Discharge advice for patients with a pacemaker device box change

This leaflet gives discharge advice for patients with a pacemaker device box change.

Box change for PPM/ICD/CRTD/CRTP.

Your device will be checked by a cardiac physiologist immediately and before discharge and they will arrange for you to have a device check approximately six to eight weeks after the procedure date.

You will be given a new pacemaker identification card with the details of your device. Try and keep this with you all the time.

The nurse should give you two dressings to take home. Please ask if this does not happen.

Always wash your hands before caring for your wound.

• Keep an eye on the wound site over the next five days. If you have any bleeding or discharge, or notice any redness or swelling, opening of the wound or excessive tenderness please contact the Cardiac Care Unit.
• Leave the dressing on for the first two days and then replace the dressing and keep covered for a further two days. After this you may leave the wound without a dressing.
• Showers are recommended after 24 hours, but do not wash the wound directly. Do not immerse the wound site in water for seven days. No baths or swimming.
•  Avoid using soap or a flannel, which may harbour infection.
• Talc, deodorant and perfume should not be used near to the wound.
• Avoid lifting any heavy objects or strenuous physical activities for the first two to three days to prevent bleeding.

As well as wound care, long term it is important to have good dental hygiene, have regular check-ups with your dentist and to avoid body tattoos or body piercings.

By law you cannot drive a car or motorcycle for one week after your procedure. However, for some patients this may be longer due to other conditions or medical history. If you are unsure please check with your Nurse or Doctor.

If you hold a LGV or PCV licence then you cannot drive for six weeks.

You must inform the DVLA that you have had the box changed, and they can give further advice on any driving restrictions: www.gov.uk/driving-medical-conditions

Airport screening systems may, very rarely, cause problems with your device. Always carry your pacemaker identification card with you and inform security that you have a pacemaker.

Some countries may ask you to go through the security system anyway. If this happens, it is important that you move quickly through the gateway.

You should refrain from work for one week. If your job involves any strenuous activity, for example heavy lifting, then it is advisable to avoid this for one week.

You should discuss your return to work with your employer and your Doctor.