N.J. Admin. Code § 8:41-7.9

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:41-7.9 - Standing orders for bradycardia

(a) The following standing orders are authorized in the event that an adult patient presents with bradycardia (heart rate less than 60 beats per minute) in which the patient displays hypotension, shock or other significant symptoms consistent with hemodynamic instability:

1. Assess and secure airway;

2. Establish IV access;

i. If IV access cannot be established, proceed directly to transcutaneous pacing;

3. Administer Atropine Sulfate 1 mg IV;

4. If there is no response to the Atropine Sulfate, administer transcutaneous pacing at a rate of 70, at the lowest amount of energy necessary to obtain capture;

i. Note: Denervated hearts will not respond to Atropine Sulfate. In such cases, consider external cardiac pacing; and

5. Contact the medical command physician.

(b) In stable patients with Type II second degree or third degree AV block, transcutaneous pacemaker should be applied as a precaution.

N.J. Admin. Code § 8:41-7.9