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/policies/clinical/uwhc-clinical/department-specific/heart-and-vascular-care-clinic/hvc-4.policy

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Policies,Clinical,UWHC Clinical,Department Specific,Heart and Vascular Care Clinic

Remote Loop Recorder (HVC)

Remote Loop Recorder (HVC) - Policies, Clinical, UWHC Clinical, Department Specific, Heart and Vascular Care Clinic

HVC

HVC Remote Loop Recorder  
Category:  UWHC Departmental Policy   
Policy Number:  HVC    
Effective Date:  August 28, 2013   
Version:  Revision    
Manual:  Heart and Vascular Care Clinic    
Section:  Remote Loop Recorder   
 
 
I. PURPOSE

The purpose of this policy is to provide is to provide guidance to the Device Nurse, who is specially trained in
Cardiovascular Implantable Electronic Devices (CIED), and who is reviewing the Implantable Loop Recorder (ILR)
transmission. The ILR is a subcutaneous device that can capture electrocardiograms (ECG) during a symptomatic
episode that may suggest a cardiac arrhythmia. The ILR provides storage of both patient-activated and auto-
activated events.

II. POLICY

Remote monitoring of ILR data obtained from a secure Internet website via the patient’s use of their remote
transmitter monitor. The transmission frequency is scheduled per Electrophysiologist (EP).

III. PROCEDURE
A. Access appropriate company’s website via the Internet and log in to site by typing in user specific ID and
password.
B. Select which patient transmission you would like to view.
C. Review information for episodes.
D. If episodes are reported:
1. Contact patient and discuss episodes and symptoms.
2. Contact EP to discuss and review interpretations.
3. Notify patient of plan.
E. Go to Paceart and chart findings under miscellaneous tab.
F. Print copies of Paceart reports:
1. All copies will go to the EP Physician for reading and signing, before being sent to the
corresponding destinations.
2. One each for hospital medical records, entered into the electronic medical record, and Referring
Physician(s) outside the UW Health systems.
G. Complete “Remote” encounter in electronic medical record, file charges accordingly.
H. Complete “Loop Recorder Reviewed” Letter in HealthLink which will be mailed to patient.
I. If a schedule transmission wasn’t received, a phone call will be made to the patient (per Administrative
Policy 6.24 - Communication with Patients Outside of the Clinical Setting) to see why they did not
transmit. If we are unable to reach the patient, a message will be left and rescheduled appointment letter
will be sent.
J. The company’s remote transmission websites will be checked each working day to monitor for any
unscheduled transmissions.

IV. REFERENCES

Heart and Vascular Care Clinic – Pacemaker Transtelephonic Check

Heart and Vascular Care Clinic – Implantable Cardioverter Defibrillator (ICD) Clinic Check, Routine
Heart and Vascular Care Clinic – Pacemaker Clinic, Routine Visits
Heart and Vascular Care Clinic – Remote Transmission of a Pacemaker, Implantable Cardioverter Defibrillator (ICD)
Heart and Vascular Care Clinic – Management of Pacemaker or Implantable Cardioverter Defibrillator (ICD) Devices
in a Procedural Setting

V. WRITTEN BY

Clinical Program Coordinator, Heart and Vascular Care Clinic

VI. REVIEWED AND APPROVED BY

Ambulatory Policy and Procedure Committee
Clinic Manager, Heart and Vascular Care Clinic
Clinics Administration
Dr. Michael Field, Assistant Professor, Director of Electrophysiology

SIGNED BY

Deborah D. Tinker, MSN RN CENP, Director of Ambulatory Nursing