Presentation on theme: "How To Guide for ECG’s Edan SE-1200"— Presentation transcript:
1How To Guide for ECG’s Edan SE-1200 Cardioscan Pty. Ltd.How To Guide for ECG’s Edan SE-1200PresenterMaree Halliday
2Cardioscan Pty. Ltd.Company InformationCardioscan is the largest provider of cardiac reporting offering services to Pathology companies, General Practitioners and Private Hospitals in Australia and has been running since 1984.Backed by a team of dedicated Cardiologists and Technicians.The mission:To deliver superior cardiac reporting services by providing excellent reporting turnaround times, 2 hours for urgent and 4 hours for normal ECG’s, 24 hour turnaround service for Holter and NBP’s.Our aim is for our customers to be able to transfer data electronically and receive these reports back in a timely manner with the ability to produce statistical reports reducing duplication and excessive paperwork.
3Overview of Equipment Picture Edan SE-1200 Monitor 12 Lead Set Trace PaperTelstra Wi-Fi DeviceNetgear Device
4TRANSMITTING DEVICES Netgear leads Netgear (modem) Telstra Wi Fi device
5ELECTRODES AND ALIGATOR CLIPS Cardioscan Pty. Ltd.ELECTRODES AND ALIGATOR CLIPS12 Lead set – coloured codedAligator clips with the correct fitting ofelectrodes
6Initial Set UpAttach the Blue Alligator clips to the 12 lead set and plug cord into the unitInsert the 2 NetGear cables into the right side of the Edan ECG unitNetgear cables12 lead cable position
7ENSURE ALL ANCILLARY DEVICES ARE CONNECTED Netgear Cardioscan Pty. Ltd.ENSURE ALL ANCILLARY DEVICES ARE CONNECTED NetgearConnect blue cable to Net Gear Device then connect to Edan.Connect black power cable to Net Gear Device then to Edan USB Port.
8Cardioscan Pty. Ltd.STEP ONE ECG TRACINGCheck Telstra Wi-Fi device is on, turn on if required by pressing and holding power button.Unit should remain on at all times, do not turn off.Check a number 1 is beside signal tower at top centre of screen.Check signal strength indicated by number of bars in top left corner.
9STEP TWOPress and hold power button until“booting” appears on screen
10Cardioscan Pty. Ltd.STEP THREEOnce the ECG machine is turned on check that the following 3 steps occur.Power Light will be onLAN light will be onWLAN light will be amber and change to green once Telstra device is connected.
11STEP FOUR PLACEMENT OF LEADS Lead PlacementLimb LeadsApply limb ECG electrodes to the soft tissue of limbs or outer torsoLA: black – Left ArmLL: red – Left LegRA: white – Right ArmRL: green – Right LegChest LeadsV1: red – 4th Intercostal space, right sternal border.V2: yellow – 4th Intercostal space, left sternal border.V3: blue – Midway between V2 and V4.V4: green – 5th Intercostal space, midclavicular line.V5: orange – Anterior axillary line, horizontal to V4V6: purple – Mid axillary line, horizontal to V4 and V5.
12STEP FIVE PATIENT DATA - PRESS F1 Cardioscan Pty. Ltd.STEP FIVE PATIENT DATA - PRESS F1TAB ACROSS TO EACH FIELDPATIENT ID. TO commence with“Hospital prefix”Patient DetailsTo enter patient details, Tab across to each field.If you tab past a field, you must continue tabbing through all fields until returning to the missed one.Once all fields have been completed, tab to OK then press enter button.This will return screen to ECG TracingADMISSION NUMBER TO BE INSERTEDExam Room = WardTAB TO OK THEN PRESS “ENTER”
13STEP SIX RECORDING ECG Check to ensure Netgear and Cardioscan Pty. Ltd.STEP SIX RECORDING ECGCheck to ensure Netgear andTelstra devices are connectedTo commence recording ofECG – press Start/StopButton
14Cardioscan Pty. Ltd.STEP SEVEN - CHECKAt top centre of screen under auto the following will appear;RecordingPrintingECG Printout will occur automaticallyTransmittingThe word Trans is visible until transmission is complete.If transmitting NOT successful, ECG is stored, accessed and manually transmitted via F7, Patient Files
15An ECG recording will be automatically saved in patient file. Cardioscan Pty. Ltd.On completion of this final step the ECG will be automatically sent to Cardioscan in Melbourne for analysing and reportingAn ECG recording will be automatically saved in patient file.
16TROUBLE SHOOTING Chest leads poor contact or alligator clip is attached incorrectly to dotLead indicators are highlighted in yellow if incorrectCorrectIncorrect
17DOING THE ECG Cardioscan Pty. Ltd. Prior Ensure all equipment on ECG trolley: ECG electrodes, Chlor-Hex swabs, clippers and blades; check paper level in machineExplain ECG procedure to patientWash handsPatient Prep - Electrodes need good skin contact for good ECG tracing1 Position patient2 Expose chest area3 For males shave chest as requiredEnter patient data into machine – all fields MUST be filled (ref p2)ImportantBe aware of any cardiac symptoms at the time of recording, such as chest pain, palpitations or shortness of breathSymptoms must be hand written on the printout and reported to nurse in chargeCheck Telstra Device connection – can be manually transmitted laterEnsure good quality ECG trace before printing/sending.Remove electrodes: re-stick electrodes on plastic film from packet, place patient label on back of film and store in patient folderCover the patient and return them to a position of comfortWash HandsReturn ECG trolley to storage. Plug In white power cord.Wipe leads with detergent wipes, replace equipment as required and leave trolley clean
18TROUBLESHOOTING ANCILLARY DEVICES CONNECTIVITY STEP 1. Firstly check both MODEM and TELSTRA device are turned on and connected.Disconnect black Netgear cable from ECG machine and reconnect.Check:Power light GREENLAN light GREENWLAN light amber, changing to GREEN once TELSTRA device is connected.If required:Turn off TELSTRA deviceTurn on TELSTRA device ( observe the word TELSTRA increase in size)Check signal strength ( visual check symbol of tower 1 next to battery strength indicator)
20To Access Patient Files To open and change patient files press F7 buttonScreen will change to bring up list of patients and show the following functions at bottom of screenTrans All – this allows all listed ECG’s to be transmitted to Cardioscan.Export All – This allows all ECG’s to be exported to different fileDel All – This allows all highlighted ECG’s to be deletedSelect - This highlights the patient required and changes screen as at C-I below.Search – this allows you to look for a patient by either Name, ID , or Time.Import – This allows data to be imported from external sourceReturn – this allows a return to previous page.If a patient ECG has not transmitted successfully, there will be a blank field under MODE.
21Select Patient Use buttons on grey arrow pad at bottom right of keyboard to scroll up or down Once patient has been selected press F4 ButtonScreen will change to allow the following functions located at the bottom of the screenEdit – This allows you to change the patient information demographicsRecord –Trans – This allows you to send the ECG for reportingExport – This allows data to sent to external deviceDelete – This allows selected data to be deleted from recorderPreview – This allows you to view ECG recording and if required print new copy of tracing.Return – this allows you to return to previous screen
22Transmit Selected ECG from Patient File Ensure Modem and Telstra device are turned on and connectedPush F3 button to transmit ECG to Cardioscan.Once transmitted which can take a short time a pop up box will notify if successfully transmitted.PLEASE NOTEOnce ECG has been sent to Melbourne leave Telstra device and ECG Machine on for approximately one minute to ensure full transmissionTurn Edan off at power buttonPlug in white power cord to ensure battery charging of EDAN and Telstra devicePlease ensure Telstra device remains connected to power as battery life is limited.
23Additional Information The small space between the clavicle and the 1st rib is NOT the 1st ICSThe center of the active surface of the electrode should be aligned with the relevant anatomical landmarkWhen recording and ECG from female patients, it is convention that V4 – V6 are placed under the breast. If correct anatomical positions are not possible, then position electrode in best practical position.Check for an inverted or negative QRS in lead aVR, as this indicates arm lead reversalRemember: “white is right”There are many rhymes to remember the limb leads– ask your senior nursesUsing out of date / old electrodes may degrade the ECG signal quality.