GE Dash 8000
Monitor/Central Information
Center (CIC)
Nursing Continuing Education
Program
Staten Island University Hospital
Objectives
 At the end of the program, the participant
will be able to:
 Discuss the features of the GE Dash 8000
patient monitoring system
 Identify alarm levels
 Identify function tabs of the CIC and
describe their use
 Identify functions of the bedside monitor
Objective #1
Discuss the features of the GE Dash
8000 monitor system.
GE Dash 8000 Monitor System
 The monitor system consists of the Central
Information Center (CIC) and the bedside
monitor.
 Components of the CIC include the screen,
mouse, keyboard, speaker and printer.
 The bedside monitor consists of the “rack”,
“tram”, screen, and remote control.
 Parameters and alarms are pre-set by
default and are activated upon admission.
CIC Multiple Patient Viewer
 The CIC multiple patient viewer is a windows based, mouse driven
application.
 Screen is navigated using the “mouse”
 Functions are engaged by “left” clicking the mouse.
 Each multiple patient viewer can display up to 10 patients
Print strip
annotates all
currently
monitored data
and up to 4
waveforms.
Each individual window displays currently monitored
information. To obtain a rhythm strip, “left click” on the
heart rate box to the right of the window. The printer will
print the strip until the mouse is “clicked” again or the
“start/stop” button on the printer is pressed.
“Left click” anywhere in the large patient display to engage the
patient’s file and all the function tabs. All patients will continue
to be displayed, but the selected patient’s file will appear at the
bottom of the CIC.
GE Dash 8000 Bedside Cardiac
Monitor
Components of the Bedside
Monitor
“Trim Knob” allows operator to navigate the monitor screen.
Trim knob is then depressed to engage the function. Alternatively,
“fast keys” displayed above allow immediate access to their
function.
Remote Control
panel contains all
the same buttons
as the front
monitor panel and
also has a “trim’
knob to allow
navigation on the
monitor screen.
The “tram” fits into the
monitor “rack”.
Color coded cables attach
to corresponding colored
slots on “tram”. Once a
cable is attached to the
“tram” the function is
automatically activated.
Green = ECG
Red = Pressure cable input
Black = Non-invasive BP
Brown = CO input
Blue = SpO2 monitor
Objective #2: Identify alarm
levels.
There are two types of alarms:
Patient status alarms
System status alarms
Patient Status Alarms
There are four levels of alarms: Crisis,
Warning, Advisory,
and Message
Message alarm provides visible
message only, No audible tone
No beeps
Patient Status Alarms
Alarm parameters and limits have been set by
default for all units but can be individualized as
necessary.
Exception: Asystole and ventricular fibrillation/tachycardia are always in “Crisis” and cannot be
changed. Crisis alarm must be silenced by the user.
System Status Alarms
You cannot change system status alarms and parameters.
Silencing Alarms
Silencing
alarms on
the CIC
Objective #3
Identify function tabs of the CIC and
describe their use.
The Individual Display on the
CIC has10 function tabs
 Monitor: Displays all beside monitored
information, i.e.. Cardiac rhythm, vital
signs, pulse oximetry
 Admit/Discharge: Allows operator to
admit/discharge patient or change/modify
admission information
 ECG: Allows operator to select lead, size,
pacer filter, arrhythmia alarms, PVC limits,
relearn, print
CIC Function Tabs
 SpO2/Respiration: Allows operator to view
and modify pulse oximetry and respiratory
displays.
 Pressures: Allows operator to view and
modify invasive and non-invasive pressure
displays.
 Alarm: Allows operator to change default
and “tailor” alarm settings to patient needs
CIC Function Tabs
 Alarm History: Displays arrhythmia events. Can
be reviewed, printed or deleted.
– Monitor stores 36 –10 second events and 24 hours of
vital signs
 Graphic Trends: Displays monitored data in
graphic format.
 Vital Signs: Displays trend data in a spreadsheet
format.
 Full Disclosure: Stores 72 hours of continuous
monitored data.
Objective #4
Identify functions of the bedside
monitor.
Trim Knob: Allows the operator to navigate the main screen
and engage the functions/menu.
“Fast Keys” allow the operator to engage a function directly
without navigating through the screen.
Admit a Patient to the Monitor
The patient must be
admitted to the bedside monitor
in order to activate the alarms
and send the information to the
CIC.
To admit the patient press the
Admit Patient
button on the keypad or
remote.
Enter the patient’s
demographics by selecting
“change admit info”. Height
and weight information
must be entered at the
bedside. Other information
can be added at the CIC.
Scroll to “return” to exit the
menu. Be sure to save when
prompted!
Silence
Silence Alarm Key
Silences alarm at the bedside for 2 minutes when
depressed once, 5 minutes when depressed twice
in succession.
To reset before elapsed time frame, depress once.
Alarms automatically reset after time elapse.
Zero All Key
“Zeros” invasive pressure lines when the
transducer is interfaced with atmospheric
pressure.
All Limits Key
Displays all currently monitored
physiologic parameter limits as
well as current alarm levels.
“Graph Go/Stop” Key
Engages the bedside printer. Prints until
depressed a second time.
Printer can display up to four waveforms
and can be configured at the beside or the CIC.
“Main Menu” Key
Main menu key returns operator to
the main screen of the monitor.
“Home”
“Fast” Keys
“Fast “ keys engage function without
scrolling through the main screen.
“Fast Keys”
 Keys #1, #2, #3 engage non-invasive blood
pressure function
– 1 “Go/Stop” initiates a B/P measurement
– 2 “Auto” initiates automatic B/P measurement
at desired time intervals
• Cannot be set at CIC, must be set at bedside
– 3 “Stat” initiates 5 minute continuous B/P
measurement
 Key #4 engages cardiac output by thermodilution
program
“Fast Keys”
 Key #5 engages cardiac calculation menu
 Key #6 engages pulmonary artery capillary
wedge pressure (PCWP) measurement
 Key #7 engages stored vital sign data
 Key #8 engages stored graphic trend data
 Key #9 engages 12 lead ECG menu
 Key #0 allows viewing of an additional
monitored bed
Bedside Monitor Display: ECG
ECG Monitoring
 Monitor default set to “multiple lead
analysis.
– Allows monitoring in more than one lead at a
time.
– If one lead becomes loose, rhythm monitoring
continues but message alarm is seen.
 Default set to Lead II and V1. Can be
changed at bedside or CIC.
ECG DISPLAY
WINDOW
ECG Functions
↑
Allows monitoring in alternate lead if
one electrode becomes loose/falls off
Electrode
Placement
ECG Functions: 12 Lead ECG
To perform a
12 lead ECG,
Select ECG
With the trim
knob to
engage the
ECG function.
Then select
12 Lead ECG
analysis. (May
also use “fast”
key.)
Additional
monitoring
cable must be
attached.
12 Lead ECG: Additional Lead Placement
Placement
information
is also
available
in the “Help”
menu of the
12 Lead
function
Select “Detect Pace” from ECG function to turn on pacing filter.
Can also be selected from CIC.
ST Segment Monitoring
Respirations
 Respiratory monitoring functions can be
selected from the bedside monitor by
scrolling with the trim knob to highlight the
function and then pressing the trim knob to
engage it.
 Respiratory monitoring functions can also
be accessed at the CIC.
Non-Invasive BP Monitoring
Cuff selection and
application are
important!
Inappropriate
selection or
application
can result in
erroneous
measurement.
SPO2 Monitoring
Invasive Pressure Monitoring
PCWP
Measurement
PCWP Monitoring
Cardiac Output
(CO)
measurement
Connect BROWN
monitor cable to
tram. Use “co-set”
closed CO tubing
and 10 cc room
temperature D5W
solution. Select
automatic for
“co-factor”.
Catheter Baxter
size 7.5 Fr
Cardiac Output by Thermodilution
Select Cardiac Calcs from
menu to complete calculations.
Monitored parameters
will automatically be
entered.
This completes the monitor program.
Please complete the post-test and
evaluation and return to your PCUM or
Staff Development Instructor for your
continuing education certificate.
This continuing nursing education activity
has been approved by Staten Island
University Hospital, an accredited provider
by the New York State Nurses Association,
an accredited approver by the American
Nurses Credentialing Center’s
Commission on Accreditation