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Questions and Answers
What is the primary concern related to excessive alarms during inpatient ECG monitoring?
What is the term used to describe an abnormal ECG pattern caused by muscular activity, patient movement, electrical interference, or lead cable or electrode malfunction?
How often should the electrodes be changed during inpatient ECG monitoring to minimize false alarms?
What should be assessed during electrode changes for inpatient ECG monitoring?
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What action will reduce the risk for skin breakdown during inpatient ECG monitoring?
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What is the consequence of alarm fatigue in nurses during inpatient ECG monitoring?
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What is the key to eliminating artifact during inpatient ECG monitoring?
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What can artifact mimic during inpatient ECG monitoring?
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'Rotation of electrode placement on the skin will reduce the risk for skin breakdown.' What does 'skin breakdown' refer to during inpatient ECG monitoring?
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What effect does alarm fatigue have on nurses during inpatient ECG monitoring?
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Which leads are usually selected for the best tracing for arrhythmia monitoring?
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What should be done to individualize the ECG alarm parameters to meet the patient’s monitoring needs?
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What is the nurse’s role in response to monitor alarms?
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How can hospital-acquired infections be transmitted through lead wire cables?
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What should be done if a patient is scheduled for a device implant, such as a pacemaker?
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When should metal-containing electrodes be removed?
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How should monitoring devices of any type be maintained?
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What can be done to prevent hospital-acquired infections transmitted through lead wire cables?
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What should be done if a patient is connected to monitoring equipment that has not been thoroughly cleaned between patients?
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What should be done if monitoring devices get submerged in water?
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How should telemetry transmitters and other monitoring equipment be maintained?
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What is the significance of timely responses to all alarms?
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Study Notes
Inpatient ECG Monitoring
- Excessive alarms during inpatient ECG monitoring are a primary concern, as they can lead to alarm fatigue in nurses.
Artifact and ECG Pattern
- Artifact refers to an abnormal ECG pattern caused by muscular activity, patient movement, electrical interference, or lead cable or electrode malfunction.
- Artifact can mimic arrhythmias or other cardiac events.
Electrode Management
- Electrodes should be changed every 24-48 hours to minimize false alarms.
- During electrode changes, assess the skin for signs of irritation or breakdown.
- Rotate electrode placement on the skin to reduce the risk for skin breakdown.
- Skin breakdown refers to skin irritation or injury caused by electrode placement.
Alarm Fatigue and Response
- Alarm fatigue can lead to desensitization in nurses, causing them to ignore or respond slowly to alarms.
- The consequence of alarm fatigue is delayed or missed responses to critical alarms, which can lead to patient harm.
- The nurse's role in response to monitor alarms is to quickly assess the patient and respond appropriately.
- Timely responses to all alarms are significant to prevent patient harm.
Arrhythmia Monitoring
- Leads II and V1 are usually selected for the best tracing for arrhythmia monitoring.
- ECG alarm parameters should be individualized to meet the patient's monitoring needs.
Infection Prevention
- Hospital-acquired infections can be transmitted through lead wire cables that have not been properly cleaned and disinfected.
- Monitoring devices, including lead wire cables, should be thoroughly cleaned and disinfected between patients.
- If a patient is connected to monitoring equipment that has not been thoroughly cleaned, it should be replaced immediately.
- Prevent hospital-acquired infections by cleaning and disinfecting monitoring devices and lead wire cables regularly.
Device Maintenance
- Monitoring devices, including telemetry transmitters, should be maintained regularly to ensure proper function.
- If monitoring devices get submerged in water, they should be removed from service and replaced.
- Metal-containing electrodes should be removed before a patient is scheduled for a device implant, such as a pacemaker.
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Description
Test your knowledge of nursing interventions for inpatient cardiac monitoring with this quiz. Explore the best practices for addressing alarm fatigue and improving response time to alarms.
