Patient Monitoring

IntelliVue MP2Patient MonitorRelease J .0 with Software Revision J .xx.xx

For use together with the Instructions for Use and the MP2 Training Guide

KNOWLEDGE TEST & SKILLS LIST

1Competency

Competency can be defined as having the knowledge, skill and attitude to perform given tasks correctly or according to standards. Continuing competency can also be defined as performance of job tasks consistently according to standards.

Based on this definition, this book contains a knowledge test to determine the user’s knowledge of the MP2 patient monitor after completing the MP2 Training Guide. In addition, a Skills Checklist has been included that can be used to determine the clinical user’s ability to perform basic monitor tasks.

The tasks in the Skills Checklist should be performed with the monitor in Monitoring mode using a patient simulator. If you don’t have a patient simulator, place the monitor into Demo mode to see some data. Demo mode provides a simple simulation of waves and numerics with fixed values.

WARNING Demo mode is for demonstration purposes only. Never use Demo mode when a patient is attached to the monitor. When you enter Demo mode, all stored trend information and patient demographics are deleted from the monitor’s memory. When you have completed your training tasks, always exit Demo mode. When you exit Demo mode, all stored trend information and patient demographics are deleted from the monitor’s memory, and the monitor is reset to its default settings.

2

Knowledge Test

Knowledge TestName: ________________________________ Test Date: ______________________________

Title: _________________________________ Unit: __________________________________

Score: _________________________________

1 Fill in the blanks with the correct number from the picture to match the definition.

a. ____ On/Off switch

b. ____ Measurement connectors

c. ____ Alarm Lamps

d. ____ Battery eject button

e. ____ Power and battery indicators

2 A measurement setup menu allows the user to: (More than one answer may be correct.)

a. Turn off the measurement alarm

b. Change the alarm limits

c. Turn off the measurement

d. Change the color of the waveform and numeric

3 To change settings related to a measurement wave:

a. Select the Change Wave SmartKey

b. Select the wave on the screen

c. Select the Status Line on the screen

d. Waveforms cannot be changed

2

3

4

1

5

3

Knowledge Test

4 What happens when you select the Silence key?

a. All active alarms are acknowledged and silenced

b. All alarms are silenced for 10 minutes

c. All alarms are switched off for 2 minutes

d. All alarms except life threatening alarms are suspended for 2 minutes

5 The following symbol displayed near the HR numeric indicates: (More than one answer may be correct.)

a. Paced mode is enabled, pacing alarms are active

b. Paced mode is disabled, pacing alarms are not active

c. If patient is paced, pace pulses will be displayed on the ECG

6 What is an INOP alarm?

a. An alarm condition that only occurs IN the OPerating room

b. A technical alarm that indicates an INOPerative condition has occurred

c. An alarm that occurs when the user changes the operating mode

7 The Alarms key:

a. Turns off only all yellow alarms

b. Turns off all alarms for 1, 2, or 3 minutes depending on configuration

c. Turns off all non critical alarms for 2 minutes

8 If you turn the SpO2 alarm off in the SpO2 Setup menu or in the Alarm Limits menu, the alarm will remain off:

a. Until you change the SpO2 alarm limits

b. For 3 minutes

c. For 5 minutes

d. Until you turn it back on

9 To change the HR alarm limits: (More than one answer may be correct.)

a. Select the HR numeric to open the ECG Setup menu

b. Select the ECG waveform to open the ECG wave setup menu

c. In the SmartKeys window, select Alarm Limits and select HR

4

Knowledge Test

10 To correctly derive an ECG in EASI lead placement, you have to(More than one answer may be correct.)

a. Activate EASI mode in the monitor’s configuration mode

b. Switch Placement to EASI in the ECG Setup menu

c. Place the ECG electrodes on the chest following the ECG lead placement

d. All of the above

11 How can you display a Respiration Rate (RR) numeric on a screen where no RR is displayed yet?(More than one answer may be correct.)

a. You have to configure it in configuration mode

b. Open the Change Screen Window and select Big Numeric

c. Select any existing numeric, select Change Numeric and select Any Resp

d. Open the SmartKeys window and select RR

12 During the admission of a patient, the Patient Category: (More than one answer may be correct.)

a. is not relevant to know

b. can be selected via the following symbols: Adult, Pedi, or Neo

c. determines a default height and weight for the patient

d. determines

• the algorithm the monitor uses to process and calculate some measurements (for example

arrhythmia),

• the safety limits that apply for some measurements (for example NBP), and

• the alarm limit ranges for all measurements.

e. A change of the patient category does not change any alarm limits to fit this category.

13 Why is it important to admit your patient to the monitor?

a. The monitor will not alarm for unadmitted patients

b. Patient data will not be stored for unadmitted patients

c. Patient demographics such as name and MRN will be printed on recordings or reports when a patient is admitted

14 Which of the following demographic data can be entered when you admit the patient to the monitor?(More than one answer may be correct.)

a. Weight

b. Patient category

c. Medical Record Number

d. Date of birth

e. Bed label

5

Knowledge Test

15 In the Patient Demographics window, what happens when you select Remove Monitor from a patient? (More than one answer may be correct.)

a. The information in the Patient Demographics window is cleared

b. All settings are reset to the default Profile

c. All patient data is cleared

d. Monitor turns off

16 How are alarms indicated? (More than one answer may be correct.)

a. Alarm sounds

b. Alarm message

c. Alarm lamps flash

d. Numeric of the measurement in alarm flash (only for alarm limit violations)

17 Match each item with the correct description.

a. Alarms key: turns off all alarms for one minute, two minutes, three minutes, or infinitely depending on configuration.

b. Alarm has been silenced and there are more alarms

c. Alarm is switched off

d. Auto Limits Narrow

18 Switching Off the ECG measurement:

a. Replaces the HR numeric and the ECG wave with the SpO2 numeric and Pleth wave automatically

b. Generates an INOP alarm

c. Opens the Measurement Setup window to ask for an other measurement instead

19 An alarm is “latched”, if:

a. it provides an alarm reminder every 10 minutes

b. the alarm tone sounds without interruption with an alarm tone volume of 8

c. the numeric and the alarm lamp flash, the alarm tone sounds and the alarm message is shown, although the alarm condition is no longer present

d. the numeric and the alarm lamp flash, the alarm tone sounds and the alarm message is shown, although the Silence key was selected

1.___

2.___

3.___

4.___

Apnea

6

Knowledge Test

20 In the Vital Signs A Screen, match each item with the correct displayed trend

a. Graphical view

b. Tabular view

c. Horizon view

21 If you select the NBP Start/Stop SmartKey, what will happen? (More than one answer may be correct.)

a. Any current measurement and automatic NBP cycle is stopped

b. Only a current measurement is stopped, the next automatic measurement will occur

c. An NBP measurement starts if no measurement is ongoing

22 NBP STAT mode takes continuous pressures for:

a. 15 minutes

b. 10 minutes

c. 5 minutes

d. 1 minute

23 You disconnect your patient from the monitor to go to X-ray. The best way to prevent alarms without losing patient data is to:

a. Turn the monitor off

b. Turn off all the individual alarms

c. Place the monitor into Monitor Standby

24 To view the Vital Signs trend window for your patient, select:

a. Vitals Trend SmartKey

b. Main Setup > Trends > Vitals Trend

c. Graph Trend SmartKey > > > Vital Signs

d. All of the above is possible

1.___

2.___

3.___

7

Knowledge Test

25 What is the total time visible in the Vitals Trend window (Main Setup > Vitals Trend) when the Interval is set to 1 h?

a. 1 hour

b. 3 hours

c. 9 hours

26 In the list below, enter the type of alarm (Red, Yellow or INOP)

a. Asystole ___________

b. SpO2 Sensor Off ___________

c. HR140>120 ___________

d. Apnea ___________

27 Which part of the alarm limit button do you select to change a low limit alarm?

a. The symbol.

b. The value on the left side (50)

c. The value on the right side (120)

d. All of the above is possible

28 Pacer spikes are shown in the following way in the ECG:

29 How much time do you have to change the battery (on a monitor powered by the external power supply) before the !!Insert Battery INOP is activated. The time is:

a. 5 seconds

b. 10 seconds

c. 15 seconds

d. 20 seconds

a

White line with an asterisk

b

White line with a dot

c

White line with a pacer symbol

8

Skills Checklist

Skills ChecklistName: ________________________________ Test Date: ______________________________

Title: _________________________________ Unit: __________________________________

Observer:_______________________________Title: _________________________________

Pass Needs Review

Not Applicable

Skill

Basic Operation

Identify and describe the controls, indicators and connectors of the MP2 monitor

Identify and describe the screen content

Describe the principle methods of operating your monitor

Open the SmartKeys window and describe the different SmartKeys

Starting Monitoring

Switch on the monitor

Acquiring Data

Admit a patient

Change or add information to the patient demographics by using the on-screen keyboard

Change the patient category (and change it back in the end)

Change the Paced Mode

Change the ECG Lead Placement mode

Correctly place ECG electrodes for EASI ECG lead placement

Change the ECG Filter

Switch to different monitor Screens

Change waves and numerics on the Screen

Display a wave temporarily in a setup menu

Start and Stop manual and auto NBP measurements

Switch On and Off a measurement

Describe the automatic screen content change after switching Off the ECG measurement

Activate and leave Monitor Standby

Managing Data

Change alarm limits

Describe different alarm behavior

Acknowledge/Silence alarms

Switch all/individual alarms on/off

Describe all items in the Alarm Limits menu

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Skills Checklist

Select and describe narrow and wide alarm limits

Change the QRS and alarm tone volume

Evaluating Data

Select Screens with a screen trend

Select different views of screen trends

Activate and explain the cursor in the Graphical Screen Trend

Open the Vital Signs and Graphical trend window

Select different trend groups and intervals

Select the different alarm messages in the Review Alarms menu and describe the different monitor actions

Ending a Case

Explain the necessity of Removing a monitor from a patient

Remove the monitor from the patient

Configure different end case reports

Start an End Case procedure

Describe the three functions of an End Case procedure

Using Batteries (part 1)

Identify how much battery life is available

Release and insert the battery

Describe the alarm behavior when changing the battery

Ending Monitoring

Switch off the monitor

Using Batteries (part 2)

Check the battery capacity outside the monitor

Pass Needs Review

Not Applicable

Skill

10

Knowledge Test Answers

Knowledge Test Answers

1 a-5, b-3, c-1, d-2, e-4

2 a, b, c

3 b

4 a

5 a, c

6 b

7 b

8 d

9 a, c

10 b, c

11 b, c

12 b, d, e

13 c

14 a, b, c, d

15 a, b, c

16 a, b, c, d

17 1-b, 2-c, 3-a, 4-d

18 a

19 c

20 1-c, 2-a, 3-b

21 b, c

22 c

23 c

24 d

25 b

26 a-Red, b-INOP, c-Yellow, d-Red

27 b

28 b

29 c

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