Transcutaneous Pacing---V3

• Conducted on

  Date

• Evaluator You must be on this list to perform Credentialing skills evaluations. If you are not on the approved list, see your training officer before continuing.

  Select

• Home Department of Candidate:

  Select Consolidated Fire District #2 Johnson County Fire District #1 Johnson County Fire District #2 Leawood Fire Department Lenexa Fire Department MedAct Northwest Consolidated Fire District Olathe Fire Department Overland Park Fire Department Shawnee Fire Department

  • Consolidated Fire District #2
  • Johnson County Fire District #1
  • Johnson County Fire District #2
  • Leawood Fire Department
  • Lenexa Fire Department
  • MedAct
  • Northwest Consolidated Fire District
  • Olathe Fire Department
  • Overland Park Fire Department
  • Shawnee Fire Department

• Candidate Name *If the Candidate’s name does not appear in the list, select “*Not Available”

  Select

• Type Candidate's name in the following format: Last Name, First Name, License #

• Level of Credential

  EMT

  AEMT

  Paramedic

  Chief Officer

Instructions

• Cardiac rhythm generator should be set to 3rd Degree Heart Block rhythm

• READ TO CANDIDATE: Demonstrate the procedure for cardiac pacing of an Adult patient, using the given equipment

Assessment

• Properly applies combo patches (A/P Method preferred, either method below is acceptable) <br> <br>A/P Method-Anterior Patch with center of patch at V4 location, mid-clavicular line, Posterior Patch to Left of spine, below scapula <br> A/L Method-Anterior Patch below Right clavicle just to Right of sternum, Lateral Patch on lower rib margin with center at V6 position

  Done

  Not Done

• Places monitor in Pacing mode

  Done

  Not Done

• Verbalizes visualization of sensing marks on R-waves (adjusts Lead selection as necessary for appropriate sensing) <br> (If not verbalized, Evaluator may ask "How do you know the monitor is sensing the patient's rhythm?")

  Done

  Not Done

• Activates Pacing

  Done

  Not Done

• Verbalizes visualization of white pacing markers/spikes and increases energy until electrical capture is achieved (Pacer spike immediately in front of each QRS) <br> (If not verbalized, Evaluator may ask "How do you verify electrical capture?")

  Done

  Not Done

• After capture, increases energy by 10%

  Done

  Not Done

• Verifies mechanical capture by palpating for a pulse

  Done

  Not Done

Completion

• Successfully completed all steps

  Done

  Not Done

• Explain what was not completed correctly

• Safely completed all steps

  Done

  Not Done

• Explain what was not completed safely