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ZOE PPM3
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5-6 Nightingale PPM3 User's Guide April 2019
Pulse Oximetry Monitoring
Message
Parameter
Value
Possible Cause
Suggested Action
SpO
2
check sensor
placement
---
Sensor has become
detached from patient or
is not fully inserted on
patient’s finger
Sensor has been
intentionally removed by
the clinician
Excessive ambient light
Bad sensor (no red light
coming from sensor)
Check to make sure the sensor is
attached fully and securely to the
patient
Select "SpO
2
Alarm Pause" in the
Setup SpO
2
menu
Cover the sensor with opaque material,
such as a towel, to reduce ambient
light
Reattach the sensor, possibly on a
smaller or larger finger
Replace sensor if there is no red light
coming from it.
SpO
2
weak signal
---
Poor perfusion
Large tissue mass
Nail polish
Bad SpO
2
sensor
Check the patient and provide any
necessary clinical care
Warm the patient’s extremities if
needed
Reattach the sensor on a smaller
finger
Remove any nail polish that may be
interfering with the red light
Replace the SpO
2
sensor
HR weak signal
Note When PR is
sourced from SpO
2
the
Pulse Rate will be
labeled in cyan as "HR
(SpO2)" in the HR
parameter box. A weak
pulse rate signal will
annunciate as "HR weak
signal."
---
Poor perfusion
Large tissue mass
Nail polish
Bad SpO
2
sensor
Check the patient and provide any
necessary clinical care
Warm the patient’s extremities if
needed
Reattach the sensor on a smaller
finger
Remove any nail polish that may be
interfering with the red light
Replace the SpO
2
sensor
SpO
2
replace sensor
---
Bad SpO
2
sensor
Incorrect set-up within
the PPM3.
Replace the SpO
2
sensor.
Contact Zoe technical support.
SpO
2
unplugged
[blank]
SpO
2
sensor not
connected to SpO
2
cable
Check to make sure the SpO
2
sensor
is securely connected to the SpO
2
cable on the monitor
SpO
2
artifact
---
Patient movement or
coughing
Hemodynamic
interference
Small tissue mass
Calm the patient
Reattach the sensor on another finger
with less movement
Reattach the sensor on a larger finger

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