On a pacemaker care plan, you need to address the risk of malfunction and potential cardiac output alteration. Goals will be to maintain heart rate within acceptable range (per MD recommendations), for res to remain free from s/sx of pacemaker malfunction or complications related to pacemaker, cardiovascular disease, altered cardiac output. If it is a new pacemaker, then you will also be monitoring the surgical site for infection.
Approaches will include monitoring vital signs, administering meds as ordered, following up with cardiologist as ordered, scheduling pacemaker checks as ordered, documenting and following up results; labs/diagnostic work as ordered and follow up results. I always include the pacemaker information here, including the manufacturer, model#, serial # date implanted, name of surgeon, and the settings (if available) Holly F. Sox, RN, RAC-C Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, December 02, 2003 6:20 PM Subject: RE: Pacemaker careplan > And what do you care plan for pacemakers.I need all the help I can get. > ; ) > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > Joyce, Monica > Sent: Tuesday, December 02, 2003 12:44 PM > To: '[EMAIL PROTECTED]' > Subject: RE: Surveyors here > > Make sure you have care plans for pacemakers and pain...hot topics this > year. We were cited for pacemakers! > Good Luck!! > > -----Original Message----- > From: Race, Deb [mailto:[EMAIL PROTECTED] > Sent: Tuesday, December 02, 2003 1:39 PM > To: '[EMAIL PROTECTED]' > Subject: Surveyors here > > > > > Surveyors arrived this morning for our annual. They are already > deep into charts! > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > Please NOTE: This message contains confidential information and is > intended > only for the individual named. If you are not the named addressee you > should > not distribute, copy or use this e-mail in any way. Please notify the > sender > immediately by e-mail if you have received this e-mail by mistake and > delete > this e-mail from your system. E-mail transmission cannot be guaranteed > to be > secure or error-free as information could be intercepted, corrupted, > lost, > destroyed, arrive late or incomplete, or contain viruses. The sender > therefore does not accept liability for any errors or omissions in the > contents of this message, which arise as a result of e-mail > transmission. If > verification is required please request a hard-copy version. Pittsburgh > Mercy Health System, 1400 Locust Street, Pittsburgh, PA 15219 Attn: > Chief > Information Officer > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
