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Cooper103721  
#1 Posted : 15 August 2012 13:10:38(UTC)
Rank: Forum user
Cooper103721

I have just been told that we have someone that is just about to have a pacemaker fitted. Has anyone completed a risk assessment for pacemakers before?
Ron Hunter  
#2 Posted : 15 August 2012 13:12:18(UTC)
Rank: Super forum user
Ron Hunter

Unless you have an MRI scanner or other high power magnets in your workplace I wouldn't be concerned about any sort of R/A.
Kate  
#3 Posted : 15 August 2012 13:41:41(UTC)
Rank: Super forum user
Kate

If you happen to have a defibrillator, the pacemaker can affect the way it is used.
MichaelMorrisroe  
#4 Posted : 15 August 2012 14:09:57(UTC)
Rank: Forum user
MichaelMorrisroe

Not sure I fully agree with Ron Hunter. We were informed that certain precautions had to be taken because we used a lot of electrical equipment, such as high frequency welders. It was also a requirment that a sign was placed in our reception area to warn those with pace makers that HF equipment was in use.

We covered this through communication and signage, and where required, an extended duty of care to the individual which required his input and that of 'experts' such as his surgeon, doctor, etc.
A Kurdziel  
#5 Posted : 15 August 2012 14:19:32(UTC)
Rank: Super forum user
A Kurdziel

See http://www.heart.org/HEA...s_UCM_302013_Article.jsp
Note this refers to American kit- UK kit might be slightly different.
Graham Bullough  
#6 Posted : 15 August 2012 14:38:51(UTC)
Rank: Super forum user
Graham Bullough

Cooper

It’s very likely that the person involved will be told by his/her doctors about the types of locations/equipment, including ones mentioned by ron hunter, which could interfere with the pacemaker after it is fitted. Also, the access doors for such locations, e.g. in hospitals and research establishments, tend to have clear warning signs. Furthermore, if there is a likelihood that anything at your workplace could affect the person’s pacemaker, he/she may well mention it after being suitably informed by the doctors involved.

At this stage, I guess you are just mentioning this matter on the forum to get some background information about the possible implications of workplaces for people with pacemakers. If it transpires that the person at your workplace could be affected somehow, then it would be highly appropriate for one or more appropriate persons, e.g. the person’s supervisor, to have an informal word with him/her. This would help to avoid your organisation from making incorrect “does s/he take sugar” style assumptions.

It’s likely that a fair number of forum users will look at your thread out of sheer curiosity after seeing its title. Therefore, as an aside, it may be pertinent to mention that if a body being cremated contains a pacemaker, the sudden and intense heating involved will cause its battery to explode. For those interested to learn more (even if only for a new topic to include in conversation) have a look at http://www.ncbi.nlm.nih....pmc/articles/PMC1279940/ and
http://www.guardian.co.u...aker-exploding-cremation
TSC  
#7 Posted : 15 August 2012 15:03:30(UTC)
Rank: Forum user
TSC

Kate wrote:
If you happen to have a defibrillator, the pacemaker can affect the way it is used.


In which way does this affect the use of a defibrillator? (The chances are the pacemaker isn't working if you are neeing to use the Defibrillator).
Kate  
#8 Posted : 15 August 2012 15:40:54(UTC)
Rank: Super forum user
Kate

You are supposed to locate the defibrillator pads so that they do not go over the pacemaker. Otherwise the defibrillator is used in exactly the same way.
teh_boy  
#9 Posted : 15 August 2012 15:46:04(UTC)
Rank: Super forum user
teh_boy

Kate wrote:
You are supposed to locate the defibrillator pads so that they do not go over the pacemaker. Otherwise the defibrillator is used in exactly the same way.


In reality the worst that will happen is you will break the pacemaker - if you need to use a defib then it's oprobably broken already!

Pads need to be positioned as per picture to ensure current goes through heart!
Kate  
#10 Posted : 15 August 2012 15:53:27(UTC)
Rank: Super forum user
Kate

I was trained to rotate the pads around the centre so that the current goes through the heart while avoiding the pacemaker.
Cooper103721  
#11 Posted : 15 August 2012 16:16:36(UTC)
Rank: Forum user
Cooper103721

Thanks For this information I shall now go on and research a bit further and pass on anything new as I find it. So far I have found that the individual should continue to work as best they can but their doctor would have given them guidelines of what they can and can't do. There are various items of equipment they are not allowed to operate or come into close proximity of, i.e. mobile phones in breast pockets, Magnets (watch out for the magnetic name badges), airport security, MRI Scans, arc welders and anti theft detectors in stores to name a few.

Bob
fscott  
#12 Posted : 15 August 2012 16:31:36(UTC)
Rank: Forum user
fscott

My gut instinct would be to speak with an OCH professional to gain some basic information about how this might effect your organisation. If the information they provide suggests that you may have issues which would need to be addressed, I would speak to your employee, explain your concerns and ask their permission to contact their consultant to gain specific information about this individuals health conditionas each and ever case where an individual is fitted with a pace maker is likely to be different
HeO2  
#13 Posted : 15 August 2012 16:33:51(UTC)
Rank: Forum user
HeO2

As most pacemakers are implanted on the patients left side, the upper pad is on the other side anyway, so unaffected.

If for anatomical reasons it is installed over the patients right chest, then simply move the pad down slightly towards the nipple, which only gives us problems if they have a nipple piercing.

If they a pacemaker, and a pierced nipple, they're a wrongun', just walk away!!!!!!!!

Most modern pacemaker/ICD's are defibrillatable anyway.

Phil
teh_boy  
#14 Posted : 16 August 2012 07:38:42(UTC)
Rank: Super forum user
teh_boy

HeO2 wrote:
A

If they a pacemaker, and a pierced nipple, they're a wrongun', just walk away!!!!!!!!

Most modern pacemaker/ICD's are defibrillatable anyway.

Phil


:)

However if you don't walk away the worst you are going to do is burn their nipple - burnt nipple or death?
HeO2  
#15 Posted : 16 August 2012 07:44:05(UTC)
Rank: Forum user
HeO2

teh_boy wrote:
HeO2 wrote:
A

If they a pacemaker, and a pierced nipple, they're a wrongun', just walk away!!!!!!!!

Most modern pacemaker/ICD's are defibrillatable anyway.

Phil


:)

However if you don't walk away the worst you are going to do is burn their nipple - burnt nipple or death?





MP's would pay good money for that sort of treatment in a "50 shades of Grey way" he he
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