General Skills. yes. Device controls, buttons, indicators, and connectors

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1 HeartStart MRx Skills Checklist This checklist assesses qualified medical personnel s understanding of MRx operation after instructor-based training. Perform a quick skills assessment using the General Skills checklist below or a more extensive assessment using the Detailed Skills checklist starting on Page 2. General Skills DEMONSTRATES BASIC UNDERSTANDING OF: Device controls, buttons, indicators, and connectors ECG monitoring SpO 2 monitoring EtCO 2 monitoring NBP monitoring Invasive pressure monitoring Temperature monitoring Trending report 12-Lead acquisition Data transmission Works with data reports Manual Defibrillation Mode Synchronized cardioversion AED Mode Q-CPR Noninvasive pacing Intellivue networking MRx maintenance Student: Educator Name: (printed) Educator Signature: Date:

2 Detailed Skills LOCATES: RFU Indicator External Power Indicator Mark Event button Lead Select button Soft key buttons Summary button Alarm Pause button Menu Select button Navigation buttons Therapy Knob Charge button Shock button Sync button Print button 2

3 IDENTIFIES INFORMATION DISPLAYED IN MONITOR MODE: Mark Event button label Date & Time Battery icons INOP & Alarm areas Event timer Heart rate Wave sectors 1-4 Parameter blocks Patient category Patient name 12-Lead soft key NBP soft key INTERACTS WITH WAVES: Changes lead and/or parameter waves displayed in Wave Sectors 1-4 Changes waveform(s) printed in Wave Sector 2 (for 50mm printer) or Wave Sectors 2 and 3 (for 75mm printer) INTERACTS WITH ALARMS: Differentiates function of audio pause versus alarm pause Identifies alarm pause duration message on the display Identifies alarm icon and status Identifies where alarms and inops are displayed Identifies the source of an alarm message 3

4 MONITORS ECG: Activates Monitor Mode Connects an ECG cable Selects desired lead in wave sector 1 Changes the ECG size in wave sector 1 Identifies alarm settings and status of alarms (on or off) Acknowledges alarms using Menu Select and Navigation buttons Changes HR alarm limits Changes VTACH alarm limits Displays an annotated ECG Initiates arrhythmia relearning MONITORS SpO 2 : Connects the SpO 2 cable Identifies SpO 2 and pulse rate values on the display Identifies SpO 2 and pulse alarm settings on the display Identifies the pleth wave MONITORS EtCO 2 : Attaches FilterLine tubing to EtCO 2 inlet port Identifies the EtCO 2 and AwRR values on the display Changes the apnea alarm Displays the EtCO 2 waveform in a wave sector 4

5 MONITORS NONINVASIVE BLOOD PRESSURE: Attaches cuff to NBP tubing Connects the NBP tubing to the MRx Applies the appropriate cuff size Initiates a manual measurement States the NBP reading and alarm settings (as displayed) Changes alarm parameter from the default States the current NPB schedule (as displayed) Changes the NPB schedule Identifies minute interval that NBP values are removed from the display if no subsequent measurements are taken MONITORS INVASIVE PRESSURE: Connects the pressure cable(s) to the transducer Connects the pressure cable(s) to the MRx Selects the pressure(s) to monitor and appropriate label and wave scale Identifies two ways to zero a pressure channel Identifies the pressure measurements, waveforms, and alarm settings (as displayed) Changes the alarm source Changes the pulse source to an existing pressure MONITORS TEMPERATURE: Connects the temperature cable to the MRx Selects a temperature label to monitor Identifies the temperature reading and alarm settings (as displayed) Changes the alarm limits 5

6 INTERACTS WITH VITAL SIGNS TRENDING REPORT: Displays vital signs trending report Identifies various report contents (e.g., vitals monitored, units of measure, time intervals, etc.) Scrolls through report Changes trend time interval Prints a copy of the trending report ACQUIRES A 12-LEAD ECG: Connects a 10-lead patient cable Accesses the 12-lead function Acquires a 12-lead ECG Acquires a 12-lead ECG with ACI-TIPI analysis Acquires a 12-lead ECG with ACI-TIPI and TPI analysis Prints a copy of the 12-lead ECG TRANSMITS DATA REPORTS: Bluetooth transmission Sets up transmission by adding and pairing a Bluetooth device with the MRx, and changing the Bluetooth device profile, as needed Transmits a 12-lead ECG or Event Summary to receiving destination Rosetta transmission Sets up transmission with appropriate cable connection Transmits a 12-lead ECG to receiving destination RS-232 transmission Sets up transmission with appropriate cable connection Options not 6

7 Transmits a 12-lead ECG to receiving destination Periodic clinical data transmission Sets up transmission with appropriate receiving destination Transmits periodic clinical data Batch LAN data transfer Sets up transfer with appropriate cable connection Transfers an event summary WORKS WITH MRx DATA: Copies event data to external data card Views and erases external data card Prints various data reports during an event Prints an Event Summary, Trends, and/or specific 12-Lead Report in Data Management Mode Marks an event DEMONSTRATES MANUAL MODE: Identifies the type of waveform produced by MRx as low-energy biphasic States recommended energy setting for adult defibrillation Applies multifunction electrode pads in correct position Connects a therapy cable Selects the desired energy Locates the Shock Status area and identified selected energy and number of shocks delivered Charges the defibrillator Identifies the disarm soft key Delivers a shock Turns on and off the Sync function Identifies R-wave markers 7

8 For synchronized cardioversion, states the shock button must be held until the energy is delivered Uses navigation buttons to increase or decrease energy settings 10J or less Locates pediatric paddles Reactivates alarms DEMONSTRATES AED MODE: Identifies patient criteria for AED use Connects the pads therapy cable Applies multifunction electrode pads in correct position Activates AED Mode Follows prompts Delivers a shock when prompted DEMONSTRATES Q-CPR IN MANUAL MODE: Connects the Pads/CPR cable Connects the CPR meter (or compression sensor) Connects the CPR meter (or compression sensor) adhesive pad Applies multifunction electrode pads in correct position Applies the CPR meter (or compression sensor) in correct position Identifies the Start CPR and Stop CPR soft keys Activates Q-CPR Performs compressions using the CPR meter (or compression sensor) Performs ventilations Identifies compression, No Flow Time, and ventilation values on the MRx display Identifies the compression and/or invasive pressure waveform 8

9 Identifies ventilation detection icon Identifies audio feedback prompts Identifies CPR meter display data Deactivates Q-CPR DEMONSTRATES Q-CPR IN AED MODE: Connects the Pads/CPR cable Connects the CPR meter (or compression sensor) Connects the CPR meter (or compression sensor) adhesive pad Applies multifunction electrode pads in correct position Applies the CPR meter (or compression sensor) in correct position Identifies the Pause for CPR soft key Basic CPR View Activates Q-CPR Performs compressions using the CPR meter (or compression sensor) Performs ventilations Identifies text feedback prompts on the display Identifies audio feedback prompts Identifies CPR meter display data Advanced CPR View Activates Q-CPR Performs compressions using the CPR meter (or compression sensor) Performs ventilations Identifies compression, No Flow Time, and ventilation values on the MRx display Identifies the compression waveform Identifies ventilation detection icon Identifies audio feedback prompts Identifies CPR meter display data 9

10 DEMONSTRATES PACING FUNCTION: States when paced pulses are delivered in demand mode versus in fixed mode If A/P pad position is chosen when using Philips pads, identifies the sternal pad as the posterior pad Applies multifunction electrode pads in correct position Connects the appropriate cables for demand mode pacing States criteria for selecting a lead Activates Pacing Mode Identifies R-wave markers and states where they should appear Identifies white pacing markers Able to increase and decrease pacer output and rate to obtain capture Verifies peripheral pulse at capture Locates area of display where pacing on battery message is shown (when applicable) DEMONSTRATES INTELLIVUE NETWORKING: Identifies IntelliVue Networking display data (including wired and wireless icons) Identifies how to connect the MRx to the IntelliVue Network for wired and wireless configurations Admit, discharge, and transfer a patient to and/ or from the IntelliVue Information Center and MRx Identifies data and information MRx shares with the IntelliVue Information Center 10

11 MAINTAINS THE MRx: Completes the shift checklist Completes a weekly shock test Runs an Operational Check with the appropriate accessories and responds when prompted States the procedure for charging batteries Inserts paper into the printer Describes the RFU status that indicates the MRx is ready for use Describes the other RFU statuses and the action(s) required States acceptable MRx cleaning solutions Student: Educator Name: (printed) Educator Signature: Date: Edition 4 Koninklijke Philips Electronics N.V Printed in the USA. May 2009 * * *4* 11

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