do these things: • View current beats for specific leads • View current S...

Directions for use Chapter 6 Review or print patient data 113 Review OxyCRG information (Full Disclosure option) In the OxyCRG review window, you can review and print oxygen cardiorespirograminformation in these ways: • Scroll respiration and CO 2 waveforms and graphical trend data for HR/PR and SpO...

114 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the OxyCRG display and locate alarms . To adjust the time period shown in the display area of the window 1. Under Time Span, click a button. Time markers show along the top of the graphs area. 2. Click on ...

Directions for use Chapter 6 Review or print patient data 115 Print and review printouts The Acuity System includes six types of printouts: • Snapshot printouts • Review printouts • Alarm printouts • Patient List printouts • 12-Lead printouts • Hemodynamic Report printouts Snapshot printouts Snapsho...

116 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Print a Snapshot printout on demand To print a snapshot from a Waveform Window • Bring your pointer into the window and click PRINT , or click anywhere in the Waveform Area. A printout occurs at the Acuity System...

Directions for use Chapter 6 Review or print patient data 117 Review printouts Review printouts capture information shown in a current or non-monitored patient’sreview window. Information in a review printout • The information displayed in a review window • Information formatted uniquely for each ty...

118 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Read a review printout To read a review printout A. Type of printout The title of the review printout B. Number of deleted events Number of arrhythmia events that were deleted in the Arrhythmia Events Reviewwindo...

Directions for use Chapter 6 Review or print patient data 119 Alarm printouts If Print on Alarm is set for a patient’s parameter and the parameter alarms, an alarm printoccurs at the central station. Information in an alarm printout • Fourteen seconds before an alarm and seven seconds after an alarm...

120 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Review an alarm printout A. Patient name appears if patient is confirmed in the Acuity System. B. indicates that this patient is monitored by a wireless monitor. C. The type of printout D. A three-second interval...

Directions for use Chapter 6 Review or print patient data 121 Patient List printouts You can print lists of patients in your unit. If your system is part of an Acuity Systemnetwork, you can print lists of patients in any units within the network. Types of Patient List printouts • Preadmitted patient...

122 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System 12-lead printouts You can perform 12-lead ECG interpretation and create printouts through the Welch Allyn1500 Patient Monitor. Types of 12-lead printouts • Average beats, 3x4 plus rhythm strip • Average beats, 6x...

Directions for use Chapter 6 Review or print patient data 123 Review a 12-lead report A. Patient information appears if patient is confirmed in the Acuity System. This data includesextended demographics such as date of birth, height, weight, gender, ethnicity, and othermeasurements. B. Print informa...

124 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Hemodynamic Report printouts Hemodynamic Reports are a collection of calculations derived from the cardiac outputfeature of the Welch Allyn 1500 Patient Monitor. Print a Hemodynamic Report To print a Hemodynamic ...

7 125 Move a monitored patient You can move a monitored patient in these ways: • Move a patient and monitor to a new room within the unit or transfer to a new unitwithin the same Acuity System network. • Move a patient to a different monitor anywhere within the same Acuity Systemnetwork. If the pati...

126 Chapter 7 Move a monitored patient Welch Allyn Acuity Central Monitoring System Arrange a patient move from the Acuity Central Station If you want to arrange a patient transfer to another unit, you must do so in the unit fromwhich the patient is transferring. To arrange a patient move from the A...

Directions for use Chapter 7 Move a monitored patient 127 Move patients and their hardwired monitors To disconnect, move and reconnect a hardwired monitor to a new networkconnector Throughout this procedure and the move, leave the monitor turned on. 1. On a Propaq CS monitor: Press NET OFF in the to...

128 Chapter 7 Move a monitored patient Welch Allyn Acuity Central Monitoring System To switch a hardwired Propaq CS monitor to a wireless connection Throughout this procedure, leave the monitor turned on. 1. In the upper left corner of the Propaq CS monitor display,touch NET OFF . 2. Within 15 secon...

Directions for use Chapter 7 Move a monitored patient 129 Move patients and their wireless monitors Arrange a patient move from the patient monitor To arrange a patient move from a Micropaq monitor 1. Press to highlight ACUITY , and then press to select it. 2. Take one of these steps: • Select NEW R...

Directions for use Chapter 7 Move a monitored patient 131 Move the patient to a different monitor You can move patients who are connected to hardwired or wireless monitors to differentmonitors within the same Acuity System network. Move a patient from a hardwired monitor to a different monitor 1. On...

132 Chapter 7 Move a monitored patient Welch Allyn Acuity Central Monitoring System 5. Enter or confirm the patient information. For instructions, see “Enter and confirm a patient’s ID or room at the central station” on page 40. To move a patient from a Propaq LT monitor to a different monitor 1. On...

8 133 Discontinue Acuity Systemmonitoring Stop monitoring a patient You can either temporarily interrupt or permanently stop patient monitoring. For information about patient monitors that are part of your Acuity System but are notshown in this chapter, consult the patient monitor manufacturer’s lit...

Directions for use Chapter 8 Discontinue Acuity System monitoring 135 Permanently stop monitoring To permanently stop monitoring a patient 1. From the monitor’s Main Menu, take thesesteps. For Propaq CS and Encore monitors: a. In the top left or right corner of the monitor, press NET OFF . The monit...

136 Chapter 8 Discontinue Acuity System monitoring Welch Allyn Acuity Central Monitoring System For instructions, see “Discharge a patient from Acuity System monitoring” on page 136. Discharge a patient from Acuity System monitoring A patient’s waveform and trend information is available for review ...

9 137 Status icons Status icon colors The color of a status icon conveys the status of the patient, patient monitor or CentralStation component that the icon represents. Table 7. Colors of Acuity System status icons Icon color Meaning of icon color Gray Acuity System is not receiving patient informa...

138 Chapter 9 Status icons Welch Allyn Acuity Central Monitoring System Patient/monitor status icons Patient/Monitor status icons show status and act as buttons to open patient VirtualMonitors and Waveform Windows. Locations of patient/monitor status icons Patient/monitor status icons appear on the ...

Directions for use Chapter 9 Status icons 139 Patient/monitor status icons and recommended action This table illustrates these things about patient/monitor status icons: • Display priority • Location on the central station map • Messages at the top of the Acuity Central Station screen • Messages in ...

Directions for use Chapter 9 Status icons 145 System component status icons Acuity System component icons do these things: • Show component status • Open Central Station windows (some icons) Locations of system component icons These icons appear in two places on the Acuity System map: • At the Acuit...

146 Chapter 9 Status icons Welch Allyn Acuity Central Monitoring System System component status icons and recommended action This table illustrates these things about system component status icons: • Display priority • Location on the central station map • Messages at the top of the Acuity Central S...

10 149 Troubleshooting and maintenance Contact information If you are unable to find the answer to a question, or if you encounter a problem thatcannot be corrected by ordinary operating procedures described in this manual, pleasecontact Welch Allyn Technical Services: Phone (within the U.S.A.): 1 8...

150 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Contents Troubleshooting Central station displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Connection, patient room and patient ID . . . . . . . . . . . . . . ....

Directions for use Chapter 10 Troubleshooting and maintenance 151 Troubleshooting Central station displays WARNING Replace central station hardware within the the lesser of 3 years or the original equipment manufacturer’s specification. Failure to performpreventative maintenance can impact system pe...

152 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Connection, patient room and patient ID No audible alarm or alert tones arecoming from the central stationdisplay. Look for a mute button on the display, and push it to restore sound. Contact your Biomedical ...

Directions for use Chapter 10 Troubleshooting and maintenance 153 Sometimes patients are assigned an IDnumber that I didn’t give them. If you do not enter a patient ID number, after (up to) five minutes the AcuitySystem might generate an automatic patient ID number for you. The number is created fro...

154 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Equipment alerts Table 12. Troubleshooting equipment alerts Problem Explanation When I connect a monitor to the AcuitySystem, a Communication Alert messageoccurs. Only monitors with Acuity System network conn...

Directions for use Chapter 10 Troubleshooting and maintenance 155 Alarm limits A Cuff Not Detected or a No PulsesDetected equipment alert is occurring atboth the patient monitor and VirtualMonitor, but NIBP is not being monitored. This condition usually occurs for one of these reasons:• The monitor ...

156 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Patient alarm indications Table 14. Troubleshooting patient alarm indications Problem Explanation False arrhythmia alarms are occurringbecause of a patient’s abnormal beatmorphology. The Acuity System analyze...

Directions for use Chapter 10 Troubleshooting and maintenance 159 Heart rate and ECG displays Table 15. Troubleshooting heart rate and ECG displays Problem Explanation Heart rate values on the patientmonitor differ from HR values at theAcuity Central Station. or --- appears instead of the HR/PR nume...

160 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System CO 2 , SpO 2 , IPI, and NIBP displays Table 16. Troubleshooting CO 2 , SpO 2 , IPI, and NIBP displays Problem Explanation When I try to change CO 2 units at the patient monitor, a messagesays I must use the A...

Directions for use Chapter 10 Troubleshooting and maintenance 161 Arrhythmia Analysis and ST Analysis Table 17. Troubleshooting arrhythmia and ST-segment analyses Problem Explanation Arrhythmia analysisor ST analysis doesnot seem to beoptimal. WARNING Ensure these things to minimize false HR, Arrhyt...

Directions for use Chapter 10 Troubleshooting and maintenance 163 Printing Table 18. Troubleshooting printing Problem Explanation There is a delay in the Virtual Monitor orWaveform Window data display when aprintout takes place. Is any data lost? No data is lost. In snapshots or alarm prints, someti...

164 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Maintenance Adjust Acuity System time If your facility had an internet server available at the time of Acuity System installation,Welch Allyn encouraged you to synchronize the Acuity System clock to a network...

Directions for use Chapter 10 Troubleshooting and maintenance 165 Identify or change a monitor’s network name (ESSID) This section describes how to identify or change the extended service set identifier(ESSID) for each type of wireless patient monitor that can connect to an Acuity Systemwireless loc...

166 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Identify or change a Micropaq monitor network name To identify a Micropaq monitor network name 1. Press to highlight SYSTEM INFORMATION , and then press . The System Information menu appears. 2. Press to high...

Directions for use Chapter 10 Troubleshooting and maintenance 167 Identify or change a Propaq LT monitor network name To identify a Propaq LT monitor network name and prepare to change it (if desired) 1. Highlight SpO2 , and then press . 2. Highlight Setup , and then press . The Setup menu appears. ...

168 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Identify or change a Wireless Propaq CS network name To identify a wireless Propaq CS monitor network name and prepare to change it (ifdesired) 1. Touch , SETUP , MORE , MORE , SERVICE , YES , MORE , MORE , R...

Directions for use Chapter 10 Troubleshooting and maintenance 169 Mobile Acuity LT Systems: Adjust localization parameters If your Acuity System is a mobile (laptop computer) system, you can adjust these systemparameters. • Time zone • Acuity System language • Amended ID • Micropaq monitor language ...

170 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Power outages To turn off the Acuity System 1. Notify staff members so that procedural changes in patient care can be put into place. It is not necessary to disconnect monitors from bedside network connectors...

Directions for use Chapter 10 Troubleshooting and maintenance 171 To turn on the Acuity System 1. Turn on the power to these components, in this sequence: a. Acuity System laser printer(s) b. Terminal server (located in the equipment room) c. Acuity Central Station display(s) d. Acuity Central Stati...

172 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Periodically check equipment for safety The Acuity System network cable Regularly inspect network cables, and replace them once every 12 months. Discard allcables that have been in use for a year or longer. T...

Directions for use Chapter 10 Troubleshooting and maintenance 173 Equipment disposal Acuity Central Monitoring System Do not dispose of this product as unsorted municipal waste. Prepare this product for reuse or separatecollection as specified by Directive 2002/96/EC of the European Parliament and t...

11 175 Specifications Monitor/Acuity System compatibility General system monitoring capabilities Table 19. Patient monitor/Acuity System compatibility Patient monitor Acuity System Micropaq monitor, 1.3 software or higher Propaq CS monitor, 3.0 software or higher Propaq LT monitor 1.00.01 software o...

176 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Table 21. Networked Acuity System capabilities Function Primary AcuitySystem Auto-OpenSecondary (AOS)Acuity CentralStation Patient List Review(PLR) Acuity CentralStation Direct connectionbetween patient’smonitor and AcuitySys...

Directions for use Chapter 11 Specifications 177 Acuity System heart rate Table 22. Acuity System heart rate calculation Acuity System configuration Method of HR calculation Acuity System with Arrhythmia Analysismodule Acuity Central Station display is determined by Acuity System ArrhythmiaAnalysis ...

178 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Acuity System pacemaker detection Table 24. Pacemaker detection with the Acuity System Arrhythmia Analysis module Monitor Characteristic Specification Micropaq Acuity SystemVirtual Monitor Pacer indicator shown on screen if P...

Directions for use Chapter 11 Specifications 179 Acuity System alarm and alert indications Table 25. General Acuity System alarm and alert indications Feature Specification Numeric update time after AcuitySystem receives alarm indication froma patient’s monitor Within 1 s Acuity Central Station tone...

182 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Table 28. Alarm and alert indications at the Waveform Window Alarms(red) Monitor equipmentalerts(yellow) System-wideequipmentalerts(yellow) Patientinformationalerts(yellow) Display Priority Acuity System automatically display...

184 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Electromagnetic standards compliance The Acuity Central Monitoring System complies with all applicable and required standardsfor electromagnetic interference. • It does not normally affect nearby equipment and devices. • It i...

188 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Acuity System customizable defaults and factory defaults Acuity System default settings appear in Acuity System windows upon patient monitorconnection, when a patient’s window is first opened. There are two types of Acuity Sy...

Directions for use Chapter 11 Specifications 189 Virtual Monitor and Waveform Window Table 32. Virtual Monitor Features Customizable default Factory default Virtual Monitor auto open In map view and full screen review view:• Upon patient’s monitor connection to AcuitySystem if empty window • Upon al...

190 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Setup windows Heart rate (HR) For patients being monitored for arrhythmias,the HR value is derived from the arrhythmialibrary instead of from the patient monitor. Table 33. Waveform Window Features Factory default Waveform Wi...

Directions for use Chapter 11 Specifications 195 Review windows Table 39. Review window — Graphical Trends Features Customizable default Factory default Frequency of trend datasampling and storage by AcuitySystem Sampled and stored once per second Frequency of patient monitordata storage and transfe...

201 Warranty LIMITED WARRANTY: ACUITY CENTRAL MONITORING SYSTEM AND ACCESSORIES This product is sold by Welch Allyn under the warranties set forth in the followingparagraphs. These warranties are extended only to the end user with respect to thepurchase of this product directly from Welch Allyn or W...

203 Index A Access point, ethernet 10Acuity System adjust time 164Central Station 10Central Station screen 16compatibility with monitors 175components 10components, don’t change 3components, inspect 172discontinue monitoring 133documents 8general information 1heart rate calculation 177if inoperable ...