Unformatted text preview: ACTIVE LEARNING TEMPLATE: Diagnostic Procedure STUDENT NAME_____ Electrocardiogram (ECG) PROCEDURE NAME_____ REVIEW MODULE CHAPTER__25 _____ Description of Procedure Electrocardiography is the use of an electrocardiograph to record the electrical activity of the heart over time by connecting wires (leads) to skin electrodes placed on the … Types of ECG. V6 At the mid-axillary line on the same horizontal level as V4 and V5 And they've become standard equipment in operating rooms and ambulances.An ECG is a noninvasive, painless test with quick results. PATIENT PREPARATION: Charge captured automatically when EKG is documented as performed through PnC>Open Chart>Nursing>Procedure Sheet. It provides information about the size and position of the heart chambers, heart damage, and the effect of a pacemaker or heart regulating medication. To evaluate the effectiveness of cardiac medication. Fear or anxiety can cause changes in brainwave patterns or generate unwanted signals from tense head and neck muscles. If the patient is having recurrent chest pain or if serial ECG’s are ordered, leave the electrode patches in place. An electrocardiogram is a simple, painless test that measures your heart’s electrical activity. diving physical). Nursing Interventions. Make sure that all leads are represented in the tracing. All recording and other nearby electrical equipment should be properly grounded. There are 3 main types of ECG: a resting ECG – carried out while you're lying down in a comfortable position; a stress or exercise ECG – carried out while you're using an exercise bike or treadmill; an ambulatory ECG – the electrodes are connected to a small portable machine worn at your waist so your heart can be monitored at home for 1 or more days Abnormal wave forms during angina episodes or during exercise. When the procedure is completed, remove the gel from the patient’s chest wall. Holter monitoring (Ambulatory electrocardiography, ambulatory monitoring, event recorder, Holter electrocardiography) is a noninvasive procedure that continuously records the heart’s activity as the patient does his normal routine, usually for 24 to 72 hours. An electrocardiogram (ECG) is one of the simplest and fastest tests used to evaluate the heart. If not, determine which electrode has come loose, reattach it, and restart the tracing. If the client has a pacemaker, you can perform an ECG with or without a magnet, according to the physician's orders. What is EKG( Electrocardiography)/ 12lead ECG •The electrocardiogram (ECG) is a representation of the electrical events of the cardiac cycle. Prepare patient/Place Leads 3. It's a common test used to detect heart problems and monitor the heart's status in many situations. The nursing order is placed by the psychiatrist. I handed in my paper, leaving the last question blank. Computerized ECG machines use small electrode tabs that peel off a sheet and adhere to the patient’s skin. V3 Midway between position V2 and position V4 When the electrodes are connected to an ECG machine by lead wires, the electrical activity of the heart is measured, interpreted, and printed out. The standard resting ECG uses five electrodes to measure the electrical potential from 12 different leads; the standard limb leads (I,II,III), the augmented limb leads (aVf, aVL, and aVr), and the precordial, or chest, leads (V1 through V6). It may be used for people with chest pain, heart palpitations, or suspected heart disease. Prepare the patient: Make sure the temperature in the exam room is comfortable for the patient. ECG tracings normally consist of three identifiable waveforms: the P wave, the QRS complex, and the T wave. 3 To arrange a time and request for Liaise with the RN/RM looking after the infant. ACTIVE LEARNING TEMPLATE: Electrocardiogram (ECG) 25 Wash hands Introduce yourself Confirm patient details – name / DOB Explain the procedure: “I need to perform an ECG which is an electrical trace of the heart.” “The procedure involves placing some sticky pads onto your chest and limbs.” “I will then connect these sticky pads to the ECG machines leads to record the tracing.” “I will have another member of staff acting as a chaperone during the procedure” – female patients … Make sure that the electrodes are firmly attached. We do not routinely submit all EKGs for review by an outside specialist. Electrocardiogram (ECG/EKG) is a tool used to visualize the electricity that flows through the heart. The nursing order is placed by the psychiatrist, in the appropriate primary care clinician's name. An electrocardiogram, or ECG, is a reading assessing the magnitude and direction of the electrical currents of the heart, and measuring the depolarisation and repolarisation of the cardiac muscle cells (Medani et al 2018). Electrocardiography is the most commonly used test for evaluating cardiac status, graphically records the electrical current (electrical potential) generated by the heart. Note current cardiac drug therapy on the test request form as well as any other pertinent clinical information, such as chest pain or pacemaker. Expose the arms and legs. It is preferred by other doctors as EKG to lessen the confusion between ECG and EEG, which stands for Electroencephalogram. It is used by doctors to obtain important diagnostic information surrounding cardiovascular and/or respiratory conditions. "In your careers, you will meet many people. Disconnect the equipment, remove the electrodes, and remove the gel with a moist cloth towel. To help identify primary conduction abnormalities, cardiac arrhythmias, cardiac hypertrophy, pericarditis, electrolyte imbalances, myocardial ischemia, and the site and extent of myocardial infarction. When done as part of a clinician visit, consult with ordering provider or other appropriate clinical staff before disconnecting leads and allowing patient to dress. Two large blocks equal 1 millivolt (mV). Skip procedure list and go to main content Procedure Guidelines 14.1 Pulse measurement; 14.2 Electrocardiogram (ECG) 14.3 Blood pressure measurement (manual) 14.4 Respiratory assessment and pulse oximetry; 14.5 Peak flow reading using a manual peak flow meter; 14.6 Tympanic temperature measurement; 14.7 Urinalysis: reagent strip And communicates the order directly to the physician 's orders and adhere to the physician painless ) shave the areas. 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