Home arrow Research arrow Clinical Practice Guidelines/ECG Completion
Clinical Practice Guidelines/ECG Completion PDF Print E-mail
User Rating: / 0
PoorBest 
Written by Ramaz Mitaishvili   
Sunday, 13 May 2007
By Dr. Ramaz Mitaishvili
Possibillity of notifications of ECG interpretation problems from cardiology departments prompted the following reminders.
The leading causes of ECG complaints, with guidelines on how to prevent in italics, are listed below:  
1. Omitted/incorrect STD (standardization) marks.
-  A normal 1.0mV (10mm high) STD mark is required to be included on the
mounted Lead I.
2. Incorrect mounting and/or length of lead strips required.
-  Use specifically designed for each ECG machine mounting boards.
3. Multiple artifacts and/or malfunctioning ECG machine.
-  If artifact occurs that cannot be cleared immediately, contact the
division manager; do not continue using equipment that is not operating properly.
4. Omission of the patient or applicant signature/date on the mounted Lead I or Lead II strip
-  The patient must sign and date the Lead I or Lead II strip (dependent of ECG machine and its settings) for legal proof of completion for the correct patient
Leads
   The Standard ECG consists of 12 leads. The First three leads recorded are called the standard, or bipolar, leads (Lead I, Lead II, Lead III). The next three leads recorded are the augmented leads (AVR, AVL, AVF). The last six leads are the chest, or precordial, leads (V1, V2, V3, V4, V5, V6).
  • Applying the Electrodes and Wires
  • Apply 10 electrodes as instructed below to obtain 12 lead Electrocardiogram.
  • 1st on right leg,
  • 2nd- left leg.
  • 3rd- right wrist
  • 4th-left wrist
  • V1 Fourth intercostals space at right margin of sternum
  • V2 Fourth intercostals space at left margin of sternumV3 Midway between position 2 and position 4
  • V4 Fifth intercostals space at junction of left midclavicular  (or nipple) line
  • V5 At horizontal level of position 4 at left anterior axillary line
  • V6 At horizontal level of position 4 (and 5) at left midaxillary line
  • Attach gray cable to machine and to appropriate electrodes (for example, LL – means left leg, RA- right    arm, etc.)
  • Attach black cord to ECG machine and plug it into suitable outlet..
  • Turn the power switch ON (on rear of machine)
  • Press button ON-OFF to apply power to the instrument. (Pressing it again will turn it off)
  • Press AUTO button to operate machine in automatic mode.
  • Do twice, after you done check ECG paper: all Leads are clear or not. If not- repeat again.
Last Updated ( Thursday, 21 June 2007 )
 
< Prev   Next >
[ Back ]

Foundation Georgia

www.foundationgeorgia.com