Philips PageWriter TC70,TC50,TC30 Cardiograph - Quick User Guide
Philips PageWriter TC70,TC50,TC30 Cardiograph - Quick User Guide
Skin Prep
Always follow good skin prep techniques for every patient. Proper skin prep helps to ensure a good quality ECG. Skin is a poor
conductor of electricity and frequently creates artifact that distorts the ECG signal.
1 2 3
Clip hair from electrode sites if necessary. Wash the skin thoroughly with soap and Dry the skin vigorously to increase capillary
Excessive hair prevents a good connection. water. blood flow to the tissues and to remove the
dead, dry skin cells and oil.
2
3
Attaching Electrodes and Lead Wires
Standard 12-Lead AAMI/IEC
V2/C2 V3/C3
V1/C1 V4/C4
1
RA/R LA/L 2 V5/C5
3
4 V6/C6
5
RL/N LL/F
V1/C1 V2/C2
V3R/C3R V3/C3
4
5
Adult Extended Lead AAMI/IEC (TC70/TC50 only)
V1/C1 V2/C2
V3R/C3R V3/C3
ECG
button
6
7
Checking Signal Quality
Check the color-coded waveforms on the Main screen. The color of the waveform indicates the lead signal quality.
Orange Severe artifact, electrical interference, or a poor Electrical interference from another device
electrode connection Patient tremors, shivering patient, inadequate patient preparation
One or more limb leads are disconnected Very poor electrode contact, dry electrodes
(chest leads display orange) Limb lead(s) are disconnected
Red dotted line Loose electrode connection Inoperative electrode, electrode that has fallen off of the patient
ECG waveform data that cannot be analyzed Defibrillation has been performed too recently to take ECG measurements
Other cause that renders waveform data useless
Touch the Map button to check for any loose or inoperative electrodes or lead wires. A red mark identifies the
location of a bad electrode or lead connection.
Wandering Baseline Inadequate patient preparation Reassure the patient and make sure that the patient is comfortable. If the
patient has tremors, attach the limb electrodes higher on the patient
Moderate patient movement (closer to torso).
Very poor electrode contact Ensure that the lead wires are not pulling on the electrodes and that the
electrodes are firmly attached.
Patient respiratory interference
Turn on the Baseline Wander filter.
Somatic Tremors Patient is cold and shivering Place a blanket on the patient to warm the patient.
AC Interference Electrical interference from another Check for devices that could be causing electrical interference. Unplug the
device (IV pump, microwave oven, devices or switch to battery power.
cellular phone, wireless device)
Lay the lead wires alongside the limbs and away from any electrical devices.
An electrical device near the
cardiograph that is improperly Turn on the AC filter.
grounded
8
9
Taking a STAT or Urgent ECG
2 Press the ECG button (on the PIM or above the keyboard) twice rapidly.
The ECG is acquired and appears on the Preview screen. See page 17 for information.
x2
2 Once the patient is connected, the ID button is lit. Touch the ID button.
Enter patient information. Required information is indicated in blue type and must be completed in full in order
to transfer the ECG to TraceMaster or other remote system (if supported).
3 When all required patient information has been entered, and all leads are connected and are of good
quality, the ECG button is lit. Touch the ECG button on the cardiograph or on the PIM.
The ECG is acquired and appears on the Preview screen. See page 17 for information.
x1
10
11
Using the Main Screen
Main Screen
C D E F G H I J
Main Screen
Name Description
B Waveform Display area The display area for waveform data. The waveforms are color-coded to indicate signal quality.
See page 7 for information
C Displays a map of electrode placement
A loose lead or electrode is indicated by a red mark
J
Get help with using the cardiograph
12
13
Using the Main Screen
Status Bar
A B C D E F G H I
N M L K J
Name Description
E Indicates that the Patient Interface Module (PIM) is disconnected from the cardiograph
Check the PIM cable
F Indicates that the Caps Lock setting is enabled (keyboard types in all capital letters)
Touch the Caps Lock key (on keyboard) to disable the setting
Status Bar
Name Description
G Current LAN connectivity status; a red “x” (as shown) indicates no connection
Tap the icon to view full LAN connectivity status information
14
15
Using the Main Screen
Working with Exams
Touch to change Touch to change filter, pacing,
Selected Exam printed report settings and waveform scale settings
16
17
Using the Preview Screen
Preview Screen (continued on page 19)
The Preview screen displays how the ECG will appear when printed. The ECG may automatically print, save, or transfer to TraceMaster or
other remote system, or you can touch the Print, Save, or Transfer buttons on this screen to manually perform these functions.
A B
Critical Values
Message 987654321 6/28/2007
Born 1/1/1938
2:14:17 PM
Female
Doe, Jane(H)
Race: Other 195 lbs 65 in BP:
Community Hospital (21)
Dept: ER (45)
C
Rx No known Rx
Oper: Williams
Dx No known Dx
If any of these statements Rate 35 . COMPLETE AV BLOCK WITH WIDE QRS COMPLEX..............................V-rate<50, QRSd>140, AV dissoc D
PR
appear on this area of the QRSD 144
QT 652 Order: O-123
Enc: E-123
E
ECG, get help immediately! QTc
--AXIS--
497
Fac: West Campus (5)
P 76
QRS -12
- ABNORMAL ECG - Requested by: Phelps (A12445)
Unconfirmed Diagnosis
F
Complete Heart T 106
>>>> Complete Heart Block <<<<
I aVR V1 V4
Block
Very High Heart
Rate II aVL V2 V5
Acute MI
Acute Ischemia III aVF V3 V6
II
Dev: 132 Speed: 25 mm/sec Limb: 10mm/mV Chest: 10 mm/mV 60~ 0.05-150 Hz PH090A P?
Preview Screen
Name Description
E Send the ECG to TraceMaster or remote system for processing. Note: Only ECGs with complete patient
information can be transferred. Touch the ID button to complete any missing patient information that is required by
your facility.
F Review on this Preview screen and print on the cardiograph the most recent previous ECG from the
same patient
Requires active TraceMaster connection
Note: The Print, Save, Transfer, or Last ECG buttons may not appear on this screen, or may appear grayed out (cannot be selected) depending on how the cardiograph
is configured. If the buttons are grayed out, the cardiograph automatically perform these functions. If the buttons do not appear, the cardiograph is not configured to support
these functions.
18
19
Preview Screen, continued
J I
J Enter missing patient information, or edit existing patient information for the displayed ECG (not available with
Last ECG feature). Note: On the Preview screen, this feature is not used to enter patient information for a new patient.
20
21
Using Rhythm
Touch (from Main screen) to print recordings of up to 12 or 16 leads
1 future
Main or Rhythm screen: if an event of interest is viewed, touch and hold directly above the waveform for two seconds to capture the significant data for
review and processing.
Event mark
Once the data is captured, a white Event mark appears above the waveform.
As the waveform data on the screen refreshes, additional Events can be captured
as necessary. Even though an Event scrolls off of the screen, it is saved for review
on the Disclose screen.
2 The captured Event(s) can be fully reviewed from the Disclose screen. Touch the Disclose button to open the screen. The Disclose screen displays
continuous waveform data for a selected lead. For the TC70, up to 20 minutes is displayed. For the TC50, up to 12 minutes is displayed. For the TC30,
up to 6 minutes is displayed.
22
23
Using Disclose, Default View (continued on page 24)
Use the Disclose screen to review Events, or to view continuous waveform data for a selected lead.
Touch button on the Main screen. The Disclose screen appears and displays static waveform data for the selected lead. This is the default Disclose
view. See page 25 for information on viewing live waveform data.
Data timeline
24
25
Using Disclose, Live Patient View
The Disclose screen can also display live continuous patient ECG data for a selected lead.
Touch this button to take an ECG of the most Touch this button to
recent 10 seconds of waveform data. display live patient
waveforms. Touch again
to return to a static view.
26
27
Using the Worklist
Worklist Screen (continued on page 29)
B E
Worklist Screen
Name Description
A Touch a tab to select it. The selected tab is highlighted in blue.
The number on the Worklist tab (130) is how many pending orders or patient demographics are available on the
cardiograph.
B Selected Inbox The currently selected Inbox. Touch the dropdown arrow button ( ) to open the dropdown list and to select a
different Inbox.
Select USB to view orders saved to the USB memory stick. Ensure that the USB memory stick is fully inserted into the
USB connector (front right side of cardiograph).
C Patient Information Bar Each column on the bar contains a category of patient information included in orders or patient demographics. Touch any
column to sort the patient information for that column in ascending or in descending order. The selected column is
indicated with an arrow ( ).
Touch the Select column header to select or to deselect all displayed entries.
D Selected Entry Touch an entry to select it. A checkmark in the box underneath the Select column ( ) indicates that an order is selected.
The most recently selected entry is highlighted in blue.
Touch, press, and hold down on any field in an entry to view all of the patient information contained in an entry in a separate
window. Touch the window when done to close it.
E Touch this button to download orders from the selected Inbox (B). Note: this feature is not available with the ADT option.
28
29
Worklist Screen, continued
F I
G H
Name Description
F Order or Patient Displays storage information including: New Appended or New: this is the number of orders or demographics most
Demographics Storage recently downloaded to the cardiograph. Available is the total number of additional orders or demographics that can be
Information stored in the Worklist. Up to 200 total orders or demographics can be stored in the Worklist. Selected is the number
of orders or demographics currently selected.
G Message Bar Status messages appear here when actions are occurring
H Touch this button to stop the downloading of entries, or stop the deletion of entries.
J Touch this button to select the blue highlighted order or demographic in the Worklist and apply it to the current patient.
Note: only 1 order or demographic can be selected.
K Touch this button to delete the selected orders or demographics ( ) from the Worklist.
30
31
Finding Patient Information (continued on page 33)
B
B
D
C
Name Description
Touch the dropdown arrow ( ) to open the dropdown list of available search locations. Touch a location to select it.
B Search Fields Enter patient information into these fields. The entered information will be used to search for specific patients. Press the Tab
key (on keyboard) to move to the next field, or press Tab and Shift keys to move back to the previous field.
To scan barcode data into a search field, place the cursor in the field. Scan the barcode data.
D Selectable Search Touch the dropdown arrow ( ) to open the dropdown list of additional search fields. Touch a search field to select it.
Field Note: The selected search field must be enabled as part of your patient management system.
The available search fields include: Order Number, Account Number, Gender, Unit Number, and Priority
(STAT). These search fields can be used to refine a search if too many entries are returned from an initial search.
Wildcard Search
To search for an order or demographic using a wildcard, enter * into the field. For example, to search for a
patient name that may be entered as Jane Doe or Janey Doe in the management system, enter the last name
(Doe), and then enter Jan* into the first name field.
32
33
Finding Patient Information, continued
F G H I
Name Description
E Patient Search Information Displays information about search results. Found is the number of total entries that match the entered search information.
Listed is the number of entries displayed on the screen; a maximum of 200 entries can be displayed. Selected is the number
of entries currently selected.
F Touch this button to search for patients using the entered search information.
G Touch this button to select the blue highlighted entry for the current patient session. Note: only 1 entry can be selected.
H Touch this button to download the selected patient(s) to the Worklist so that they may be selected for future patient
sessions.
J Patient Search Results This area displays patients that match the entered search information.
34
35
Transferring ECGs
Archive Screen (continued on page 37)
The Archive screen is used to transfer completed ECGs (as either a PDF or XML file) to TraceMaster or other remote system, or to a USB memory stick. It
is also used to delete ECGs, to print a list of saved ECGs, and to download ECGs from a TraceMaster to the cardiograph (if supported).
A B C
Archive Screen
Name Description
A Selected Archive List The currently selected Archive. Touch the dropdown arrow button ( ) to open the dropdown list of available Archives.
Touch an Archive to select it.
B Transfer Destination The currently selected ECG transfer destination. Touch the dropdown arrow button ( ) to open the dropdown
list of available transfer destinations. Touch a transfer destination to select it.
C Transfer Delete Option The currently selected transfer delete option for ECGs. Touch the dropdown arrow button ( ) to open the dropdown
list of available options. Touch an option to select it.
Note: Once ECGs are deleted from the Archive they cannot be retrieved.
D ECG Information Bar Each column on the bar contains a category of patient information associated with the ECGs. Touch any column to sort
the patient information for that column in ascending or in descending order based on the column heading. The selected
column is indicated with an arrow ( ). Touch the Select column header to select or to deselect all ECGs displayed in
the list.
E Selected ECGs A checkmark in the box underneath the Select column ( ) indicates that an ECG is selected. A selected ECG is
highlighted in blue. Touch the Select column header to select or to deselect all ECGs displayed in the list.
Touch, press, and hold down on any field in a selected ECG to view all of the information associated with the ECG in a
separate window. Touch the window when done to close it.
36
37
Archive Screen, continued
G H I J K L M
F Archive Storage Displays ECG storage information for the selected Archive. Stored ECGs is total number of ECGs stored in the
Information selected Archive. Available ECGs is the number of additional ECGs that can be saved to the selected Archive before ECGs
will need to be deleted to free up space. Selected ECGs is the number of currently selected ECGs (highlighted in blue).
Touch to enter missing patient information for the selected ECG (highlighted in blue). Note: patient information may
G only be entered for one ECG at a time. This feature is not used to enter patient information for a new patient.
Touch to view the selected ECG (highlighted in blue) on the Preview screen. From the Preview screen, the ECG
H may be viewed and printed in a variety of different report formats.
I Complete ID Information ECGs displayed in the list that are highlighted in white have complete patient information and may be transferred. ECGs
displayed in the list that are highlighted in orange are missing required patient information and cannot be transferred.
Touch the ID button to complete the required patient information fields.
M Touch to transfer selected ECGs ( ). Note: only ECGs with complete required patient information can be
transferred. Touch the ID button to enter missing patient information that is required by your facility.
38
39
Using the Cardiograph and Cart
Loading Paper
1 Open paper drawer and lift up the hold down bar (A).
2 Load paper so that alignment hole is at lower left (B).
3 Lower hold-down bar (C).
A
C
40
WIRE-O BINDING EDGE
©Copyright 2010 Koninklijke Philips Electronics N.V. All rights are reserved.
Printed in U.S.A.