VistaCenter 2.1 Instructions for Use - VitalConnect

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VistaCenter 2.1 and 2.5 Instructions for Use

ContentsSection 1: Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Section 2: Indications for Use . . . . . . . . . . . . . . . . . . . . . . . 1Section 3: Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . 2Section 4: Using the Dashboard View . . . . . . . . . . . . . . . . . 3Section 5: Using the Menu Bar . . . . . . . . . . . . . . . . . . . . . . 4Section 6: Viewing Patient Tiles . . . . . . . . . . . . . . . . . . . . . . 5Section 7: Reading Vital Signs and Indicators . . . . . . . . . . . 6Section 8: Tile Alerts and Notifications . . . . . . . . . . . . . . . . 7

Section 1: Welcome

Section 2: Indications for Use

IFU-14 Rev . B (August 2020)

As part of Vista Solution®, the VistaCenter™ application allows clinicians to monitor vital signs for multiple patients via a web browser. VistaCenter can generate notifications to alert clinicians when vital signs cross a clinician-set threshold, as measured by the patient’s wearable VitalPatch® biosensor .

What are the parts of Vista Solution?VitalPatch biosensor — Wireless, adhesive, disposable device worn on the patient’s chest that records and transmits vital sign data .VistaPoint — Application that collects, displays and uploads VitalPatch data, oxygen saturation (%SpO2), blood pressure (BP), and weight data .VistaTablet — Self-contained tablet computer that runs the VistaPoint application .VistaCenter — Web-based application that allows clinicians to monitor vital sign data from multiple patients .VitalCloud — Vital sign data are stored in the cloud .

How Does Vista Solution Work?The VitalPatch transmits patient vital sign data to the VistaPoint application running on a VistaTablet . Optional pulse oximeter, blood pressure, and weight scale devices can upload vital sign data as well . The VistaTablet uploads the data to VitalCloud™, where VistaCenter can access it .

Floor3-Room200

00127fa 5109 Hours

c1

107>120

<30

94c1

25

38.1

NotificationsCurrent: 0Unchecked: 0

124/811 Hour Ago

w PostureWalking

56 StepsNo Falls

sms

3EWS

1 Hour AgoLow Risk

196 lbs1 Hour Ago

VistaCenterVitalCloudVistaPoint

VitalPatch and Devices for SpO2, BP and Weight

VitalConnect

VistaCenter is a software graphical user interface intended for use by healthcare professionals to display physiological data collected by the Vista Solution wireless remote monitoring system in healthcare settings . VistaCenter is a secondary, adjunct patient monitor and is not intended to replace existing standard-of-care patient monitoring practices .

VistaCenter Precautions• Invalid posture data (shown as “Posture Unknown”)

indicates a non-calibrated state where respiration rate, posture, and fall data are considered invalid .

• Body movements and contact with the VitalPatch may produce motion artifacts that affect the displayed,

ContraindicationsDo not use the VistaCenter application as a standalone diagnostic monitor . However, the data the application provides may be applicable for use in diagnosis .

measured values for ECG and heart rate .• The ECG data stream may take several minutes after the

VitalPatch has been applied to establish signal stabilization for accurate reading of ECG, heart rate, and respiration rate .

• Body temperature requires initial calibration after applying the VitalPatch . If calibration is not performed, then skin temperature will be displayed instead . Body temperature is only available when using VitalPatch with firmware release 3.2 or higher. If using VitalPatch with firmware release 1.4, only skin temperature is supported.

• There is a delay between logging on to VistaCenter and the first display of live data from the VitalPatch. This is typically 1-2 minutes, but can be up to 5 minutes .

• Oxygen saturation (%SpO2), blood pressure and weight data are provided by optional, third-party devices .

• Refer to the VitalPatch Instructions for Use (IFU-02 or IFU-06) for additional indications, warnings and precautions .

Section 9: Patient Details and Manual Vital Sign Entry . . . . 8Section 10: Configuring Notifications . . . . . . . . . . . . . . . . . 9Section 11: Configuring SMS Functionality . . . . . . . . . . . . 11Section 12: Acknowledging Notifications . . . . . . . . . . . . . 13Section 13: Viewing Historical Data . . . . . . . . . . . . . . . . . . 15Section 14: Using the Early Warning Score (EWS) . . . . . . . 18 Section 15: Managing Users (Admin . Only) . . . . . . . . . . . . 19Section 16: Managing Device Groups (Admin . Only) . . . . . 20

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Section 3: Getting Started

Security and Privacy Best Practices

To Monitor a Patient1. Apply the VitalPatch to the patient and power it on . Refer

to VitalPatch Instructions for Use (IFU-02 or IFU-06) for instructions on using VitalPatch .

2. Pair the VitalPatch with the VistaPoint application . Calibrate posture and body temperature . Repeat body temperature calibrations on the recommended schedule . Refer to VistaPoint Instructions for Use (IFU-15) for instructions on using VistaPoint .

3. Optionally, use compatible pulse oximeter, blood pressure, and scale devices to upload readings to VistaPoint .

4. Use VistaCenter to see the patient’s vital signs .

Supported VistaCenter ConfigurationsYou may access VistaCenter from a computer or from a mobile device. The following configurations are supported:• Desktop/Laptop — VistaCenter has been tested on

Microsoft Windows PCs running the Google Chrome web browser . A minimum screen resolution of 1920x1080 is recommended .

• Phone/Tablet — VistaCenter may be accessed from phones and tablets running the iOS and Android operating systems . On small screens (phones), usage should focus on viewing the dashboard, checking patient vital signs, and receiving/acknowledging notifications.

To Log In to VistaCenter1. Contact your IT Administrator to obtain a URL,

username and password for logging on to the VistaCenter application . The username and password are user-specific and must not be shared with others. The URL is specific to your facility.

2. Launch a supported browser and enter the VistaCenter URL . If connection is successful, the login window is displayed (see below) .

Login

Username

Password

Stay logged in

3. Enter your credentials (username and password) and select Login . VistaCenter opens the Dashboard View .

Note: If you received an administrator-assigned password for first-time access, you will be required to change it upon first login .

To Log In Again (Bookmark)For faster access to VistaCenter, create a browser bookmark or shortcut in your browser . For mobile devices (phones), add a shortcut to your home screen .

To Log Out of VistaCenterWhen using VistaCenter on a shared device it is recommended that you log out of VistaCenter when you are finished, or if you will be leaving the computer unattended.To log out of VistaCenter, select Menu > Logout . You should also close the browser . If appropriate, lock the computer at the end of the session .

To Change Your Password1. Select Menu > Edit Password .2. Enter your old password and your new password (twice

to confirm). Follow your facility’s guidelines for password length and complexity .

3. Select Save .

Administrator-Level UsersIf you have administrator-level privileges for VistaCenter, you will have additional controls in the menu that allow you to manage users, groups, and “universal” notifications. For more information, see Settings Menu (Administrator Options) on Page 4.

Security is a shared responsibility . VistaCenter provides remote access to patient data and to configurations that can affect patient care. VitalConnect recommends the following security practices to prevent unauthorized access to VistaCenter and to protect patient privacy:• Use only secure Wi-Fi networks . Avoid public/free Wi-Fi

hotspots, or use a VPN application to provide additional security when using such networks .

• If using a mobile device (phone or tablet) to access VistaCenter, do not share your device with others .

• Do not run unauthorized applications on the same computer with VistaCenter, and do not use the browser to access personal and/or unauthorized websites .

• Use only the VistaCenter username assigned to you . If a password was assigned to you, change it as soon as possible . Protect your logon credentials (username and password) and do not share them with anyone else .

• If the browser offers to save the logon credentials (username and password) for VistaCenter, decline this feature when prompted .

• Avoid using the browser controls (such as back and forward) to navigate in VistaCenter . Use only the navigational tools provided by VistaCenter .

• If you use the download functions in the Historical View to save a local copy of patient data, follow your facility’s patient record guidelines for securing and maintaining that data .

• Do not leave VistaCenter running unattended . When finished using VistaCenter, log out of the application by selecting Menu > Logout .

• Lock the computer at the end of the session .

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Section 4: Using the Dashboard ViewAfter you log on, VistaCenter displays a scrollable Dashboard View with Patient Tiles and a Menu Bar with sorting and filtering options . Each tile in the Dashboard View represents a patient and their vital signs .

Dashboard View Types• Grid View is the default view on desktop/laptop

computers . • Wide View adds an ECG display to each patient tile (when

ECG is available) . The Wide view is also displayed when you select a patient tile on desktop/laptop computers .

• Mobile View is the default view on small screens and phones . On desktop/laptop computers, when you select a patient tile to access the Detail and Notification View, the Mobile view will be displayed on the right side of the browser .

To Use the Dashboard View• On desktop/laptop computers, the Grid/Wide Selector is in

the menu bar . • Use the View Theater/Group menu to select a group of

patients to view .• Click the Show Only Patients With menu to focus on

patients of interest .• Use the Sort By menu to change the order of tiles .• Clicking a tile displays a detailed view of the patient . On

desktop/laptop computers, the dashboard will collapse to a single column on the right side of the screen

• Scroll to view patients that are off the screen.Note: There is a delay before the first display of live data from a connected VitalPatch . This is typically 1-2 minutes, but can be up to 5 minutes .

Grid Wide Hi vitaldemo Menu Instructions

Showing 31 Devices View Theater/Group: My Group Show Only Patients With: Show All EWS ScoreSort By:

Floor9-Room105

0127fa 5110 Hours

c1

74>120

<30

No SPO2Device

c1

19

38.1


129/840 Hours Ago

w PostureWalking

56 StepsNo Falls

sms

--EWS

Update

196 lbs0 Hours Ago

Outpatient-Tablet-07b

0128ce 242 Hours

c1

81>120

<30

98c1

22

38.7


131/792 Hours Ago

w PostureWalking

56 StepsNo Falls

sms

0EWS

2 Hours AgoLow Risk

150 lbs2 Hours Ago

Floor9-Room149

012851 379 Hours

c1

109>120

<30

99c1

27

38.1


120/802 Hours Ago

r PostureRunning

56 StepsNo Falls

sms

0EWS

2 Hours AgoLow Risk

150 lbs2 Hours Ago

Outpatient-Tablet-85b

0128f4 254 Hours

c1

52>120

<30

91c1

8

38.5


112/762 Hours Ago

m PostureLeaning

129 StepsNo Falls

sms

4EWS

2 Hours AgoMedium Risk

97 lbs2 Hours Ago

Floor9-Room147

0130e5 598 Hours

c1

104>120

<30

96c1

19

38.9


129/872 Hours Ago

w PostureWalking

56 StepsNo Falls

sms

4EWS

2 Hours AgoLow Risk

150 lbs2 Hours Ago

Floor9-Room151

0128c2 372 Hours

c1

111>120

<30

87c1

24

39.4


236/1054 Hours Ago

d PostureLaying Down

0 StepsNo Falls

sms

7EWS

4 Hours AgoHigh Risk

339 lbs4 Hours Ago

Floor3-Room110No Patient Connected

Floor3-Room104

0127cc 09 Hours

c1

142>120

<30

9412 mins ago

c1

-->30

<9

--.-


136/892 Hours Ago

? PostureUnknown

FALLDetected

sms

3EWS

1 Hour AgoMedium Risk

150 lbs2 Hours Ago

Grid View (Desktop/Laptop)

Wide View (Desktop/Laptop) Mobile View

Menu Bar(See Page 4)

Patient Tile(See Page 5)

Grid/Wide Selector

Live ECG

Patient Tile with Notifications(See Page 7)

Tile with no patient connected

Scroll to see more patients



Showing 31 Devices View Theater/Group: My Group Show Only Patients With: Show All Device NameSort By:

Hi JeanSanchez-RN Menu InstructionsGrid Wide

0EWS

4 Hrs AgoLow Risk

Floor10-Room200

c1

74>120

<30

99c1c2

18>30<10

38.1

205 lbs2 Hours Ago


141/842 Hours Ago d Posture

Laying Down

56 StepsNo Falls

sms

b800bf_0073fa 3120 Hours

--EWS

Update

Floor10-Room202

c1

61>120

<30

98c1c2

24>30<10

38.4

246 lbs2 Hours Ago


No BPDevice d Posture

Laying Down

56 StepsNo Falls

sms


1EWS

4 Hrs AgoLow Risk

Floor10-Room204

c1

77>120

<30

93c1c2

22>30<10

36.9

141 lbs2 Hours Ago



Laying Down

56 StepsNo Falls

sms


7EWS

4 Hrs AgoLow Alert

Outpatient Tablet 5B

c1c2

102>120

<30

87c1c2

>30<819

38.3

223 lbs2 Hours Ago



Laying Down

56 StepsNo Falls

sms


0EWS

4 Hrs AgoLow Risk

Outpatient Tablet 64A

c1

71>120

<30

97c1c2

23>30<10

37.4

260 lbs2 Hours Ago



Laying Down

56 StepsNo Falls

sms


0EWS

4 Hrs AgoLow Risk

Outpatient Tablet 64G

c1

86>120

<30

99c1c2

18>30<10

37.6

171 lbs2 Hours Ago



Laying Down

12 StepsNo Falls

sms


1EWS

4 Hrs AgoLow Risk

Floor10-Room201

c1

86>120

<30

96c1c2

27>30<10

37.2

175 lbs2 Hours Ago



Laying Down

56 StepsNo Falls

sms


5EWS

4 Hrs AgoMedium Risk

Floor10-Room203

c1

101>120

<30

89c1c2

31>30<10

38.6

295 lbs2 Hours Ago



Laying Down

56 StepsNo Falls

sms


0EWS

4 Hrs AgoLow Risk

Outpatient Tablet 5A

c1

69>120

<30

97c1c2

15>30<10

38.1

184 lbs2 Hours Ago


124/862 Hours Ago s Posture

Upright

56 StepsNo Falls

sms


0EWS

4 Hrs AgoLow Risk

Outpatient Tablet 5D

c1

78>120

<30

96c1c2

26>30<10

38.1

179 lbs2 Hours Ago


125/652 Hours Ago

FALLDetected

sms

56 StepsNo Falls

sms


Device Name

Sort By:

My Group 1

Group/Theater:

Show All

Show Only Patients With:

Hi vitaldemoShowing 64 Devices

Floor10-Room200


0EWS

2 Hrs AgoLow

74

96

18

38.1

150 lbs2 Hours Ago


Upright

56 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room204


0EWS

2 Hrs AgoLow

74

96

18

38.1

150 lbs2 Hours Ago


Upright

56 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room203


0EWS

2 Hrs AgoLow

74

96

18

38.1

150 lbs2 Hours Ago


Upright

56 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room202


7EWS

2 Hrs AgoUrgent

142

96

18

38.1

150 lbs2 Hours Ago

120/802 Hours Ago r Posture

Running

1477 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room201


--EWS

Update

74

No SPO2 Device

18

38.1

No Scale Device

No BPDevice s Posture

Upright

56 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room205 No Patient Connected

Grid/Wide Selector

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Section 5: Using the Menu BarThe Menu Bar provides controls for displaying patients . You can change the theater or group, apply filters, and sort patients.In Narrow (Mobile) view, the Menu and Instructions collapse to icons .

Grid/Wide SelectorTo switch the between the Grid View and the Wide View (with ECG display), click the Grid and Wide selector buttons . Note that the buttons will not be available if viewing the dashboard in Narrow (Mobile) View .

SearchTo search for a device name or a VitalPatch ID:1. Click the Search button .2. Enter a partial or complete

device name or VitalPatch ID . As you type, matching results are displayed .

3. When the requested item is found, click the View button next to the name .

Settings MenuTo control the behavior of the VistaCenter application:• About: Displays the application

version and VitalCloud information .

• Edit Password: See Section 3 on Page 2 .• Edit SMS Reminders: Use this menu to configure and test

the default phone numbers for SMS messaging . For more information, see Section 11 on Page 11 .

• Logout: Select this option when monitoring is complete or you are leaving the workstation .

Settings Menu (Administrator Options)If you log in with Administrator-level privileges, you will see the following additional options:• View Organization:

Displays the organization name and time zone .

• Manage Users: See Section 16 on Page 20 .

• Manage Groups: See Section 15 on Page 19 .

• Manage Notification Settings: See Section 10 on Page 9 .

Grid Wide

43

1 Device Found

2 Patches Found

Searching

View

View

View

View

b800bf_00af43 (12-Jan-2019)

Floor4_Room143

b800bf_00c143 (10-Dec-2018)

Floor5_Room143

Theater/Group MenuTheaters and groups are collections of patients in your facility . To view a theater or group, select this menu . Consult your administrator about theater and group assignments for patients, and which theater or group you should be monitoring . The default selection is Show All, which displays a dashboard with all theaters that you are authorized to view .

Filter MenuUse this menu to focus on patients of interest and hide others:• Show All: No filtering is applied.

This is the default filter.• Data Uploading: Shows only

patients with a VitalPatch or other paired device that is uploading data . Hides rooms/devices that are not uploading .

• Current Notifications: Shows only those patients with notifications and hides all others.

• Unchecked Notifications: Shows only patients with unchecked notifications and hides all others.

• VitalPatch Hours Low: Shows only patients with a VitalPatch that needs to be replaced .

• Data Not Uploading: Shows rooms/devices where data is not uploading or where the patient is out of range .

Sort MenuUse this menu to change the tile display order:• Device Name: This is the default

sort (device alphabetical order) .• VitalPatch ID: Sorts by VitalPatch

ID .• VitalPatch Hours: Sorts by lowest VitalPatch life (those

needing to be replaced first).• Unchecked Notifications: Sorts by most unchecked

notifications.• EWS Score: Sorts by EWS score . Patients without a score

are assigned the highest position .• New VitalPatch/Patient: Sorts by newest VitalPatch first.

Show AllTheaters

Inpatient-SepsisInpatient-Cardiac

Outpatient-TabletsGroups

Inpatient-Floor-03Inpatient-Floor-04

Show AllData UploadingCurrent NotificationsUnchecked NotificationsVitalPatch Hours LowData Not Uploading

Device NameVitalPatch IDVitalPatch HoursUnchecked NotificationsEWS ScoreNew VitalPatch/Patient

Narrow

AboutView OrganizationManage UsersManage GroupsManage Notification SettingsEdit PasswordEdit SMS RemindersLogout

Hi JeanSanchez-RN Menu Instructions

Showing 31 Devices View Theater/Group:

My Group


Show All Device Name

Sort By:

Grid Wide

Number of Devices in the Current View

Theater/Group Menu

Grid/Wide Selector Current User Settings Menu Help System

SearchFilter Menu Sort Menu

AboutEdit PasswordEdit SMS RemindersLogout

5

Close

3EWS

1 Hour AgoLow Risk

Floor10-Room200

c1

107>120

<30

94c1

25

38.1

196 lbs1 Hour Ago


c1c2

141/842 Hours Ago w Posture

Walking

56 StepsNo Falls

sms


Floor3-Room200

00127fa 5109 Hours

c1

77>120

<30

94c1

25

38.1


124/812 Hours Ago

w PostureWalking

56 StepsNo Falls

sms

3EWS

2 Hours AgoLow Risk

196 lbs2 Days Ago

Section 6: Viewing Patient Tiles

Grid View Patient TilesEach tile in Grid View displays information about the connected VistaTablet device, data from the VitalPatch, data from third-party devices (uploaded via Bluetooth or manually entered), and an Early Warning Score that indicates a patient’s risk of deterioration. See the figures below .

Wide View & Detailed View Patient TilesAccess the Wide View tile by selecting the Wide tab (on desktop/laptop) or by clicking a patient tile to open the Detailed View . The tile displays the same information as the Grid View, but adds ECG. See figure below.Manual Vital Sign Entry – In Detailed View, clicking the %SpO2, BP or Weight opens the manual entry interface .

Narrow View (Mobile) Patient TilesOn small screens and phones, the patient tile is similar to the Wide View, but the vital sign indicators do not show notification limits, and the ECG display is not shown. See the figure to the right.Clicking the tile will display a detailed view tile . The appearance of the detailed view will vary by screen size .

Manual Entry Hint (Detailed View only)

Manual Entry Hint (Detailed View only)

Narrow View Tile

Floor3-Room204VitalPatch Temperature Needs CalibrationVitalPatch Posture Needs Calibration

0129b3 09 Hours

c1

142>120

<30

942 Hours Ago

c1

--

--.-


136/892 Hours Ago

? PostureUnknown

FALLDetected

sms

--EWS

Update

204 lbs2 Hours Ago

Status Alerts

NotificationState

Missing Vital

VitalPatchAlert

Unchecked Notifications

EWS Needs Update

Black Tile with Yellow Border

Posture Unknown

Fall Detected

VitalPatch Hours Low

Patient Tile With Notifications

Device Name

Heart Rate

SpO2

Show Details Hint

Notification Count

Notification Limits

Early Warning Score (EWS)

Posture

Activity and Falls

Weight

VitalPatch Hours Left

Respiration Rate

Body/Skin Temp.

Blood Pressure

VitalPatch ID

Patient Tile

ECG DisplayShown on a scale of 10mm/mV . ECG may take up to 60 seconds to display . If the VitalPatch is not uploading ECG data, or if the ECG feature is disabled, “No ECG” will be displayed . Clicking the ECG (or the Live ECG button on narrower screens) replaces the tile with a larger ECG strip .

Live ECG Button

Floor3-Room200


3EWS

2 Hrs AgoLow RIsk

74

96

18

38.1

196 lbs2 Days Ago


Upright

56 StepsNo Falls

5 120 Hrs00127fa

Hovering for Tool TipsHover the mouse pointer over any item to see a tooltip with more information . On mobile devices, tapping will display the tooltip . 74

Heart Rate: 74 BPMUpdated: 23 Sep 2019 16:48:00

Live ECG

Close Close Button(Detailed View only)

6

Activity and Fall DetectionActivity is measured in steps by the VitalPatch . If a fall occurs, “FALL DETECTED” is displayed . If “sms” is displayed on the right side, this indicates that fall detection notification is enabled.

FALLDetected

smsFall

DetectedDetectionEnabled56 Steps

No Falls

sms

Note: Fall detection requires notification configuration. If fall detection is not configured for the patient, FALL DETECTED will not be displayed when the VitalPatch detects a fall, and no SMS message will be sent .

WeightMeasured by weight scale . Value may be uploaded automatically using a compatible Bluetooth device . Displays time since last reading . The display units (lbs or kg) are set for your organization and cannot be changed .To enter manually: click on the value in the Detailed View .

Pounds Kilograms200.0 lbs2 Hours Ago

90.7kg2 Hours Ago

Show Details Hint (Three Dots)Three dots ( ) indicate additional information is available when clicked. For example:• On the grid patient tile (when hovering) indicates that

clicking will open the Detailed View .• On the EWS value indicates that clicking opens the

EWS interface .• On the SPO2, BP and weight values in Detailed View

indicates that clicking opens the manual entry interface .

Device Name Name assigned to the VistaTablet in the patient’s room (or the name of the outpatient device) . Hover over the name to see group and theater membership .

VitalPatch ID (Patch Icon)The Bluetooth ID of the VitalPatch . Only the last six digits are shown in Grid and Mobile View . Hover to see activation date . If the icon is yellow, it indicates a problem such as an off-body condition (refer to status alerts).

Patch Alert0073fa 0073fa

VitalPatch Hours Left (Battery Icon)Displays the number of hours remaining on the VitalPatch . If the battery icon is yellow, it indicates less than 24 hours are remaining .

New Replace384 Hours 5 4 3 2 1 0

Heart RateBeats per minute, as measured by the VitalPatch .

c1c2142

>120<30

c1c274

>120<30 Notification

State

Oxygen Saturation%SpO2, as measured by pulse oximeter . If using Bluetooth to upload readings automatically, the value may be streaming (constantly updated), or spot check (displayed with a time since the last reading) .To enter manually: click on the value in the Detailed View .

96 942 Hours Ago

StreamingDevice

No DevicePaired

Spot Check orManual Entry

NotificationState

No SPO2 Device c1

84

Respiration RateBreaths per minute, as measured by the VitalPatch .

18

>30<9

>30<932Notification

State

Body or Skin TemperatureMeasured by the VitalPatch . Skin temperature is displayed if body temperature is not available . The display units (°C or °F) are set for your organization and cannot be changed .

38.1 c1

39.7 c1

39.5

BodyTemp

SkinTemp

Notification State

Blood PressuremmHG, as measured by blood pressure device . Value may be uploaded automatically using a compatible Bluetooth device . Displays time since last reading .To enter manually: click on the value in the Detailed View .

c1

120/802 Hours Ago c1

120/802 Hours Ago

Notification State

Body PostureMeasured by the VitalPatch . If Unknown, the patient’s posture must be recalibrated in VistaPoint .

Upright Walking Running LeaningLying Down Unknowns w r md ?

Section 7: Reading Vital Signs and Indicators

7

The patient tile changes appearance to notify clinicians of conditions that may require attention .

Notification Count (Current/Unchecked)This section of the patient tile displays the number of current (happening now) and unacknowledged notifications.

Happening NowUnchecked



To acknowledge notifications: click on the patient tile to open the Detailed View . See Section 12 on Page 13 .

Notification Limits on Vital SignsSmall text on the right of a vital sign indicates notification limits are set for this vital sign (not shown in Mobile View) .• > indicates an upper threshold on a vital sign .• < indicates a lower threshold on a vital sign .• c1 or c2 indicates a custom threshold . This can be a

single threshold on a vital sign or it can combine upper and/or lower thresholds of two different vital signs.

If the notification conditions are met, the vital sign value turns yellow with a yellow border . If the patient tile turns black with a yellow border, the notification condition is happening now (currently triggered) .

Upper and Lower Limits

Yellow text and border indicate a notification limit has been crossed

Custom Limitsc1c2

74>120<30

c1c2

142>120<30

Note: VistaCenter applies a yellow border highlight to a vital sign when it is in a current notification condition. Because notifications are triggered based on an average value over time (averaging duration), there may be instances where a vital sign crosses the threshold, but the yellow highlight is not applied . This is expected behavior .

Notification StatesVistaCenter uses the following terminology to distinguish between notification states:• A Current notification occurs when a vital sign configured

for monitoring reaches the threshold value to trigger an alert, and is currently beyond that threshold . For vital signs, the start time of the event is recorded as the time when the average value (over the averaging duration period) is beyond the lower or upper threshold . No end time is recorded because the value is still beyond the threshold . For events, start time and end time are recorded as the time when the fall or patch off body occurred . The VistaCenter dashboard applies a yellow border highlight to vital signs that are in the current notification state.

• A notification becomes Acknowledged after a clinician uses VistaCenter to acknowledge it. A notification can be acknowledged and current at the same time .

• An Unacknowledged notification occurs when a vital sign configured for monitoring reaches the threshold value to trigger an alert, and a clinician has not used VistaCenter to acknowledge the notification. If a notification is both unacknowledged and current, there is no defined end time . For heart rate and respiration rate, the end time is defined as the time when the average value (over the averaging duration period) is no longer beyond the lower or upper threshold .

Status AlertsUp to two messages in yellow text may be displayed at the top of the patient tile to indicate issues with the VitalPatch, third-party devices, and/or the VistaTablet device . See below for a list of potential alerts . If more than two issues are present, the most important ones will be displayed first.

VitalPatch Status Alerts• No Patient Connected — There is no current VitalPatch

or third-party device data available for this room/device . This is not an error condition .

• No VitalPatch Connected — There is no VitalPatch paired with the VistaTablet . VitalPatch may have been manually disconnected using VistaPoint .

• VitalPatch Out of Range or Disconnected — VitalPatch has gone out of range of the VistaTablet or has reached end of life before being replaced .

• VitalPatch Data Not Uploading — No vital sign data is currently being received from the VistaTablet . May indicate a problem with network connectivity .

• VitalPatch Off Body — The VitalPatch is not correctly adhered to the body .

• VitalPatch Posture Needs Calibration — Use VistaPoint to recalibrate the VitalPatch position and posture .

• VitalPatch Temperature Needs Calibration — Use VistaPoint to recalibrate the body temperature .

• VitalPatch Battery Low — VitalPatch has less than 24 hours remaining . Replace as necessary .

Pulse Oximeter (SpO2) Status AlertsThe following alerts only apply to streaming-type pulse oximeters, such as the Nonin Model 3150 .• SPO2 Disconnected — Pulse oximeter was manually

disconnected .• SPO2 Out of Range or Disconnected — Pulse oximeter

had an unplanned disconnect by going out of connection range or running out of battery .

• SPO2 Finger Out or Low-Quality SPO2 — Patient’s finger is not properly inserted in pulse oximeter. Refer to pulse oximeter Instructions for Use for more information .

• SPO2 Low Battery — Pulse oximeter battery needs to be replaced .

Section 8: Tile Alerts and Notifications

8

3EWS

4 Hours AgoLow Risk

Floor10-Room200

c1

74>120

<30

942 Hours Ago

c1

22

38.1

150 lbs2 Hours Ago



Upright

56 StepsNo Falls

sms


Close

Device Name

Sort By:

My Group 1

Group/Theater:

Show All



Floor10-Room200


0EWS

2 Hrs AgoLow Risk

74

96

18

38.1

150 lbs2 Hours Ago

120/80 s PostureUpright

56 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room204


EWS74

18

120/80 s Posture

3 120 Hrs0073fa

Floor10-Room203


0EWS

2 Hrs AgoLow Risk

74

96

18

38.1

150 lbs2 Hours Ago

120/80 s PostureUpright

56 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room202


7EWS

2 Hrs AgoUrgent Risk

142

96

18

38.1

150 lbs2 Hours Ago

120/80 r PostureRunning

1477 StepsNo Falls

3 120 Hrs0073fa

Floor10-Room201


--EWS

Update

74

No SPO2 Device

18

38.1

No Scale Device

No BPDevice s Posture

Upright

56 StepsNo Falls

3 120 Hrs0073fa

Notification List Notification Configuration Historical Data

Date/Time ActionThreshold Status

19 Notifications2 Unacknowledged

Hide PreviouslyAcknowledged

Heart Rate NotificationsCreated 27-Jan-2019

HR>120 or HR<30

AcknowledgeCategory

27-Jan 14:20 to 27-Jan 14:22 Unacknowledged Acknowledge


✔ by username 27-Nov at 14:2027-Jan 14:20 to 27-Jan 14:22

AcknowledgeAll NotificationsNotifications2


Fall NotificationsCreated 27-Jan-2019

Fall Detection

AcknowledgeCategory


Show PreviouslyAcknowledged

AcknowledgeAll NotificationsNotifications3

ThresholdDate/TimeStatus Action

27-Nov 14:20 to 28-Nov 14:22

Unacknowledged Acknowledge

STILL TRIGGERED

Acknowledge

27-Nov 14:20 to 28-Nov 14:22

Unacknowledged



HR>120 OR HR<45

AcknowledgeCategory

Hide Previously Acknowledged



Fall Detected

AcknowledgeCategory

Show Previously Acknowledged

Floor10-Room200


c1

74>120

<30

962 Hours Ago

c1

22

38.1


141/842 Hours Ago

w PostureWalking

56 StepsNo Falls

sms

3EWS

2 Hours AgoLow Risk

150 lbs2 Hours Ago

Close

NotificationList

NotificationConfiguration

HistoricalData

Live ECG

Section 9: Displaying Patient Details and Manual Vital Sign EntryThe Detailed View shows patient details and allows you to view and configure notifications. Access the Detailed View by clicking on a patient tile .

Detailed View on Desktop/LaptopThe Detailed View takes the form of a Wide View tile (see Section 4 on Page 3) . The dashboard (other patients) is displayed in a scrollable sidebar . Below the tile, a row of tabs shows options for Notification List, Notification Configuration, and Historical Data. Clicking the SPO2, BP or Weight values opens the manual entry interface .

Detailed View on MobileThe Detailed View takes the form of a Grid View tile (see Section 4 on Page 3) . Below the tile, a row of tabs (with icon labels) shows options for Notification List, Notification Configuration, and Historical Data. Clicking the SPO2, BP or Weight values opens the manual entry interface .

Entering Vital Signs ManuallyOxygen Saturation (%SpO2), Blood Pressure and Weight may be uploaded automatically from VistaPoint, or they may be entered manually in VistaCenter . Entry of these values is optional, and should only be performed in accordance with your facility’s care and record-keeping guidelines .To enter these vital signs manually:1. Open the Detailed View for a patient (see above) .2. Click on any one of the SpO2, blood pressure or weight

values . The manual data entry interface opens . See figure to the right.

3. Enter the values in the form . Entries are not mandatory and may be skipped (for example, you can enter %SpO2 and blood pressure, but leave the weight blank) . Click the Next button when finished.

4. VistaCenter will ask you to confirm the entered values. Select Back to change the entries, or Submit to finish.

Detailed View (Desktop/Laptop)

Detailed View (Mobile)

Close Detailed View

CloseDetailedView

Live ECG

NotificationList

NotificationList



Historical Data

Historical Data

Manual Entry

Manual Entry

Manual Entry

Manual Entry

Manual Entry

Scroll to View Additional Patients

Dashboard in Scrollable Sidebar

Manual Data Entryfor Floor10-Room200

Close

Cancel Next

?

?

?

Enter an SpO2 Value

Enter Weight

Enter Blood Pressure

Manually Enter Data for Floor10-Room200

Oxygen Saturation(Range 70-100)

Weight(Range 0-250)

Systolic Pressure(Range 60-299)

Diastolic Pressure(Range 40-299)

%

kg

mmHg

mmHg

98

164

91

105

Enter Oxygen Saturation

Enter Systolic and Diastolic Blood Pressure

Enter Weight

Select Next when complete, and then confirm entries

9

Notification (click to edit)

Threshold

Averaging

SMS Alerts

Created/Modified

Send to Default Number(s)

27-Jan-2018 11:23 by fstelter

2 Minutes

HR>120 or HR<30

ONHeart Rate

Send to Default Number(s)

27-Jan-2018 11:23 by fstelter

2 Minutes

Disabled

OFFRespiration Rate

Vital Sign Notifications

NotificationList


HistoricalData

Section 10: Configuring Notifications

To Set or Modify a “Single” Notification on Heart Rate or Respiration Rate1. Click a patient tile to open the Detailed View, and then

click the Notification Configuration tab. See figures above.2. Examine the configurations for this VitalPatch. “ON”

indicates a notification that is configured and enabled. “OFF” indicates a notification that is not configured or is disabled. If the current configuration is correct, no additional action is necessary .

3. Click the Heart Rate or Respiration Rate button under “Vital Sign Notifications”. The configuration interface opens. See figure to the right.

4. Select the Enable Notifications checkbox to turn on this notification.

5. Enter the upper and lower thresholds .6. Select an averaging duration (1, 2 or 5 minutes) . The

average value must be beyond the threshold for this duration to trigger the notification. Shorter durations are more sensitive .

7. Select an SMS option (default or override) . See Section 11 on Page 11 for more information .

8. Select Apply Changes or Cancel .

VistaCenter can generate notifications when vital signs cross clinician-defined thresholds, or when the VitalPatch detects a fall, a “patch off”, or other event. To view the notification configuration for a patient, click on a patient’s tile and then select the Notification Configuration tab .

Determining a Configuration PolicyNotification configurations should be pre-determined by the standard-of-care policies for your team and facility . There are three configuration policy types:

Scroll to see configurations that are off the screen

Click to enable, disable and configure each notification

ConfiguredThreshold

Averaging Period

SMS (Text)Recipient

Configuration date and username

Vital Sign Notifications

EventNotifications

Enable

Set upper threshold

Set lower threshold

Select an averaging duration

Select an SMS option

Apply changes


Send toDefault Number(s)

27-Jan-2019 11:23 by nurseuserN/AONFall Detection Fall Detection


27-Jan-2019 11:23 by nurseuserN/AONPatch Off Body Patch Off

-- ----OFFPatch Low Battery --


27-Jan-2018 11:23 by nurseuserN/AONNo Data No Data >120 Minutes

AveragingThresholdNotification (click to edit) SMS Alerts Created/Modified

-- 27-Jan-2019 11:23 by nurseuser--OFFRespiration Rate Disabled


27-Jan-2019 11:23 by nurseuser1 MinuteONc1:MyCustomLabel HR>100 and RR<20

-- ----OFFc2:Custom 2 --


27-Jan-2019 11:23 by nurseuser2 Minutes ONHeart Rate HR>120 or HR<30

Vital Sign Notifications (click to edit)

Event Notifications (click to edit)

Settings for Floor10-Room200

Notification Configuration (Mobile)Notification Configuration (Desktop/Laptop)

• Universal — Every new VitalPatch in a theater receives a pre-defined notification configuration. The universal configuration is created and maintained by a clinical user with Administrator-level privileges . See Page 11 .

• Universal with Overrides — Same as above, except a clinical user modifies the pre-defined configuration by adding new notifications, deleting existing notifications, or altering configurations.

• Per-Patient — A clinical user manually configures notifications for every new VitalPatch.

Cancel Apply Changes

?Select SMS Option

Send to Default Theater Number

Step 3

?Select Averaging Duration

1 Minute

Step 2

Step 1

Heart Rate (BPM) Above(Maximum 200)

Enable Heart Rate Notifications

Heart Rate (BPM) Below(Minimum 30)

OR120

?Set Notification Limits

50

OFFHeart Rate

10


(Max. 24 characters. Default name is ‘c1:Custom1’)

?Enter Label (Optional)

c1:Custom1

Step 4

?Select SMS Option


Step 3

?Select Averaging Duration

2 Minutes

Step 2

Step 1Set Notification Limits

All selected vital sign limits must be true fornotification to occur.

?

AND100

20

Heart Rate (BPM) Above

Respiration Rate (BrPM) Above

Enable Custom Notification

To Set or Modify a “Custom” NotificationCustom notifications are triggered when one vital sign crosses one threshold (high or low) for the averaging duration period, or when two different vital signs cross thresholds (high or low) during the same period . All limits must be true for the notification to occur.For example, you can create a notification that is triggered when heart rate is high while respiration rate is low . Or you can create a notification that is triggered when body temperature is high. Up to two custom notifications may be configured. The vital signs that may be combined in a notification are specific to your facility; therefore, you may not have access to certain vital signs or combinations of vital signs . VistaCenter allows you to assign a label to the configuration that makes it easy to identify.1. Click a patient tile to open the Detailed View, and then

click the Notification Configuration tab. See figure on previous page .

2. Examine the configurations for this VitalPatch. “ON” indicates a notification that is configured and enabled. “OFF” indicates a notification that is not configured or is disabled. If the current configuration is correct, no additional action is necessary .

3. Click the c1:Custom 1 (or label name) or c2:Custom 2 (or label name) button under “Vital Sign Notifications”. The configuration interface opens. See figure to the right.

4. Select the Enable Custom Notifications checkbox to turn on this notification.

5. Use the pull-down menus to select the vital signs to combine (choose one or two) .

6. Enter the thresholds for each vital sign .

EnableSelect a vital sign and

enter a threshold

Select a second vital sign and enter a threshold

(optional)

Select an averaging duration


Enter a label

Apply changes

7. Select an averaging duration (1, 2 or 5 minutes) . The average value must be beyond the threshold for this duration to trigger the notification. Shorter durations are more sensitive .



OFFc1: Custom 1


?Select SMS Option


Step 2

Step 1

Enable Fall Detection?Set Notification

To Set or Modify an Event NotificationThe current release supports notifications on the following events: fall detection, VitalPatch off body, VitalPatch low hours (low battery), and no data received (for a configurable number of minutes). Release 2.5 adds optional notifications for loss of streaming %SpO2 data (for a configurable number of minutes) .1. Click a patient tile to open the Detailed View, and then

click the Notification Configuration tab. See figures on previous page .

2. Examine the configurations for this VitalPatch. “ON” indicates a notification that is configured and enabled. “OFF” indicates a notification that is not configured or is disabled. If the current configuration is correct, no additional action is necessary .

3. Click the button for the event (Fall Detection, Patch Off Body, Patch Low Battery, No Data, or No SpO2 Data) .

4. Select the Enable Notifications checkbox to turn on this notification.

5. Enter a threshold (if applicable, such as for no data uploading) .



Enable


OFFFall Detection

Apply changes

OFFNo SpO2 Data

Enable

Enter minutes before notification

Apply changes

11

Log in with Administrator privileges and select “Manage Notification Settings”

Select a Theater Define Default Notification Configuration

To Configure a Universal Notification (Administrator Only)VistaCenter supports “universal” notifications, where every new VitalPatch in a theater receives a pre-defined notification configuration. The universal configuration is created and maintained by a clinical user with Administrator-level privileges. The universal configuration may be overridden with patient-specific modifications at any time.Important: The universal configuration applies only to new VitalPatch biosensors that are added to a theater . If the universal configuration is modified on a theater that already has patients wearing the VitalPatch, those patients will not receive the modified universal configuration.To view or modify a universal notification configuration:1. Log on to VistaCenter using an account with

Administrator-level privileges .2. Select Menu > Manage Notification Settings. The Notification

Settings screen appears. See figure to the right.3. The list of configurable theaters is shown on the left.

Select a theater to view. The default notification configuration for the theater is shown on the right side.

4. Examine the configuration. Follow the instructions earlier in this section for modifying and updating the configuration as necessary.

5. When finished, no additional action is necessary. All new VitalPatch biosensors that are activated in this theater will receive the modified configuration. If necessary, modify the notification configuration of currently applied VitalPatch biosensors .

AboutVistaCenter™View OrganizationManage UsersManage GroupsManage Notification SettingsEdit PasswordLogout

Hi Administrator Menu

VistaCenter Adminstration™

Notification SettingsTheatersSelect a theater to configure notifications

N/AONFall Detection Fall Detection

N/AONPatch Off Body Patch Off

--OFFPatch Low Battery --

AveragingThresholdNotification (click to edit)

--OFFRespiration Rate Disabled

1 MinuteONc1:Tachycardia HR>100 and RR<20

--OFFc2:Custom 2 --

2 Minutes ONHeart Rate HR>120 or HR<30

Vital Sign Notifications (click to edit)

Event Notifications (click to edit)

Settings for Inpatient-Cardiac Theater

Inpatient-Cardiac

Inpatient-Sepsis

Outpatient-Tablets

Unassigned

Section 11: Configuring SMS FunctionalityFor information on managing text messages and notifications on your mobile device, see Page 14 .VistaCenter can send SMS (text messages) when a notification is triggered. The content of the text message specifies that there is an unchecked notification. The message does not include patient-identifying information . The recipient of the text message must log on to VistaCenter to see the details of the unchecked notification. See the figure on the right. If a notification is not acknowledged after the default resend interval of 5 minutes (and remains “enabled” and “current”), VistaCenter will resend the notification.Starting with Release 2 .5, an administrator can change the resend interval to a different value or disable notification resending entirely . Consult your administrator for more information .Release 2 .5 introduces an optional administrator-level configuration that reduces the number of text messages sent, to prevent flooding recipient inboxes with duplicate messages. If this configuration is enabled, the recipient will only receive one reminder message per resend interval, regardless of how many notifications are active. Consult your administrator to see if this configuration is active for your facility .

New VistaCenter notification active for <device name>.

Text MessageFri, Nov 17, 1:54 PM

New VistaCenter notification active for <theater name>.


This number is configured for VistaCenter notifications on <device name>.

Text MessageFri, Nov 17, 9:20 AM

This number is configured for VistaCenter notifications for one or more theaters.

Text MessageFri, Nov 17, 9:12 AM

Reminder: you have unchecked VistaCenter notifications.


Test text message when a number is added to the list of default theater numbers

Typical Text Message Alerts from VistaCenter

Test text message when an “override” number is added to a notification

Text message sent when notification is triggered (active)

Text message sent when notifications are “grouped”

Reminder text message after 5 minutes

12

?Select SMS Option


Step 3

VistaCenter has two types of SMS configurations:• Default Per-Theater SMS — When a notification occurs,

VistaCenter sends a text message to the default phone number(s) for the patient’s theater .

• Custom SMS Override — When a notification occurs, VistaCenter sends a text message to a custom, override phone number and not to the theater phone number .

Configuring a Default SMS Destination for NotificationsTo configure default (per-theater) SMS destination for notifications, use the following procedure:1. From the VistaCenter dashboard, select Settings > Edit

SMS Reminders. See the figure on the right. 2. The dialog box displays a list of theaters . Enter a

destination number for the specified theater. As you type, a new box will appear for an additional number to be added . To delete a number that has been added, click the “X” next to the number .The numbers you add will receive an SMS message for any new notification in that theater unless the particular notification has an individual SMS configuration.

3. After updating the configuration, choose one of the following options:

– Select Cancel to discard the current changes . Any configuration that was previously present will continue to apply .

– Select Save to save and apply the configuration.4. When configuring notifications, select the Send to Default

Theater Number option for SMS. If the notification is triggered, SMS messages will be sent to the recipients defined in Step 2 above .

Testing Default SMS Phone NumbersThe default SMS phone numbers should be tested on a regular basis to ensure that messages are being delivered as expected. To test the current configuration:1. From the VistaCenter dashboard, select Settings > Edit

SMS Reminders .2. Click the Send Test Notifications button to send test

messages to all destination numbers that have been configured.

3. Verify that the configured phone numbers receive test messages .

Configuring a Custom SMS OverrideA custom SMS override sends a text message to a single recipient when a notification occurs. It bypasses the default per-theater SMS phone numbers. To configure a custom SMS override:1. Configure a notification for a VitalPatch. See Section 10 on

Page 9 .2. When creating or modifying the configuration, select

Send to Override Number .3. Enter a phone number in the provided field.

Click “X” to delete a number

List of available theaters

Send a test message to all listed numbers

Select Default Option

Notification Configuration

Notification Configuration

Select Override Option

Send Test Notifications Cancel Save

Hospital-Flr-3 (800) 888-8888+1

Hospital-Flr-4 (800) 555-1212+1

(800) 888-8888+1

Home-Cohort-A (800) 888-8888+1

Edit SMS Reminders


Menu


Menu

Send Test Notifications

?Select SMS Option

Send to Override Number

Step 3

(408)-555-1234

Enter Override Number

13

Section 12: Displaying and Acknowledging Notifications

Notification Count

Header rows organize by notification

category

STILL TRIGGERED(see description

below)

Date and time when notification occurred

Click the triangle to expand or collapse a notification category Click a notification to

see it in Historical ViewNotification category definition

Notification count for this category of notifications

Click the “Show...” and “Hide...” buttons to control whether previously acknowl-edged notifications are displayed.

Notification List (Desktop/Laptop)

Using the Notification ListThe notification interface displays details on a patient’s notifications, including time stamps, recent history, and a method to acknowledge notifications. When multiple notification configurations are present, each configuration is grouped into a specific notification category under a black row . For example, heart rate and fall notifications will appear in separate categories. Additional categories will appear when a new notification configuration replaces a previous notification configuration, or when a notification configuration is disabled. Any notifications that were generated under the previous configuration are retained, and are marked as either “Deleted” (when deleted) or “OFF” (when replaced or disabled) . An entire category of notifications can be collectively acknowledged by clicking the Acknowledge Category button .

If a Notification is STILL TRIGGEREDIf you see a flashing yellow STILL TRIGGERED indicator in the notification list, that means the notification is active (happening now) and the patient is currently experiencing vitals outside the notification configured threshold.The STILL TRIGGERED indicator will also be displayed for events such as fall detection, no data uploading, low battery, patch off body, and no SpO2 (if notifications are enabled for those events) .

To See a Notification in Historical Data ViewYou may view a notification in the historical view by clicking on the specific notification you are interested in viewing. The Historical View will launch automatically and display a plot of the time period containing the notification. See Section 13 on Page 15 for more information .


Date/Time ActionThreshold Status


Hide PreviouslyAcknowledged


HR>120 or HR<30

AcknowledgeCategory





Fall Detection

AcknowledgeCategory



AcknowledgeAll Notifications

1 current notification and 3 unchecked notifications for this patient

27-Jan 14:20 to NOW AcknowledgeSTILL TRIGGERED Unacknowledged

Click to acknowledge one notification

SCROLL

Click to acknowledge a category

Click to acknowledge all notifications

To display and acknowledge notifications for a patient, click on a patient tile and then select the Notification List tab . See the figure below for desktop/laptop usage. For mobile devices, see Page 14 .

To Acknowledge a NotificationWhen a notification occurs, check the patient as necessary. After responding, the clinician should acknowledge the notification in VistaCenter:1. Click the patient’s tile to open the Notification List View.2. Use one of the following three methods to acknowledge

the notification: – To acknowledge all notifications:

Click the Acknowledge All button at the top of the notification list.

– To acknowledge a category of notifications: Click the Acknowledge Category button in the black category header row .z

– To acknowledge a single notification: Click the Acknowledge button next to the notification.

3. Close the notification view when finished managing notifications.

To Review Previously Acknowledged NotificationsClick the Show Previously Acknowledged button in a notification category header (if present) to show the notifications. Acknowledged notifications will display a checked symbol next to the notification, the user name of the clinician who acknowledged it, and the time and date it was acknowledged .

Acknowledge

AcknowledgeCategory



14


ThresholdDate/TimeStatus Action

27-Nov 14:20 to 28-Nov 14:22

Unacknowledged Acknowledge

STILL TRIGGERED

Acknowledge

27-Nov 14:20 to 28-Nov 14:22

Unacknowledged



HR>120 OR HR<45

AcknowledgeCategory

Hide Previously Acknowledged

NotificationList


HistoricalData

Device (or Room) name

Mobile device receives text message

Log on to VistaCenter and Find Patient

Review Notification List

Managing Notifications on a Mobile DeviceWhen a notification occurs, you can use your mobile device to view and acknowledge the notification. Refer to the figures on the right.1. When you receive the notification on your mobile device,

the device name (or theater name) may be displayed in the text message .

2. Open the VistaCenter dashboard on your mobile device . See Section 3 on Page 2 for more information

3. Find the patient tile on the dashboard and confirm that there is an unacknowledged notification.

4. Tap the patient tile to open the Detailed View . The current list of notifications will be displayed below the patient’s vital signs .

5. Review the notification(s). Tap the Acknowledge button for the notification.

6. To review previously acknowledged notifications, tap the Show Previously Acknowledged button for the notification type you are interested in .

Notify first message: a notification has occurred, please check VistaCenter for more information on Floor10-Room202

(408) 555-1234

MESSAGES now

Device Name

Sort By:

My Group 1

Group/Theater:

Show All



Floor10-Room202


7EWS

2 Hrs AgoUrgent

142

96

18

38.1

150 lbs2 Hours Ago

165/91 d PostureLaying Down

5 StepsNo Falls

5 120 Hrs0073fa

Tap to open Detailed View

UnacknowledgedNotifications

Use “Acknowledge” buttons to acknowledge notifications

15

Section 13: Viewing Historical DataThe Historical Data function provides historical graphs of a patient’s vital sign data . You can view up to two channels of data simultaneously . To access the historical data view, select a patient’s tile in Dashboard View, and then select the Historical Data tab. When you first open the view, VistaCenter displays a plot of the last hour of heart rate by default . Refer to the following figure.


ExpandView

Start

End

19-Jan-2019

20-Jan-2019

10:14

10:14

Select VitalPatch ID: b008bf_0073fa - 19-Jan-2019

OR Select specific dates and times:

15min

24Hr

1Hr

6Hr

Select the most recent time period:

Download CSV

160

Select Channel 1:

Select Channel 2:

Heart Rate

ECG

Heart Rate (BPM)

Time on 19 Jan 201910:14:3206:14:3202:14:3222:14:3218:14:3214:14:3210:14:32

30

45

60

75

90

105

120

Heart Rate: 60 BPM19-Jan-2019 20:37:59

2:14:33 2:14:34 2:14:35 2:14:36 2:14:37 2:14:382:14:32

1

-1

0

mv

(mill

iVol

ts)

ECG (mV)

= Notification= Invalid

ECG

BPM

(Bea

ts P

er M

inut

e)

Close

Pan Zoom In Zoom Out DownloadDrag & Zoom

Download

Select HistoricalData Tab Download a CSV file

of historical data

Shortcuts to select recent time periods

Select a first data channel

(HR is default)

Select a second data channel, such

as ECG (Optional)

For ECG, drag the strip left or right to move through

time

Hover over plot to display details

Menu of available VitalPatch IDs

Click to return to Dashboard View

Expand or Collapse View

Select specific dates and times

Graph controls(see below)

Yellow background indicates notification period

Pink ECG slider appears when viewing a combined ECG/HR graph

To Select a VitalPatch for Historical DataTo view the historical data for a specific VitalPatch, use one of the following methods:• If there is a VitalPatch currently uploading data for a

patient, clicking on the patient’s tile and then selecting Historical Data will automatically select the current VitalPatch .

• To view a VitalPatch that was previously connected to a device, select the device tile in the dashboard, select Historical Data, and then use the Select VitalPatch ID menu to select the VitalPatch (listed by ID and date) .

Use menu to select a VitalPatch

Select VitalPatch ID: b008bf_0073fa - 19-Jan-2019

• Use the Search button in the dashboard menu to search for a VitalPatch by ID . See Section 5 on Page 4.

• Open the Notification List for a current patient and click on the notification time to view the notification in historical context .

Using the Graph Controls

• Pan — (Default selection) Click this button and then drag the mouse across the graph to move forwards and backwards in time .

• Drag & Zoom — Click this button and then drag an area of the graph to zoom in on the highlighted time period .

• Zoom In — Click this button to zoom in on the first half of the currently displayed time period .

• Zoom Out — Click this button to zoom out to a larger time period

• Download Image — Click this button to save an image of the graph .

• Close Graph — Click this button to close the graph .Note: The graph controls are not available on mobile devices . Navigation is limited to panning across a graph .

Pan Zoom In Zoom Out DownloadDrag & Zoom

Close

16

Select a shortcut to view the most recent time period

Select specific dates and times (24-hour maximum)

Pink ECG Slider on Heart Rate Graph

ECG Strip

Select ECG Channel

DRAG

Table 1: Supported Data Channels in Historical View

To Select a Time PeriodBy default, the historical data view displays the most recent hour of heart rate data. To change the displayed time period:• Select one of the shortcut buttons to display the most

recent period (15 minutes, 1 hour, 6 hours, or 24 hours) .• Use the date and time selectors to select a specific

date/time . Note that you cannot select more than 24 hours . If the selected period exceeds 24 hours, the end date/time must be re-entered .

• With the Pan tool selected, drag the mouse horizontally on the graph to move the time view forwards and backwards .

• With the Zoom In tool selected, drag the mouse across the graph to select a time period to display in greater detail .

• Click the Zoom Out tool to view a wider time period .

To Select a Data ChannelBy default, the historical data view displays the heart rate channel . Use the channel pull-down menus to select other channels . If you select the ECG channel, you will be shown a combined ECG and heart rate graph for both channels .The list of supported data channels varies by release (VitalPatch and VistaCenter), by third-party devices employed, and by arrangement with your facility . In the current release (VistaCenter 2 .1 with VitalPatch 2 .0), the table on the right lists the supported data channels .

To View Combined ECG and Heart RateHistorical Data provides a combined ECG and Heart Rate view that allows you to move forwards and backwards on the ECG strip by dragging a pink ECG slider on the heart rate graph .1. Select ECG as a data channel . The view changes to show

heart rate in Channel 1 and ECG in Channel 2 .2. If you cannot see both graphs, use the Expand View

button .3. Select the desired time period for the heart rate graph .4. Drag the pink ECG slider control across the heart rate

graph to adjust the time period viewed in the ECG Strip .

To Export Historical DataTo export data in CSV format (for spreadsheets or other applications):1. Select the Download CSV button .2. Select a VitalPatch ID, data channel(s), and start/end

periods from the pull-down menus .3. Select Download CSV and then select a location .Important: If you export historical data or images to save a local copy of patient data, follow your facility’s patient record guidelines for securing and maintaining that data .

To Export Graph ImagesTo export a PNG image file of a graph, click the Download button above the graph and then select a location on your computer .

Select the most recent time period:

15min

24Hr

1Hr

6Hr

Start

End

19-Jan-2019

19-Jan-2019

10:14

11:14

Select specific dates and times:

Heart Rate (BPM) %SpO2 Saturation (Streaming)

Respiration Rate (BrPM) %SpO2 Saturation (Spot)

ECG (mV) Weight (lbs)

Activity (Steps) Weight (kg)

Skin Temperature (°C) Body Temperature (°C)

RR Interval (ms) Warning Score (NEWS2)

Blood Pressure (mmHg)

Select Channel 1:

Select Channel 2:

Heart Rate

ECG

BPM

(Bea

ts P

er M

inut

e)

10:14 10:18 10:22 10:26 10:30 10:34 10:38 10:42 10:46 10:50 10:54 10:58 11:02 11:06 11:10 11:1440

60

80

100

120

140

160ECG

10:14:33 10:14:34 10:14:35 10:14:36 10:14:37 10:14:3810:14:32

1

-1

0

mv

(mill

iVol

ts)

ECG

Patch: b800bf0127af - 19-Jan-2019

Channel:

Start:

End:

19-Jan-2019

19-Jan-2019

10:14

11:14

Heart Rate ECG

Download CSV

Download CSV

Select Patch ID

Select Channels

Select Date/Time

17

Section 14: Using the Early Warning Score (EWS)VistaCenter supports per-patient Early Warning Score (EWS) calculation for detection of clinical deterioration . The score is not updated automatically; the clinician must check that all vital sign readings are current (including %SpO2 and blood pressure), and then must apply a subjective clinical assessment before asking VistaCenter to calculate the score . The calculated score remains valid for 12 hours .Use EWS only in accordance with your facility’s patient care guidelines .

Reading EWS on the DashboardEach patient tile displays the current EWS score, the risk level associated with that score, and the time since the last calculation . If no score is available, or the score has expired, EWS is displayed as “--” .The background color of the score provides additional indication of risk in increasing order of severity: gray (no score or lowest risk), green (low risk), orange (medium risk), and red (high risk) .

How EWS is CalculatedVistaCenter calculates EWS using the National Early Warning Score 2 (NEWS2) system developed by the Royal College of Physicians . NEWS2 evaluates patients on a scale from 0 to 20, with higher values indicating severity of acute illness (and risk of deterioration) . The score is the total of seven parameters, where each parameter is scored on a scale from 0 to 3. Refer to the following table:

Table 2: NEWS2 Calculation Table

Supplemental Oxygen (O2) status is either “yes” or “no” . If the patient is in hypercapnic respiratory failure, the %SpO2 is evaluated on a modified scale (Scale 2). Consciousness requires clinical assessment . The ACVPU consciousness scale has five values:• Alert (A): Fully alert/awake .• Confusion (C): New onset of confusion .• Verbal (V): Responds when spoken to .• Pain (P): Responds to pain stimulus .• Unresponsive (U): Does not respond to voice or pain.

Score 3 2 1 0 1 2 3

Respiration Rate (BrPM) ≤8 9-11 12-20 21-24 ≥25

%SpO2 (Scale 1) ≤91 92-93 94-95 ≥96

%SpO2 (Scale 2, use with hypercapnic respiratory failure)

≤83 84-85 86-87 88-92≥93 on Air

93-94 on Oxygen

95-96 on Oxygen

≥97 on Oxygen

Supplemental Oxygen? Yes No

Systolic Blood Pressure (mmHg) ≤90 91-100 101-110 111-219 ≥220

Heart Rate (BPM) ≤40 41-50 51-90 91-110 111-130 ≥131

Consciousness (ACVPU) Alert CVPU

Temperature (°C) ≤35 35.1-36 36.1-38 38.1-39 ≥39.1

Click the EWS section to open the EWS interface

Number and color indicate

score

--EWS

Update

0EWS

1EWS

2EWS

3EWS

4EWS

3EWS

5EWS

6EWS

Single VitalScore = 3OR

7EWS

8EWS

9EWS

20EWS

. . .

No Score

Low Risk (1-4)

Medium Risk (5-6, or single at 3)

High Risk (7-20)

Further Reading About NEWS2For more information about the NEWS2 standard and its clinical applications, refer to the document “Royal College of Physicians . National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017 .” The document and supporting materials may be downloaded from: www .rcplondon .ac .uk/national-early-warning-score

http://www.rcplondon.ac.uk/national-early-warning-score

18

Pink rows indicate items that need attention before EWS can be calculated

Use the Enter button to manually enter missing vital signs

Use the Change button to update a value

Select Calculate a New Score

EWS InterfaceTo Update the EWS Calculation for a Patient1. Ensure the patient is currently wearing a VitalPatch (vital

signs are visible on the dashboard) .2. In VistaCenter, click the EWS section of the patient’s tile .

The EWS interface opens . 3. Select the Calculate a New Score tab. See the figure to the

right .4. Look for rows with a pink background . These indicate

score components that need attention before a score can be calculated:

– Respiratory Rate — obtained from VitalPatch . – Oxygen Saturation — uploaded by Bluetooth device or

manually entered (select Enter to update) . – Hypercapnic Respiratory Failure — select No or Yes . – Supplemental Oxygen — select No or Yes . – Systolic Blood Pressure — uploaded by Bluetooth

device or manually entered (select Enter to update) . – Respiratory Rate — obtained from VitalPatch . – Consciousness — select a value . Refer to the

descriptions in “How EWS is Calculated” on page 17 . – Body Temperature — obtained from VitalPatch . If this is

“Missing”, calibrate the patient’s body temperature in VistaPoint .

NOTE: If you enter vital signs manually, weight is not required and may be skipped .

5. To change an incorrect score component, select the blue Change button .

6. When all the components of the EWS are available, the interface indicates the score can be updated . Click Update Score Now .

7. The EWS interface displays the updated score in the Current Score tab. When finished, click the Close button to return to the dashboard .

The score remains valid for 12 hours . The calculation may be updated at any time (as long as all vital signs are current) .

To View the Current Score CalculationIn VistaCenter, click the EWS section of the patient’s tile . The EWS interface opens. See the figure to the right.The current score is displayed at the top of the interface, along with the risk indicator, the date/time of calculation, and the username of the clinician who initiated the calculation . Each row under “Score Calculation Details” shows the values used in the calculation and the date/time each component was collected . The patient’s EWS trend may be examined by selecting the “EWS Score” channel in the Historical View . For more information see Section 13 on page 15 .

NEWS2 Warning Score Calculationfor Floor10-Room200

Close

Current Score Calculate a New Score

NEWS2 Score Not Available

Score Components

Respiration Rate: 17 BrPM10-Jan-2019 at 17:15:00

Heart Rate: 60 BPM10-Jan-2019 at 17:15:00

Consciousness:

Update missing components

Systolic Blood Pressure:

Hypercapnic Respiratory Failure:

Supplemental Oxygen:

Missing

Missing

Missing

Missing

Enter

No Yes

No Yes

Alert Confusion Responds to VerbalResponds to Pain Unconscious

?

Body Temperature: 37.9°C10-Jan-2019 at 17:15:00

Update Score Now

Oxygen Saturation (%SpO2): 95%10-Jan-2019 at 17:15:00 Change

EWS

?

NEWS2 Warning Score Calculationfor Floor10-Room200

Close

Current Score Calculate a New Score

NEWS2 Total Score = 4 (Low Risk)

Score Calculation Details

10-Jan-2019 at 17:15:00 by user srellez

Calculate a New Score

Current Score is Valid

EWS

4Respiration Rate: 17 BrPM = 010-Jan-2019 at 17:15:00

Supplemental Oxygen: No = 010-Jan-2019 at 17:15:00

Systolic Blood Pressure: 165 mmHg = 010-Jan-2019 at 17:15:00

Heart Rate: 60 BPM = 010-Jan-2019 at 17:15:00

Consciousness: (C)onfusion = 310-Jan-2019 at 17:15:00

Body Temperature: 37.9°C = 010-Jan-2019 at 17:15:00

Oxygen Saturation (%SpO2): 95% = 1

10-Jan-2019 at 17:15:00 Using Scale 1 for No Hypercapnic Respiratory Failure

Select Current Score

Current score with risk indicator and time of calculation

Each vital sign is scored individually

19

Cardiac Outpatient

New Group

Cardiac

Cardiac

New GroupCardiac

New Subgroup

Cardiac Stepdown

New Subgroup 2

Select group name to edit

Select “Edit Name” and enter new name

Select “Add Subgroup” to add

subgroups

Select subgroups to edit

The procedures in this section are for administrators only . For more information on device management, refer to MAN-020, Vista Solution IT Administrator’s Guide .

About Device GroupsVistaCenter supports the creation of groups and subgroups of VistaTablet devices (relays) to provide filters for the VistaCenter dashboard view . For example, a user can be assigned a group that will appear when they first log in, or they can select a different group to view at any time.

To Define the Group Structure1. Log on to VistaCenter with administrator-level privileges .2. Select Menu > Manage Groups . The current list of groups

will be displayed on the left side of the interface . See the figure on the right.

3. Select the Add Group button at the top of the group list to add a group . A new group appears in the list . See the figure on the right.

4. Select the newly created group . Controls to edit group name ( ), add subgroup ( ), and delete group ( ) appear .

5. Select the edit group name ( ) button . The group name becomes editable . Enter a new name for the group .

6. To create subgroups, select the group name and then select the add subgroup ( ) button . A new subgroup appears below the group .

Use the controls to define the structure of groups and subgroups for your organization . Groups and subgroups can be added and deleted at any time . Note that a group cannot be deleted if it contains subgroups . To delete a group, you must delete its subgroups first.

To Add Relays to Groups1. Select a group or subgroup to modify . The middle

column displays the list of relays in the group (“Relays in Selected Group”) . When you select a group to view, the middle column shows only the relays in the group, not in its subgroups .

2. Use the checkboxes in the right column (“Relays by Theater”) to add and subtract relays from the group . Use the View Theater menu to select the theater to view (the default selection is “all”) .Selecting a checkbox adds a relay to the group; deselecting a checkbox removes the relay from the group . As you add and subtract relays, the middle column (“Relays in Selected Group”) changes to shows the relays to be added and deleted .

3. When finished adding and subtracting relays from the selected group, select Save Changes to apply the changes, or select Cancel to discard the changes . Note that these buttons are gray (and un-selectable) unless there are changes that can be applied .

4. After you are finished defining the contents of the groups, switch to the VistaCenter dashboard to confirm that the group and subgroup selections display the correct devices .

Section 15: Managing Device Groups (Administrators Only)

GroupsAdd Group

North Building Cardiac

Tower East

Cardiac Inpatient

Cardiac Outpatient

Add Group

Group

Subgroups

Groups Relays in Selected GroupSave ChangesCancel

Selected Group: Tower East 6 Relays selectedTablet-Room501

Tablet-Room502

Tablet-Room503

Tablet-Room504

Tablet-Room506

Add Group

North Building Cardiac

Tower East

Cardiac Inpatient

Tower East Floor 5

Cardiac Outpatient

Relays in Selected Group Relays by TheaterSave ChangesCancel

Selected Group: Tower East 6 Relays selectedTablet-Room501

Tablet-Room502

Tablet-Room503 (deleting)

Tablet-Room504

Tablet-Room505 (adding)

Tablet-Room506

Hospital-DevicesView Theater

5 out of 124 relays selectedSelect All Remove All

cardiac-tablet-02

Tablet-Room501

Tablet-Room503

Tablet-Room505

cardiac-tablet-01

cardiac-tablet-03

Tablet-Room504

20

New UserBasic Details

Create User

Uid

First name

Email

Last name

Default Theater/Group

Password

Role

Password confirmation

All Devices

Please select

Authentication

Section 16: Managing Users (Administrators Only)The procedures in this section are for administrators only . For more information on user management, including creating users by bulk import, refer to MAN-020, Vista Solution IT Administrator’s Guide .

About User ManagementTo access VistaCenter, each user requires a VistaCenter user account . Use the procedures in this section to add and edit VistaCenter users . The interface does not allow users to be deleted . Assign the “Inactive User” role to users who should not (currently) have access to VistaCenter .

To Add Individual Users1. Log on to VistaCenter with administrator-level privileges .2. Select Menu > Manage Users to display the current list of

users. See figure to the right. Each row is a single user record, displayed in the order in which they are added (oldest records first). Each row displays the following:

– UID (User ID): The login name. Identifies users who configure and acknowledge notifications.

– First Name, Last Name, Email – Action: Use these buttons to view or edit a user .

3. To add a user, click the green Add User button . The New User form displays .

4. Click the (+) button to expand the “Basic Details” and “Authentication” sections .

5. Enter user ID (UID), email, first name, and last name.6. (Optional) Use the Default Theater/Group menu to select

the default theater or group the user will see when first logging on to the VistaCenter dashboard . The default selection is All Devices .

7. Select a role for the user from the Role menu: – Administrator: Users who will be performing clinical

management tasks, such as managing users and device groups .

– User: Clinical users who will be monitoring patients . – Inactive User: Users who will not (currently) be using

VistaCenter .The assigned role can be updated at any time after creating the user .

8. Enter and re-enter a password for the user . 9. When finished, click the Create User button . The new user

will be added to the bottom of the user list .

To View or Edit a UserTo view details on a single user, click the button in the user’s record . The details will display on the right side of the interface. See the figure to the right.To edit a user, click the button in the user’s record . Follow the instructions in To Add Individual Users above .

Users Import multiple users Add User

UID First Name Last Name Action

gwashingon George Washington [email protected]

aturing-it Alan Turing [email protected]

fnightengale Florence Nightengale [email protected]

VistaCenter Adminstration™

Create multiple users by import (Refer to MAN-020) Add single user

User ID First/Last Name Email

Click to create user when entry is finished

Enter basic user information

Use menu to select the default theater or group for the user

Use menu to select role for the user

Enter and re-enter password

View Edit

Using Single Sign-On with VistaCenterOptionally, VistaCenter may be integrated with a single sign-on (SSO) system . If SSO integration is active, the password defined for the user in this procedure will not be accepted when accessing VistaCenter . Only the SSO credentials will be accepted .When using SSO, the user ID (UID) in VistaCenter must match the UID in the SSO system .

VitalConnect, Inc.224 Airport Parkway, Suite 300, San Jose, CA 95110 | (408) 963-4600 | www .vitalconnect .com | support@vitalconnect .com© 2020 VitalConnect . A list of our trademarks can be found at www .vitalconnect .com . All other marks may be trademarks of their respective companies .

Documents

VistaCenter 2.1 Instructions for Use - VitalConnect