BeneVision TMS60, Operator'S Manual

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Preparation for Monitoring ECG Monitoring ECG
7 - 10 TMS60 Operator’s Manual
7.3.6 Setting the Paced Status
It is important to correctly set the patient’s paced status before you start monitoring
ECG.
To set the paced status, follow this procedure:
1. Enter the ECG menu in either of the following ways:
◆
On the main screen, tap the HR digital area or ECG waveform area to enter
the
ECG menu.
◆
Press the button to enter the main menu, tap Parameter Setup , and
then tap ECG .
2. In the Paced section, tap Paced and select the correct paced status.
◆
When Paced is set to Yes at the TD60, if pace pulses are detected, the
symbol displays in the waveform area of the Central Monitoring System’s
screen, and the pace pulse marks will display on the ECG waveform both at
the TD60 and CMS.
◆
When Paced is set to No or not specified at the TD60, the symbol dis-
plays in the waveform area of the Central Monitoring System’s screen.
WARNING
•
For paced patients, you must set Paced to Yes. If it is incorrectly set to No,
the CMS could mistake a pace pulse for a QRS and fail to alarm when the
ECG signal is too weak.
•
On ventricular paced patients, episodes of ventricular tachycardia may-
not always be detected.
•
Do not rely entirely on rate meter alarms when monitoring patients with
pacemakers. Always keep these patients under close surveillance.
•
For non-paced patients, you must set Paced to No. The pacer pulses may
be counted as QRS complexes, hence leading to wrong HR readings or
failure to diagnose certain arrhythmia symptoms. Be sure to keep a
close eye on patient’s with pacemaker devices.
•
The radio frequency energy of the transmitter or other radio frequency
sources, when used in close proximity to a pacemaker, may interfere
with pacemaker performance. Internal pacemakers are less vulnerable
than external pacemakers due to the shielding effects of the body. How-
ever, caution should be exercised when monitoring any paced patient.