ZOLL R Series Monitor Defibrillator Rev J - Manual (Page 445)

Noninvasive Temporary Pacing
9650-0912-01 Rev. K ZOLL R Series Operator’s Guide 8–3
2. Roll the pad smoothly from the applied edge to the other, being careful not to trap any air
pockets between the gel and skin.
3. Ensure that hands-free therapy electrodes are making good contact with the patient’s skin and
are not covering any part of any other ECG electrodes.
4. If using OneStep Pacing electrodes or OneStep Complete electrodes, select ECG lead P1, P2,
or P3; otherwise, select an appropriate ECG lead. Adjust ECG size for a clean, well-defined
ECG signal.
5. Verify proper R-wave detection. The heart-shaped symbol flashes with each R-wave when
proper detection is taking place. Adjust ECG size for a clean, well-defined ECG signal.
Note: When the OneStep Pacing electrode configuration is used and the unit is switched to
PACER mode, P3 is automatically selected as the ECG source. When separate ECG
electrodes and hands-free therapy electrodes are used, Lead II is automatically selected
as the ECG source.
While ECG signals acquired from P1, P2 or P3 are appropriate for ECG rhythm assessment and
determining electrical capture during pacing, they should not be used for diagnostic purposes.
Conventional ECG electrodes and cable should be used for this purpose.
2 Turn Selector Switch to PACER
Set the Pacer Output to 0 mA
If the unit has just been turned on, the PACER OUTPUT is automatically set to 0 mA.
3 Set Pacer Rate
Set the PACER RATE to a value 10-20 ppm higher than the patient’s intrinsic heart rate. If no
intrinsic rate exists, use 100 ppm.
Pad
Skin
1
RECORDER
DEFIB
OFF
MONITOR
PACER