SAFETY AND COMPLIANCE

less than 120

less than 80

Average Blood Pressure(Adults)

120-160 bpm

Newborn heart rate

80-140 bpm

Infant heart rate

80-130 bpm

Toddler heart rate

80-120 bpm

Preschool heart rate

70-100 bpm

School Age heart rate

60-100 bpm

Adult heart rate

temporal- forehead

carotid- neck

brachial- inside elbows

radial - wrists

femoral - thighs

Pulse sites

radial

Measuring pulse sites

Adults

brachial

Measuring pulse sites

Kids

carotid

Measuring pulse sites

Emergencies

30-50 breaths

Newborn Respiration Rate

12-20 breaths

Adult Respiration Rate

• tachy and brady

• confusion

• nausea

• shortness of breath

• weakness

• syncope

• pallor

• chest pain

• low blood pressure

Signs of Cardiopulmonary distress

excess sweating

Diaphoresis

skin turns blue

cyanosis

fainting

Syncope

AMBULATORY MONITORING

AMBULATORY MONITORING

• most common

• monitors heart from 24-48hrs

• 3-5 leads

• patient writes activities in journal

Holter monitor

• activates when symptoms are detected

• used after holter doesn’t detect anything

• up to 30 days

• patient triggers monitor when symptoms start

• Symptom event

• Memory looping

Event recorder

records activity for several minutes once triggered

Symptom event monitor

records the same information as a symptom monitor but also can display information for a few minutes prior to being activated

Memory looping

• avoid water with monitor

• wear loose clothes

• don’t remove electrodes

• notify if there’s itchiness or swelling

• record symptoms

• continue daily routine

• reattach loose electrodes and notify provider

Rules to follow

ELECTRONIC HEALTH RECORDS

ELECTRONIC HEALTH RECORDS

• name

• date of birth

• provider

• medical conditions

• medications

• vital signs

• allergies

• medications

• date and time of test

When entering data to prepare for EKG, typical info includes

PATIENT PREP

PATIENT PREP

• Verify patient’s identity before test

• Ask the patient to state at least two acceptable identifiers: the patient’s full name, date of birth, home address, telephone number, or Social Security number

• Compare what the patient says to the information on the test request

Identify the patient

• gather pertinent medical, social, surgical, and medication history from the patient

• Diseases, prior surgical procedures, and medications can all affect the EKG tracing and must be documented

Patient Prep

• includes social history, medical history, surgical history, and a complete list of current medications

Patient History

• Avoid caffeine (coffee, tea, chocolate, soda), tobacco, and alcohol for at least 3 hours before

• Eat a light meal

• Take medications as usual unless directed otherwise by the provider

• Wear comfortable, loose-fitting clothing and sturdy, nonskid walking shoes

Prep for stress testing

• notify the technician if there is swelling or itchiness where electrode is

• Inform the technician of any allergies or health issues

• The test can be stopped at any time if fatigue, lightheadedness, dizziness, shortness of breath, or chest pain occur

Intraprocedure for stress testing

• include abnormal vital signs, like excessive tachycardia, hypotension, and arrhythmia

• usually resolved with rest

• When hypotension occurs, notify provider and have patient lay supine

Complications during stress testing