Electrocardiographic Practices: The Current Report of Monitoring and Education in Veterans Affairs Facilities

Zaremba, Jennifer L. MSN, RN; Carroll, Karen MS, RN, CCNS, CCRN PCCN; Manley, Kathleen MSN, RN, CCRN, CCNS-CSC

Dimensions of Critical Care Nursing: March/April 2014 - Volume 33 - Issue 2 - p 82–87
doi: 10.1097/DCC.0000000000000024
Research DIMENSION

In 2004, practice standards for electrocardiographic (ECG) monitoring were published to address the need for an expanded use of ECG monitoring beyond heart rate and basic rhythm determination. This article reports the data collected from a survey distributed throughout the Veterans Healthcare Administration hospitals to determine the extent to which practice standards have been adopted. Survey data were used to identify the differences between actual practice and evidence-based standards. The results were divided into ECG electrode application, lead selection, alarm limits, monitoring capabilities, monitoring during patient transport, and education and competencies. The results confirm the need for improvement, including a thorough evaluation of facility practices and education. The data demonstrate the differences among actual practice and evidence-based recommendations.

In 2004, practice standards for electrocardiographic (ECG) monitoring were published to address the need for an expanded use of ECG monitoring beyond heart rate and basic rhythm determination. This article reports the data collected from a survey conducted to determine the extent to which practice standards have been adopted.

Jennifer L. Zaremba, MSN, RN, is a clinical nurse coordinator at the Mann-Grandstaff VA Medical Center in Spokane, Washington. Ms Zaremba has experience as an intensive care and emergency department nurse.

Karen Carroll, MS, RN, CCNS, CCRN PCCN, is a clinical nurse specialist for critical care at the San Diego VA Healthcare System.

Kathleen Manley, MSN, RN, CCRN, CCNS-CSC, is a clinical nurse specialist for the James A. Haley VA Medical Center in Tampa, Florida.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Address correspondence and reprint requests to: Jennifer L. Zaremba, MSN, RN, Mann-Grandstaff VA Medical Center, 4815 N Assembly Rd, Spokane, WA 99205 (Jennifer.zaremba@va.gov).

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