connex® spot monitor (csm) 1.x software version · 2021. 1. 7. · obtaining spo 2 and pulse rate...

Connex® Spot Monitor (CSM) 1.x Software Version

Clinical Inservice Presentation

MC12694 1

Table of Contents

• Device Overview & Intended Use • Accessory Power Management (APM) Stand • CSM Exterior • Power ON • Power OFF • Screen Lock mode • Clinician Login screen • Primary Screens Navigation • Spot Profile • Intervals Profile • Office Profile • Early Warning Scores • Change a Profile • Taking a Non-invasive Blood Pressure • Proper Blood Pressure Technique

• Initiating Interval Blood Pressures • Setting up Interval Blood Pressures • Obtaining SpO2 and Pulse Rate • Setting up Interval SpO2 • Taking Temperatures using SureTemp® Plus • Manual Parameter Entry and Clear Function • Alarm Management • Entering Manual Parameters and Modifiers • Clear and Saving Vital Signs • Reviewing Vital Signs – Multi-Patient View • Reviewing Vital Signs – Single-Patient View • Clinician Sign out • Cleaning • Advanced Settings • Conclusion & Resources

MC12694 2

Device Overview & Intended Use

Use to obtain vital signs and other parameters

• Adults (>12 yrs)

• Pediatric (29 days-12 yrs)

• Neonate (

Accessory Power Management (APM) Stand

• WhisperDrive™ provides smooth, quiet maneuverability

Accessory Power Management Stand

Return to Table of Contents MC12694 4



• Light power switch, battery charge status indicator, roll handle, and small work surface






• Cable management system with SpO2 holster – please use!






• Cable management system with SpO2 holster – please use!

• Cross-contamination reduction features:

– Holder for wipes

– Lack of corners for ease of wiping

– Probe cover storage



CSM Exterior

• Power button

• Ports:

1. Battery compartment (behind cover): Houses the battery (captive screw secures cover to monitor)

2. NIBP: Connects NIBP cable to monitor

3. USB client port: Provides a connection to an external computer for testing and software upgrades

4. USB port: Connects APM work surface to monitor

5. Power connection: Connects APM work surface or any accessory to the monitor

6. Ethernet RJ-45: Provides a hardwired connection to the computer network

7. Nurse call: Provides a connection to a hospital nurse call system

8. SpO2: Connects chosen SpO2 system to monitor

9. Thermometry: Configuration shown features SureTemp module and probe connection port


Power On

Power ON Press Power Button on the front lower-left corner of the monitor


Power Off

Power OFF 1. Press Power

Button

2. Select Power Down on main screen


Screen Lock mode*

Screen Lock mode helps protect patient-identifiable information during clinical use and increases visibility of vitals.

To Unlock the Screen:

1. Touch the “Lock” icon

2. Follow Clinician login process

Note: Screen Lock mode is initiated by configurable period of inactivity or via a manual lock decision.

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Clinician login screen

1. Sign in using the login screen (if your facility has chosen a login format) • Using the keyboard or barcode scanner, enter your ID, password*, and then touch Sign in. The

Profile selection area becomes active and contains from one to three profiles. Select the desired profile.

Optional clinician login screen restricts access to protected health information. You can sign in to the monitor in two ways:


Clinician login screen

1. Sign in using the login screen (if your facility has chosen a login format) • Using the keyboard or the barcode scanner, enter your ID, password*, and then touch Sign in.

The Profile selection area becomes active and contains from one to three profiles. Select the desired profile.

2. Sign in using the Clinician tab (if your facility has not chosen a login format)

• Touch the Clinician symbol. • Using the keyboard or barcode scanner, enter your ID, password*, and then touch Sign in. The

Clinician ID appears in the Clinician ID field on this tab and in the Status area on the Home tab.

Optional clinician login screen restricts access to protected health information. You can sign in to the monitor in two ways:


The Primary Screen

The primary screen is divided into three sections:

1. Device Status Area

2. Content Area

3. Primary Navigation Area

Let’s look at each area.


Primary Screens: Device Status Area

Provides device status information, including: • Clinician ID

• Device location (i.e. nursing unit)*

• Time

• Connection status (i.e. Ethernet, Wireless, USB, or Bluetooth®)

• Profile Selection (i.e. Spot, Office, or Intervals)

• Battery status

• Alarms and Messages


Primary Screens: Content Area

Displays: Information determined by the primary—or global—navigation tab chosen at the bottom of the screen. The content area also may have vertical tabs on the left side of the screen that relate to the primary navigation tab chosen. It also can display summary information on current vital signs.


Primary Screens: Primary Navigation Area

Based on which profile is in use, the primary navigation tabs for that profile appear at the bottom of the screen.


Spot Profile

Features: • No alarms • No BP intervals • Take SpO2 sensor OFF

prior to touching SAVE • Provides Early

Warning Scores (EWS) if applicable


Features: • Automatic, Program,

and Stat interval settings

• Parameter alarms • SpO2 sensor should

stay ON while you touch SAVE

• Provides EWS if applicable

Intervals Profile


Office Profile

Features: • No alarms • Averaging interval program

enables you to record the patient's average NIBP readings over a set period of time.

• Take SpO2 sensor OFF prior to touching SAVE

• HT, WT, RR, Pain, and BMI if applicable


Early Warning Scores (EWS)*

Features: • Provides a facility the capability to calculate

Early Warning Scores at the device

• Scoring system is determined by facility

• Available only in Spot and Intervals Profile

• Scoring summary will alert staff if further clinician notification is required

*If applicable to your facility


Early Warning Scores (EWS)*

Features: • Provides a facility the capability to calculate

Early Warning Scores at the device

• Scoring system is determined by facility

• Available only in Spot Check/ Interval Profiles

• Scoring summary will alert staff if further clinician notification is required

*If applicable to your facility


Changing Profiles

To change Profiles: 1. Touch the current

Profile shown in the Device Status Area

2. *Choose the appropriate profile. Your choices may include: Spot, Intervals AND/OR Office.

Note: If you change the profile while acquiring patient measurements or while unsaved patient measurements are displayed, the measurements are deleted.

Return to Table of Contents *If applicable to your facility

MC12694 23

Taking a Non-Invasive Blood Pressure (NIBP)

• Proper technique is very important for accurate readings • Uses SureBP® technology that captures BP on cuff inflation • Will revert to Step deflation method

– in times of extreme movement – artifact – Neonate mode – if programmed to do so via Advanced Settings

• Touch the to initiate a BP.

• Touch the to cancel a BP in progress. * Note: Touch the NIBP frame to change between SYS/DIA and MAP.


Proper Blood Pressure Technique

• No more than two fingers between cuff and arm

• Patient sitting quietly; not moving

• Back supported; legs uncrossed

• Arm at heart level

• Align Artery Index Marker with brachial artery

• Proper sized cuff

• FlexiPort® should be to the outside of the patient’s body


Proper Blood Pressure Technique

For more information on Blood Pressure technique, go to:

https://www.youtube.com/watch?v=ScbFRb1dKc4&index=21&list=PLkXnwo

kwhxrU8d-LnfwYy2Lsjzqa2z7kX


https://www.youtube.com/watch?v=ScbFRb1dKc4&index=21&list=PLkXnwokwhxrU8d-LnfwYy2Lsjzqa2z7kX

Initiating Interval Blood Pressures

1. Touch within the BP frame on the Home Screen

2. Intervals Profile – choose “Automatic” or “Program” or “Stat”

3. Office Profile – Choose “Averaging”

4. Adjust intervals in minutes (Automatic) or choose appropriate program (Program / Averaging)

5. Choose NIBP 6. Touch “Start Intervals”


Setting up Interval Blood Pressures: Overview

• Access the Interval options by touching the within the NIBP frame

• Intervals Profile

– Choose Automatic, Program, or Stat

– Stat takes multiple BPs in a 5-minute period


Setting up Interval Blood Pressures: Overview

• Access the Interval options by touching the within the NIBP frame

• Intervals Profile

– Choose Automatic, Program, or Stat

– Stat takes multiple BPs in a 5-minute period

• Office Profile

– Choose Averaging

Return to Table of Contents

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Setting up Automatic Interval Blood Pressures: Automatic

• Toggle the intervals mode control until is reads “Automatic” • Adjust Automatic Interval setting in minutes

– Touch arrow keys OR – Touch small keypad icon in bottom right of “minutes” window

• Touch NIBP • Touch Start Intervals


Setting up Automatic Interval Blood Pressures: Program

• Toggle the intervals mode control until is reads “Program” • Choose a preconfigured Program

– These are set up in Advanced Settings. The monitor comes with six custom programs. One program is always available for you to customize to meet your specific needs.

• Touch NIBP • Touch Start Intervals Note: The interval notation “15 X 8” means: Interval = 15 minutes, Frequency = 8 measurements


Setting up Automatic Interval Blood Pressures: Averaging

• You must be in the Office profile to access Averaging intervals. • Choose a preconfigured program name (ex. Quick Average or White

Coat) – Can configure up to 4 Averaging programs and can set up in Advanced Settings

or by using the online Product Configuration Tool

• Touch Start Intervals


Stopping Interval Blood Pressures

• To stop intervals entirely – Press within the BP frame on the Home

Screen – Touch Stop Intervals

• To stop one single interval reading – Press within the BP frame on the Home

Screen – The next interval reading will occur at the

appropriate time as scheduled – You can take BP readings in between scheduled

intervals without interrupting the interval schedule


Obtaining SpO2 and Pulse Rate

• Uses Nellcor®, Masimo®, or Nonin PureSat® technology

• Clean sensor (alcohol pad) • No nail polish/artificial nails • Warm/perfused extremity • Place on opposite limb of blood

pressure cuff if possible • Pulse Rate comes from SpO2

unless only a BP is taken, in which case the PR comes from the NIBP reading

Note: Tap the SpO2 frame to view the pleth waveform


Setting up Automatic Interval SpO2 : Automatic

• Toggle the intervals mode control until is reads “Automatic” • Adjust Automatic Interval setting in minutes

– Touch arrow keys OR – Touch small keypad icon in bottom right of “minutes” window

• Touch SpO2 • Touch Start Intervals


Setting up Automatic Interval SpO2 : Program

• Toggle the intervals mode control until is reads “Program” • Choose a preconfigured Program

– These are set up in Advanced Settings. The monitor comes with six custom programs. One program is always available for you to customize to meet your specific needs.

• Touch SpO2 • Touch Start Intervals Note: The interval notation “15 X 8” means: Interval = 15 minutes, Frequency = 8 measurements


Taking a Temperature with SureTemp® Plus

Direct Mode If the probe is left out of the well for 60 sec or a patient’s temperature is too cold for a predictive measurement (fast mode), the thermometer will go nto a direct mode (as indicated). Readings must be measured for 3 min rectal/oral or 5 min axillary. There will not be an indicator beep when measurement is complete. User must record reading.

Probe Covers Use only Welch Allyn Probe covers. Covers are designed specifically for SureTemp Plus and are single use only.

Probe Well

Well can be removed for cleaning. Blue probe/well for oral/axillary and red is for rectal.


Taking a Temperature Using SureTemp Plus: Oral & Axillary

Oral Temperatures: • Pull probe from well and apply probe cover • Listen for short beep • Place probe in sublingual pocket • Thermometer will beep when reading is complete (4-6 secs) • Press top of probe to release cover, then return probe to well

Proper probe placement is vital to obtaining an accurate reading

*Use ONLY Welch Allyn Probe Covers Return to Table of Contents MC12694 38

Taking a Temperature Using SureTemp Plus: Oral & Axillary

Oral Temperatures: • Pull probe from well and apply probe cover • Listen for short beep • Place probe in sublingual pocket • Thermometer will beep when reading is complete (4-6 secs) • Press top of probe to release cover, then return probe to well

Axillary Temperatures:

• Pull probe from well and apply probe cover

• Listen for short beep

• Press Mode selection button to select Adult Axillary or Peds Axillary

• Place probe vertically in axilla (Think: “Align with the spine”)

• Thermometer will beep when reading is complete (12-15 secs) • Press top of probe to release cover, then return probe to well

Proper probe placement is vital to obtaining an accurate reading *Use ONLY Welch Allyn Probe Covers


Taking a Temperature Using SureTemp Plus: Rectal

• Insert red probe and probe well into device • Listen for short beep • Pull probe from well and apply probe cover* • Place probe in rectum (3/8 in) • Lubrication is optional (if used, account for heating lubrication if

at room temperature and use minimal amount) • Thermometer will beep when reading is complete (4-6 secs) • Press top of probe to release cover, then return probe to well *Use ONLY Welch Allyn Probe Covers


Manual Parameter Entry and Clear Function

Automated parameters can now be manually entered or cleared, depending on configurations.

To manually enter or clear a value:

1. Press and hold the desired parameter frame

2. Type the desired value in the keypad

3. Press OK

4. To clear a value touch the and press OK


Manual Parameter Entry and Clear Function

Automated parameters can now be manually entered or cleared, depending on configurations.

To manually enter or clear a value:

1. Press and hold the desired parameter frame

2. Type the desired value in the keypad

3. Press OK

4. To clear a value touch the and press OK

Note: All readings are marked with “Source: Manual” on the home screen


Alarm Management: Changing Alarms in Intervals Profile

• From the Home screen, touch the alarm limits control in the selected parameter frame (i.e. NIBP or Pulse Rate)

• Enter the desired upper and lower alarm limits using the up/down arrows or keypad

• To turn alarm limits off or on, use the ON/OFF toggle button

• If alarm limits are off, no visual or audio alarm signals will occur for that parameter. The alarm icon changes on the Home tab in that parameter frame as shown

Note: Alarms may also be adjust by touching the Alarms tab.


Alarm Management: Changing Alarms in Intervals Profile

• From the Home screen, touch the alarm limits control in the selected parameter frame

• Enter the desired upper and lower alarm limits using the arrows and/or keypad

• To turn alarm limits on oroff, use the ON/OFF toggle button

• If alarm limits are off, no visual or audio alarm signals will occur for that parameter. The alarm icon changes on the Home tab in that parameter frame as shown

Note: Alarms may also be adjusted by touching the Alarms tab.


Alarm Management: Intervals Profile

• Alarms occur when vital sign measurements fall outside of set alarm limits

• The Status area illuminates as follows: – Flashing red for high priority alarms – Flashing amber for medium priority

alarms – Steady amber for low priority

alarms – Cyan for very low priority/

technical alarms – Blue for Information messages

• To silence/suspend an alarm, touch the triangle in the top left corner OR touch the highlighted parameter frame


Entering Manual Parameters and Modifiers*

• From the Home screen, touch the Manual parameters area (height, weight, pain, respirations) pictured below. This may also include Modifiers such as BP site, cuff size, etc.

• Touch parameter box and use keypad icon located within each manual parameter and/or modifiers to enter desired number.

• Touch “Next” to confirm and return to the Home tab. If a parameter is required, a Skip button appears at the bottom of the parameters, and a Next button appears in the lower-right corner of the screen.

Note: During intervals, each automatic and manual save of patient measurements clears all measurements from the Manual parameters frame.

*If applicable to your facility Return to Table of Contents

MC12694 46

Clear and Saving Vital Signs

1. Press the “Save” button to record the vitals to the Review tab

– Unless configured differently, pressing “Save” clears all readings and the patient information

– The “Clinician ID” remains until the user signs out

– If configured, pressing “Save” will automatically send the readings to the network

– In Intervals Profile, when using Automatic, Program, or Stat, vitals are saved to the Review tab automatically

2. The “Clear” button erases all data except Clinician ID from the Home screen

Note: To ensure data integrity and patient confidentiality, save readings and clear the monitor's display between patients.


Reviewing Vital Signs – Multi-Patient View The Review tab displays patient data that has been previously captured. Data can be

viewed for a single patient or for multiple patients. The Review tab displays both core

and custom parameters and also provides controls including View, Send* and Delete

1. Touch the Review tab

– 400 readings can be stored for up to 24 hours

2. To select a vital sign, touch the check box to the left of the reading; a checkmark will appear

– Options:

• Send to transmit the records to the network*

• Delete to permanently remove the records


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Reviewing Vital Signs The Review tab displays patient data that has been previously captured. Data can be

viewed for a single patient or for multiple patients. The Review tab displays both core

and custom parameters and also provides controls including View, Send* and Delete

1. Touch the Review tab

– 400 readings can be stored for up to 24 hours

2. To select a vital sign, touch the check box to the left of the reading; a checkmark will appear

– Options:

• Send to transmit the records to the network*

• Delete to permanently remove the records

3. If connected to a network, the icon indicates the vitals have been sent

4. Measurements that triggered a physiological alarm are highlighted on this tab


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Reviewing Vital Signs – Single Patient View

To view all saved records for a specific patient:

1. Touch the patient’s name or ID field in the Multi-patient view

2. The Single-patient view opens

Notes:

• Readings cannot be sent or deleted from the Single-patient view

• Press “Return” to view the Multi-patient view


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Clinician Sign Out

1. Sign out using the Clinician tab • Touch the Clinician symbol • Touch Sign out

2. Power down will sign out the Clinician ID


Cleaning

• See DFU for cleaning instructions for each accessory • For CSM and Accessory Cable Management stand:

– Clean on a routine basis according to your facility’s protocols and standards – The following agents are compatible with the monitor:

• Accel INTERVention™ • Accel® TB • CaviWipes® • Cleancide • Clinell® Universal Wipes • Clorox® HealthCare Bleach Germicidal Cleaner • Oxiver® TB • Sani-Cloth® Plus • Sani-Cloth® Bleach • Super HDQ® L10 - Dilution rate of ½ oz per gallon of water (1:256) applied to a clean cloth • Super Sani-Cloth® • Tuffie5 Cleaning Wipes • Virex® II (256) - Dilution rate of ½ oz per gallon of water (1:256) applied to a clean cloth • 10 percent bleach solution - (.5% - 1% sodium hypochlorite) applied to a clean cloth • 70 percent isopropyl alcohol solution - applied to a clean cloth

• Do not submerge or spray anything directly onto device


Advanced Settings

• Accessible only by code; See Biomed for access – Contains select settings for display,

parameters, network, and service

– Save current configurations to USB drive

– Load configurations from network

• See Directions for Use for further information regarding Advanced Settings

• Separate instruction available for appropriate personnel. Contact your local Welch Allyn Sales Rep or Clinical Consultant.


Resources

Thank you for choosing

Customer Care: 1-800-535-6663

Website: www.welchallyn.com


connex® spot monitor (csm) 1.x software version · 2021. 1. 7. · obtaining spo 2 and pulse rate...

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