6/21/2023 0 Comments Heart monitor placementPatients should be assessed daily for the appropriateness of cardiac telemetry. Collapse – For the purpose of this guideline – collapse refers to circulatory/hemodynamic collapse.This can occur through transcutaneous pacing or external wires coming from the atrium/ventricle External Pacing – Temporary means of pacing a patient’s heart.Arrhythmia – A rhythm in which the heart beats in an irregular or abnormal rhythm.Lead Wire- The lead that connects the electrodes to the telemetry unit.Electrode – The patch that is placed onto the patient and attaches to the lead wire.ECG – Electrocardiogram is a diagnostic tool that measures and records the electrical activity of the heart via electrodes placed on the skin.Telemetry – A portable device that continuously monitors patient ECG, respiratory rate and/or oxygen saturations while automatically transmitting information to a central monitor.To guide safe and competent nursing and medical practice associated with the use of cardiac telemetry monitoring. Nurses who are able to identify ECG abnormalities are in prime position to prompt immediate action and lessen patient complications. Studies have shown that with appropriate education to the patient and family, patient safety is improved and anxiety associated with monitoring is reduced. Telemetry accuracy relies on skin preparation, electrode and lead placement, equipment maintenance, patient monitoring and education. Telemetry is not a replacement for patient visualisation and assessment. The patient group requiring telemetry are children diagnosed with a known/unknown arrhythmia, children at risk of an arrhythmia, or children anticipated to be at risk of sudden cardiac deterioration. Telemetry is an observation tool that allows continuous ECG, RR, SpO2 monitoring while the patient remains active without the restriction of being attached to a bedside cardiac monitor.
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