Medical History and Alarm Settings
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Questions and Answers

What is the preferred distance for monitoring according to the user manual?

1 m

To stop the NIBP measurement, the user should click on 'NIBP _____' button.

Stop

The CMS software copyright is owned by URUK Company.

True

Which components make up the Central Monitoring System (CMS)?

<p>Input/Output devices</p> Signup and view all the answers

What is the purpose of the CS110 manual?

<p>To provide instructions for operating the CS110 central monitoring system.</p> Signup and view all the answers

Who is this manual intended for?

<p>Clinical medical professionals</p> Signup and view all the answers

The CMS ______ has been designed to minimize risks arising from _ errors.

<p>software</p> Signup and view all the answers

The CMS equipment should be checked regularly to ensure proper functioning.

<p>True</p> Signup and view all the answers

Match the following CMS components with their requirements:

<p>Noise, vibration, pressure, dust, corrosion, fire, explosion = Keep components free from these factors Space in front and back of the device = For convenient operation and maintenance Distance of minimum 5 cm from shelf = Ensure sufficient ventilation</p> Signup and view all the answers

How often should the CMS be inspected by trained personnel?

<p>Every two years (recommended annually)</p> Signup and view all the answers

What happens when you click on the NIBP Start button?

<p>It disables the button for 5 seconds.</p> Signup and view all the answers

What will happen if a bedside does not support NIBP measurement?

<p>The NIBP Start button will be disabled.</p> Signup and view all the answers

Pressing the Nurse Call button will disable the button for 40 seconds on the bedside.

<p>False</p> Signup and view all the answers

By clicking on the waveform area, you can ______ all dynamic waveforms.

<p>freeze</p> Signup and view all the answers

Match the following alarm levels with their corresponding colors:

<p>High priority alarms = red Medium priority alarms = yellow Low priority alarms = cyan</p> Signup and view all the answers

What is the purpose of the icon depicting a lock symbol in the Admin tab?

<p>Access high-level settings</p> Signup and view all the answers

Leaving the Authentication page will not disable high-level accessibility.

<p>False</p> Signup and view all the answers

To save settings, you need to click on the ______ icon before leaving the menu.

<p>Save</p> Signup and view all the answers

What should you press to disable high-level accessibility?

<p>Log out</p> Signup and view all the answers

How many parameters can be selected in the Graphical Trend section?

<p>Up to 5 parameters</p> Signup and view all the answers

Match the following capabilities to their respective icons:

<p>Save settings and leave the menu = Disk icon Capture an image from the screen data = Capture icon Access Help page of the menu = Help icon</p> Signup and view all the answers

Which parameter, if selected, will disable all other options and show specific values?

<p>Multi ST</p> Signup and view all the answers

The selected scale for each parameter and bed in the Graph section will not be saved.

<p>False</p> Signup and view all the answers

How many hours of the below parameter values can be reviewed in the Numeric Trend page?

<p>96</p> Signup and view all the answers

How many alarm events can be reviewed for each patient in the Alarm list?

<p>Up to 720 alarm events</p> Signup and view all the answers

After storing 1000 NIBP records, by saving a new record the earliest record will be __________.

<p>deleted</p> Signup and view all the answers

What information is recorded in the NIBP List section?

<p>patient information including date and time of recording, bedside number, type of recording, patient ID, patient name, date of birth, gender, weight and height, hospital name, ward, and physician name</p> Signup and view all the answers

What functions are available in the Event Recall page?

<p>Save or print</p> Signup and view all the answers

An ECG Lead called aVR measures heart rate and monitors RA - (LA + LL)/2 waveform.

<p>True</p> Signup and view all the answers

In the Bed Setting section, the __ signal can be recorded by the recorder for 10 seconds and can be printed by the printer for 40 seconds in different intervals.

<p>ECG</p> Signup and view all the answers

Match the available Sweep Speed options with their values:

<p>12.5 mm/s = ECG Sweep Speed 25 mm/s = ECG Sweep Speed 50 mm/s = ECG Sweep Speed</p> Signup and view all the answers

What are the available options for the 'Parameters to save' section?

<p>NIBP, TEMP, CO2, Full Parameter, HR, SPO2, RESP, IBP1 and IBP2.</p> Signup and view all the answers

Which formats can data be exported in from the Export page?

<p>Both TEXT and PDF</p> Signup and view all the answers

In the ECG parameter settings, the ___ determines the point at which an arrhythmia event is triggered.

<p>Count and Rate</p> Signup and view all the answers

Match the following ECG leads with their descriptions:

<p>Lead I = RA - LA waveform Lead II = RA - LL waveform Lead III = LA - LL waveform Lead aVR = RA - (LA + LL)/2 waveform Lead aVL = LA - (RA - LL)/2 waveform Lead aVF = LL - (RA - LA )/2 waveform</p> Signup and view all the answers

Study Notes

Central Monitoring System (CS110) User Manual

  • The CS110 user manual is for clinical medical professionals with working knowledge of medical procedures, practices, and terminology.

Change History

  • Version 1: Initial release
  • Version 2: Changes not specified
  • Version 3: European Authorized Representative was changed
  • Version 4: European Authorized Representative was changed (again)
  • Version 5: Arabic warnings were added (released on 2023/04/16)

User Manual Contents

  • The manual covers the basics of the CS110, including product overview, intended use, components, and network connection.
  • It also covers installation, display screen, bed view, alarm control, CMS menu, manage patient menu, disclosure, graphical trend, numeric trend, alarm list, NIBP list, event recall, bed setup, multi-lead, and setting.

Other Important Sections

  • Troubleshooting (section 22)
  • Technical Specification (section 23)
  • Alarms and Messages (section 24)
  • System Defaults (section 25)
  • Patient Safety (section 26)
  • Preventive Maintenance (PM) Checklist (section 27)### General Warnings and Precautions
  • The Central Monitoring System (CMS) is intended for use as an adjunct in patient assessment and must be used in conjunction with clinical signs and symptoms.
  • Read all parts of the user manual before using the CMS.
  • URUK Company is responsible for safety, reliability, and performance of the product only if used according to the user manual.
  • All installation, development, changes, modifications, repairs, transportation, and disassembly of the product should be conducted by URUK trained and experienced personnel.
  • All cleaning operations should be conducted by trained personnel.
  • The CMS software is designed to minimize the probability of risks arising from software errors.
  • Compliance with maintenance and transportation requirements is necessary.
  • Check all system components for mechanical damage during transport, installation, storage, and use.
  • Contact customer service in case of any problem.

Product Overview

  • The Central Monitoring System (CMS) is powerful software that constructs a monitoring network by connecting bedsides.
  • The CMS is capable of providing centralized monitoring for all patients, promoting efficiency and quality of monitoring.
  • The CMS stores, processes, analyzes, and displays bedside information.
  • The CMS can monitor 32 bedsides, review 48 hours of disclosure data, and review 96 hours of trend data.

Intended Use

  • The CMS is intended for use in hospitals or medical institutions to conduct centralized monitoring of vital signs information from multiple monitors.
  • The CMS is not intended for home use.
  • The CMS only supports bedsides manufactured by URUK company.

Components

  • The CMS consists of a main device, second display screen, input/output devices, recorder/printer, and network equipment.
  • The main device in the CS110 model consists of a display and a PC.

Network Connection

  • The CMS communicates with bedsides via a wired/wireless network, providing centralized monitoring.
  • A typical network model of the CMS includes a network connection between the CMS and bedsides.

Installation

  • Unpacking and inspecting the CMS should be done with caution.
  • Installation should be done by the manufacturer's personnel.
  • The CMS should not be placed near strong noisy fields or devices that are sensitive to noise.
  • Using the CMS in the presence of flammable gases produces an explosion risk.

Starting the System

  • Before using the CMS, ensure that the touch screens have been calibrated and the network cable has been connected.
  • Check the connection of CMS components before monitoring, otherwise, some components may fail to function properly.

Display Screen

  • The CMS displays up to 32 patient windows on two screens simultaneously.
  • Each patient window on the CMS represents one Bedside, displaying patient information and vital signs.
  • Patient windows can be in offline status, indicating disconnection between the CMS and Bedside.
  • In monitoring status, patient windows display real-time patient data transmitted from the Bedside.

Patient Window

  • Each patient window displays patient information, alarm area, waveforms area, parameter area, and NIBP start button.
  • The alarm area displays visual alarms.
  • The waveforms area displays waveforms transmitted from the Bedside.
  • The parameter area displays parameter values transmitted from the Bedside.
  • The NIBP start button sends measurement requests to the Bedside.
  • Nurse Call button allows responding to nurse call warnings.### Central Monitoring System (CMS)
  • The CMS enables freezing and unfreezing of Bed View waveforms by clicking on the second display.
  • Freezing Bed View waveforms has no effect on patient window waveforms and vice versa.

Taskbar

  • The taskbar has six buttons: SILENCE, HOME, SETTING, HISTORY, PACS View, and Bed View.
  • The SILENCE button toggles audio alarm on or off.
  • The HOME button displays the main screen.
  • The SETTING button performs CMS settings.
  • The HISTORY button calls up a page with three tabs: History-Patient List, History-Alarm Setting List, and History-Nurse Call List.
  • The PACS View button opens a browser page for connection to the PACS server and displaying DICOM files on the second screen.

Bed View

  • The Bed View screen displays one bed in enlarged mode on the second display.
  • The patient data can be monitored more closely.
  • The Bed View button is inactive in the view modes with structure A×B Beds + A×B Beds.

Bed View Screen

  • The Bed View screen consists of four areas:
    • Patient Information Area: displays bed number and patient name.
    • Waveforms Area: displays waveforms transmitted from the Bedsides.
    • Parameter Area: displays parameter values transmitted from the Bedsides.
    • Alarm Area: displays visual alarms.

Alarm Control

  • Alarms are triggered by abnormal vital signs, technical problems, or CMS software issues.
  • Alarms are classified into three categories: Physiological, Technical, and Systemic alarms.
  • Alarms are classified into three levels of priority: High, Medium, and Low.
  • Audible alarms use different tones to indicate different alarm levels.
  • Visual alarms are displayed with colors indicating different alarm levels.

Alarm Structure

  • Physiological alarms: triggered by abnormal vital signs.
  • Technical alarms: triggered by technical problems of the Bedside.
  • Systemic alarms: triggered by CMS software issues.

###Alarm Settings

  • Alarm limits can be set in the Bedside and transmitted to the CMS.
  • Alarm sound can be set with regard to patient and environment conditions.

CMS Menu

  • The CMS menu consists of several tabs.
  • Settings of a tab are exclusively related to a bed.
  • The menu items patient name, bed number, and ID are displayed above the menu.
  • The bed number can be set by selecting "Bed Offset".

Controls

  • Tooltip: a hover box with information about an item appears when the cursor is hovered over an icon or image.
  • High-level accessibility: some capabilities of the Admin tab are intended only for trained and authorized personnel.
  • On-screen keyboard: an on-screen keyboard pops up to enter data when clicking on text fields.
  • Date & Time: sets time and date.
  • Save: saves settings and leaves the menu.

Manage Patient Menu

  • Modifying patient information: modifies patient information, such as name, gender, height, and blood type.
  • Saving patient information: saves data and leaves the menu.
  • Discharging a patient: terminates monitoring of a patient.

Disclosure

  • Reviews up to 48 hours of ECG waveform and numeric parameters.
  • Functions available in the Disclosure page:
    • Review ECG waveforms and numeric parameters
    • Options (selecting waveform and parameters)
    • Scroll through pages
    • Capture an image of the screen data
    • Search
    • Record/print

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Description

This quiz covers medical history, patient lists, and alarm setting lists. It assesses understanding of medical records and alarm systems in healthcare.

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