Lesson 1Start-up procedure for a new patient: attaching leads/sensors, setting alarm limits, patient ID and demographicsThis section outlines the proper start-up process for a new patient, covering attachment of ECG, SpO2, NIBP, and temperature sensors, inputting patient ID and details, setting alarm limits and profiles, and verifying stable readings before use in the ward.
Selecting the correct patient profileAttaching ECG, SpO2, NIBP, and temp sensorsEntering patient ID and demographicsSetting and confirming alarm limitsVerifying signal quality before monitoringHandover communication with clinical staffLesson 2Common faults and troubleshooting: monitor shutdowns, battery failures, display/firmware issues and basic corrective stepsThis section tackles common monitor problems like sudden shutdowns, battery issues, screen or keypad faults, and software glitches, providing clear troubleshooting steps, simple fixes at user level, and when to call in the biomedical team.
Monitor will not power on or rebootsBattery not charging or short runtimeDisplay, touchscreen, and keypad faultsECG, SpO2, or NIBP channel failuresFirmware freezes, errors, and updatesEscalation to biomedical engineeringLesson 3Preventive checks and functional tests: battery capacity test, NIBP cuff leak test, SpO2 sensor performance check, ECG lead impedance checkThis section explains regular checks to ensure monitor readiness, such as battery tests, NIBP cuff leak and pressure checks, SpO2 sensor tests, and ECG lead checks using built-in tools or simple external methods.
Battery runtime and capacity test methodsNIBP cuff leak and valve function checksSpO2 sensor accuracy and response testsECG lead impedance and continuity checksUsing internal self-tests and service menusRecording and interpreting test resultsLesson 4Clinical roles and typical measurement parameters (ECG/HR, SpO2, NIBP, RESP, temperature)This section reviews the role of multiparameter monitors in patient care and key parameters like ECG, heart rate, SpO2, NIBP, breathing rate, and temperature, including normal values, what they mean clinically, and limits of each.
Overview of multiparameter monitor functionsECG and heart rate: uses and limitationsSpO2 and pulse rate interpretationNIBP measurement cycles and artifactsRespiratory rate and apnea detectionCore and skin temperature monitoringLesson 5Pre-use preparation: power, battery check, lead/patient cable inspection, sensor calibration verificationThis section details steps before patient connection, including power and battery checks, inspecting leads and cables for damage, confirming sensor calibration, and ensuring accessories suit the clinical need.
Verifying mains power and battery statusInspecting leads, cables, and connectorsConfirming correct sensors and accessoriesChecking calibration labels and due datesConfiguring default profiles and layoutsDocumenting pre-use safety checksLesson 6Alarm management: alarm priorities, escalation workflows, adjusting limits safelyThis section teaches safe alarm handling, covering priority levels, setting limits and delays, escalation steps, ways to cut down on alarm fatigue, and checking alarms fit the patient's condition.
Alarm priority levels and meaningsSetting patient-specific alarm limitsAdjusting alarm volumes and delaysAlarm escalation and response workflowsStrategies to reduce alarm fatigueTesting alarms after configurationLesson 7Daily and weekly maintenance: cleaning disinfection protocols, visual inspection, cable and connector checks, sensor functional testsThis section covers daily and weekly tasks like cleaning and disinfecting the unit and sensors, checking for damage, inspecting cables and connectors, and quick tests to spot early problems and keep things reliable.
Approved cleaning and disinfection agentsCleaning housings, screens, and sensorsDaily visual inspection for damageCable, connector, and strain relief checksQuick functional checks of key channelsWeekly review of accessories and sparesLesson 8Signal artefact troubleshooting: removing motion, poor contact, grounding and electrical interference checksThis section helps spot and fix signal issues from movement, bad electrode or sensor contact, poor grounding, or electrical noise, using waveform checks, repositioning leads, and systematic fixes for steady monitoring.
Identifying motion artefacts on ECG and SpO2Correcting poor electrode and sensor contactChecking patient grounding and equipotential linksTracing mains and RF interference sourcesUsing monitor filters and notch settingsWhen to replace cables, leads, or sensorsLesson 9Documentation and reporting: logging preventive maintenance, incident reports, calibration records, device history trackingThis section guides on keeping records for maintenance and incidents, logging preventive checks, noting faults and fixes, tracking calibration, and device history to meet safety, audit, and compliance needs.
Preventive maintenance log requirementsIncident and near-miss report contentRecording repairs and part replacementsManaging calibration records and labelsBuilding a device history fileUsing CMMS or digital tracking tools
