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Cardiac - Defibrillation (Manual)

 


<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:"Arial","sa= ns-serif"'>Clinical Indications:     &= nbsp;           &nbs= p;            &= nbsp;          <= /b>        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           

______  1.    Cardiac arrest patient with ventricular fibrillation or pulseless ventricul= ar

tachycardia present

 

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:"Arial","sa= ns-serif"'>Procedure:

______  1.    Clinically confirm the diagnosis of cardiac arrest and identify the need for defibrillation.<= /p>

______  2.    After application of an appropriate conductive medium to paddles, apply paddles or hands-free pads to the patient’s chest in the proper position (right of sternum at 2nd<= /sup> ICS and anterior axillary line at 5th ICS).

______  3.    Set the appropriate energy level (adult—360 joules; pediatrics—2 joules/kg, subsequent 4 joules/= kg) for monophasic devices.

______  4.    Charge the defibrillator to the selected energy level.

______  5.    Assure proper placement of the pad= dles or pads.

______  6.    Assure proper contact by applying = 25 pounds of pressure on each paddle or make sure fast patch pads have good sk= in contact.

______  7.    Assertively state “ClearR= 21; and visualize that no one, including you, is in contact with the patient.

______  8.    Deliver the counter shock by depressing the discharge button(s) when using paddles, or depress the shock button(s) for hands-free operation.

______  9.    Assess the patient’s response and the ECG rhythm and repeat if necessary at t= he indicated energy settings.

______  10.  If the patient remains pulseless, perform CPR for two minutes and then repeat above procedure for additional defibrillations.

______  11.  Document the procedure, response a= nd time in the electronic PCR.

 

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:"Arial","sa= ns-serif"'>Certification Requirements:

Successfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

 

 

 

 

 

 

 

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