Applying a cardiac monitor internet in education

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Application of a Patient Telemetry Unit by June Graney Internet in Education University of South Florida

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Transcript of Applying a cardiac monitor internet in education

  • 1. Application of a Patient Telemetry Unit by June Graney Internet in Education University of South Florida
  • 2. Target AudienceUndergraduate nursing studentsPatient care techniciansRegistered Nurses new to telemetry or returning towork force
  • 3. ObjectivesIdentify types of monitoring devices usedState patient education related to telemetryList equipment neededDescribe required skin preparationIllustrate 5 lead placement of electrodes
  • 4. Types of Monitoring12-Lead EKGHolter and event monitorsHardwire monitorsOutpatient monitoringTelemetry
  • 5. Patient EducationAssess level of understandingExplain rationaleIdentify tape allergiesDescribe lead placementEnsure privacy and dignity
  • 6. Assemble EquipmentEKG PatchesSkin prep padsRazor as neededUnit and batteryTelemetry gown or holder
  • 7. Skin PreparationAssess the areas of applicationShave or clip areas with excessive hairRub with alcohol and allow to dryAvoid bony areas, irritated skin, and incisions
  • 8. Apply Electrodes
  • 9. Lead Placement
  • 10. 5 Electrode LeadPlacementWhite-Right ArmBlack-Left ArmBrown-ChestGreen-Right LegRed-Left Leg
  • 11. Implications of Improper Lead PlacementArtifact and wandering baselinesAlterations in waveformsFalse diagnosis of infarctionSkin irritation or infection
  • 12. Dont Forget a Pouch!
  • 13. FinalizingNotify monitor technician or centralized stationEnsure adequate transmission of waveformsPatient comfort, safety, and questionsDocument application and corresponding unitnumber
  • 14. ReferencesAmerican Heart Association. (2004). Practice Standards for Electrocardiographic Monitoring in Hospital Settings. Circulation. 2004; 110: 2721-2746 doi: 10.1161/01.CIR.0000145144.56673.59Lewis, S.M., Heikemper, M.M., & Dirksen, S.R. (2007) Medical-Surgical Nursing: Assessment and management of Clinical problems. (7th Edition). St. Louis MO: Mosby.

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