ZOLL R Series Monitor Defibrillator Rev K Operators Guide - Manual (Page 27)

Cautions
9650-0904-01 Rev. K ZOLL R Series Operator’s Guide 1–19
Use only high-quality ECG electrodes. ECG electrodes are for rhythm acquisition only; you
cannot use ECG electrodes for defibrillation or pacing.
Do not use therapy or ECG electrodes if the gel is dried, separated, torn or split from the foil;
patient burns may result from using such electrodes. Poor adherence and/or air pockets under
therapy electrodes can cause arcing and skin burns.
Check the expiration date on the electrode packaging. Do not use electrodes after their
expiration date.
Excessive body hair or wet, diaphoretic skin can inhibit electrode coupling to the skin. Clip
excess hair and dry any moisture from the area where an electrode is to be attached.
Therapy electrodes should be replaced periodically during continuous pacing. Consult
electrode directions for proper replacement instructions.
Prolonged pacing (more than 30 minutes), particularly in neonates or adults with severely
restricted blood flow, may cause burns. Periodically inspect the skin under the electrodes.
Carefully route the patient cables to reduce the possibility of patient entanglement or
strangulation.
To avoid electrosurgery burns at monitoring sites, ensure proper connection of the
electrosurgery return circuit so that a return path cannot be made through monitoring electrodes
or probes.
During electrosurgery, observe the following guidelines to minimize electrosurgery unit (ESU)
interference and provide maximum operator and patient safety:
• Keep all patient monitoring cables away from earth ground, ESU knives, and ESU return
wires.
• Use electrosurgical grounding pads with the largest practical contact area.
Always ensure proper application of the electrosurgical return electrode to the patient.
Check electrical leakage levels before use. Leakage current might be excessive if more than one
monitor or other piece of equipment is connected to the patient.
Do not use the ZOLL OneStep Pacing cable (REF 1009-0913-02) or the ZOLL Multi-Function
Cable (REF 1009-0913-03) in a 220/240 VAC 60Hz power environment. Patient leakage
current may be excessive.
Cautions
If the unit is to be stored longer than 90 days, remove the battery pack.
Do not sterilize the defibrillator, or its accessories unless the accessories are labelled as
sterilizable.
Do not immerse any part of the defibrillator in water.
Do not use ketones (such as acetone or MEK) on the defibrillator.
Avoid using abrasives (including paper towels) on the display window.
Grounding reliability can be achieved only when the equipment is connected to a receptacle
marked “HOSPITAL ONLY,” “HOSPITAL GRADE,” or equivalent. If the grounding integrity
of the line cord or AC receptacle is questionable, operate the defibrillator using battery power
only.