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Zoll R Series Defibrillators eLearning

Zoll R Series Defibrillators eLearning. Fairview Health Systems. Marcia Turner MS, RN, Nursing Education Specialist Fairview Health Systems. There is audio with the Zoll online learning section of this lesson. Navigating the Lesson. Moving Forward

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Zoll R Series Defibrillators eLearning

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  1. Zoll R Series DefibrillatorseLearning Fairview Health Systems Marcia Turner MS, RN, Nursing Education Specialist Fairview Health Systems There is audio with the Zoll online learning section of this lesson.

  2. Navigating the Lesson Moving Forward Click the Next button in the lower right corner of the screen to proceed to the next slide in the lesson. Viewing a Previous Slide Click the Back button in the lower right corner of the screen to move back one slide in the lesson.

  3. Lesson Details Target Audience This lesson is intended for Fairview employees that will be utilizing the R Series Defibrillators in their scope of practice. It is assumed that the learner has previously used the Zoll M Series. Contact Hours Not Applicable Estimated Duration The expected time to complete this learning activity is 30 minutes. If you are unable to complete this during your scheduled work time, it may be completed outside of work with prior approval from you supervisor. Any overtime must be approved. It is suggested that you complete a hands on review of the Zoll R series after completing this lesson module.

  4. References and Contact Information References • Zoll R Series Training Guide (August 2010) • R Series Quick Reference Guide (2010) • Print R Series Competency Checklist Program Contact • Marcia Turner, RN, MS, Nursing Education Specialist • mturner1@fairview.org

  5. Objectives Upon completion of this lesson, learners will be able to: Identify the functionality of the new R Series features: CPR Help and See Thru CPR. Identify the present selection of multifunction pads and their uses with the Zoll R Series Models. Identify the proper procedure for visual and manual checks of the Zoll R Series defibrillators. Demonstrate how to operate the Zoll R Series ALS and R Series Plus defibrillators for defibrillation, synchronized cardioversion, and pacing.

  6. Table of Contents • The New Zoll R Series Models • New Features: Real CPR Help and See-Thru CPR • New Pads: OneStep Complete and OneStep Pediatric • Compatible Electrodes • Attaching an ECG Cable • Other New R Series Features • Testing of the New R Series Models • Changing the R Series Plus to Manual Mode, ALS Full Functioning and Pacing Mode • Completing the Zoll Online Training If you are viewing the lesson for the first time Click the Next button to begin the lesson If you are returning to view a specific part of the lesson, click the appropriate subject below

  7. New R Series Models There are two new R Series models: the ALS and the Plus Models. Both models contain new features of Real CPR Help and See-Thru CPR. Let’s begin learning about the R Series ALS model. Click the Next button to continue. R Series ALS Model R Series Plus Model

  8. R Series ALS Model The R Series ALS model is similar to our present M Series in appearance and function, however, it has the new features of Real CPR Help and See-Thru CPR.

  9. R Series ALS Model This machine will be utilized in higher acuity areas such as ICU, PACU, ED and areas that have internal response to codes with ALS trained staff.

  10. R Series Plus Model The R Series Plus model looks and performs like an AED. It also contains the features of Real CPR Help and See-Thru CPR.

  11. R Series Plus Model This model will be utilized in areas where the first responders are BLS trained. It can quickly be transformed into a full R Series ALS functioning model by changing it to manual mode.

  12. New R Series Features Real CPR Help See-Thru CPR As we discussed previously, the new R Series models have Real CPR Help and See-Thru CPR. Let’s explore these further. Click on the Real CPR Help picture above.

  13. Real CPR Help • Real CPR Help gives visual and audio cues to assist compression quality . Click Next to continue.

  14. Real CPR Help • There are four mechanisms of real time CPR feedback: CPR Index, Rate Prompt, Depth Prompt, and Idle Time Display. Let’s learn more about the CPR Index. Click Next to continue.

  15. CPR Index The CPR Index is a visual representation of the quality of compressions being performed. It provides feedback after 8 good quality compressions in the form of a filling hexagon. It takes 20-25 good quality compressions before the index fully fills.

  16. Rate Prompt • The Rate Prompt is a visual and audible prompt that lets the compressor know that compressions are less than 90 bpm.

  17. Rate Prompt • When the Rate Prompt is active, the CPR Index stops filling, the Rate Prompt displays, and the metronome beeps at the correct rate.

  18. Rate Prompt • Prompts will automatically stop when the compression rate returns to 90 bpm. • There is one exception: the metronome beep prompt is continuous despite compression rate with the R Series Plus model while in the AED mode.

  19. Depth Prompt • The Depth Prompt is a visual and audible prompt to let the compressor know that compressions are less than 2 inches in depth.

  20. Depth Prompt • “Push harder” • When the Depth Prompt is active, the CPR Index stops filling, the Depth Prompt displays, and the audio prompt states “Push harder.”

  21. Depth Prompt • Prompts will automatically stop when the compression depth returns to 2 inches .

  22. Idle Time Display • The Idle Time Display is a visual prompt that displays after compressions have been interrupted for more than 10 seconds. The time displays in minutes and seconds (mm:ss).

  23. Idle Time Display • The display will disappear when compressions are fully resumed. Let’s learn about the See-Thru CPR feature. Click Next to continue.

  24. See-Thru CPR See-Thru CPR is available on the R Series ALS Model and the R Series Plus Model (but only in the manual mode). It displays a second tracing (FIL) that filters out the CPR artifact from the ECG to allow users to see a close approximation of a patient’s underlying rhythm during CPR compressions, reducing interruptions in CPR.

  25. See-Thru CPR See-Thru CPR does not replace human assessment; it is meant to be a tool in the process. See-Thru CPR does not work in the advisory/analyze mode.

  26. Quick Review • Let’s do a quick review of the content we just learned. • Click the host, Quinn, to begin.

  27. Quick Review • When does the Rate Prompt display? Click on the correct answer. • A. When compressions are less than 90 bpm. • B. When compressions are greater than 90 bpm. • C. When the caregiver needs to take a lunch break.

  28. Quick Review Correct! • Click Next to continue.

  29. Quick Review Good try! That was not the answer I was looking for. • The correct answer is A: when compressions are less than 90 bpm. • Click Next to continue.

  30. Quick Review • When the Depth Prompt displays, what does the audio prompt say? • Click on the correct answer. • A. “Push faster.” • B. “Push harder.” • C. “Feed me.”

  31. Quick Review Yes! That’s it! • Click Next to continue.

  32. Quick Review I’m sorry, that is incorrect. • The correct answer is B: “Push harder.” • Click Next to continue.

  33. Quick Review • True or False: See-Thru CPR is meant to take the place of human assessment. • Click on the correct answer. • A. True • B. False

  34. Quick Review Great Work! • Click Next to continue.

  35. Quick Review That is not correct. • The correct answer is B: False. • Click Next to continue.

  36. Quick Review That concludes our quick review for this section. I will resume our review later in the lesson. • Click Next to continue.

  37. New Pads:OneStep Complete and OneStep Pediatric There are some new pad options for use with the Zoll R Series models. Let’s learn more. Click on the OneStep Complete Pad picture to continue. OneStep Complete OneStep Pediatric

  38. OneStep Complete • The OneStep Complete Pad is for use on older children and adults. Real CPR Help and See-Thru CPR are available when using the OneStep Complete Pads by utilizing a new censor attached to the pad.

  39. OneStep Complete • ECG leads are internal in the pad. It is not necessary to put leads on to perform pacing or urgent synchronized cardioversionUNLESS you are using anterior/anterior placement.

  40. OneStep Complete • The OneStep Compete Pads sense to charge at intervals of 120, 150, and 200 Joules consecutively for defibrillation. If a different Joule setting is desired, adjust it by using the energy select arrow key for initial and subsequent shocks.

  41. Opening the Pads • Step 1: Open the electrode package by grasping the blue ring and white tab marked OPEN HERE. • Step 2: Pull away from each other so that the electrodes are displayed as in the picture. • Note: Do not use a scissors to open the pads!

  42. Applying the Pads • Anterior/Posterior placement is recommended. Place the back pad on first. Then place the front pad with the sensor on the sternum between the nipples.

  43. Applying the Pads • If using anterior/anterior placement, rotate the apex electrode 180 degrees. With this placement, the ECG display may be slightly different and should not be used for diagnostic purposes. Use the ECG cable for pacing with this electrode placement.

  44. OneStep Pediatric Pads Use with pediatric patients 0-8 years and/or <25 kg. These pads presently do not allow for Real CPR Help and See-Thru CPR features in the new R Series models.

  45. OneStep Pediatric Pads ECG leads are NOT internal in the pad. Switch to Pedi Padz to perform pacing or urgent synchronized cardioversion and add an ECG cable.

  46. OneStep Pediatric Pads The OneStep Pediatric Pads sense to charge at intervals of 50, 70, and 85 Joules consecutively for defibrillation. If a different Joule setting is needed based on the patient’s weight and AHA guidelines, 2 J per kilo, adjust it by using the energy select arrow key for initial and subsequent shocks.

  47. Applying Pediatric Pads • Apply pads as shown on package placing the back pad on first.

  48. OneStep Pad Connections • Both the OneStep Complete Pad and the OneStep Pediatric Pad attach the same way to the multifunction cable on the R Series Models.

  49. Compatible Electrodes • There are other compatible electrodes that can be utilized with the R Series Models, however, none of them allow for the use of the new features Real CPR Help and See-Thru CPR. • Pro Padz • Pedi Padz • Paddles and Internal Handles • Let’s look at each of these to see how they are used with the R Series models. Click Next to continue.

  50. Pro Padz • You can use these for elective synchronized cardioversion along with 3 lead ECG cables in older pediatric patients or adults. The energy selection must be adjusted manually when using these pads.

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