SECTION 4
32
Before beginning the Exercise phase of the test, instruct the patient to follow the appropriate steps below:
For Treadmill
1. Have the patient straddle the belt. (You should turn the treadmill on when the belt has been safely
straddled). Highlight and click on Treadmill, and then click ON from the pop-up window. The treadmill
starts at the pre-selected speed and elevation.
2. Patients should place their hands on the handrail for stability and test the speed of the belt with one foot
before transferring the other foot to the moving belt.
3. When patients are acclimated to the movement of the belt, remind them to keep their bodies straight and
their heads up. They can rest their wrists over the handrail or place their arms by their sides as they would
in a normal walking position.
4. Instruct patients to relax and use as little upper-body motion as possible, and to stay near the front of
the treadmill.
NOTE: To stop the treadmill immediately in an emergency, depress the emergency stop button mounted on the
handrail of the treadmill.
For Ergometer
1. Have the patient sit on the seat of the ergometer. Highlight and click on ERGOMETER, and then click
ON from the pop-up window. The ergometer starts at the pre-selected watts level.
2. Patients should place their hands on the handlebars for stability and test the watts level of the ergometer
before proceeding to ensure they are familiar with the functional requirements during the test.
3. When patients are acclimated to the ergometer, remind them to keep their bodies straight and their heads
up. They can rest their wrists over the handlebars as they would in a normal riding position.
Exercise Phase
Enter the Exercise phase of the stress test by clicking on Start EXE or F1. The following two events will occur:
The stage time clock and the total exercise time clock will start counting from 00:00.
The treadmill or ergometer advances the workload to the parameters identified for the first stage of
exercise.
1. Allow the X-Scribe to acquire ECGs at the prescribed times set by the protocol being used.
2. Allow the automated NIBP device to obtain NIBP readings at the prescribed times as programmed into the
protocol, or manually acquire and enter an NIBP value as your policy requires.
3. Enter notes and NIBP values; acquire ECGs or rhythm strips as may be required throughout the test if not
set in the normal protocol.
4. Select Recovery or F1 when the test is completed and the Recovery phase is to begin.
5. Select End or F1 when the Recovery phase is complete and the test is over.
6. Select Yes to confirm end of test or Cancel to return to the test. (The Test End confirmation is an
optional feature that must be configured in the X-Scribe xs2.ini file. See Section 5.)
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