Welch Allyn Acuity Directions For Use Manual page 71

Directions for use
Related to electrodes, leads and ECG display
WARNING If your system includes arrhythmia analysis, and if you connect,
change or move an electrode, ensure that a RELEARN alert occurs at the patient
monitor and the virtual monitor.
Moving or changing an electrode can change the beat morphology. If the system
does not learn the new morphology, it might not alarm or it might cause false
alarms. The relearn process establishes the new morphology as the normal ECG
rhythm for arrhythmia and ST-segment analyses.
• If a RELEARN alert occurs after changing or moving an electrode, carefully
evaluate the new ECG rhythm and the current ST segment for all active leads
to make sure that the Acuity System has learned an appropriate rhythm. For
evaluation instructions, see
• If a RELEARN alert does not occur after changing or moving an electrode,
initiate a relearn event. For instructions, see
ECG rhythm for arrhythmia and ST-segment analyses"
WARNING Ensure these things to minimize false HR, Arrhythmia Analysis and
ST Analysis alarms, and to achieve optimal event detection and analysis:
• ECG cable, lead wires and electrodes are undamaged.
• Patient's skin is properly prepared.
• Electrodes are placed using standard good practices.
• 5-wire ECG cable is used. A 3-wire cable limits arrhythmia and ST-segment
analyses to a single lead, and ST analysis is disabled when a lead failure
occurs.
• LL electrode is connected. Otherwise, only one ECG lead is available and
arrhythmia and ST-segment analyses are effected.
• Patient monitor and Virtual Monitor display these things:
-HR numeric and ECG waveform
-Non-noisy signal. If signal is noisy, reduce patient movement and increase
distance from other electrical devices.
-Correct patient mode for the patient
• Virtual Monitor ECG 1 and ECG 2 display these things:
-ECG waveform
-Waveform amplitude at least 160 µV, peak-to-peak
-QRS complex amplitude at least twice the P or T wave amplitude.
WARNING Carefully monitor lead-wire connections of patients prone to
arrhythmia events. If a lead wire disconnects during an event, the Acuity
System's ability to accurately detect the event can be compromised.
WARNING Minimize patient movement during a RELEARN, as movement
creates noise during the reading. If the system learns an abnormal rhythm or
learns a rhythm during noise, it designates the learned rhythm as normal.
Thereafter, rhythms of this type might not trigger an alarm. Ensure that the
patient remains still for 5 minutes after the RELEARN before allowing them to
move.
Chapter 4 Adjust monitoring settings and patient information
"Respond to a RELEARN alert" on page
"To initiate relearn of a patient's
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on page 65.