The necessary equipment for this skill is
A monitor slash defibulator
Pacing pads
medication for sedation and oxygen if necessary
and of course the appropriate PPE. Gloves
To perform synchronized cardioversion the first step
is to make sure our patient is adequatly oxygenated
and has a patent IV established.
We are going to identify
The arrhythmia or condition that requires cardio version on the monitor.
Next step will be to determine in the patient has any allergies
and administer any appropriate sedation if necessary.
Defibrillation pads
are placed on the patient according to the manufactures recommendations.
and plugged into the monitor.
We are going to assess the safety of the environment
to make sure there is no combustibles
sparks or oxygen rich atmosphere.
On the monitor we are going to select the appropriate energy level.
Press the sync button
making sure each QRS complex is hit with a marker.
We will call all clear
making sure that no one is touching our patient
charge our monitor
Clear!
and deliver the shock.
After the shock is delivered
we will reassess our patient to include blood pressure and pulse
and assess for any adverse side affects.