Patient is pacemaker dependent because of complete heart block and low intrinsic heart rate (he is currently awaiting permanent pacemaker placement).While caring for the patient, it was noticed that battery of pacemaker being used was half-full and required immediate changing.However, the button on the bottom was malfunctioning and unable to pop open to allow for a quick battery change.Therefore, it was required for a complete change to a new pacemaker.Attending and physician assistant (pa) at bedside for the change to the new pacemaker due to the high risk of the procedure.It was noted during this, that when placed on the original pacemaker, that the pacing wires had been wrapped and tied multiple times around the hook at the top, which made this very difficult because the doctor had to untie and untangle the pacing wires in an emergent situation.A recommendation going forward would be to standardize practice so that no pacing wires are ever knotted/wrapped around the pacemaker in such a way and it makes changing pacemakers difficult.Pacemaker djh046493p, model 5392.Faulty pacemaker red-tagged and removed from use.Biomed update: found unit during rounds with red tag indicating "battery won't come out." checked unit's condition, found battery tray slightly jammed and was able to free it.Was able install and eject tray number of times.Returned to service.
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