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8. Flashing green LED: indicates normal operation
9. Flashing yellow LED: indicates equipment alert
10. Continuous yellow LED: indicates an alarm limit is disabled
11. Flashing red LED: indicates patient alarm
12. Continuous red LED: indicates a patient alarm is suspended
C. Propaq LT/Acuity Setup Procedure
1. Apply ECG leads/SPO
2. Press the power button to apply power to the monitor
3. To prepare for a new patient, highlight "Start a New Patient", then press Select.
4. Use the arrow buttons and Select to enter the patient's name and ID (or ID at Acuity)
5. Check the patient mode and make sure it is correct. If not, use the arrow keys to scroll to
highlight the existing patient mode. Then press Select, and change to the correct patient
mode.
D. Tips for successful ECG monitoring
1. Using pre-gelled silver/silver chloride electrodes is recommended. Electrodes with dissimilar
metals can prevent obtaining an ECG tracing and can compromise recovery time after
defibrillation.
2. Prepare electrode sites (skin preparation):
a. Remove hair from electrode sites. Shave or clip hair according to hospital policy
b. Thoroughly clean skin where electrodes will be attached and lightly rub dry
c. Use soap and water, isopropyl alcohol, or special skin preparation pads to cleanse the skin
d. To avoid allergic reactions to electrodes, refer to the electrode manufacturer's guidelines
3. Proper electrode placement
a. Increased artifact due to patient movement greatly affects telemetry monitoring
b. Place electrodes in flat areas; avoid fatty/bony areas and major muscles
4. Suggested lead placement:
RA (white)-place near right mid-clavicular line directly below the clavicle
LL (red)-place near 7
clavicle
LA (black)-Place near left mid-clavicular line directly below the clavicle.
RL (green)-place near 7
clavicle
C (brown)-place in the intercostal space equivalent to the V1, V2, V3, V4, V5, or V6 position
you want to monitor
5. Always attach lead wires to electrodes before applying to patient. Confirm that the Propaq LT
displays the ECG waveform, heart rate, and other patient data. If the Propaq LT detects that
some lead wires are not properly connected, the Propaq LT indicates which leads are
disconnected.
6. Electrodes should be replaced when loose and daily after bathing (according to policy).
7. Contributors to a poor ECG tracing:
Not properly supporting a patient's monitor
Dried Electrodes
Placing an electrode on site affected by motion
Hair at electrode sites
Using electrodes with dissimilar metals
/NIBP cables on the patient first
2
intercostals space in line with or lateral to the midpoint of the left
th
intercostal space in line with or lateral to the midpoint of the right
th
2
Propaq LT Outline
SM 2840 Rev B
09/2011
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