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ret-dem-priming.docx - An electrocardiogram records the...

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An electrocardiogram records the electrical signals in your heart.It's a common and painless test used to quickly detect heart problems andmonitor your heart's health.Purpose1.To perform electrocardiography according to the standard of care.AssessmentAssess the client's medical record for information regarding the needs for an ECG.Assess the client's heart rate, heart sounds, and blood pressure.Assess the client's chest for areas of irritation, skin breakdown, or excessive hair growth that may interfere with the electrodeplacement.EquipmentECG machineRecording paperDisposable pre-gelled electrodes4" × 4" gauze pads or washclothOptional: clippers, marking penProcedure1.Verify the order for the ECG in the client's chart.Rationale:Verification of order prevents potential errors.2.Confirm the client's ID by checking two client identifiers according to your facility's policy.Rationale:Checking identification ensures client safety through concept of correct procedure for correct client.
3.Provide privacy and explain the procedure to the client. Explain that the test records the heart's electrical activity and that it may berepeated at certain intervals. Emphasize that no electrical current will enter the body. Tell the client that the test typically takes about 5minutes.
4.Wash your hands.
5.Place the ECG machine close to the client's bed and plug the cord into the wall outlet or, battery-operated, ensure that it is functioning.Turn on the machine and input required client information. If the client is already connected to a cardiac monitor, move the electrodes toaccommodate the precordial leads.

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