First, why should the vital signs monitor alarm settings be turned on?
Vital signs monitor alarms are an important part of patient safety care. Reasonable monitoring and alarm setting can remind medical staff to detect and deal with sudden life-threatening events in a timely manner. It can timely reflect the problems of heart rate, respiration, blood pressure, pulse, and ECG waveform, so that medical staff can grasp the patient’s time in time Changes in the condition have brought convenience to clinical treatment and nursing work.
Second, the vital signs monitor alarm is divided into several types?
Usually can be divided into the following:
1.First-level alarm (red): If the condition changes, it must be dealt with immediately.
2.Secondary alarm (yellow): Relatively suspend processing.
3.Technical alarm: Check whether the parameter settings are reasonable.
Third, how to understand the scope of alarm safety?
Setting the safety range alarm value means setting the upper and lower limits of the alarm according to the clinical condition of the patient, instead of simply setting or increasing the normal value of the heart rate, breathing, and blood pressure to make it within a safe range.
Fourth, what are the common causes of alarms?
- The blood pressure cuff is loosened, leaking, and the pipe is folded;
- The oxygen saturation probe is detached, the contact is poor, and the fingertip blood supply is poor;
- The electrocardiographic lead electrode is peeled off and the like.
Five, ECG monitor operation process.
Self-preparation: quality requirements (appearance, attitude), standard hand washing, wearing a mask.
Preparation for use: vital signs monitor, lead wire, electrode pads 3 or 5, suitable cuff, oxygen saturation probe, 2 bending discs, 3 dry gauze, saline cotton balls, prepare disposable blades and talcum powder if necessary.
Check the performance of the monitor and place the items on the instrument cart in the order in which they are used.
operation:
- Bring the article to the bedside, check the patient’s situation, and explain to the patient and family the purpose of the ECG monitoring operation and the content to be coordinated.
- Assess patient awareness and skin condition, ask patient needs and assist with resolution. Turn on the power, check the monitor again, and connect the pads to the monitoring lead.
- Posture positioning, assist the patient to take a supine position or a comfortable position, expose the chest, and shave the chest hair.
- Select and clean the skin of the electrode patch paste, and dry the electrode sheet (avoid the wound).
- Connect the lead wires. Choose the right lead.
- Turn on the vital signs monitor, adjust the parameters according to the doctor’s advice or condition (to ensure that the monitoring waveform is clear and without interference), set a reasonable ECG indicator alarm limit, and start monitoring after the normal ECG oscillating signal appears.
- Organize the bed unit and use materials, assist the patient to take a comfortable lying position, and explain to the matters needing attention.
Criterion hand washing and recording.
