Defib Safety
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| Section A: (i) Environmental Safety Issues | a) dont operate defibrillator around flammable objects, O2 rich environments or anaesthetics b) Dont use the defibrillator on or near water or on metal surfaces |
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| Section A: (ii) Operator Safety Issues | a) Dont defib without first calling all clear b) when defib, dont touch pt or equipment attached to pt, other than the monitor c) visually check no one is touching the pt or equipment attached to the pt |
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| Section A: (iii) Patient Preparation issues | a) Dont place defb pads over GTN patches/paste, implanted pacemakers or ECG electrodes/cables b) Avoid skin pigmentations & nipples to prevent burns c) Avoid skin folds to prevent electrical arcing d) Dont allow contact b/n defib pads & ECG electrodes |
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| Section A: (iv) Pad Adhesion Issues | a) Dont defb if the defib electrodes are not properly adhering to the patient b) Do not perform compressions over defib pads |
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| Section A: (v) Equipment Issues | a) Damaged therapy cable b) Faulty multifunction (defib) pads |
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| Section B: What are the 5 Contraindications for defibrillating in AED mode? | 1. Children <8yrs of age 2. Any patient movement 3. Any stretcher movement 4. Any ambulance that is not stationary - must be brought to a halt 5. Any person touching the patient. There must be no patient contact when the monitor is analysing or chargi |
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| Section C: What are the placement locations of adult defibrillation electrodes? | ➢The "apex" electrode is placed in the mid auxillary line at the level of the cardiac apex (5th intercostal space) ➢The "sternal" electrode is placed horizontally under the right clavicle, above the right nipple |
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| Section D: What is the correct technique for applying the defibrillation electrodes? | ➢Apply the electrode in a rolling motion to prevent air pockets ➢Smooth the electrode into the intercostal spaces of thinly built persons | ➢Apply gentle pressure over entire surface of the gel & adhesive ring to assure adhesion
➢Roll sternal pad from (R) sternal margin toward the white dot (cable end of the electrode) - roll outward from midline
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| Section E: What should you check on the defibrillation pads before application? | ➢Check expiration date ➢Check for dried or damaged pads |
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| Section F: What chest preparation measures may be required before applying the defibrillation electrodes? | ➢Wipe moist or sweaty skin with a dry towel only. Dont use Betadine or alcohol wipes as they can cause burns and interfere with adhesion ➢Clip chest hair when course, dense or wiry. Shaving can cause electrical arcing. |
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