Nursing Practice and Organization Manual Vol II, Pacemaker, Transcutaneous, Management of the Patient with, Appendix A Troubleshooting Zoll R and M Series for Pacing Failure to Pace Zoll R Series Zoll M Series 1. Insure that there is good contact between the skin and the pads 1. Insure that there is good contact between the skin and the pads. 2. Check that the cable is securely attached to the ECG port of the Zoll if you don't see a P before the lead selected. 2. Check that the 3 lead ECG monitoring lead wires are attached to the patient 3. If cable is securely attached to the ECG port of the Zoll but don't see the P before lead selected and unable to pace the patient convert back to the separate 3 lead ECG monitoring system by removing the Zoll cable and replacing it with the separate 3 lead ECG monitoring cable