ZOLL Propaq M Rev B - Manual (Page 66)

C HAPTER 6 M ONITORING ECG
6-2 www.zoll.com 9650-0803-01 Rev. B
• To avoid electrosurgery burns at monitoring sites, ensure proper connection of the
electrosurgery return circuit so that the return paths cannot be made through
monitoring electrodes or probes.
• Check the operation and integrity of the Propaq M unit and ECG cable regularly by
performing the Daily Operational Verification Test.
• Implanted pacemakers may cause the heart rate meter to count the pacemaker rate
during incidents of cardiac arrest or other arrhythmias. Carefully observe
pacemaker patients. Check the patient's pulse; do not rely solely on heart rate
meters. Dedicated pacemaker detection circuitry may not detect all implanted
pacemaker spikes. Patient history and physical exam are important in determining
the presence of an implanted pacemaker.
ECG Monitoring Setup
The proper application and placement of electrodes is essential for high quality ECG
monitoring. Good contact between the electrode and skin minimizes motion artifact and signal
interference.
The following procedure describes how to monitor a patient’s ECG using 3- and 5-Lead ECG
cables.
To monitor a patient’s ECG using 3- and 5-Lead ECG cables, perform the following steps:
1. Prepare the patient's skin for electrode application:
2. Apply the electrode pads to the patient.
3. Connect each lead of the ECG cable to the appropriate electrode.
4. Insert the patient cable plug into the ECG input connector on the Propaq M unit.
5. Select the ECG waveforms to be displayed on the waveform trace display screen.
6. Observe the patient‘s electrocardiogram on the display, and adjust size of the ECG waveform
trace, as necessary.
Preparing the Patient for Electrode Application
The proper application of electrodes is essential for high quality ECG monitoring. Good contact
between the electrode and skin minimizes motion artifact and signal interference.
Before applying electrodes, prepare the patient’s skin, as necessary:
• Shave or clip excess hair at electrode site.
• Clean oily skin with an alcohol pad.
• Rub site briskly to dry.