Is it necessary for a cardiac rhythm strip to be recorded and placed with the PACU record?
Resource 4 in the ASPAN Standards states that the cardiac monitor rhythm must be documented. The Standards do not elaborate as to the specifics of how the rhythm is documented, i.e., a rhythm strip. Many facilities place a rhythm strip in the flow sheet, as well as document the rhythm. If the rhythm changes, the nurse can then place a second strip in the flow sheet showing the different rhythm as well. If there is an issue with placing a rhythm strip in the chart, you might ask how the nurses have demonstrated competency in ECG interpretation so that nurses interpretation of the rhythm without the actual rhythm strip can be validated. Anesthesia providers will often bring strips from the monitor obtained during surgery, especially if some change occurred. Rhythm strips are frequently obtained upon arrival in the PACU. The timing element of the obtaining a rhythm strip postoperatively is that anesthesia can have harmful cardiac side effects, especially in elderly patients, and the rhyth
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- Is it necessary for a cardiac rhythm strip to be recorded and placed with the PACU record?
