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study guide for psychology tenth edition

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study guide for psychology tenth editionIt is the intention of Fresenius USA to continuously do product development which may result in modifications and improvements to specifications or equipment produced in the future. Such product improvements shall not incur any obligation to make similar changes or improvements to equipment previously produced. Warning: At the end of the rinsing process, after chemical disinfection, the drain water must be tested for disinfectant residual. II-2 2008K Technician’s Manual. The level detection circuit must be calibrated for the model line you are using. During calibration the filter inside the drip chamber must be below the sensor heads. Refer to the calibration instructions. Water inlet regulator Limiting the inlet water pressure. Recirculation valve V29 Allows fluid to the drain to be diverted into the hydroblock; used in heat disinfect to heat up faster and to conserve energy. III-2 2008K Technician’s Manual. The set time and the remaining time on rinse are displayed on the screen. 2008K Technician’s Manual III-3. NOTE: The heat disinfection time is selectable by the user in the OPTIONS of SERVICE MODE. III-4 2008K Technician’s Manual. Dialysis cycle two is followed by fill cycle one. Fill cycle one is followed by dialysis cycle two. Fill cycle two is followed by dialysis cycle one. 2008K Technician’s Manual III-5. Exception is flow off and non program state. Heater off (“FLOW ERROR” is displayed). d. The CFS switches the chamber faster than 1.8 sec. Heater off (“HIGH FLOW ERROR” is displayed). III-6 2008K Technician’s Manual. The frequency of strokes is controlled by software. x23. Not Used x24. Dialyzer valve 1 (DIAL-V1) Valve 24 x25. Dialyzer valve 2 (DIAL-V2) Valve 25 x26. Bypass valve (BYPAS-V) Valve 26 III-8 2008K Technician’s Manual. This valve is on in all cleaning cycles. Not Used x41. Vent valve for air separator - valve 43. Ribbon cable connection from sensor board. Ribbon cable connection from actuator board. 2008K Technician’s Manual III-9.http://gameranchmanagement.com/dedicated-micros-sd-user-manual.xml

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They illustrate the interconnectivity of the card cage, modules, and hydraulics. 2008K Technician’s Manual. Item 5: Blood pump door. Switches the blood pump off when opened. The electrical connection to the card cage can be removed once the rear panel has been removed. Note: Refer to the “Specifications” section for the level detector specifications. 2008K Technician’s Manual. The electrical connection to the card cage can be removed once the rear panel has been removed. Note: Refer to the “Specifications” section for the heparin pump specifications. 2008K Technician’s Manual. The blood pressure cuff tubing attaches directly to the module. Note: Refer to the “Specifications” section for the blood pressure module specifications. 2008K Technician’s Manual. To place the machine in Service Mode, turn the machine power On and wait for the message Press CONFIRM for Service Mode to appear. The data stored in the EEPROM will not be changed if this message appears.During the calibration process this type of box is used to verify a value or selection.Measure the volume at the bottom of the meniscus curve as shown.Touch each asterisk as they appear. When the calibration is complete, the screen will prompt you to power the machine off.The deaeration pump will start and the screen will change. Select the PUMP RATE data button.The screen will change.Remove the gauge from the flow pump output.The screen will change. Replace the drain hose on the drain port.The acid pump will stroke and the screen will change. Wait until the Target value reaches zero. When the Target value reaches zero, the acid pump stops stroking.The screen will change.The bicarbonate pump will stroke and the screen will change. Wait until the Target value reaches zero. When the Target value reaches zero, the bicarbonate pump stops stroking.The screen will change.Add or remove fluid from the buret so the meniscus is exactly on the 25ml mark (see Figure 4).The UF pump will stroke and the screen will change.http://shop.f4.cz/UserFiles/dedicated-micros-sprite-2-manual.xml Wait until the Target value reaches zero.Replace the plastic cap on the UF pump adjustment.When the power up sequence is complete, the blood pump display will be. Attach a syringe and a calibrated pressure gauge to the P port using a T- fitting.Push the syringe plunger in to show a pressure of 400mmHg on the external pressure gauge.The screen will change. Unclamp the lines leading to the 30cc syringe and the pressure gauge.Replace them on the shunt and close the door.The screen will change.Remove the test connector and replace the X3 (MON-NTC) connector on the distribution board.Wait for the Post-Temperature Reference data box to stabilize. The screen will change.Remove the test connector and replace the X44 (NTC-POST) connector on the distribution board.This circumstance will be compensated for in dialysis or CRRT modes.The screen will change and the blood leak calibration will start. The first calibration that is performed is the automatic blood leak calibration. When its finished, the screen will change.The screen will change.The screen will change. Disconnect the conductivity meter and replace the dialysate lines in the shunt.The screen will change. Disconnect the Digital Voltmeter and close the monitor unit.The screen will change.The screen will change.The pressure gauge will cycle between two readings as water inlet valve opens and closes.Start dialysate flow and inspect all hoses and connections for leaks.There are no adjustments or calibrations on this circuit.Record this information on lines A through FF of the Installation Checklist and proceed to set them as follows: With the machine OFF set the service switch on the back of the machine into the service position. This setting will toggle from Yes to No by pressing the Ext Pre-Rinse button. If this option is set to Yes, the hot rinse pre-rinse is changed from 7 minutes to 20 minutes. ONLINE PHT: This option is used to enable or disable the online pressure Line M: holding test option.http://www.raumboerse-luzern.ch/mieten/boss-dr-55-service-manual This setting will toggle from Yes to No by pressing the Online PHT button. If No is selected, the Beacon lights will be controlled by the color of the 2008K status box.This setting will toggle from Yes to No by pressing the Heparin Pump button. Select Yes or No as dictated by facility management. TRANSFER DATA SCREEN: This screen is used to transfer concentrate data between 2008K machines using the RS232 serial port. CAUTION: Do not attempt to transfer concentrate data from a 2008H machine to a 2008K machine nor from a 2008K to a 2008H machine. Line 4 CHECK ALL HYDRAULIC PRESSURES.Line 7 Place the machine in Dialysis mode and select the Home screen tab. Clear all blood alarms. VENOUS PRESSURE CHECK 1. Verify that the venous pressure bargraph indicates 0mmHg when the venous pressure monitor port is open to atmosphere. NOTE: Prior to this step, the machine must have been in rinse for a minimum of 30 minutes. VII-2 2008K Technician’s Manual. This is a number of how many errors have occurred.NOTE: This pin is not connected. Pin A25 on the motherboard connector P1. VII-6 2008K Technician’s Manual. They are used for arbitrary debugging. ACT0 ACT1 ACT2 ACT3 ACT4 ACT5 ACT6 ACT7 ACT8 ACT9 ACT10 ACT11 2008K Technician’s Manual VII-7. The closer to 0 the least amount of deviation. VII-10 2008K Technician’s Manual. Confirm dialysate conductivity and pH level before returning the machine to clinical use.Maintenance is performed in only two intervals: Quarterly or after 1000 hours of operation, and annually or after 4000 hours of operation. The maintenance procedures have been devised to require a minimum of time while ensuring that the machine is maintained in optimum operating condition. A gray data button means the button is not active and touching it will have no effect.During the preventive maintenance process this type of box is used to verify a value or selection.Measure the volume at the bottom of the meniscus curve as shown.http://clinicamaxclin.com/images/83595a-manual.pdfAlso, check all electrical connectors that can be reached to be sure they are fully seated and there is no strain on the electrical cables.If a check valve is installed backwards, the pump will not work.Red visual alarm Conductivity Yellow visual bypass Machine in Bypass mode (no flow through the dialysate flow indicator).Verify that the machine responds with an audible alarm.Certain brands of cleaners specifically marketed to clinics and hospitals contain this ingredient. Check the contents of any unknown cleaner before using it.Ensure the machine is disconnected from the wall outlet.Note: If the motor case and motor cap are not installed using the hatch marks, the motor will run in reverse and flow errors will result.Start dialysate flow and inspect all hoses and connections. Ensure that there are no leaks.Clamp off the tubing at the syringe and monitor for 30 seconds. The maximum allowable leakage is 2mmHg in 30 seconds.Verify that the calculated value is between -230 and -260 mmHg.The syringe plunger should be at a position greater than 10ml.When complete the screen will change. 4. When the test is complete, the test results will be displayed.Use the syringe to over- pressurize the blood test module while watching the display carefully. Verify that at between 320 and 330 mmHg indicated on the display screen, the pressure is automatically released.If a check valve is installed backwards, the pump will not work.Replace them if there is any sign of wear.Orient the pump so the outlet nozzle is above the inlet nozzle to help avoid air locks.You only need access to the inlet seals and springs.Orient the pump so the outlet nozzle is above the inlet nozzle to help avoid air locks. The contents of this document may not be disclosed to third parties, copied, or duplicated in any form, in whole or in part, without the prior written permission of Fresenius Medical Care. The book begins with an overview that introduces the operator to the major components and describes how they are organized on the machine. Control The control panel is located at the top third of the 2008K and contains the Panel touch screen and panel keys used in controlling the treatment. Allergic reactions to chemical disinfectants may occur if insufficient procedures are used to remove or maintain the residual disinfectant at acceptable levels. Chemical disinfectants are 2008K Operator’s Manual rev. K. The machine must only be operated in accordance with these instructions. All operators of this machine must be thoroughly trained and have read this entire manual and any applicable appendices before using the machine. It is not a complete summary, and additional warning statements specific to pertinent topics can be found within this manual. Water Warning! Connect water inlet according to the specifications for the machine. Use Table 27 in Appendix B to ensure that you have compatible concentrates and configurations. Fresenius Medical Care manufactures bloodlines for use with the model 2008K hemodialysis machine. The performance of bloodlines not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius and are therefore the responsibility of the prescribing physician. Questions? For further information regarding the operation, repair, parts, or maintenance of the Fresenius 2008K hemodialysis machine, please contact: Fresenius USA 2637 Shadelands Drive (800) 227-2572. You should familiarize yourself with the location and purpose of these features. Located in the middle of the control panel is the touch screen that can display a variety of treatment screens through which the operator can use to set treatment parameters and monitor the treatment. Hold for one second to turn the power off and If blood is sensed, the machine will power down with an audible alarm. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. The data entry keys, at the bottom of the treatment display section, are the means used to enter treatment parameter values or make selections inside the treatment screen. 2008K Operator’s Manual rev. K. K 2008K Operator’s Manual rev. K. Specific information regarding each treatment screen can be found in Chapter 3, “Setting Treatment Parameters” and Chapter 4, “Monitoring the Treatment.” 2008K Operator’s Manual rev. K. The Override light will not illuminate. Warning! During an override, the blood leak detector is inactive. Monitor the treatment. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. A minor blood leak has been detected by the blood leak detector.Dialysate flow is bypassing the dialyzer because dialysate is outside the allowable temperature or conductivity limits, or shunt interlock door is open. 2008K Operator’s Manual rev. K. Each component contributes to the task of transmitting the blood from the patient, through the dialyzer and back to the patient. Any machine can be set up for a pre-pump or post-pump arterial chamber, or single-needle dialysis (requiring two blood pumps) by adding modules, or rearranging their order. Tubing Retainer A spring-loaded device that secures the pump segment in place. 2008K Operator’s Manual rev. K. An optional thigh cuff is also available. Chamber Holder Latching door secures chamber in place. 2008K Operator’s Manual rev. K. The modules (Blood pump, level detector, and heparin pump) can be arranged on the 2008K in a variety of ways to allow for pre-or post-arterial pump pressure monitoring. The machine can accommodate most standard blood tubing that have pump segments ranging from 2 to 10 mm internal diameter. The green light above the key will light, and the “Select Program” screen (see Figure 12) will appear on the monitor. The blue lines on the machine are guides for the venous bloodline (from the dialyzer to the patient). Be sure to use aseptic technique for all bloodline connections. 2008K Operator’s Manual rev. K. Warning! Make sure the collar of the pump segment is positioned below the bottom of the yoke. This will minimize the possibility of the segment kinking during pump operation. 2008K Operator’s Manual rev. K. To prevent contamination, do not allow it to touch the fluid in the bucket. 17. Mount the dialyzer in its holder, arterial-end up. 2008K Operator’s Manual rev. K. The Standard Prime method allows the operator to prime the blood circuit by controlling the flow of the saline manually. The Prime Amount method is a machine option that is set in the Service mode, and limits the amount of saline used in the priming procedure to a preset volume. Do not press the Level Adjust key so long that the pressure transducer protector becomes wet. Wet transducer protectors must be replaced to avoid erroneous pressure readings. 2008K Operator’s Manual rev. K. If 2X dialysate flow is selected, be sure that the dialysate flow rate is at least the minimum required rate. 2008K Operator’s Manual rev. K. The 2008K can be configured so that this testing is mandatory after power up providing that the force test option is selected. In this case, the test will start on its own. After a long power down, however, only the Both Tests button is enabled. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. Pressing the RESET key once mutes an alarm, pressing it a second time resets the right side of the screen.These tests routinely happen every 12 minutes, and check the integrity of the hydraulic system. In the event of a failure, an alarm sounds and a warning message is displayed in the status box. If this option is not selected, an audible alarm will sound when the shunt interlock door is open. This can also be accomplished by pressing the New Treatment (New TX) key. The New TX key allows the operator to reset patient treatment parameters to their default settings without interrupting the power to the machine. The following parameter value, press the CONFIRM key to save it in the 2008K memory. The following example illustrates this procedure. Most dialysate or dialysate-related alarm parameters are accessed from the “Dialysate” screen. Unless otherwise described, enter or change a dialysate-related value by following the procedure described in “Entering a Parameter” on page 49. 2008K Operator’s Manual rev. K. The “Concentrate” subscreen opens. K 2008K Operator’s Manual rev. K. The volume of each concentrate will count down as it is used. K 2008K Operator’s Manual rev. K. To shift the window downward, press the Down arrow key. 3) Press CONFIRM to save the new alarm settings.Verify that the pH is normal and that the conductivity is reasonably close to the theoretical value. If it is not, do not initiate dialysis. 2008K Operator’s Manual rev. K. If the UF Rate value is manually changed, the UF Time value will automatically change accordingly. 2008K Operator’s Manual rev. K. For more information, see “Sodium Variation System” on page 66. 2008K Operator’s Manual rev. K. Once the UF Goal and UF Time are entered, the Maximum UF Rate for the selected profile is calculated and displayed in the corresponding text box on the screen. 2008K Operator’s Manual rev. K. Set the UF Time to include the combined treatment and pure UF times. 2) Turn off Dialysate Flow. Yellow light will flash when flow is off. Once the SVS is started, it functions as a count down timer displaying the time remaining in the SVS program. The end time is represented in the profile graph by a tick mark on the horizontal axis. 2008K Operator’s Manual rev. K. It can be set to deliver heparin in a bolus dose and at a consistent rate during the treatment.The heparin pump should be monitored to verify the intended infusion during treatment. 2008K Operator’s Manual rev. K. As the carriage moves upward, observe the heparin as it travels from the syringe through the heparin line. The heparin administration system is now ready for patient treatment. Warning! The heparin pump is to be used only under positive pressure conditions. Under negative pressure conditions, excessive heparin may be infused. 2008K Operator’s Manual rev. K. The right side of the screen is available to set the machine for various treatment options. Refer to the table below for descriptions of the purpose and functions of each button. The 2008K can upload treatment information to a network database for review by clinical staff using a personal computer. Modifying the 2008K operation to accommodate pediatric patients is accomplished by touching the Pediatric button on the Touch Screen. An X will appear in the On check box next to the button when the option is selected. An alarm event occurs when the patient’s systolic pressure reaches or exceeds the set value. 2008K Operator’s Manual rev. K. Note: Using cuff tubing longer than 10 feet may result in erroneous blood pressure readings. 2008K Operator’s Manual rev. K. Dialysate should already be verified for absence of disinfectant, verification of prescription, conductivity, and pH should also be confirmed. It is now time to connect the patient to the 2008K via the blood tubing and begin the dialysis treatment. The timer stops during a blood alarm or whenever the UF pump is stopped. 2008K Operator’s Manual rev. K. The sodium content of the dialysate remains at the profile level it was when the treatment was paused. The blood pump and the dialysate flow, however, remain running. 2008K Operator’s Manual rev. K. On the 2008K, the TMP is normally negative. Because the machine uses a closed, volumetric ultrafiltration system, the TMP is monitored primarily for detecting large shifts in pressure. K 2008K Operator’s Manual rev. K. UF Time This is the UF time selected for the treatment (min).High Flux This shows whether or not the High Flux dialyzer option is set. 2008K Operator’s Manual rev. K. This value is reset to the default value when the New Tx key is pressed. The default value may be changed in Service Mode. 2008K Operator’s Manual rev. K. This data box displays in hours and minutes the amount of time the patient has been on dialysis. 2008K Operator’s Manual rev. K. Manual tests are preceded with “M”. Tests done for Access flow with the lines reversed are preceded with “AF”. These tests are not used in the Mean Kecn value. 2008K Operator’s Manual rev. K. The yellow dotted line shows the alert level. The vertical dotted line indicates the scheduled end of treatment. 2008K Operator’s Manual rev. K. The displayed TMP during this time represents pressure within the hydraulics, therefore, the TMP reading may change slightly. The TMP alarm limits are spread during the test. 2008K Operator’s Manual rev. K. Observe the venous chamber and bloodline to ensure that no air is infused in the patient. Manual circulation time is the responsibility of the clinic’s medical supervisor. 2008K Operator’s Manual rev. K. Check all parameters (UF Goal, UF Time, UF Rate, UF-Removed) for correct settings and adjust if necessary. 2008K Operator’s Manual rev. K. In such cases: 1. Place the dialysate supply lines on the shunt 2. Cap the dialyzer ports with the caps supplied with the dialyzer and process dialyzer as per unit protocol 2008K Operator’s Manual rev. K. Be sure to open the door to the optical detector before pulling the line from the venous clamp and optical detector assembly. 2008K Operator’s Manual rev. K. Included are instructions for running the programs found on the “Select Program” screen designed to clean and disinfect the fluid paths found in the 2008K. Cleaning and Disinfection Daily cleaning, chemical, and heat disinfection procedures should be performed to maximize the efficiency and minimize bacterial levels within the system. The machine should The fluid path of the 2008K can be disinfected chemically or with heat. The machine should be rinsed thoroughly after chemical disinfection and before introducing any other chemicals be rinsed thoroughly after chemical disinfection and before introducing any other chemicals to the machine. If the machine is chemically disinfected daily, we recommend that it also be heat disinfected at least once per week. 2008K Operator’s Manual rev. K. Check for residual disinfectant before using the disinfected containers. All concentrate containers should be left empty (shake if necessary) and inverted when stored overnight. 2008K Operator’s Manual rev. K. With some RO systems, the water inlet line may be disinfected along with the RO and distribution piping by leaving the dialysis machine in Rinse mode during RO disinfection. 2008K Operator’s Manual rev. K. The purpose of the Acid Cleaning program is to prevent the buildup of bicarbonates inside the machine that can have a detrimental effect on the machine’s performance and treatment efficacy. If you are unable to completely clean biofilm from the drain line, select the “Extended Pre-rinse” option in Service Mode. If necessary, replace the drain line. 2008K Operator’s Manual rev. K. The message, “ Rinsing Lines, Please Wait ” is displayed in the Status box.Warning! Test for residual disinfectant prior to starting treatment following a chemical disinfection. Note: The machine will automatically perform a Diasafe test after the Chemical Rinse program completes. 2008K Operator’s Manual rev. K. The message, “Rinsing Line, Please Wait” is displayed in the Status box. 7. When prompted, connect red connector to chemical disinfectant. Press CONFIRM. Operator’s Manual rev. K 2008K. Note: Visually confirm that disinfectant has been pulled into the machine. Warning! The mandatory rinse cycle must be completed and a test for residual disinfectant must be performed prior to the next treatment. 2008K Operator’s Manual rev. K. The entire Rinse program must be completed before the operator can initiate dialysis. Operator’s Manual rev. K 2008K. When problems or potential problems are detected, the operator is alerted through informational messages displayed on the screen and in some cases, audible alarms. Warning Status The Status Box background changes to yellow when a Warning condition exists. A Warning condition, although potentially serious, does not pose an immediate threat to the patient. Operator’s Manual rev. K 2008K. The accompanying table describes the function of each feature. If there is no blood alarm present, pressing and holding this key for one full second will re-center the arterial and venous alarm limits. Operator’s Manual rev. K 2008K. The table following this section is indexed by Status box message.Operator’s Manual rev. K 2008K. Verify that. If problem persists, take blood pump Blood Pump Message) module out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K. Possibility that the level adjust pump Blood Pump Message) key is pressed is connected backward so that the level is lowered instead of raised. If alarm is not cleared, take the communication problem machine out of service and alert a qualified technician. Adjusting TMP The operator has chosen to relieve Advisory No action necessary.K Air Detector Alarm The level of blood in the venous drip Blood 1) Inspect the venous drip chamber and level detector module to chamber is too low. Alarm see if: There is an adequate level of blood in chamber. Message value is acceptable or enter new value. Troubleshooting 2008K Operator’s Manual rev. K. K BIC PUMP ALARM This is a pump failure warning. Warning A single occurrence is not a problem if the machine automatically resets. If the problem persists for longer than one minute or occurs repeatedly, turn machine power off and back on. If alarm is not cleared, take the machine out of service. Blood Pump Failure Electronic self-test failure. Alarm Turn machine power off and back on. If alarm does not clear, take the machine out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K. K Blood Pump Stopped The blood pump is on and the speed Blood 1) Inspect the blood pump module to see if: is set, but the blood pump has Alarm The blood pump door is closed. Treat patient as beats per minute. Pressure symptoms warrant. May also indicates a hardware malfunction. Alarm Troubleshooting 2008K Operator’s Manual rev. K. BVM will no longer pass information to the 2008K monitor. Turn the power off and back on. If the alarm is not cleared, refer to a qualified technician. BVM will no longer pass communication with the 2008K information to the 2008K monitor until power has been turned off and system. back on. If alarm is not cleared, take the machine out of service and alert a qualified technician. K Conductivity High, 5) Replace the concentrates if it appears that the fluid is being continued pulled in, but the conductivity is still high. After the prescribed conductivity is reached, verify the conductivity and the pH using independent testing devices. The cuff Message pressure is XXX mmHg. Troubleshooting 2008K Operator’s Manual rev. K. K Dial Valve Failure 1 Electronic self-test failure. Alarm Turn machine power off and back on. If alarm does not clear, take the machine out of service and alert a qualified technician. Dial Valve Failure 2 Electronic self-test failure. Troubleshooting 2008K Operator’s Manual rev. K. Test Check UF pump. Rerun test. If failure repeats, remove from service. Test Rerun test. If failure repeats, remove from service. Message Troubleshooting 2008K Operator’s Manual rev. K. If failure repeats, remove from service. Test Rerun test. If failure repeats, remove from service. If warning is not cleared, take the machine out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K. K Flow Inlet Error Float Switch Warning A single occurrence is not a problem if the machine automatically resets. If the problem persists for longer than one minute or occurs repeatedly: 1) Check the water supply flow to the machine. Troubleshooting 2008K Operator’s Manual rev. K. K High Flow Error Possible balancing chamber problem. Warning A single occurrence is not a problem if the machine automatically resets. If the problem persists for longer than one minute or occurs repeatedly: 1) Check the water supply flow to the machine. Dialog Readjust rate Message Invalid UF Time Entry value for goal is out of range. Dialog Readjust time Message Troubleshooting 2008K Operator’s Manual rev. K. K Less than minimum value Entered parameter is smaller than Dialog Verify that the minimum value is acceptable. Press CONFIRM to allowed Message clear message and accept the minimum allowed value. Low Acetate Warning 20 of concentrate left in acetate jug Warning Check jug level, add concentrate if needed and reenter jug volume. Troubleshooting 2008K Operator’s Manual rev. K. K Minor Blood Leak? A minor blood leak (approximately Warning Press RESET to reset the alarm. Air machine cannot be reset.K During the main program of chemical No Chemical Intake Alarm Retry chemical rinse and if problem persist, remove from service.Troubleshooting 2008K Operator’s Manual rev. K. K Pressure Test Failed The pressure test section (PHT) of Alarm Reset the alarm and repeat the test. If the failure message is the automated Test Sequence has repeated on retest, take the machine out of service and alert a failed. The cuff Message pressure is XXX mmHg. Troubleshooting 2008K Operator’s Manual rev. K. K Reverse Bloodlines This message is a prompt for the Warning To proceed with the Access Flow test, reverse the bloodlines and operator reverse the bloodlines for the press CONFIRM.Switch Bloodlines Back This message is a prompt for the Warning To proceed, press CONFIRM.SVS not stable.