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Zeroing the transducer...help?!

MICU   (56,303 Views 14 Comments)
by cwhitebn cwhitebn (New Member) New Member

cwhitebn specializes in General Surgery, Orthopaedics, ICU, ER.

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Can someone please please please talk me through zeroing a line, such as an art line or cvp line?:confused: I'm new to critical care and go so intimidated with all these lines. My biggest issue is when I have to zero the line. I have so many silly questions:

1. Do I flush the line first?

2. When I place the sterile cap back on the stopcock?

3. When do I press the zero button on the monitor?

A step by step instruction would really help!!! I know I have to turn the line off the patient (stopcock pointing toward the hard cable) and then remove my sterile cap)...but after that I screw up lol.

Any help would be greatly appreciated.:)

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2,438 Posts; 16,479 Profile Views

1) Turn stopcock off to patient

2) Remove cap

3) Press "Zero"

4) Replace cap

5) Turn stopcock back to neutral

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Five&Two Will Do has 3 years experience and specializes in cardiology/oncology/MICU.

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1) Turn stopcock off to patient

2) Remove cap

3) Press "Zero"

4) Replace cap

5) Turn stopcock back to neutral

I always throw in a good flush to look for a plateau in my wave form too. :up:

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cwhitebn specializes in General Surgery, Orthopaedics, ICU, ER.

42 Posts; 1,392 Profile Views

Thanks for the help!!! Really appreciate it! :D

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angle85 specializes in CCU, ICU, education and Oncology.

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"1) Turn stopcock off to patient

2) Remove cap

3) Press "Zero"

4) Replace cap

5) Turn stopcock back to neutral"

excellent:redbeathe

simple and clear

but some types of caps contain a hole in side it, so no need to remove it

:idea:remember:

if arterial line the pressure in cuff to be 300 mmHg

the flush is very important and some times if you interface a problem reinsure there is no air bubbles inside tube to give accurate reading.

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RN1980 specializes in icu/er.

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above is correct, but always give a decent flush to the open to air 3 way port before you re-cap and turn the stop cock open to pt. its also a good time to re-level your transducer if needed before you hit the zero button.

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Da_Milk_of_Amnesia has 5 years experience as a MSN and specializes in Critical Care.

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Check you're square wave and make sure you're not over/underdampened

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Maevish has 9 years experience as a ASN, RN and specializes in ICU, Postpartum, Onc, PACU.

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Also, wait for the '0' on the screen before putting the cap back on :)

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MegNeoNurse has 4 years experience and specializes in PICU, ICU, Transplant, Trauma, Surgical.

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1) Turn stopcock off to patient

2) Remove cap

3) Press "Zero"

4) Replace cap

5) Turn stopcock back to neutral

Yes, that exactly. :up:

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gonzo1 has 15 years experience as a ASN, RN and specializes in CEN, ED, ICU, PSYCH, PP.

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at what step in the procedure do you flush?

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hodgieRN has 10 years experience and specializes in ER trauma, ICU - trauma, neuro surgical.

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Before you zero it. You flush it to make sure it is nice and patent. Assess everything is working properly or there's no point in zeroing it if you can't use it. Then, you can flush after zeroing and check for a square wave as mentioned above.

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2 Posts; 371 Profile Views

Before the five steps given, make sure your transducer is level with the patient's phlebostatic axis (4th intercostal space and half the diameter of the chest). You want the cap that you will remove to be level with that.

Next, if your waveform doesn't look right (ask some nurses you work with to show you dampened waveforms), I would flush then to see if your waveform changes to a better one. If your waveform is fine, you do not need this step.

After those two steps, then proceed with the other steps.

Advanced tips after zeroing CVP: Look at the differences between the waveforms of ventilated and non-vented patients. The place where you read the CVP and record it will be different depending.

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