Does anyone have a vendor-agnostic, one-page checklist for pre-discharge or post-procedure pacemaker checks that works across SmartSync/Merlin/Latitude and covers thresholds, lead integrity, magnet response, and alerts in under 5 minutes at the bedside? I want to standardize our handoff so device reliability is clearly documented and patients leave with plain EMI and who-to-call guidance; if serious symptoms come up, we direct them to a licensed clinician or emergency care.
I’d make a one-pager that mirrors the programmer screens — capture/impedance, magnet response, and active alerts — with pass/fail boxes and an auto-filled smartphrase so it’s “under 5 minutes,” plus a QR to your EMI tips and after-hours number; think of it like a pit-stop card. Small caveat: magnet behavior isn’t uniform across vendors or modes, so add a Yes/No/N/A with a note to confirm site policy; you can anchor the language to HRS follow-up guidance here: https://www.hrsonline.org/guidance/clinical-documents. Do you want a laminated bedside card, or an EHR template you can drop into the handoff?
Building on @c_jensen90, the tweak that saved us time was adding a single ‘magnet response seen at ___ bpm’ field plus a UDI scan to auto-fill model/SN — keeps it vendor-agnostic and quick. Small caveat: older Abbott units change magnet rate at ERI, so we added ‘ERI suspected? yes/no’; want a copy?
To keep it vendor-agnostic across SmartSync/Merlin/Latitude, the one field that’s helped most is a simple “Mode + LRL and % pacing (24h)” snapshot auto-dropped into the note — it surfaces odd modes or rate limits fast without hunting. If % pacing isn’t shown on that system, we swap in “presenting rhythm” from the bedside ECG to stay under 5 minutes. @c_jensen90 want the short smartphrase we use for that?
One thing I’d add is a single line for remote follow-up: “Remote monitor paired + first transmission at ___ (brand).” That captures continuity and cuts callbacks — like checking Wi‑Fi before streaming — and you can auto-stamp the time from the programmer export or a hub label scan to keep it vendor-neutral. Small caveat: if there’s no hub at bedside, default it to “planned before discharge” so the note isn’t blocked.
One line I’ve found handy is an “impedance delta >20% from implant?” checkbox; it flags lead integrity at a glance across SmartSync/Merlin/Latitude and you can pull the implant baseline from the op note in seconds. It supports your “under 5 minutes” aim, and I’d just caveat that early thresholds/impedance can settle in the first week — do you still want it on the pre-discharge sheet or only post-procedure?
Quick add: include an “underlying rhythm at LRL: ___ bpm; dependency: Y/N” line — briefly lower rate or use magnet to reveal it, and jot the number; it works on SmartSync/Merlin/Latitude and saves head‑scratching later. It pairs well with @d_gibson22’s remote line to flag who truly needs early follow‑up. Would a tiny checkbox plus that one fill‑in fit on your page?
I’d add an MRI readiness line: MRI-conditional Y/N, system combo verified, any exclusions noted — missing that derails scans later, . To @johnny_k101’s continuity point, include summary exported to EMR (model/serial/firmware) at ___ so it stays vendor-agnostic and still done under 5 minutes. Would that fit your one-pager?