GE Dash 2500 User manual

GE Healthcare
Quick Guide
Dash 2500 Patient Monitor
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1
Main Menu
Hide menu and view entire waveform
screen
Display the large numeric vital signs
Review or change alarm limits for all
operating parameters
Perform admission, enter patient
information, change default patient type
Turn sensors and alarms off but leave the
Dash 2500 on
Display the last 300 events/alarm histories
Display up to 24 hours patient data
Review or change settings for parameter
Review or change settings for Recorder/
Printer
Turn the Dash 2500 off, perform multi-
parameter functions, enter configuration
mode or service mode
Trim Knob
The Trim Knob®lets you navigate through the menus and
choose among the various options for patient monitoring
and data management, as well as turning the Dash 2500
on. You can also use the Trim Knob as a shortcut for closing
menus by pushing and holding it for 2 seconds, which acts
the same as the Main hardkey. If you choose a menu option
that is unavailable, the Dash 2500 sounds a double-tone
indicating its unavailability.
Hardkeys
NIBP Go/Stop - starts and stops any
determination of non-invasive blood pressure.
NIBP Auto - is a dual-function hardkey. Starts
auto BP determinations by a single-press and
gives you access to change the NIBP cycle time.
Starts stat determinations by pressing and
holding the key down (5 minutes of continuous
NIBP cycles).
Zero - zeros the IBP determination. This hardkey
is not available, it‘s reserved for furture use.
Silence Alarm - temporarily silences alarms;
acknowledges alarming crisis conditions.
Power - turns the Dash 2500 off and on.
Left Panel
Right Panel
Print - prints a snapshot (timed recording) with a
single-press. Pressing and holding the key down
allows for a continuous recording of the chosen
waveforms.
Freeze - captures up to 16.8 seconds of
waveforms on the screen. The number of
seconds varies depending on the selected sweep
speed.
Trend - enters and exits trends (view patient
trends data). This hardkey can be configured
through the configuration mode to display two
different views: mini trends or full trends.
Standby - enters and exits standby mode.
Main - closes the menu system and takes you
back to the main screen.
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• Providesupportforcableandblock
• SelectECG from the setup parameters option in the
Main menu
• Setupmonitoringparameters
Suspend all monitoring and alarms for ECG.
Choose primary lead.
Choose secondary lead.
Increase or decrease the size of all the ECG
waveforms displayed on the screen.
Enable/disable the pacemaker detection
algorithm.
Choose to detect lethal arrhythmias.
Learn the new ECG pattern and correct the
calculations of the HR/Pulse value.
Choose the label of VA lead from V1, V2, V3,
V4, V5, V6 or None.
NOTE: The options Primary lead, Secondary lead and Label VA
are only active in 5 lead configuration. The option Lead selection
is active in 3 lead configuration to choose I, II or III as the selected
lead.
NIBP
Blood pressure is monitored by GE DINAMAP®SuperSTAT™
Non-invasive Blood Pressure Algorithm that uses the
oscillometric method of measurement.
• ConnecthosetoNIBPconnectoronsideoftheDash
2500
• Measurepatient’slimbandselectproperlysizedcuff
• Connectcufftohose
• Squeezeairfromcuff
Adult/Pediatric Neonate Neonate
Start Monitoring
• TurnonthepowerbypushingeitherthePowerbuttonor
the Trim Knob when plugged into AC power
• Ensurenecessarycablesareconnectedtothemonitor
• Ensurenecessaryaccessoriesareconnectedtothepati-
ent
• Checkthatthedesiredparametersaredisplayedonthe
screen
Admitting a patient
Whenever you turn on the Dash 2500 or return from
standby, a popup window will ask you to admit a new
patient. If you want to admit a patient during monitoring:
• Chooseadmit patient from the Main Menu
• Chooseadmit from the admit patient menu
• Choosepatient type
• Enterpatientname,bednumber,unitnumber
Discharging a patient
You can discharge a patient at any time during monitoring.
Discharging a patient automatically saves the patient data
in patient trends as previous patient.
• Chooseadmit patient from the Main Menu
• Choosedischarge from the admit patient menu
ECG
ECG monitoring is accomplished with the GE EK-Pro
arrhythmia algorithm that supports 3/5 leadwire ECG and is
configured for two-lead arrhythmia analysis.
• Plugthesuitablecableconnectorintothemonitor
• Connecttheleadwirestotheelectrodes
• Preparethepatient’sskin,applyelectrodestopatient
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Suspend all monitoring and alarms for SpO2.
Choose whether or not the plethysmographic
waveform appear on the screen.
Adjust or auto-set alarm limits. Select hi
to change the high alarm limit and lo to
change the low alarm limit. The system
maintains appropriate separation between
the high and low limits.
NOTE: The auto-set option is not available for SpO2. You cannot
choose the auto-set option to set the alarm limits for oxygen
saturation. However, when SpO2is the source for HR/Pulse, using
auto-set in the Setup HR/Pulse menu will set the alarm limits
around the SpO2PR value.
Heart Rate
Heart rate/pulse (HR/Pulse) in the Dash 2500 Patient
Monitor can be derived from one of several sources. In
descending order of priority, they are ECG, pulse oximetry
(SpO2), and non-invasive blood pressure (NIBP). Instead of
choosing a single source of HR/Pulse, you can activate the
auto feature to choose the best available source.
• Preparepatient
• Connectmonitoringlines
• SelectHR/Pulse from the setup parameters option in
the Main Menu
• Setupmonitoringparameters
Choose the source of the HR/Pulse data to
be displayed on the screen.
Adjust the volume of the tone that sounds
each time a QRS complex is detected.
Adjust or auto-set alarm limits. Select hi
to change the high alarm limit and lo to
change the low alarm limit. The system
maintains appropriate separation between
the high and low limits. Choose auto-set to
usethepatient’scurrentreadingsinsetting
the high and low limits.
• Manualmode:pushtheNIBP Go/Stop hardkey once to
obtain immediate determination.
• SelectNIBP from the setup parameters option in Main
Menu to set or change limits or to set up auto mode.
• Automode:quick-pushtheNIBP Auto hardkey to begin
auto BP determinations.
• Statmode:push-and-holdtheNIBP Auto hardkey to
obtain continuous determinations for 5 minutes.
Suspend all monitoring and alarms for NIBP.
Configure a custom auto mode to meet the
needs of your clinical situation.
Set time-cycled (auto mode) NIBP
determinations.
Adjust or auto-set alarm limits. Choose hi to
change the high alarm limit and lo to
change the low alarm limit. You can set
high and low limits individually for systolic,
diastolic, and mean values. The system
maintains appropriate separation between
the high and low limits. Choose auto-set to
usethepatient’scurrentreadingsinsetting
the high and low limits.
SpO2
The SpO2parameter in the Dash 2500 Patient Monitor is
available in two different leading technologies: Nellcor®and
MASIMO SET®.
• Selectsensor
• PlugsensorconnectorintoSpO2port
• Applysensor
• SelectSpO2from the setup parameters option in the
Main Menu
• Setupmonitoringparameters
NOTE: Attach the SpO2sensor to the limb opposite the one
with the blood pressure cuff.
NOTE: Remove nail polish and artificial nails.
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Use Demo Mode for training
The Dash 2500 displays all the fictional vital signs values
and waveforms under Demo Mode. It is designed for
training prior to use.
• PushandholdtheSilence Alarm and Main hardkeys,
then push the Power hardkey, hold the Silence Alarm
and Main hardkeys until the Dash 2500 displays the
entering screen; the start-up screen shows the DEMO
MODE message in red in addition to the standard
displays; the Dash 2500 enters Demo Mode
• TheDash2500displaysallthevitalsignsvaluesand
waveforms; all these values and waveforms are not
changeable under Demo Mode
• PushthePower hardkey to power off the Dash 2500 and
exit Demo Mode
Network
The Dash 2500 network module is compatible with
CARESCAPE™ CIC Pro version 4.0.8, 4.1.1, 5.0.8, 5.1.0 and all
of other versions which are compatible with these four.
• Turnoffpower
• Connectnetworkcabletotheportlabeled“Ethernet“
on the rear of the Dash 2500. Connect the other end of
the cable to the clinical network
• TurnontheDash2500.Duringthisprocess,Dash2500
willautomaticallyacquireauniqueIPaddress
• Admitapatientonthemonitor.SettheUNITnameand
BED name. On CARESCAPE CIC Pro devices right-click on
multiple view window and select the monitor
Suspend all monitoring and alarms for TEMP.
Choose temperature displayed in either
degrees Fahrenheit or degrees Celsius.
Choose either predictive or monitor mode.
In monitor mode, choosing this option
causes the currently displayed temperature
value to be trended.
Respiration Rate
Respiration rate using the ECG electrodes is designated
RESP.
• Makesureelectrodesarepositionedproperly
• SelectRESPfromthesetup parameters option in the
Main Menu
• Setupmonitoringparameters
Temp
The temperature parameter in the Dash 2500 Patient
Monitor uses CareFusion Turbo Temp®technology and can
be used with both oral (blue) and rectal (red) temperature
probes. Two modes of operation are available: predictive
and monitor.
• Selecttemperatureprobe
• Connectprobecabletomonitor
• Inserttemperatureprobeintheappropriateplaceofthe
patient
• SelectTEMP from the setup parameters option in Main
Menu
• Makesurecorrectdeterminationmodeischosen
• Setupmonitoringparameters
Suspend all monitoring and alarms for RESP.
Choose whether the impedance RESP will be
derived from Lead I or Lead II.
Adjust or auto-set alarm limits. Select hi
to change the high alarm limit and lo to
change the low alarm limit. The system
maintains appropriate separation between
the high and low limits. Choose auto-set to
usethepatient’scurrentreadingsinsetting
the high and low limits.
Choose whether or not the impedance RESP
waveform will appear on the screen.
Change the height of the RESP waveform to
one fourth, one half, one, two, four or eight
times the standard height.
NOTE: When Adjust limits option is set to auto-set, RESP value is
reduced each second until the RESP limit alarm is reached.
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© 2010 General Electric Company – All rights reserved.
General Electric Company reserves the right to make changes in
specifications and features shown herein, or discontinue the product
described at any time without notice or obligation. Contact your GE
Representative for the most current information.
GE, GE Monogram, CARESCAPE, Dash, DINAMAP and SuperSTAT are
trademarks of General Electric Company.
Masimo SET is a trademark of Masimo Corporation.
Nellcor and OxiMax are trademarks of Covidien.
Turbo Temp is a trademark of CareFusion.
GE Healthcare, a division of General Electric company.
DOC0718889 rev5-04.10-EN-Asia Pacic Printed in China July 2012
GE Healthcare
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U.S.A.
www.gehealthcare.com
About GE Healthcare
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at www.gehealthcare.com
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