Sample interview questions: How do you handle patients who require emergency transvenous pacing?
Sample answer:
When handling patients who require emergency transvenous pacing, it is crucial to follow established protocols and guidelines to ensure the best possible outcome for the patient. Here are the steps involved in managing these cases:
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Initial assessment: As an ER nurse, the first step is to quickly assess the patient’s condition and identify the need for emergency transvenous pacing. This may involve evaluating their heart rate, rhythm, blood pressure, level of consciousness, and any associated symptoms such as chest pain or dizziness.
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Obtain necessary equipment: Notify the appropriate members of the healthcare team, including the physician, and gather the required equipment for transvenous pacing. This includes a temporary transvenous pacing kit, sterile supplies, cardiac monitor, defibrillator, sedation medications, and appropriate monitoring devices.
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Prepare the patient: Inform the patient and their family about the procedure, obtain informed consent, and provide emotional support and reassurance. Ensure that the patient is adequately monitored, with continuous cardiac monitoring, pulse oximetry, and blood pressure measurement.
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Establish IV access: Establish large-bore intravenous access for medication administration and fluid resuscitation, if required. This is important to ensure the patient’s stability during the procedure.
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Administer sedation: Administer appropriate sedation to ensure patient comfort and cooperation during the procedure. This may involve medications such as midazolam or fentanyl, titrated to the patient’s response and vital signs.
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Prepare the sterile field: Follow strict aseptic technique and prepar… Read full answer
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