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/policies/clinical/uwhc-clinical/department-specific/heart-and-vascular-care-clinic/hvc-5.policy

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

Remote Transmission of a Pacemaker, Implantable Cardioverter Defibrillator ICD (HVC)

Remote Transmission of a Pacemaker, Implantable Cardioverter Defibrillator ICD (HVC) - Policies, Clinical, UWHC Clinical, Department Specific, Heart and Vascular Care Clinic

HVC

HVC Remote Transmission of a Pacemaker, Implantable Cardioverter Defibrillator ICD  
Category:  UWHC Departmental Policy   
Policy Number:  HVC    
Effective Date:  August 28, 2013   
Version:  Revision    
Manual:  Heart and Vascular Care Clinic    
Section:  Remote Transmission of a Pacemaker, Implantable Cardioverter Defibrillator ICD   
 
 
I. PURPOSE

The policy is to provide guidance to the Device Nurse, who is specially trained in Cardiovascular Implantable
Electronic Devices (CIED) and who is checking the Implantable Cardioverter Defibrillator (ICD). This policy will
provide optimal safety and security for the patient with a CIED while maximizing the life and performance of the
device. Staff will monitor that the device recognizes and treats rhythms appropriately.

II. POLICY

Remote monitoring of pacemaker or ICD data obtained from a secure internet website via the patients’ use of their
remote transmitter monitor. Transmissions are scheduled for every one to six months or as instructed.

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, pacing percentage, observations, lead performance, programmed
settings, and presenting rhythm strip. Confirm that all given data and programmed parameters meet the
required safety margins, see Heart and Vascular Care Clinics policies Pacemaker Clinic, Routine Visits or
Implantable Cardioverter Defibrillator (ICD) Clinic Check, Routine.
D. If the patient received therapies/shock, contact patient and discuss episodes and symptoms.
1. Contact Electrophysiologist (EP) to discuss and review interpretations, orders for reprogramming
changes, if needed. Notify patient of plan.
E. Go to Paceart: Enter any added information that is not automatically downloaded. Type narrative specific
to findings, changes, outcomes under Comments and 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 “ICD or Pacemaker 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 and
letter will be sent.
J. The company’s remote transmission websites will be checked each working day to monitor for any
unscheduled transmissions.
K. Routine follow up for patients with pacemaker or ICD.
1. Two week post implant.
2. ICD patients:

a. Two week post implant.
b. Checks are done every 3 months with a combination of home transmissions and clinic
checks.
c. Devices without elective replacement indicators, alert notifiers contact device company
when ICD is four years old, they will calculate estimated battery life.
d. More frequent checks if medically needed or battery status indicates.
3. Pacemaker patients:
a. Two week post implant.
b. Checks are done every 3 months with a combination of home transmissions and clinic
checks.
c. When device reports 1 year to elective replacement, home transmissions will be done
monthly.
d. More frequent checks if medically needed or battery status indicates.

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 Loop Recorder
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