Continuous ST-segment monitoring: raising the bar.
ST-segment monitoring is recommended by clinical experts to assist in the early detection of transient myocardial ischemia; however, a gap exists between the recommendations and clinical practice. This article provides a review of research to support the use of ST-segment monitoring in a variety of clinical situations. Patient selection for monitoring, techniques, and strategies to facilitate successful implementation of ST monitoring are included. Nurses are encouraged to advocate for patients by raising the bar of electrocardiogram monitoring practice to aid in optimizing patient outcomes.
Flanders
Sonya A
SA
Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA. sonyaf@baylorhealth.edu
D002983:Clinical Competence; D003266:Continuity of Patient Care; D003422:Critical Care / Q000379:methods / Q000592:standards; D042241:Early Diagnosis; D004562:Electrocardiography / Q000295:instrumentation / Q000379:methods* / Q000451:nursing / Q000592:standards; D004566:Electrodes; D004868:Equipment Failure; D004869:Equipment Safety; D006804:Ergonomics; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000379:methods* / Q000451:nursing / Q000592:standards; D017202:Myocardial Ischemia / Q000175:diagnosis*; D024802:Nurse's Role; D009730:Nursing Assessment; D017063:Outcome Assessment, Health Care; D010344:Patient Advocacy; D010348:Patient Care Team / Q000458:organization & administration; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D017009:Professional Autonomy