Ecg override, Acquiring a 12-lead ecg – Physio-Control LIFEPAK 15 User Manual

Page 62

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LIFEPAK 15 Monitor/Defibrillator Operating Instructions

Acquiring a 12-Lead ECG

6. Encourage the patient to remain as still as possible.

7. Press

12-LEAD

.

The

12-LEAD / AGE

menu appears, prompting you to enter the patient’s age.

Use the

SPEED DIAL

to select the age. Always enter the patient’s age if the patient is 15 years old

or younger. If you do not enter an age, the default value of 50 years is used by the interpretive

analysis program and annotated on the 12-lead ECG report.

8. The

12-LEAD / SEX

menu appears, prompting you to enter the patient’s sex.

Use the

SPEED DIAL

to select the patient’s sex. If you do not enter the sex, the default of male is

used by the interpretive analysis program and is annotated on the 12-lead ECG report.

The monitor acquires, analyzes, and automatically prints the 12-lead ECG. An ECG leads-off

condition for any lead is indicated on the report by a dashed line.

Note:

If 15 years or less is entered for patient age, the 12-lead ECG prints at diagnostic frequency

response of 0.05–150 Hz, even when 0.05–40 Hz is set up as the print default.

Note:

When

12-LEAD

is pressed, internal pacemaker detection is automatically enabled, even if the

function is set up to be OFF.

ECG Override

If the monitor detects signal noise while acquiring data (such as patient motion or a disconnected

electrode), the screen displays the message:

NOISY DATA! PRESS 12-LEAD TO ACCEPT

. The message

remains and 12-lead ECG acquisition is interrupted until noise is eliminated. Take appropriate

action to eliminate the signal noise. This message remains as long as signal noise is detected.

When signal noise is eliminated, the monitor resumes acquiring data. To override the message and

acquire the 12-lead ECG in spite of the signal noise, press

12-LEAD

again. The 12-lead ECG will be

acquired and printed with no interpretive statements. Any 12-lead ECG report acquired in this way

is annotated with the following statement:

ECG OVERRIDE: DATA QUALITY PROHIBITS INTERPRETATION

.

If the signal noise persists for longer than 30 seconds, 12-lead ECG acquisition stops. The screen

displays

EXCESSIVE NOISE–12-LEAD CANCELLED

. You must then press

12-LEAD

to restart 12-lead ECG

acquisition.

Note:

If

12-LEAD

is pressed immediately after ECG electrodes are applied, the message

NOISY DATA

may occur. This message is due to the temporary instability between the electrode gel and the

patient’s skin that is not viewable on the ECG monitor screen, but is detected as noisy data. In

WARNING

POSSIBLE INACCURATE DIAGNOSIS

If age and sex are not entered when a 12-lead ECG is obtained, the interpretive

statements are based on a default of a 50-year-old male and may provide incorrect

analysis for that patient.

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