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ARREST PROCEDURE

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					                     ARREST PROCEDURE IN
                   NUCLEAR MEDICINE DURING
                       EXERCISE TESTING

RESPONSIBILITIES: STAGE 1 VF ARREST

PHYSICIAN
                  ♦CALL “ARREST”
                  Assist transfer pt from treadmill to floor
                  ♦ADMINISTER PRECORDIAL THUMP (optional)
                  ♦SYNCHRONISE DEFIB IF REQUIRED
                  ♦ADMINISTER DCR 200 JOULES UP TO 2 TIMES
                  ♦ADMINISTER APPROPRIATE DRUG THERAPY

CARDIAC TECHNOLOGIST

                   ♦ CALL VF
                   HIT RED EMERGENCY BUTTON
                   Assist transfer of patient from treadmill to floor
                   ♦ REMOVE CHEST ECG LEADS (for defib pads)
                   ♦UPDATE RHYTHM THROUGHOUT ARREST
                   ♦ NOTE TIME OF ARREST AND TIME, TREATMENT AND
                      RESPONSE TO TREATMENT ON WORKSHEET

NUCLEAR MEDICINE TECHNOLOGIST

                   CALL 999 - CODE BLUE
                         NUCLEAR MEDICINE ROOM 2
                         CLAYTON CAMPUS

♦   INFORM TEAM THAT CALL HAS BEEN MADE
♦   REMOVE BED FROM STRESS ROOM (if exercise patient)
♦   ASSIST AS REQUIRED
♦   DIRECT “CRASH TEAM” TO ROOM

NURSE or REGISTRAR
                   ♦PROVIDE O2 THERAPY (SUCTION IF REQUIRED)
                   ♦AIR-VIVA AND GUDELS AIRWAY IF REQUIRED
                   ♦CHARGE LIFEPAK TO 200 JOULES
                   ♦PLACE DEFIB GEL, PADS AND LEADS ON PATIENT
REVISED Dr JMC/LMB 21/9/01
                   ♦ASSIST WITH DRUG THERAPY



                                                  STAGE TWO
             At this time the patient is usually unconscious and hasn't
responded to the DCR.
 The patient now needs CPR and this is best accomplished with them on
the floor.
   Doctor and Cardiac tech and Nuclear Med tech lift patient on to floor.

                CARDIAC TECHNOLOGIST
                ♦Help with patient's legs during lift.
                ♦Watch leads during lift
                ♦Continue to call ECG

                NUCLEAR MEDICINE TECHNOLOGIST
                ♦Assist with lift of patient to floor
                ♦Stand at door to direct ARREST TEAM

                REGISTRAR
                ♦Assist with lifting patient
                ♦Assist Physician - CPR, Drug administration

                NURSING STAFF or REGISTRAR
                ♦Administer O2 using the bag and mask

                PHYSICIAN
                ♦Administer drugs/DCR as appropriate

                AWAIT ARREST TEAM




REVISED Dr JMC/LMB 21/9/01

				
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Description: ARREST PROCEDURE