DOCUMENTATION
- Invasive Procedure Consent Form
- Time Out Form
PROCEDURE NOTE
TRANSCUTANEOUS PACEMAKER
PROCEDURE NOTE: Transcutaneous Pacemaker
Performed by: [Provider Name]
Indication: [Symptomatic bradycardia]
Universal Protocol: a time out was performed and the correct patient and site were
verified
Consent: [Critical Intervention-unable to obtain]
Procedure: The patient was noted to be in a cardiac rhythm requiring pacing. External transcutaneous pacing electrode pads were applied. Pacing electrical amplitude was increased to the point of capture, verified by resulting QRS complex. Hemodynamic response to pacing was monitored. Amplitude of pacing energy was set at 1.25 times the threshold of capture.
Complications: [none]