2.50
Hdl Handle:
http://hdl.handle.net/10755/183064
Category:
Abstract
Type:
Presentation
Title:
Emergent Insertion of Temporary Transvenous Pacemakers
Author(s):
Downie, Lia; Byler, Krista; McKenzie, Linda; Sieger, Robin; Stracuzzi, Marcia; Trinklein, Holly
Author Details:
Lia Downie, Sarasota Memorial Health Care, Sarasota, FL, email: krista-byler@smh.com; Krista Byler; Linda McKenzie; Robin Sieger; Marcia Stracuzzi; Holly Trinklein
Abstract:
PURPOSE: To determine the best practice for the emergent insertion of temporary transvenous pacemakers. The problem identified was nurses' concern for patients safety when pacemakers were inserted anywhere other than at the bedside in the Cardiovascular ICU. Outcome criteria include patient safety, nurse comfort, and cardiologist satisfaction.

METHODS: A pacemaker committee was formed to review best practice of pacemaker insertion. An extensive literature review was conducted. Nurse surveys were distributed and results tabulated.
Case Study. An 85 year old obese female was brought to the ER by fire/rescue after becoming acutely SOB @ home. She was electively intubated. Vital signs: BP78/50, HR 32 third degree heart AV block. A dopamine drip was started and the patient was sent to the procedure room for the emergent insertion of a temporary pacemaker. One RN was alone with her awaiting the arrival of the cardiologist. The patient became confused/agitated, pulling at tubes.

FINDINGS: In reviewing the literature Paul Zoll, MD first applied clinically effective temporary cardiac pacing in 1952. In 1972 insertions were done in the radiology department and in 1974 fluoroscopy were introduced into the ICUs making it possible to do insertions at the bedside. Most studies focused on the complications of insertion, especially relating to infection and whose role it is to insert the pacemaker.

DISCUSSION: Staff nurses surveyed preferred bedside insertion to procedure room to ensure patient safety. Our committee proctored the temporary pacemaker station at annual critical care competencies. We also continue to collaborate with the Nurse Practice Council on pacemaker related issues.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEmergent Insertion of Temporary Transvenous Pacemakersen_GB
dc.contributor.authorDownie, Liaen_US
dc.contributor.authorByler, Kristaen_US
dc.contributor.authorMcKenzie, Lindaen_US
dc.contributor.authorSieger, Robinen_US
dc.contributor.authorStracuzzi, Marciaen_US
dc.contributor.authorTrinklein, Hollyen_US
dc.author.detailsLia Downie, Sarasota Memorial Health Care, Sarasota, FL, email: krista-byler@smh.com; Krista Byler; Linda McKenzie; Robin Sieger; Marcia Stracuzzi; Holly Trinkleinen_US
dc.identifier.urihttp://hdl.handle.net/10755/183064-
dc.description.abstractPURPOSE: To determine the best practice for the emergent insertion of temporary transvenous pacemakers. The problem identified was nurses' concern for patients safety when pacemakers were inserted anywhere other than at the bedside in the Cardiovascular ICU. Outcome criteria include patient safety, nurse comfort, and cardiologist satisfaction.<br/><br/>METHODS: A pacemaker committee was formed to review best practice of pacemaker insertion. An extensive literature review was conducted. Nurse surveys were distributed and results tabulated. <br/>Case Study. An 85 year old obese female was brought to the ER by fire/rescue after becoming acutely SOB @ home. She was electively intubated. Vital signs: BP78/50, HR 32 third degree heart AV block. A dopamine drip was started and the patient was sent to the procedure room for the emergent insertion of a temporary pacemaker. One RN was alone with her awaiting the arrival of the cardiologist. The patient became confused/agitated, pulling at tubes.<br/><br/>FINDINGS: In reviewing the literature Paul Zoll, MD first applied clinically effective temporary cardiac pacing in 1952. In 1972 insertions were done in the radiology department and in 1974 fluoroscopy were introduced into the ICUs making it possible to do insertions at the bedside. Most studies focused on the complications of insertion, especially relating to infection and whose role it is to insert the pacemaker.<br/><br/>DISCUSSION: Staff nurses surveyed preferred bedside insertion to procedure room to ensure patient safety. Our committee proctored the temporary pacemaker station at annual critical care competencies. We also continue to collaborate with the Nurse Practice Council on pacemaker related issues.en_GB
dc.date.available2011-10-28T16:13:01Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:01Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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