ICD Patient Protocol
- Thu, 6/11/09 - 3:16pm
- 3 Comments
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I am looking for information and policy and procedures regarding handling of patients in the gastroenterology lab who have implantable cardiac devices, particularly ICDs. Are company reps being called in, or does the staff use magnets to pause the ICD? Any information would greatly be appreciated.
— Name withheld by request
We have a policy that ICD's are turned off pre-endo and on post-endo and the same for OR cases with electrocautery usage. Our EP is concerned that a magnet may not be in place when cautery is used. The Clinic specialists cover Endo/OR. Reps will not come in without Cardiologist order.
Reply to this comment »We use a magnet when electrocautery is used and device interrogation is done post procedure. For ERCP's, the patient is on stomach for part of the case, we then turn off detections and turn on post procedure. Reps have refused to come in and cover our Endo/OR cases without cardiologist order.
Reply to this comment »First consult your hospital policy and procedure. Since the OR usually has an existing policy start with understanding what is current at your facility.
Reply to this comment »Then be sure your staff receives the appropriate education including magnet use and the therapies involved when a device rep or appropriate hospital staff member is called. My choice is always magnet use if possible.
Belinda Trollinger, RN, RCIS, FSICP
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