Welch Allyn VSM 300 Series Installation guide

VSM 300 Series Training Handbook

Contents
Introduction Page 1
Start Up Page 3
VSM Buttons Page 4
Patient Type, Target Pressure & Temperature Mode Page 5
Configuration Menu & Volume of SpO2 Pulse Tone Page 6
Batch Printing & Limits Page 7
Alarm Suspend Page 8
NIBP Page 9
SpO2 Page 10
Temperature Monitoring Page 11
Review Button, Nurse Call, Erasing Data & Cleaning Page 15
Error Codes Page 16
VSM Competency Checklist Page 17
VSM Competency Test Page 19
VSM Answer Sheet Page 23
VSM Answers & Contact Details Page 25

1
Introduction

2
Light Weight and Durable
• Weighs approx 5 lbs
• Made of heavy plastic
Battery
• Sealed Lead Acid battery 6 V.
• Battery life provides approx 8 hours of continuous monitoring of BP,
Temperature and SpO2
• The battery charges to 90% of capacity in 12 hrs
• The VSM should be charging, unless it is being used
Low Battery Warning
• See battery indicator on front panel when the unit is turned on.
• When battery is LOW, a warning tone sounds and the low battery
indicator flashes. (to avoid shutdown, plug in and connect the AC
power)
• When the low battery indicator comes on, there is enough charge
remaining in order to perform at least ONE of the following functions over the
next hour:
- 20 NIPB cycles
- 30 Minutes of SpO2
- 20 Temperatures
- A single printing of 99 stored data sets

3
The VSM runs a self check on powering up. You will see 888 in various
parameter windows.
Start Up

4
VSM Buttons
Buttons on the front of the VSM300 face plate as listed:
• Turn the VSM on by pressing the on/off switch
• Diagnostics screen
• Review
• Auto
• B/P Start/Stop
• Limits Suspend
• Up/Down arrows
• Menu
• Print
Each time you press the menu button, it will scroll through a series of
menus which you can select to change. These include:
Patient type - Target Pressure - Temperature Mode - SpO2/HR Tone
volume

5
Patient Type
This allows you to choose:
ADULT (ages over 13 years)
PAEDIATRIC (ages 29 days - 12 years)
NEONATE (ages < 28 days)
Press the up/down arrows until you reach the selected mode
NOTE: Age group icon on the left above on/off button
Neonatal Paediatric Adult
To set the displayed new values, don’t do anything for 10 seconds.
Target Pressure allows you to change the initial cuff inflation pressure preset
for each age group. (This is the nominal starting point, if it is too low to take a
measurement, the monitor takes another using a higher initial pressure)
• Press arrow to make changes to the target pressure
• To set the displayed new values, don’t do anything for 10 seconds
Temperature Mode allows you to choose:
• F Fahrenheit Predictive: 15 second Adult Axillary & 10 second Paediatric
Axillary
• F M Fahrenheit Monitored: 3 minute oral, 5 minute axillary, 3 minute rectal
monitored temperature
• CCelsius Predictive: 15 second Adult Axillary & 10 second Paediatric Axillary
• C M Celsius Monitored 3 minute oral, 5 minute axillary, 3 minute rectal
monitored temperature
Press the arrow to choose the temperature mode you want
To set the displayed new values, don’t do anything for 10 seconds

6
Configuration Menu
This menu allows you to make changes such as:
• Time & Date
• Hour (0 - 23 or 1 - 12)
• Minute
• Year
• Month
• Day
• MAP Measurement, enabled/disabled. The MAP value will be displayed in
the message window
• Blood Pressure (measurement units in mmHg or kPa)
• Print Mode:
- Batch will print all data in memory up to 99 cycles
- Stream prints results as soon as each cycle is finished
To Change a Configuration Parameter
• PRESS and HOLD the MENU button down for 3 or more seconds.
• PRESS the MENU button repeatedly until you reach the parameter you wish
to change
• Now PRESS until you reach the value you wish to change the parameter to
Changing the Volume of the SpO2 Pulse Tone
The pulse tone can be set from level 00 (volume off) to 05 (volume on full)
• PRESS the MENU button repeatedly until VOLUME appears & the pulse tone
sounds continuously
• PRESS the UP or DOWN arrow depending on whether you want to
raise or lower the volume.

7
•To set the displayed new values, don’t do anything for 10 seconds or press
any button other than the or arrows. (Changing the volume of the
pulse tone has no effect on the volume or alarm tones)
Selecting Stream or Batch Printing (if applicable)
• PRESS and HOLD the MENU button for 3 seconds until a message appears
on the window that reads PRINT BATCH or PRINT STREAM
• PRESS THE arrows to alternate between display, print batch, print
stream
• To set the displayed new values, don’t do anything for 10 seconds or press
any button other than the or keys
Limits
This feature allows you to make changes to the high & low alarm limits for
the following vital signs:
• Systolic HIGH & systolic LOW
• Diastolic HIGH & diastolic LOW
• Pulse rate HIGH & pulse rate LOW
• SpO2 HIGH & SpO2 LOW
• MAP HIGH & MAP LOW (if applicable)
Follow these steps to make changes to the limits:
• PRESS LIMITS button
• For the selected vital sign, do one of the following:
- Leave the limit unchanged or
- Press as needed to change the limit to another value or (--)
to disable the alarm.
• The alarm parameter you are changing, such as HR HIGH, is displayed in
the message window
• PRESS the LIMITS button to accept alarm limit & advance to next
vital sign

8
Alarm Suspend Button
When an alarm sounds, pressing the suspend button will silence it for only
90 seconds
NOTE: You will see a flashing display of the alarmed parameter
NIBP
Before starting the NIBP measurement, always follow the steps described
in the following procedures:
• Selecting a cuff (the cuff is the appropriate size, when the artery Index
marker lies somewhere between the range markings on the NIBP cuff)
• Positioning the cuff (the cuff should always be positioned on a bare arm,
midway between the shoulder and the elbow, with the artery index
marker over the brachial artery). It should fit comfortably to allow 1-2
fingers space between the cuff and the arm (there should not be room for
more than 1-2 fingers). During the NIBP measurement cycle, the patient
should have no movement to the extremity and should remain quiet
NOTE: If the cuff is not level with the heart, add 1.8 mmHg to the displayed
reading for each inch of elevation above the heart, or subtract 1.8 mmHg
from the displayed reading for each inch below the heart
Follow these steps to take a single BP:
• Attach the cuff to the patients arm
• Press BP
• When the BP cycle is completed, a tone sounds and the NIBP results are
displayed in the SYS, DIA, and Pulse rate windows.
• If MAP is enabled, the results are displayed in the message window
NOTE: If the SpO2 sensor is attached and generating valid pulse data, then
the displayed pulse rate is derived from the SpO2 sensor readings

9
Automatic NIBP—Interval Measurements
Cycles will repeat continuously at programmed intervals
• Attach the appropriate size cuff to the patient’s arm
• Press to set the measurement interval which includes: ST(Stat) & a range
of intervals listed below:
(Choose between 1,3,4,5,10,15, 30,45,60, 90, 120, 240 minutes)
The two dashes ( -- ) in the message window indicate that the automatic
mode for NIBP is turned OFF.
• Ten seconds after you select an interval, and assuming that safe Venous re
turn pressure has been maintained for at least 30 seconds, the monitor starts
the first automatic NIBP cycle
• When the cycle ends, a tone sounds and the monitor displays the
measurement. (The measurement will remain on the screen until, the next
measurement cycle begins or either 2 minutes pass, or the NIBP is
pressed again.
ST/ STAT Measurement
If the selected interval is STAT, the VSM monitor takes repeated NIBP
measurements for 5 minutes, starting a new cycle each time the cuff deflates
below safe venous return pressure (SVRP) for 2 seconds.
MAP Measurement
This is a calculated figure, available for adults, paediatric and neonates

10
SpO2 Monitoring
• Verify that the SpO2 sensor is connected to the monitor
• Attach the SpO2 sensor to the patient’s index finger. Do not attach
the SpO2 sensor to the same limb as the B/P cuff
• Within a few seconds, the pulse amplitude indicator reflects the rate
and strength of the pulse
• Within less than 20 seconds, the SpO2 window displays the SpO2
measurement and a numeric pulse rate value appears

11
Temperature Monitoring
Prep Thermometer Probe
• Holding the probe handle with your thumb and two fingers on the
indentations of the probe handle, withdraw the probe from the probe well
• Wait for the 188.8 and the ORL to appear in the temperature screen
• Insert the probe into a new probe cover, and press down firmly until a new
probe cover engages onto the probe.
Taking Oral Temperatures
It is IMPORTANT that while taking a 4 second predictive temperature that:
• The patient is instructed not to talk or move during the temperature
reading process
• Place the Probe deep into the patient’s medial posterior sublingual
pocket
• The nurse holds the probe in place maintaining tissue contact until
the temperature is complete

12
Taking Axillary Temperatures
• Holding the probe handle with your thumb and two fingers on the
indentations of the probe handle, withdraw the probe from the probe
well
• Wait for the 188.8 and the ORL to appear in the temperature screen
• Press the UP/ DOWN arrows to change the display to:
AP( axillary pediatric 17 years and younger) or
AA ( axillary adult 18 years and older)
• Insert the probe into a new probe cover, and press down firmly until a
new probe cover engages onto the probe
• Lift the patients arm to fully expose the axilla, place the probe tip as high
as possible in the axilla, aligning the probe vertically with the spine and
then lower the patients arm down to make maximum contact with the
probe tip. The patient should always remain still, maintaining good tissue
contact throughout the process.

13
Taking Rectal Temperatures
For rectal temperatures, use only the RECTAL PROBE/with the RED ejection
button & the RED probe well
• Holding the probe handle with your thumb and two fingers on the
indentations of the probe handle, withdraw the probe from the probe well
• Wait for the 188.8 and the rEC to appear in the temperature window
• Load the probe cover onto the probe
• Apply a thin coat of water-based lubricant to the tip of the probe cover
(optimal)
• Insert the probe tip 5/8 of an inch for adults and approximately ½” for
children inside the rectal sphincter
• Tilt the probe slightly to ensure good tissue contact
** WARNING** Use extreme care to avoid any risk of bowel perforation
• Temperature reading will be displayed for 1 minute on message window
• Things that will create interferences with oral measurements for up to
20 minutes:
- Ingesting hot or cold liquids 20 minutes prior
- Talking
- Eating food
- Chewing gum or mints
- Brushing teeth
- Mouth care
- Smoking
- Performing strenuous exercises
NEVER reuse probe covers; reusing covers will give inaccurate temperature
readings and may be an infection risk.

14
Monitored Mode
Remember to select correct scale, F M or C M, for Monitor Mode
Temperature
• Continuous monitoring mode; not recommended for use over 5 minutes.
• Measurements are not stored in memory
• 3-5 Minute thermometer reading is equivalent to using a glass thermometer.
• Useful for double-checking fast predictive readings; i.e. an infant exposed to
cool ambient temperatures, or hypothermic patient
• To use monitor mode:
- Select the correct probe/probe well
- Load probe cover
• Determine the site for the Temperature reading: Oral, Axillary, or Rectal.
• Take the patient’s reading in the appropriate place. Continue to hold the
probe in position as the temperature is displayed
• Keep the thermometer in place for the required duration:
- Oral 3 minutes
- Axillary 5 minutes
- Rectal 3 minutes
• Record the temperature before removing the probe from the site.
• Discard the probe cover. Upon returning the probe to the well, the
thermometer will stay in present mode used. Change as needed
NOTE: The thermometer enters Monitor Mode automatically if it is not used
for 60 seconds or if the patient’s temperature is too low to allow the device to
predict

15
Review Button
Review button will systematically display all accumulated data starting with
the most recent stored set of patient vital signs data. The message window
displays READING with data-set sequence number and time of displayed
reading.
Nurse Call (if applicable)
When the cable is connected and operational, the monitor immediately
notifies the Nurse Call system when a patient alarm occurs.
Erasing Data
• If you attempt to change the date and time, the monitor prompts you to
confirm that you also want to erase all stored data.
• To erase patient data during normal operation, press and hold the Review
button for 3 seconds
• When the monitor prompts for confirmation, press the Up button
to confirm or the Down button to cancel
Cleaning
Wipe with a damp cloth with one of the following:
• 70% isopropyl Alcohol
• 10% or less Bleach Solution
• Mild detergent and water
• Hospital disinfectant that is non-staining Patient Type

16
Error Codes
• The VSM 300 is equipped with the technology to detect an error in
calculating a patients vital sign. The codes will display on the parameter
that has the error.
• The error code references are located on the right side of the VSM 300 and
also on page 74 in the VSM 300 User’s Manual

17
Medical Devices: Self-verification of competency
This form must be passed to your manager when complete
Surname: Forename(s)
Title (Mr/Mrs/Miss/Dr etc): Payroll No:
Job Title/Designation: Dept/Ward
Manager’s Name:
Competency Code Description Risk Tick
Welch Allyn VSM 5300
Self-verification of competence is undertaken by assessment against the
following statements: The statements are designed to indicate competence to
use the device. Responsibility remains with the user. If any doubt exists, consult
your manager to arrange training.
You must be able to answer YES to all applicable statements before
considering yourself to be competent
You should be aware of the Trusts performance standard for the safe use of
medical devices. You should have read and understood the instructions for use