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STANDARDS:
- * Defibrillation may be performed by any Registered Nurse
accredited to Emergency Care Protocol (ECP).
- * ECP protocol guidelines are to be followed at all times.
- * Establish and document that patient is definitely in life
threatening rhythm i.e. VF/VT, compromising satisfactory
circulation and consciousness.
- * Deliver appropriate defibrillation effectively and
restore normal cardiac rhythm and output.
OUTCOMES:
- * To revert heart rhythm to sinus pathway.
- * To promote rapid recovery after delivering
effective defibrillation.
- * To prevent injury or danger to the client and staff
by incorrect or negligent defibrillation.
SPECIAL
CONSIDERATIONS:
- * All stages of nursing actions should be documented with
rhythm strips i.e. VF/VT, sinus/idioventricular.
- * Settings for defibrillation (in Joules) should follow ECP
protocol i.e. 200 joules, 360 joules.
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