Chapters Transcript 1 Sensica™ Urine Output System Overview the large box displayed on the home screen shows the current hours, urine output and core bladder temperature. If the patient has a temperature sensing fully catheter the current our urine output is recording in real time. This number will go up as the urine collects in the bag and is continuously recorded. This will always be a partial our volume upon completion of the current. Our this volume will move to the left and a new our volume will begin to be measured. Historical temperature can also be seen in these boxes to the left. The highest and lowest temperatures of that hour will be shown. All the hours are time and date stamped. These numbers are the urine output of the past three hours. So you can easily see a trend by glancing at the screen. You can scroll back to see previous ours too. If you need more frequent monitoring, just tap the yellow circle above the current urine output volume box and a quarter hour clock will appear. Any past hour can be reviewed this way as well. You can remove the quarter clocks by tapping the yellow circle again. This percentage number indicates the total bag volume. Double tapping on this number will show the bag volume in milliliters for a few seconds. This toggle button lets you dim the screen at night and then return it to the debut. These two buttons allow you to access data reports and perform other actions. The status bar shows the patient I. D. E. M. R. Connectivity status, current date and time catheter. Use time. The add subtract volume calculator shortcut and an inactive instant update button. It's possible to manually add or subtract urine output from the current. Our recording Currently the volume in the bag is 49 mm. Let's say for example you just took an I. A. P. Measurement which required adding volume to the drainage system to change the current. Our urine output volume simply touch the calculator icon on the status bar which will cause the add subtract urine output calculator to appear. There are three icons used for subtracting volume infusing slash I. Ap irrigation and other slash subtract urine output. Press the appropriate icon type in amount of volume to be subtracted, then hit enter. Now the current our volume shows 29 mm. Now for example say you took a urine sample of 10 which required removing urine from the drainage system before it was counted by the system to add volume just like when subtracting, there are three icons to choose from um recorded urine output urine sample and other slash ad urine output. Press the appropriate icon type in amount of volume to be added. Then hit enter Now the volume shows 39 mm. The instant update button is located in the status bar. It is normally inactive when it turns yellow. It is active. This happens during episodes of continuous large urine output such as when a diuretic is administered and there is no pause between Wallace's of urine output. In these cases a notification will be shown instructing the clinician to touch the instant update button, this will override the short built in delay time and record the volume immediately entering the patient's weight when beginning a monitoring session enables the sensical urine output system to automatically calculate the weight normalized urine output data. This is one early parameter used by clinicians to help identify acute kidney injury or A. K. I. Based on internationally recognized guidelines to enter the patient's weight, simply touch the shutdown in actions button and select edit patient. Wait. Use the arrows to enter the weight in kilograms to enter the weight in pounds. Touch the toggle button, touch, enter and save, then confirm to return to the monitoring screen. The patient's catheter. Use time can also be adjusted. This is important if the patient has been categorized prior to being monitored by the device or if the patients fully catheter needs to be replaced. To adjust the catheter. Use time, simply touch the shutdown and actions button and select edit catheter. Use time. Use the arrows to enter the proper duration and select new time. The updated catheter. Use time can be seen on the status bar. There are several types of data screen built into the sensical urine output system to access historical data, touch the data button and select data screen information is available as table by shift, table by date and bar graph here. The data is sectioned by shift the hourly urine output and temperature data can be seen in these columns. If the patient's weight has been entered, the weight normalized urine output will be seen here. This information is one early parameter clinicians can use to identify a K II based on international guidelines. The system has a clinical decision support tool which aligns with these guidelines. Any value that falls below 0.5 mL per kilogram per hour will be highlighted yellow, which aligns with the internationally accepted A K. Ii identification guidelines like rifle akin and codigo. The clinicians will be notified if this continues for six or more hours. To consult the guidelines for AK identification unless the default setting is changed by the user. The status column provides additional information about the Ufo monitoring. To learn more about what each term means. Simply click the terms button For instance, partial means the patient was not monitored for more than 15 minutes during that hour away means that patient was not monitored for that entire hour. Like when that patient was transported to another location, you can also get a quick reminder of what each status means here. The table by date screen is very similar to the table by shift screen. You can add or edit the patient weight on either of these screens. The bar-type screen shows a graphical view of the previous 24 or 48 hours. Another report that can be handy is the snapshot screen. This report shows the past six hours of urine output and temperature data updated every 15 minutes along with an average and a trend line. The snapshot will include weight normalized urine output data. If the patient wait has entered. The other report is called the summary report. This report gives a top line look at the urine output monitoring, including total volumes in the current shift. Previous shift and total volume. Since monitoring began, the sensical urine output system has built in notifications to inform clinicians of any abnormal urine output or temperature measurements. These notifications can be adjusted for an individual patient. The urine output notifications show up in blue boxes and are silent. The system has a clinical decision support tool which defaults to notifying the clinician anytime the patient's weight normalized urine output falls below 0.5 ml per kilogram per hour, which is consistent with the internationally recognized guidelines. The temperature will be displayed in a red box if the patient's temperature exceeds the set threshold. Similarly, the temperature will be displayed in a blue box. If the patient's temperature falls below the set threshold, the sensical urine output system also has system notifications that require action to ensure accurate urine output monitoring these alerts show up in yellow and have a chirping sound, touch the sound off icon to turn off the chirping, you can change the patient notifications by touching the shutdown and actions button and choosing settings to change the low and high urine output thresholds. Touch the arrow and select the output and time range desired In this case, a silent notification will occur if there has been less than 30 ml of urine output recorded each hour over four hours. The high urine output default setting is greater than 1000 ml for over one hour. While the default low urine output setting is less than 30 for over one hour. The weight normalized urine output threshold can also be changed here. The temperature notifications default to 36°C for low and 38.3°C for high thresholds. To change a setting, touch the edit button, this will activate a calculator to type in the desired number. Once the patient no longer requires monitoring the patient data should be cleared from the sensical urine output system. To ensure no loss of data, make sure to record all patient data per your hospital policy. Prior to ending the session, simply touch the shutdown and actions button and select and monitoring. A screen will appear to confirm, touch and monitoring to end the session and erase all the patient information. Touch, cancel. If you want to go back to the home screen and continue monitoring. To shut down the system. Touch shutdown system, remove the census a ring from the sensical urine output system. Clean and dispose of according to hospital procedure. The sensical urine output system is indicated to monitor urine output and core bladder temperature when connected to a temperature sensing fully catheter Temperature sensing foley catheters are intended for use in conjunction with the sensical urine output system and other compatible 400 series temperature sensing monitors. To provide a measure of core bladder temperature, Please consult product label inserts and instructions for use for any indications, contra indications hazards, warnings, cautions and directions for use warnings. The B. D. Sensical urine output system is designed to be used with any barred foley catheter and urological disposables connected to any standard urine drainage bag. 2000 or 2500 mL. With or without a urine meter, ensure that the urine drainage bag hanging on the BD sensical ring is always below the level of the patient's bladder. To maintain continuous gravity flow of urine into the collection bag. Precaution during system startup and in general practice plugged the bt sensical urine output system into a wall power supply whenever possible. The system screen will dim when the system is unplugged. To maximize battery life. After using the system on battery backup, plug it back into the wall power supply for recharging and to avoid system shut down due to a drained battery. This information pertains to s. c. c. s. 1002. If using SCCC. S 1001 Please refer to the instructions for use for more information. For more information on product training and education programs. Contact barred dot E. D. U. 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