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ECG Procedure Checklist and Rationale

This document provides the procedure for conducting an electrocardiogram (ECG). It involves 22 steps: 1) verifying the doctor's order and patient information, 2) gathering materials, 3) explaining the procedure and preparing the patient, 4) positioning the patient and cleaning the skin, 5) applying electrode pads to the chest and limbs in specific positions, 6) attaching wires to the electrodes, 7) viewing the waveform on the ECG machine, 8) initiating recording, 9) verifying the printout, 10) having the doctor review any abnormal results, 11) saving a copy to transmit later, 12) disconnecting leads and removing pads, 13) turning off the power, 14) immediately transmitting ECGs

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janna mae patriarca
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3K views3 pages

ECG Procedure Checklist and Rationale

This document provides the procedure for conducting an electrocardiogram (ECG). It involves 22 steps: 1) verifying the doctor's order and patient information, 2) gathering materials, 3) explaining the procedure and preparing the patient, 4) positioning the patient and cleaning the skin, 5) applying electrode pads to the chest and limbs in specific positions, 6) attaching wires to the electrodes, 7) viewing the waveform on the ECG machine, 8) initiating recording, 9) verifying the printout, 10) having the doctor review any abnormal results, 11) saving a copy to transmit later, 12) disconnecting leads and removing pads, 13) turning off the power, 14) immediately transmitting ECGs

Uploaded by

janna mae patriarca
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • ECG Electrocardiogram Procedure: Details the step-by-step procedure needed to conduct an Electrocardiogram (ECG) test, including verification, preparation, and recording processes.

Name: Romji A.

Setenta Date: September 17,2020


(ECG) Electrocardiogram
Materials
 ECG machine
 Leads
 ECG paper
 ECG electrode pads
 Antiseptic solution/Alcohol swab

Procedure RATIONALE Score


1. Verify doctors order for ECG, To verify the doctors order and
introduce yourself and verify the verify the patient to be done with
patient’s name. ecg.
2. Gather all the materials needed. To prepare for the procedure
3. Explain the procedure to the To gain clients trust and
patient, remove all accessories like cooperation and maintain client’s
bracelet watch, belt and close the integrity.
curtain. Metal objects may cause errors to
the reading.
4. Position the patient in a supine Comfortable position allows patient
position on the exam table. Remind to relax and breath normally.
the patient to lie still and breathe Normal heart rate will be assessed.
normally. And use alcohol swabs or To removed dust on the skin and
disinfectant the area of the skin allow electrodes to stick to the skin
where the electrodes will be placed. firmly.
5. Place adhesive electrode pads -Following standard procedure
across the chest
and limbs in the following areas: -Each placement of electrodes and
V1 4th intercostal space, right limbs allows the machine to read
sternal border different angles of the heart’s
V2 4th intercostal space, left sternal rhythm.
border
V3 halfway between V2 and V4
V4 5th intercostal space, left
midclavicular line
V5 Level with V4, left anterior
axillary line
V6 Level with V4, left mid axillary
line
Right wrist
Left wrist
Right lower ankle
Left lower ankle
6. Attach the insulated wires/lead to -To make sure that the machine
each of the will be able to read the wavelength
ten electrode pads. Place the of the hearth’s rhythm properly.
appropriately labeled lead to the
proper electrode. Each lead will be
connected to a separate electrode.
7. Visualize a sharp waveform on
the ECG machine.
8. Push the ECG button. The To initiate machine to start
machine will acquire data for 10 recording and reading the hearts
seconds and then push ECG rhythm and print out.
button again to print.
9. Verify accurate copy for chart. If Accurate and well form wave
not precise allows the reader of result to
and clear, repeat the procedure to identify the problem. Do not
obtain a 2nd remove electrodes so that you can
EKG. get another ECG if the first one is
not appropriate.
10. On the ECG report if anything To ensure that the provider
other than determines if it is safe
“normal sinus Rhythm” or the for the patient to receive treatment
nurse/MA/LPN or leave the clinic.
have any clinical concerns, the ECG
should be Also, the doctor is the last one to
reviewed by the provider prior to the check the ecg result to review any
patient abnormalities and provide
receiving any treatment or leaving adequate treatment.
the clinic.
11. A copy will be saved to the disc To serve as documentation and
for transmitting later. references in the near future.
12. Disconnect leads and remove To start detaching the machine
electrode pads from the patient.
from the patient’s skin
13. Turn the power off. Plug off the To turn off the machine and
ECG machine prepare it for the next use and
when not in use. save energy.
14. Transmission of ECGs will be The printed interpretation at the top
done Immediately after ECG has of the ECG
been completed. requires the cardiologist to
interpret the ECG.
15. Turn power on to ECG machine To turn on the ecg
16. Push the F6 button for “more”. To operate the ecg according to
user’s manual. Different model of
ecg machine has different
command mode.
17. Push the F2 button for main
menu
18. Push the F5 button for file Each ECG should be checked for
manager proper information
19. Select the F1 button to transmit
one ECG or
select F2 button to transmit all of the
ECG’s at
one time
20. If sending only one ECG,
highlight the selected
patient by moving cursor over name
and push
enter. The entire line will turn gray.
21. Push the F4 button to transmit. To turn off the machine and
22. When completed, push the F6 prepare it for the next use and
button to go save energy.
back to the main menu or turn the
machine off
and make sure that it is plugged in
while not
being used.
TOTAL

Name: Romji A. Setenta Date: September 17,2020 (ECG) Electrocardiogram Materials  ECG machine  Leads  ECG paper 
each of the ten electrode pads. Place the appropriately labeled lead to the proper electrode. Each lead will be conne
18. Push the F5 button for file manager Each ECG should be checked for proper information 19. Select the F1 button to t

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