ecg electrode application guide 2012
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8/3/2019 ECG Electrode Application Guide 2012
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ECG Electrode Application Guide
Placement & Application Recommendations for Achieving Optimal Signal Quality during
delivery of EECP Therapy
Step 1. Determine optimal positioning of electrodes
a) In general start with White on Sternum, Black on ribs left side, V4, V5
position, and Green on Ribs right side. This gives a Lead II view.
b) Apply the Vasomedical ECG electrodes before applying cuffs.
c) Prep skin first before placing electrodes over bony sites.
Step 2. Prepare skin
a) Shave area if excessive hair is present.
b) Cleanse skin with clean gauze pads by gently rubbing area with
Nuprep skin prepping gel. Note: Rub into skin lightly; over-
abrading can cause injury. If needed, use more strokes, not
more pressure.
c) Remove excess gel. Note: Daily skin assessment and variation ofelectrode sites may be necessary to prevent skin irritation.
Step 3. Apply electrodes
a) Remove electrodes from a freshly opened package and assess itscondition. Note: Vasomedical ECG electrodes are recommended for
the delivery of EECP therapy. Note: The electrode should appear
moist. If the electrode appears dry, apply a tiny drop of SignaGel ECG conductive gel to the sponge core
of the electrode and work the gel into the sponge. Do not allow gel to spread to adhesive edge.
b) Place each electrode adhesive side down onto the prepared skin location. Next, starting with the outeredge, run your finger around the electrode several times toward the center. Then place gentle pressure at
the center of the electrode to enhance gel absorption by the skin.
Step 4. Connect lead wires to electrodes then TEST ECG quality
a) Thread ECG wires out through the neck of patients shirt and clip to pillow.
b) Tap on wire to electrode connection, like telegraph, while looking at patient ECG on screen.
c) ECG should be stable while tapping on electrodes. If not, press firmly on the electrode.
d) Tap again on electrode, if still noisy, reprep skin and use new electrode after replacing. Test again.
Re-order Information:Call 800-455-EECP x 195 or fax order to 516-997-6971 Nu-Prep gel Part No. V93-0025
SignaGel Part No. V93-0026
Electrodes Part No. V93-0020
NuPrep is a trademark of D.L. Weaver & Co.; SignaGel is a registered trademark of Parker Laboratories, Inc.
EECP is a registered trademark of Vasomedical, Inc.
Green: (Ground) on right 4th
or 5th
rib,
mid-clavicular to axillary lineWhite: (Negative) on right sternal border
or clavicle
Black: (Positive) on the left 4th
or 5th
rib
mid-clavicular to axillary line.
Important: Should ECG problems persist, call Vasomedical at 800-455-EECP x116. Refer to
skin prep gel, electrode gel and electrode manufacturers labeling for further instructions.
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