CNA Cardiac (Monitoring)

  CNA Cardiac (Monitoring)

    Additional Ratings

Description

Cares for patient with continuous cardiac monitoring
Behavioral Criteria

Placing Electrodes on Patient:

    Prep skin: select a flat, non-muscular area, Clean skin , Remove hair using clippers ( do not use a razor)
    Apply electrodes- 5 lead
        White "Right" (Directly below the clavicle and near the Right shoulder)
        Black- "Smoke over fire" (Directly below the clavicle and near the Left shoulder) )
        Red- "Fire under Smoke" (Left Lower abdomen)
        Green- (Right Lower abdomen)
        Brown- ( On the 4th intercostal space at the right sternal border)
    Changes electrodes daily or more often, if needed to prevent irritation
    Assist in changing batteries when directed by nurse
    Report abnormal findings or alarms to nurse

Evidence of Achievement

    Direct observation of competency in all areas through patient care or simulation / case study; documentation in electronic health record accurate and complete

 

References

    Toolbox (Policy/Procedure)
        Cardiac Telemetry Monitoring
    Toolbox: How to Guides to Technology Systems & Devices
    Critical Care Nursing Clinics of North America. (2006). Practice Standards for ECG Monitoring in Hospital Settings: Executive summary and Guide for Implementation
    Heart Lung. (1991). Electrode Site Preparation Techniques: A Follow Up Study.