Transcutaneous Pacing – is a non-invasive method of stimulating myocardial depolarization through the chest wall via two large pacing pads. The multifunctional pads are placed on the anterior and/or posterior chest wall or just below Rt. Clavicle and Lt. Midaxillary line, below the nipple and are attached by a cable to an external pulse generator that houses the pacemaker control.
Transcutaneous pacing is initiated as a temporary short-term measure when there has been a failure of the normal conduction of the heart to produce an electrical impulse resulting in a hemodynamic compromise in the patient.
CCU/ICU Registered Nurse should follow procedure guidelines in the AACN Procedure Manual for Critical Care, Procedure 48, Temporary Transcutaneous (external) Pacing, p. 333-339.
CCU/ICU Registered Nurse should maintain current certiﬁcation in advanced life support or demonstrate competent clinical and technical skill in initiating transcutaneous pacing.
The physician should explain the procedure to the patient and/or the patient’s family and evaluate the patient to identify the need and writes the order.