Checking The Ibp Signal(S); Figure 29. Ibp Waveforms And Values - ZOE PPM3 User Manual

IBP Monitoring

9.2. Checking the IBP Signal(s)

When you have connected the patient following the steps listed above, you should
be able to see IBP waveform(s) on the PPM3 display as shown below. The PPM3
should also display values for the patient's P1 and P2 pressures (with correct
formats and labels) as well as the alarm limit settings (shown as disabled for
systolic, mean, and diastolic below).

Figure 29. IBP Waveforms and Values

To manually test IBP alarm functionality on a daily basis, you may choose from
two approaches. First, if a patient is currently being monitored with IBP, make
certain the alarms are enabled, and then lower the P1 (or P2) systolic upper alarm
limit setting below its current value. Verify that "P1s < [upper limit]" (or P2s)
annunciates as a medium grade alarm. Press the ALARM SILENCE key, and
return the upper alarm limit to its previous value. Verify that the alarm is no
longer active. Alternatively, when first connecting an IBP, unplug the IBP cable
from the Y-cable after completing step 7 above. Verify that "P1 unplugged" (or
P2) alarm annunciates as a low grade alarm. Plug the cable back in. Verify that
the alarm ceases. Then re-zero the pressure and continue with steps 8 and 9.
The IBP Monitoring settings and specifications for the Nightingale PPM3 may be
found in the PPM3 Monitor Settings and Technical Data chapters. Procedures for
changing configuration settings, such as adjusting waveform sizes, alarm limits,
etc. may be found in the Working With Menus chapter.
WARNING – All invasive procedures involve risks to the patient. Use
aseptic technique. Follow catheter manufacturer's instructions and
established hospital guidelines.
WARNING – Always follow the hospital standard of care and prudent
clinical discretion for connecting, zeroing, and monitoring IBP lines.
9-3
April 2019 N i g h t i n g a l e P P M 3 U s e r ' s G u i d e