1) A cardiac event monitor is a portable device that records heart rate and rhythm over long periods of time to monitor for symptoms that occur less than daily. 2) Common types of cardiac monitors include Holter monitors, event recorders, mobile cardiac telemetry, and insertable cardiac monitors. 3) Nurses play an important role in applying cardiac monitors correctly by ensuring proper lead placement, skin preparation, and electrode attachment in order to obtain accurate readings and prevent injury.

1. DR.ANJALATCHI
VICE PRINCIPAL
ERA COLLEGE OF NURSING

2. Introduction
 A cardiac event monitor is a device that you
control to record the electrical activity of
your heart (ECG). This device is about the
size of a pager. It records your heart rate and
rhythm. Cardiac event monitors are used
when you need long-term monitoring of
symptoms that occur less than daily.

3. Types of monitor
 Common types of cardiac
monitoring systems include:
 Holter Monitor. A Holter monitor is a
portable external monitor that
includes wires with patches that
attach to the skin. ...
 Event Recorder. An event recorder is
a recorder worn on the body for up to
30 days. ...
 Mobile Cardiac Telemetry (MCT) ...
 Insertable Cardiac Monitor (ICM)

4. Purpose of cardiac monitor

5. Accessories

6. Basic feature of cardiac monitor

7. Parts with name

8. Monitoring of vital para meter

9. Parameter to be monitor

10. View about cardiac monitor

11. Monitor Parts with names

12. Care and maintenance of monitor
 Accurate lead placement and good skin preparation
will reduce false readings.
 Skin that is clean and dry will allow better adherence
of electrodes and a more accurate ECG.
 Daily assessment of skin is important in preventing
skin excoriation and/or pressure area injury at the site
of electrodes.

13. Maintenance
 Check battery status on telemetry device each shift.
The device will alarm when batteries need changing
 Electrodes should be changed on a daily basis
 The need for telemetry should be reviewed on a daily
basis, this is the joint responsibility of the treating
team, bedside nurse and AUM

14. Event Monitors An event recorder is a recorder
worn on the body for up to 30 days.
It typically requires activation by
pushing a button to record the
heart’s activity.

15. Holter Monitor
A Holter monitor is a small,
wearable device that keeps track
of your heart rhythm. Your
doctor may want you to wear a
Holter monitor for one to two
days. During that time, the
device records all of your
heartbeats.

16. MOBILE CARDIAC TELEMETRY
(MCT)
 Mobile cardiac telemetry is a wearable monitor that
automatically detects, records, and transmits
abnormal heart rhythms for up to 30 days.

17. INSERTABLE CARDIAC MONITOR
(ICM)
 An insertable cardiac monitor is a small device placed
just under the skin that automatically detects and
records abnormal heart rhythms for up to 3 years.*

18. DISINFECTION PROCESS

20. How to store the cardiac monitor
after disinfect the devices

21. role of nursing officer
 All electrical equipment and outlets are grounded to avoid
electrical shock and artifact (electrical activity caused by
interference).
 The nurse should plug in the monitor, turn on power, and
connect the cable if not already attached.
 He or she should connect the lead wires to the proper position
and ensure that color-coded wires match the color-coded cable.
 If the device is not color coded, the right arm (RA) wire should
be attached to the RA outlet, the left arm (LA) wire attached to
the LA outlet, and so forth.
 The nurse should open the electrode package, and attach an
electrode to each lead wire. The hands should be washed and the
procedure should be explained to the patient

22. Continued
 Privacy should be ensured for the patient, and the patient
should be clean and dry to prevent electrical shock.
 Next, the chest should be exposed and the sites selected for
electrode placement.
 Using the rough patch on the electrode, a dry washcloth,
or gauze pad, each site should be rubbed briskly until it
reddens, but care should be taken not to damage or break
the skin.
 Dead skin cells are removed in this manner, thereby
promoting better electrical conduction.
 Patients who are extremely hairy may need to be shaved
prior to application of the electrodes

23. Continued
 If the electrode has dried out, which can happen if the
electrode package is opened before immediate use, it
should be discarded and another used.
 The nurse should apply one electrode to each site, press
one side of the electrode against the skin, and pull gently.
 Then, the opposite side of the electrode should be pressed
against the skin.
 The nurse should press two fingers on the electrode in a
circular pattern to affix the gel and stabilize the electrode,
then repeat for each electrode.
 To avoid potential artifact, do not place the electrodes on
bony prominences or hairy areas.

24. THANK YOU