ST-segment monitoring: putting standards into practice.
ST-segment monitoring is one key reason that continuous electrocardiographic monitoring is performed in hospitals, and can help with early detection of myocardial ischemia for at-risk patients. Although ST-segment monitoring research, guidelines, and expert consensus statements have been published, ST-segment monitoring has not been implemented in all appropriate clinical areas. The purpose of this article is to present relevant research, review the latest practice standards, and discuss issues important to nurses wishing to implement ST-segment monitoring.
Flanders
Sonya A
SA
Bay-lor Health Care System, Dallas, TX 75206, USA. sonyaf@baylorhealth.edu
D001145:Arrhythmias, Cardiac / Q000175:diagnosis*; D003245:Consensus Statements as Topic; D003422:Critical Care / Q000379:methods / Q000592:standards; D004059:Diffusion of Innovation; D042241:Early Diagnosis; D004562:Electrocardiography / Q000379:methods* / Q000451:nursing / Q000592:standards; D004868:Equipment Failure; D019317:Evidence-Based Medicine; D006801:Humans; D033181:Information Dissemination; D008133:Long QT Syndrome / Q000175:diagnosis*; D008991:Monitoring, Physiologic / Q000379:methods* / Q000451:nursing / Q000592:standards; D017202:Myocardial Ischemia / Q000175:diagnosis*; D024802:Nurse's Role; D010344:Patient Advocacy; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D012307:Risk Factors