User Manual

TROUBLESHOOTING
PatientNet Operator’s Manual, v1.04, 10001001-00X, Draft 223
All information contained herein is subject to the rights and restrictions on the title page.
Event Information Form
1. Date and time of event
____________________________________________________________________
2. Event description
_________________________________________________________________
____________________________________________________________________
3. SMART ALARM Yes___ No___ ALARM ON___ OFF___ Arrhythmia ON___ OFF___
Arrhythmia Lead Selection AUTO___ MANUAL___
4. Provide as much information as possible such as position and impedance of the
electrodes________________________________________________________
________________________________________________________________
Complete the following:
5. Pacemaker
Type _________
Make ______________
Model No.______
Manufacturer_____
Attach pacer report if available
Note: Please print and attach the following:
• an annotated zoomed-in printout of the Full disclosure with Leads I,
II and V. Ideally, start recording ten seconds prior to the event and
continue through the event in question (see Figure 113 on page 224).
• 24-Hour Full Disclosure report, for the hour in question (see Figure
114 on page 225).
• Print Zoomed-In Full Disclosure, with Leads I, II, and V, for the time
immediately following the most recent learn.
Alarm Status Record Store Assign Level Limit
HIGH HR Yes/No Yes/No Yes/No
LOW HR Yes/No Yes/No Yes/ N o
ASY S TOLE Yes/ N o Yes/No Yes/N o
V FIB Yes/No Yes/No Yes/No
V TACH Yes/ N o Yes/No Yes/N o
HIGH PVC Yes/No Yes/No Yes/No
S V TACH Yes/ N o Yes/No Yes/N o
COUPLET Yes/No Yes/No Yes/No
BI G E M I N Y Yes/ N o Yes/No Yes/N o
TRIGEMINY Yes/No Yes/No Yes/No
V RHYTHM Yes/No Yes/No Yes/No
PVC Yes/No Yes/No Yes/No