Philips FM20 - Page 101

4 Cableless Monitoring
101
At the Mother's Side
1 Have a new single-use electrode patch ready, and make sure that the pouch is still intact. Check the
expiration date that is printed on the pouch.
2 Clean the application area on the abdomen of the patient. Use mild soap to wash any cream, oil, or
gel from the abdomen. Make sure to thoroughly wipe the area dry afterwards, ideally using paper
towels.
3 Take the electrode patch from its pouch.
4 Study the electrode patch Instructions for Use showing the correct placement of the electrode
patch on the abdomen of the patient.
5 Remove the cover from the adhesive area under the central area of the patch. (Do not remove the
cover from any of the five surrounding electrodes yet).
6 Verify the correct orientation of the patch. The “Philips/Monica” printed top electrode must point
to the patient’s chest.
7 Place the central adhesive area of the patch over the patient’s umbilicus as shown in the patch
Instructions for Use. Then press it down.
For patients with a displaced umbilicus:
Where the umbilicus has been displaced downwards, position the center of the patch along the
midline, where it intersects the horizontal line passing over the iliac crests. Alternatively, estimate
the mid-point between the fundus and symphysis pubis.
For very obese patients or patients with a large panniculus:
An alternative strategy is to position the patch along the midline such that the edge of the top
electrode is placed 10-12 cm (4-5 in) below the fundus.
8 Lift up one of the four electrodes. Identify the small area of the skin where you will place the
center of the electrode.
9 Use one piece of abrasive ECG skin preparation paper to prepare the patient's skin. Make three
horizontal and three vertical strokes with the skin preparation paper. Focus the strokes on the
small area of the skin where the conductive center of the electrode will be placed. Make deliberate
but gentle strokes, lifting the finger after each stroke.
CAUTION
Do not use too much pressure with the abrasive skin preparation paper to avoid skin injury.
10 Remove the protective cover from the electrode. Place the electrode on the prepared skin. Press it
down firmly, but avoid pressing the central gel area of electrode.
11 Repeat the steps for the skin preparation and electrode placement for the other three electrodes.
incorrect correct