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Discussion

ecg/pressure waveform documentation

What is standard practice for documenation of strips as far as what needs to be documented together and why. For example a patient has ecg, abg, PAP,CVP, etc. What 2 waveforms gets mounted together in the strips and why?

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They should all be printed and mounted. Each line is there for a reason and should be documented as to what its waveform looks like. If you can only print two at a time, then bring the others up on a separate strip two at a time. It can be easily done. :)

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They should all be printed and mounted. Each line is there for a reason and should be documented as to what its waveform looks like. If you can only print two at a time, then bring the others up on a separate strip two at a time. It can be easily done. :)

does ecg HAVE to be with CVp or can CVP be run simultaneously with PAP?

I print these strips at the beginning of every shift & if there are any changes:

1) ECG + CVP

2) ECG + PAP

3) ECG + Aline waveform

4) ECG + PAWP (if I'm able to)

After printing them in the above combinations, I identify the ECG rhythm/rate & measurements in each strip, and then I simply label the other waveforms (& list the PAP & CVP measurements). Always make sure that you print each of the parameters with their scales, for without scales they don't mean anything.

The reason I print them with the ECG is so that you can id components of the waveforms.

What is standard practice for documenation of strips as far as what needs to be documented together and why. For example a patient has ecg, abg, PAP,CVP, etc. What 2 waveforms gets mounted together in the strips and why?

An ABG is an arterial blood gas -- to obtain this you draw a blood sample out of the A-line & send it to lab. There is no waveform monitoring involved.

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