1. Electronic Cardiac Rhythm Strips

2. Electronic Cardiac Rhythm Strips an Overview  Cardiac rhythm strips are available immediately in StarPanel, eliminating the delay of getting paper rhythm strips into charts.  Electronic alerts to indicate status (time since rhythm strip was moved into StarPanel)  Multiple users can access rhythm strips at any time without traveling to the patient unit to look in the chart.  Easy to navigate and search for rhythm strips by date or by identified rhythm per patient.

3. How Rhythm Strips Get Into StarPanel  The monitor Tech will select, measure, and identify the rhythm strip from the Philips Monitoring System  The rhythm strip moves into the patient’s chart where it is verified by the RN electronically

4. Rhythm Strip Indicators Process: The RN will review strips on a 9-2 schedule and with events. Location: Unit Whiteboards will display an indicator with the status of the Rhythm Strips. Red = Strip Saved but has not been reviewed by the RN Green = Strips reviewed by RN Numbers indicate the length of time since the strip was placed in StarPanel (like fast labs) Click indicator to open Cardiac Rhythm Strips

5. Electronic Measuring of Rhythm Strips E-Calipers  Click on blue E-Caliper link on the rhythm strip  Once calipers are open they can stay open all the time, just drag out of the way.

6.  To measure: position the purple box first then slide the green box to the wanted position, then read the seconds or mm.  To measure vertically click the blue V (for vertical) in the gray box. Follow the steps as above except use 2 boxes instead of 5. Notice the V has turned to a blue H (for horizontal) Calibrating & Measuring Horizontal Measure Vertical Measure  To calibrate: drag the purple box to a gray vertical line and line up the red vertical line on it, then hover over the green box until a appears then slowly drag until there are five big boxes between the lines.  When both boxes are positioned click “Set” in the gray box. The time changes to 1.00 sec and 25.00 mm. You are now calibrated.

7.  Once the RN measures the strip, click the yellow “This document” box.  If the RN agrees with the monitor tech’s measurements and rhythm the nurse will click “Mark as reviewed”.  If the RN does not agree with the rhythm or measurements she clicks on “Amend”. When the blue amend box appears she types in the measurements  After the amendment is done the RN clicks on “Send Amendment” Documentation

8. 4 ways to find Cardiac Rhythm Strips 1. StarPanel “AllDocs” 2. Actions menu

9. 3. Whiteboard indicator 4. OPC link