User's Manual
Table Of Contents
- 1 Safety
- 2 General Product Description
- 3 Getting Started
- 3.1 Unpacking and Checking
- 3.2 Environmental Requirements
- 3.3 Connecting the ECG Leadwire
- 3.4 Installing the Batteries
- 3.5 Powering On the Unit
- 3.6 Understanding Touch Gestures
- 3.7 Basic Operations
- 3.7.1 Understanding the Screen Display Orientation
- 3.7.2 Browsing the Screen Display
- 3.7.3 Switching the Screen Display Orientation
- 3.7.4 Flipping the Landscape Display
- 3.7.5 Displaying the Quick Keys Area
- 3.7.6 Entering the Main Menu
- 3.7.7 Turning the Display Off
- 3.7.8 Turning the Display On
- 3.7.9 Unlocking the Screen
- 3.7.10 Acknowledging the Nurse Call
- 3.8 Using the Pouch
- 4 User Configurations
- 5 Patient Management
- 6 Alarms
- 7 Monitoring ECG
- 7.1 Introduction
- 7.2 Safety
- 7.3 Preparation for Monitoring ECG
- 7.4 Changing the ECG Settings
- 7.5 Understanding the ECG Display
- 8 Monitoring SpO2 (Optional)
- 9 Monitoring with the TD60 at the CS
- 9.1 Introduction
- 9.2 Physiological Alarms
- 9.3 ECG Monitoring
- 9.4 QT Monitoring
- 9.5 ST Monitoring
- 9.6 Arrhythmia Monitoring
- 9.7 SpO2 Monitoring
- 10 Configuring the TD60
- 10.1 Introduction
- 10.2 Maintenance Menu
- 10.2.1 Entering the Maintenance menu
- 10.2.2 Configuring the General Menu
- 10.2.3 Configuring the Alarms Menu
- 10.2.4 Quick Keys Menu
- 10.2.5 Configuring the Defaults Menu
- 10.2.6 Transferring a Configuration
- 10.2.7 Screen Lock Menu
- 10.2.8 Changing the Passwords
- 10.2.9 Changing the Device Name
- 10.2.10 Demo Mode
- 10.2.11 Service Menu
- 11 Battery
- 12 Troubleshooting
- 13 Cleaning and Disinfecting
- 14 Maintenance
- 15 Accessories
- A Product Specifications
- B EMC
- D Symbols and Abbreviations
- E Anomaly
Monitoring ECG Preparation for Monitoring ECG
TMS60 Operator’s Manual 7 - 3
7.3 Preparation for Monitoring ECG
7.3.1 Preparing the Patient’s Skin
Proper skin preparation is essential in obtaining an accurate ECG reading. Electrode sites
should be clean and dry and should provide a smooth flat surface. Incidental electrical
activity and inaccurate readings may arise from incorrect skin preparation.
The following procedure is recommended for secure electrode application:
1. Shave the chest hair from the electrode sites in a circular area with a diameter of 2
to 4 inches.
2. Use a dry gauze pad to remove excess skin oils, skin cells and residue from the
electrode sites. Never rub the skin until it is raw or bleeding.
7.3.2 Positioning the Electrodes
NOTE
• Prepare the electrode site with alcohol only if the skin is extremely
greasy. If alcohol is used as a drying agent, always allow the skin to dry
before placing the electrode on the skin.
NOTE
• Store electrodes at room temperature and open just prior to use.
• Avoid more than one type of electrode on a patient because of varia-
tions in electrical resistance.
• Avoid placing electrodes directly over bone prominences or over any
high activity movement areas such as shoulders or arms because muscle
motion produces electrical activity. If an electrode is placed over a large
muscle such as the pectorals, the device may detect this additional mus-
cle activity and could lead to false arrhythmia calls.
• Using a Transcutaneous Electrical Nerve Stimulator (TENS): Since a TENS
unit transmits electrical impulses, avoid placing ECG electrode near the
TENS electrodes. ECG electrodes may need to be repositioned and the
ECG lead viewed may need to be adjusted until the optimum ECG trac-
ing is obtained.