Use Instructions

74
FHR Gaps Troubleshooting Table
For further support visit www.monicahealthcare.com/support
ID
Possible Cause
Action and Solution
1
1
During the ‘Electrode Check’ did you bypass a red X
or an orange O on the top or bottom midline
electrode? This could result in FHR gapping.
• Restart the monitoring session to identify which
electrode has O or X
• Peel the electrode back, remove excess gel from
skin. Wait until skin is dry then abrade skin and
reapply electrode.
2
In patients without a pannus the location of mid-line
lower electrode must be vertically above the point
2.4”/6cm horizontally above the symphysis pubis
• Confirm the placement of the midline lower
electrode and re-position
3
Electrode is fully or partially detached from
abdomen especially if the gap occurs after a
shower, clinical procedure or position change e.g.
sitting on chair
• Confirm that all electrodes are attached to the skin
and re-apply if necessary. The Interface should
alarm if an electrode comes detached, but partial
detachment or lifting e.g. skin folding when
bending forward do occur. If necessary use a strip
of micropore tape to prevent electrode lifting or
detachment.
4
Lost FHR, MHR and UA when patient has left room
• Check message on Interface and ask patient to
return to the room.
5
Lost FHR, MHR and UA when patient is in room
• Interface switched off or power supply to Interface
faulty. Bluetooth pairing with POD is lost. Re-start
Interface, remove POD from Patch, dock and start
new monitoring episode. Interface does not have
a battery back-up
6
Mid-line upper and lower electrodes have been
placed over a skin lesion, skin fold, stretch mark,
pronounced linea nigra
• Re-position Patch to avoid the skin problem
7
The mid-line electrode below Patch clip is over the
umbilicus, a skin fold or lesion and is not seated
correctly
• Re-position Patch to avoid the skin problem
8
It is important to wait 10-15 minutes after starting
Novii before commencing ambulation to allow the
electrode gel to penetrate the skin
• Return patient to bed and review causes 1 and 2
above. The patient should not be encouraged to
ambulate unless the FHR trace is good and the
signal indicator on the Novii Interface shows 3
green squares
9
The patient is ambulating
• Return patient to bed; review causes 1, 2 & 3
above