Equipment and Preparation - Performing 12-Lead ECGs
Equipment
Prior to starting work every day you should check your EKG machine to ensure the machine is working properly (turn it on and make sure there aren’t any issues with error codes etc.), inspect the cables for damage and clips for gel buildup.
Supplies
Finally, check to be sure it is well stocked to include:
- Electrodes (sensors)
- Gauze and skin prep solution (as approved by your facility)
- Razor or clippers and a roll of tape (for hair removal)
- Skin adhesive and or antiperspirant
- EKG Paper (if your machine is required to provide a hard-copy)
Preparation
- Make sure the gain & paper speed is set as ordered by the physician (standard gain - 10mm/mV & standard speed - 25mm/sec)
- An image like this indicating paper speed and gain should be seen on your 12-Lead EKG print out
- If your protocols are different, always follow them.
Authors and Sources
Authors and Reviewers
- EKG heart rhythm modules: Thomas O'Brien.
- EKG monitor simulation developer: Steve Collmann
-
12 Lead Course: Dr. Michael Mazzini, MD.
- Spanish language EKG: Breena R. Taira, MD, MPH
- Medical review: Dr. Jonathan Keroes, MD
- Medical review: Dr. Pedro Azevedo, MD, Cardiology
- Last Update: 11/8/2021
Sources
-
Electrocardiography for Healthcare Professionals, 5th Edition
Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019 -
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company -
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing -
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN -
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG
Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH