BIOMED CERTIFICATION
STUDY GUIDE||ACCURATE
ANSWERS TO ALL QNS
NURSECLARABURTON [Company address]
i
,Table of contents
Electrical safety ................................................................................................................................................ 1
Electrical safety testing ................................................................................................................................ 1
General equipment ....................................................................................................................................... 2
Computer or microprocessor controlled devices .......................................................................................... 2
Patient connected devices, diagnostic .......................................................................................................... 2
Patient connected devices, therapeutic ......................................................................................................... 2
Devices in the patient vicinity ...................................................................................................................... 3
Electrical safety on permanently wired equipment or over 115 volts ........................................................... 3
Personal safety ............................................................................................................................................. 3
REVIEW QUESTIONS ...................................................................................................................................... 4
Introduction to cardiac devices......................................................................................................................... 5
The heart‟s pumping action .......................................................................................................................... 5
Basic hemodynamics in the heart ................................................................................................................. 5
Ecg amplifiers .............................................................................................................................................. 6
Isolation ................................................................................................................................................... 6
Switches ................................................................................................................................................... 6
Gain ......................................................................................................................................................... 6
Frequency response .................................................................................................................................. 7
Electrodes................................................................................................................................................. 7
Ecg recording ........................................................................................................................................... 7
Waveform display methods.......................................................................................................................... 8
Electronic display..................................................................................................................................... 8
Ink paper .................................................................................................................................................. 9
Clay paper ................................................................................................................................................ 9
Wax paper ................................................................................................................................................ 9
Chemical - thermal ................................................................................................................................... 9
Recorder presentation................................................................................................................................. 10
Blood pressure ........................................................................................................................................... 11
Mercury manometers ............................................................................................................................. 11
Aneroid manometer ............................................................................................................................... 11
Electronic blood pressure measurement ................................................................................................. 12
Invasive blood pressure measurement .................................................................................................... 12
Cardiac output measurement ...................................................................................................................... 13
Pulse oximeter............................................................................................................................................ 14
Pulse oximeter............................................................................................................................................ 14
Defibrillators .............................................................................................................................................. 15
Cardioversion ......................................................................................................................................... 16
Implanted pacer.......................................................................................................................................... 16
REVIEW QUESTIONS .................................................................................................................................... 16
Perinatal devices ............................................................................................................................................ 19
Ultrasound.................................................................................................................................................. 19
Fetal doppler .............................................................................................................................................. 19
Fetal monitor .............................................................................................................................................. 19
Presentation ............................................................................................................................................ 20
Common problems ................................................................................................................................. 20
Fetal monitoring systems ....................................................................................................................... 20
Birth ............................................................................................................................................................... 21
Infant incubator .......................................................................................................................................... 21
Heater controls ....................................................................................................................................... 22
Infant warmer............................................................................................................................................. 22
Billi lights (also known as phototherapy unit)............................................................................................ 23
Transilluminator ......................................................................................................................................... 24
Apnea monitor ........................................................................................................................................... 24
REVIEW QUESTIONS .................................................................................................................................... 24
ii
,Operating room equipment............................................................................................................................. 26
Anesthesia .................................................................................................................................................. 26
General anesthesia unit, inhalation ......................................................................................................... 26
Vaporizer ............................................................................................................................................... 26
Flow tube ............................................................................................................................................... 26
Purge button ........................................................................................................................................... 27
Pin index ................................................................................................................................................ 27
Absorber ................................................................................................................................................ 27
Scavenger ............................................................................................................................................... 27
Anesthesia circuit ................................................................................................................................... 27
Bellows .................................................................................................................................................. 27
Reservoir bag ......................................................................................................................................... 27
Capnograph ............................................................................................................................................ 28
Anesthesia depth monitor....................................................................................................................... 28
Other monitoring .................................................................................................................................... 28
Injectable anesthetic agents .................................................................................................................... 28
Explosive agents .................................................................................................................................... 28
Tables......................................................................................................................................................... 28
Lighting...................................................................................................................................................... 29
Electrosurgery ............................................................................................................................................ 29
Electrodesiccation .................................................................................................................................. 30
Electrofulguration .................................................................................................................................. 30
Electrosection ......................................................................................................................................... 30
Electrocoagulation.................................................................................................................................. 30
Electrosurgical burns .............................................................................................................................. 31
Fires ....................................................................................................................................................... 31
Cryosurgery ........................................................................................................................................... 31
Lasers ..................................................................................................................................................... 32
Suction ....................................................................................................................................................... 32
Autotransfusion .......................................................................................................................................... 33
Fluid warmers ............................................................................................................................................ 33
Cardiac bypass pump ................................................................................................................................. 33
Hypo/hyperthermia .................................................................................................................................... 34
Power tools ................................................................................................................................................ 34
Tourniquets ................................................................................................................................................ 35
Scopes ........................................................................................................................................................ 35
Scope disinfecting and sterilizing units .................................................................................................. 36
Insuflator ................................................................................................................................................ 36
Surgical microscope ................................................................................................................................... 37
Operating room environment ..................................................................................................................... 37
Clothing ................................................................................................................................................. 37
Hands ..................................................................................................................................................... 37
Tools and test equipment ....................................................................................................................... 38
Movement .............................................................................................................................................. 38
Speaking ................................................................................................................................................ 38
Hazards .................................................................................................................................................. 38
Isolated power system ............................................................................................................................ 38
Laminar flow.......................................................................................................................................... 39
Germicidal lights.................................................................................................................................... 39
REVIEW QUESTIONS .................................................................................................................................... 39
Critical care/intensive care units..................................................................................................................... 41
Physical requirements ................................................................................................................................ 41
Electrical ................................................................................................................................................ 41
Emergency power .................................................................................................................................. 42
Gas and suction ...................................................................................................................................... 42
Lighting.................................................................................................................................................. 43
iii
, Air handling and filters .......................................................................................................................... 43
Noise levels ............................................................................................................................................ 44
Monitoring systems .................................................................................................................................... 44
Ventilators .................................................................................................................................................. 45
Volume limited ...................................................................................................................................... 45
Pressure limited ...................................................................................................................................... 45
Time cycled............................................................................................................................................ 45
Jet-high frequency-ultrasonic ................................................................................................................. 46
Controlled ventilation............................................................................................................................. 46
Assisted ventilation ................................................................................................................................ 46
Assister/controller .................................................................................................................................. 46
Humidification ....................................................................................................................................... 46
General information on ventilators ......................................................................................................... 46
Intra-aortic balloon pump ........................................................................................................................... 47
Left ventricular assist device ...................................................................................................................... 47
Extra corporeal membrane oxygenation ..................................................................................................... 47
Leg compression units................................................................................................................................ 47
Pulse doppler.............................................................................................................................................. 48
Icu beds ...................................................................................................................................................... 48
Stryker bed, (frame) ............................................................................................................................... 48
Circoelectric bed .................................................................................................................................... 48
Century bed ............................................................................................................................................ 48
Sand bed or air bed................................................................................................................................. 49
Water mattress ....................................................................................................................................... 49
Air mattress ............................................................................................................................................ 49
Fluid pumps ............................................................................................................................................... 49
Volume displacement ............................................................................................................................. 50
Linear peristaltic pump .......................................................................................................................... 50
Roller peristaltic ..................................................................................................................................... 51
Feeding pumps ....................................................................................................................................... 51
Pca pump................................................................................................................................................ 51
Syringe pump ......................................................................................................................................... 51
Dialysis ...................................................................................................................................................... 52
Hemodialysis.......................................................................................................................................... 52
Peritoneal dialysis .................................................................................................................................. 52
Refractometer ............................................................................................................................................. 53
REVIEW QUESTIONS .................................................................................................................................... 53
Laboratory equipment .................................................................................................................................... 55
The basic functions .................................................................................................................................... 55
Sample prep ........................................................................................................................................... 55
Detector.................................................................................................................................................. 55
Processor ................................................................................................................................................ 55
Flush ...................................................................................................................................................... 56
Display/printer ....................................................................................................................................... 56
System connector ................................................................................................................................... 56
Self-check/calibration ............................................................................................................................. 56
External power conditioner or ups ......................................................................................................... 56
Blood gas/ph analyzer ................................................................................................................................ 56
Common problems ................................................................................................................................. 57
Bilirubinometer .......................................................................................................................................... 57
Common problems ................................................................................................................................. 57
Clinical chemistry analyzer ........................................................................................................................ 58
Common problems ................................................................................................................................. 58
Centrifuge .................................................................................................................................................. 59
Rotation speed........................................................................................................................................ 59
Timer...................................................................................................................................................... 60
iv
STUDY GUIDE||ACCURATE
ANSWERS TO ALL QNS
NURSECLARABURTON [Company address]
i
,Table of contents
Electrical safety ................................................................................................................................................ 1
Electrical safety testing ................................................................................................................................ 1
General equipment ....................................................................................................................................... 2
Computer or microprocessor controlled devices .......................................................................................... 2
Patient connected devices, diagnostic .......................................................................................................... 2
Patient connected devices, therapeutic ......................................................................................................... 2
Devices in the patient vicinity ...................................................................................................................... 3
Electrical safety on permanently wired equipment or over 115 volts ........................................................... 3
Personal safety ............................................................................................................................................. 3
REVIEW QUESTIONS ...................................................................................................................................... 4
Introduction to cardiac devices......................................................................................................................... 5
The heart‟s pumping action .......................................................................................................................... 5
Basic hemodynamics in the heart ................................................................................................................. 5
Ecg amplifiers .............................................................................................................................................. 6
Isolation ................................................................................................................................................... 6
Switches ................................................................................................................................................... 6
Gain ......................................................................................................................................................... 6
Frequency response .................................................................................................................................. 7
Electrodes................................................................................................................................................. 7
Ecg recording ........................................................................................................................................... 7
Waveform display methods.......................................................................................................................... 8
Electronic display..................................................................................................................................... 8
Ink paper .................................................................................................................................................. 9
Clay paper ................................................................................................................................................ 9
Wax paper ................................................................................................................................................ 9
Chemical - thermal ................................................................................................................................... 9
Recorder presentation................................................................................................................................. 10
Blood pressure ........................................................................................................................................... 11
Mercury manometers ............................................................................................................................. 11
Aneroid manometer ............................................................................................................................... 11
Electronic blood pressure measurement ................................................................................................. 12
Invasive blood pressure measurement .................................................................................................... 12
Cardiac output measurement ...................................................................................................................... 13
Pulse oximeter............................................................................................................................................ 14
Pulse oximeter............................................................................................................................................ 14
Defibrillators .............................................................................................................................................. 15
Cardioversion ......................................................................................................................................... 16
Implanted pacer.......................................................................................................................................... 16
REVIEW QUESTIONS .................................................................................................................................... 16
Perinatal devices ............................................................................................................................................ 19
Ultrasound.................................................................................................................................................. 19
Fetal doppler .............................................................................................................................................. 19
Fetal monitor .............................................................................................................................................. 19
Presentation ............................................................................................................................................ 20
Common problems ................................................................................................................................. 20
Fetal monitoring systems ....................................................................................................................... 20
Birth ............................................................................................................................................................... 21
Infant incubator .......................................................................................................................................... 21
Heater controls ....................................................................................................................................... 22
Infant warmer............................................................................................................................................. 22
Billi lights (also known as phototherapy unit)............................................................................................ 23
Transilluminator ......................................................................................................................................... 24
Apnea monitor ........................................................................................................................................... 24
REVIEW QUESTIONS .................................................................................................................................... 24
ii
,Operating room equipment............................................................................................................................. 26
Anesthesia .................................................................................................................................................. 26
General anesthesia unit, inhalation ......................................................................................................... 26
Vaporizer ............................................................................................................................................... 26
Flow tube ............................................................................................................................................... 26
Purge button ........................................................................................................................................... 27
Pin index ................................................................................................................................................ 27
Absorber ................................................................................................................................................ 27
Scavenger ............................................................................................................................................... 27
Anesthesia circuit ................................................................................................................................... 27
Bellows .................................................................................................................................................. 27
Reservoir bag ......................................................................................................................................... 27
Capnograph ............................................................................................................................................ 28
Anesthesia depth monitor....................................................................................................................... 28
Other monitoring .................................................................................................................................... 28
Injectable anesthetic agents .................................................................................................................... 28
Explosive agents .................................................................................................................................... 28
Tables......................................................................................................................................................... 28
Lighting...................................................................................................................................................... 29
Electrosurgery ............................................................................................................................................ 29
Electrodesiccation .................................................................................................................................. 30
Electrofulguration .................................................................................................................................. 30
Electrosection ......................................................................................................................................... 30
Electrocoagulation.................................................................................................................................. 30
Electrosurgical burns .............................................................................................................................. 31
Fires ....................................................................................................................................................... 31
Cryosurgery ........................................................................................................................................... 31
Lasers ..................................................................................................................................................... 32
Suction ....................................................................................................................................................... 32
Autotransfusion .......................................................................................................................................... 33
Fluid warmers ............................................................................................................................................ 33
Cardiac bypass pump ................................................................................................................................. 33
Hypo/hyperthermia .................................................................................................................................... 34
Power tools ................................................................................................................................................ 34
Tourniquets ................................................................................................................................................ 35
Scopes ........................................................................................................................................................ 35
Scope disinfecting and sterilizing units .................................................................................................. 36
Insuflator ................................................................................................................................................ 36
Surgical microscope ................................................................................................................................... 37
Operating room environment ..................................................................................................................... 37
Clothing ................................................................................................................................................. 37
Hands ..................................................................................................................................................... 37
Tools and test equipment ....................................................................................................................... 38
Movement .............................................................................................................................................. 38
Speaking ................................................................................................................................................ 38
Hazards .................................................................................................................................................. 38
Isolated power system ............................................................................................................................ 38
Laminar flow.......................................................................................................................................... 39
Germicidal lights.................................................................................................................................... 39
REVIEW QUESTIONS .................................................................................................................................... 39
Critical care/intensive care units..................................................................................................................... 41
Physical requirements ................................................................................................................................ 41
Electrical ................................................................................................................................................ 41
Emergency power .................................................................................................................................. 42
Gas and suction ...................................................................................................................................... 42
Lighting.................................................................................................................................................. 43
iii
, Air handling and filters .......................................................................................................................... 43
Noise levels ............................................................................................................................................ 44
Monitoring systems .................................................................................................................................... 44
Ventilators .................................................................................................................................................. 45
Volume limited ...................................................................................................................................... 45
Pressure limited ...................................................................................................................................... 45
Time cycled............................................................................................................................................ 45
Jet-high frequency-ultrasonic ................................................................................................................. 46
Controlled ventilation............................................................................................................................. 46
Assisted ventilation ................................................................................................................................ 46
Assister/controller .................................................................................................................................. 46
Humidification ....................................................................................................................................... 46
General information on ventilators ......................................................................................................... 46
Intra-aortic balloon pump ........................................................................................................................... 47
Left ventricular assist device ...................................................................................................................... 47
Extra corporeal membrane oxygenation ..................................................................................................... 47
Leg compression units................................................................................................................................ 47
Pulse doppler.............................................................................................................................................. 48
Icu beds ...................................................................................................................................................... 48
Stryker bed, (frame) ............................................................................................................................... 48
Circoelectric bed .................................................................................................................................... 48
Century bed ............................................................................................................................................ 48
Sand bed or air bed................................................................................................................................. 49
Water mattress ....................................................................................................................................... 49
Air mattress ............................................................................................................................................ 49
Fluid pumps ............................................................................................................................................... 49
Volume displacement ............................................................................................................................. 50
Linear peristaltic pump .......................................................................................................................... 50
Roller peristaltic ..................................................................................................................................... 51
Feeding pumps ....................................................................................................................................... 51
Pca pump................................................................................................................................................ 51
Syringe pump ......................................................................................................................................... 51
Dialysis ...................................................................................................................................................... 52
Hemodialysis.......................................................................................................................................... 52
Peritoneal dialysis .................................................................................................................................. 52
Refractometer ............................................................................................................................................. 53
REVIEW QUESTIONS .................................................................................................................................... 53
Laboratory equipment .................................................................................................................................... 55
The basic functions .................................................................................................................................... 55
Sample prep ........................................................................................................................................... 55
Detector.................................................................................................................................................. 55
Processor ................................................................................................................................................ 55
Flush ...................................................................................................................................................... 56
Display/printer ....................................................................................................................................... 56
System connector ................................................................................................................................... 56
Self-check/calibration ............................................................................................................................. 56
External power conditioner or ups ......................................................................................................... 56
Blood gas/ph analyzer ................................................................................................................................ 56
Common problems ................................................................................................................................. 57
Bilirubinometer .......................................................................................................................................... 57
Common problems ................................................................................................................................. 57
Clinical chemistry analyzer ........................................................................................................................ 58
Common problems ................................................................................................................................. 58
Centrifuge .................................................................................................................................................. 59
Rotation speed........................................................................................................................................ 59
Timer...................................................................................................................................................... 60
iv
