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<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Clin= ical Indications:     &= nbsp;           &nbs= p;            &= nbsp;          <= /b>        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           

______  1.      Patients with symptomatic br= adycardia after no response to atropine or primary treatment if unable to start an IV line.

______  2.      Patients in symptomatic 2nd degree or = 3rd degree heart block.

______  3.      If used in asystole, = it must be used early.

______  4.      Pediatric patients requiring external transcutaneous pacing require the use of pads appropr= iate for pediatric patients per the manufactures guidelines.

 

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc= edure

______  1.      Oxygen, ECG monitor, IV (if possible) should be in place prior to pacing.

______  2.      Confirm the presence of the = dysrhythmia and evaluate the patient’s hemodynamic status.  (Strips must accompan= y for verification and documentation).

______  3.      Adjust the QRS amplitude so the monitor can sense= the intrinsic QRS activity.

______  4.      Apply the pacing pads to the patient’s ches= t in either of the following positions:  anterior/anterior or anterior/posterior.

______  5.      Attach the pacing pads to the therapy cable from = the monitor.

______  6.      Turn the pacer on.

______  7.      Observe the ECG screen for a “sense” marker for each QRS complex.  = If a “sense” marker is not present, readjust the ECG size or select another lead.

______  8.      Set the desired pacing rate (60-80).

______  9.      Start at the lowest energy level and increase cur= rent slowly while observing the ECG screen for evidence of external electrical pacing capture.

______  10.  Assess the patient’s response to the pacing therapy by checking a pulse for mechanical capture.

______  11.  If no mechanical capture found, increase energy setting and reassess.

______  12.  Consider the use of sedation or analgesia if the = patient is uncomfortable.

______  13.  Document the dysrhythmia, procedure and patient response in the electronic PCR.

 

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Cert= ification Requirements:

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

 

 

 

 

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