3SINGLE CHANNEL This is an old single channel ECG machine. This would connect tothe patient withsuction cups and creams
4NEW SINGLE CHANNEL MACHINES Very user friendly but doesn’t give enough diagnostic results for a hospital setting.
5PHYLIPS PAGEWRITER Very reliable machine Only shows 3 leads on the screen at one timeSaves ECG tracingsto disk to be downloaded
6GE MAC 5500 Shows 12 leads on the screen at the same time Saves ECG’s to anetwork not disk
7OTHER MACHINESThe machines used in Zone 3 are the MAC 5500 & Philips Pagewriter.This training is not to promote one over the other. More emphases will be placed on the MAC 5500 as the older Philips machines will be replaced with this model.
8What to look for on an ECG 1: Check for correct patient information, ordering physician, location, time and date.2: Paper speed (25 mm/ms)3: Standardization should be at (10 mm/mv) to check if this is accurate, check your squares at the end of leads V4, V5 and V6 .4: All leads are visible and without artifact.5: You should have a positive R wave in lead I.
9What to look for on an ECG 6: You should have a good R wave progression in the chest leads V1 to V6. The R wave is small in V1 and becomes progressively larger as it continues to V6.7: 1 P wave per QRS complex, 1:1 ratio.8: Before removing your electrodes check to make sure all limb leads and chest leads are situated in the right position.
10Troubleshooting problem ECG’s If you have artifacts in:Leads I or II, check the patient’s RA.Leads I or III, check the patient’s LA.Lads II or III, check the patient’s LL.
11Troubleshooting problem ECG’s If you have no tracing at all and all your electrodes are well connected, check the control box, push on the wires on the box to make sure they are connected properly.
12Troubleshooting problem ECG’s If you are having baseline wondering in one of the leads, check to make sure the leads and wires are well connected to the patient’s skin. If that doesn’t work, wipe off the tip of that particular wire. If the machine is not clean, this can cause artifact.Make sure the patient is not moving and is relaxed.Make sure your patient is comfortable with no limbs hanging on either side of the bed.If the skin is oily or the patient is diaphoretic, make sure you wipe the skin with alcohol & dry, before applying the electrode.If the patient is hairy do the necessary steps so that the ECG electrode remains in place.
13How do I use the new Machine? Turn on top Right Hand CornerPush “F1” key for Patient DataEnter all appropriate fields – ID Number is mandatoryHit enter to go to next fieldTo enter Month, hit enter then push the down arrow to desired month, then push enter againConfirm buttons read as follows if the machine was already on(it will default to these settings if you have just turned it on):25 mm/s10 mm/mv150 Hz
14How do I use the new Machine? Once a clear ECG is on the screen,(you should see a green light at the top right hand corner of the screen) press the ECG buttonThis button is green and on the right sidePush this only oncePress continue if satisfiedChoose either “Same Patient” or “Next Patient”When you go to remove your stickers, make sure they are in the right spots and in the right order.
15Changing the Paper/Editing To change the paper, press the button at the far back left hand corner. The lid will flip up and place the paper, tracing side up.To edit a poor quality tracing that has been stored, click on:“More” button“Main Menu”“File Manager”“Select”Move cursor up or down to choose ECGPress enter or center of arrowsPress “Edit”To delete, do the same as above but choose “delete” not edit.