3 Basic Operation
53
3
MD Notified
4 Sitting
5 On Back
6 Left Lateral
7 Ambulating
8 Tocolytic Given
9 Membranes Ruptured
10 Amniotomy
11 Amniotic Fluid Clear
12 Amniotic Fluid Not Clear
13 Oxytocin
14 Urinary Catheter
15 Micro Blood Analysis
Up to two notes can be printed directly, and the monitor can temporarily store up to a further two
notes, and these are printed after the first two have been recorded. Any further notes are discarded.
For example, if you enter six notes in quick succession, the first two notes you entered are recorded
right away, the next two are stored in memory and then printed when the first two have been recorded,
and the last two are discarded.
If the printing of two notes happens to coincide with the regular recording of the time stamp that takes
place once every ten minutes, the time stamp is delayed until the notes have finished printing.
Signal Quality
During monitoring, if the fetal heart rate signal quality fluctuates, and becomes poor, it does not
necessarily mean that the transducer needs repositioning. The fluctuation may be caused by fetal
movement. Allow time for the signal to stabilize before deciding whether to reposition the transducer
(ultrasound) or apply a new electrode (ECG). For the best trace quality, the signal quality indicator
should be full, indicating good signal quality, even though it may be possible to make traces at a lower
signal quality level.
Starting Monitoring
Confirm fetal life before you begin fetal monitoring.
After you switch on the monitor:
1 Check that you have the correct patient cables and transducers plugged in for the measurement
you want to monitor.
2 Admit your patient to the monitor (see “Admitting a Patient” on page 83).
3 Check that the alarm limits, alarm and fetal heart rate volumes, patient category and so forth are
appropriate for your patient. Change them if necessary.
4 Refer to the appropriate measurement section for details of how to perform the measurements
you require.
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