‘How To’ Guide for ECG’s with the EDAN SE-1200. TAB. PATIENT FILES. PATIENT DETAILS. ENTER. ON / OFF. ECG - START & STOP. PATIENT DATA PRESS F1 TO OPEN PATIENT DATA SCREEN. TAB ACROSS TO EACH FIELD. PATIENT ID. TO COMMENCE WITH HOSPITAL PREFIX. Exam room = Ward.
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ON / OFF
ECG - START
TAB ACROSS TO EACH FIELD
PATIENT ID. TO COMMENCE WITH HOSPITAL PREFIX
Exam room = Ward
TAB TO OK THEN PRESS “ENTER
Ensure Telstra Device is turned on
Check that the device states connected
Check signal strength indicated by number of bars in top left corner
Check that signal tower has a small 1 beside tower
Check for battery strength
DO NOT turn off device.
ENSURE ALL ANCILLARY DEVICES ARE CONNECTED
ON / OFF
Power Light will be on
LAN light will be on
WLAN light will be orange and changes to green when Telstra device is transmitting – returns to orange after
Ensure all equipment on ECG trolley: ECG electrodes, Chlor-Hex swabs, clippers and blades; check paper level in machine
Explain ECG procedure to patient
Enter patient data into machine – all fields MUST be filled (ref p2)
Position patient in a supine position unless excessive dyspnoea is evident
Expose the minimum amount of area required for the accurate positioning of the leads to ensure patient privacy and warmth
Shave chest and limb hair as required – electrodes need good skin contact for good ECG tracing
Be aware of any cardiac symptoms at the time of recording, such as chest pain, palpitations or shortness of breath
Symptoms must be hand written on the printout and reported to nurse in charge
Check Telstra Device connection – can be manually transmitted later
Ensure 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 folder
Cover the patient and return them to a position of comfort
Return ECG trolley to storage. Plug In white power cord.
Wipe leads with detergent wipes, replace equipment as required and leave trolley clean
Apply limb ECG electrodes to the soft tissue of limbs or outer torso
LA: black– Left Arm
LL: red – Left Leg
RA: white – Right Arm
RL: green – Right Leg
V1: 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 V4
V6: purple– Mid axillary line, horizontal to V4 and V5.
(Clip chest hair if necessary to ensure good ECG tracing)
Angle of Louis / Sternal Angle
ICS from here
Angle of Louis / Sternal angle
The junction of the manubrium and the body of the sternum, it forms a ridge on the sternum, at the level of the second rib
Find it on yourself: place fingers gently at the base of your throat (sternal notch) and move fingers downward over the top of the sternum until you feel a distinct bony ridge.
Counting Intercostal Spaces (ICS)
The 2nd rib is continuous with the sternal angle; hence the rib space above the sternal angle is the 1st ICS and below is the 2nd ICS.
Continue counting down to the 4th ICS for V1 & V2, positioned at the edge of the sternum.
The 5th ISC is the position of V4, in line with the middle of the clavicle.
V3, V5 & V6
V3 sits midway between V2 & V4, diagonally.
Continue in a horizontal line from V4. With the patient’s arm at their left side, follow the crease line in their armpit down the front of the their chest. This is the position of V5.
Continue further in a horizontal line from V4 and in line with the centre point of the axilla. This is the position of V6, at the mid axillary line.
Angle of Louis
ICS from here
Check to ensure Modem and Telstra device are connected
To record an ECG press the STOP / START button
Appearing at the top of screen, under AUTO:
ECG Printout will occur automatically
Will be displayed until transmission complete
If transmitting NOT successful, ECG is stored, accessed and manually transmitted via F7, Patient Files
The following functions are at bottom of screen
Trans All – this allows all listed ECG’s to be transmitted to Cardioscan.
Export All – This allows all ECG’s to be exported to different file
Del All – This allows all highlighted ECG’s to be deleted
Select - This highlights and selects the patient required
Search – this allows you to look for a patient by either Name, ID , or Time.
Import – This allows data to be imported from external source
Return – this allows a return to previous page.
If a patient ECG has not transmitted successfully, there will be a blank field under MODE.
To Access Patient Files
Press F7 button to change and open patient files
Once a patient has been selected, press F4 Button
Screen will change to allow the following functions located at the bottom of the screen
Edit – This allows you to change the patient information demographics
Trans– This allows you to send the ECG for reporting
Export– This allows data to sent to external device
Delete – This allows selected data to be deleted from recorder
Preview – This allows you to view ECG recording and if required print new copy of tracing.
Return– this allows you to return to previous screen
Ensure Modem and Telstra device are turned on and connected
PushF3 button to transmit ECG to Cardioscan.
Once transmitted which can take a short time, a pop up box will notify successful transmission
Once ECG has been sent to Cardioscan:
Leave Telstra device on.
Turn EDAN off at power button after successful transmission of ECG
Ensure continuous battery charging of Telstra unit by leaving plugged into power outlet.
Ensure EDAN ECG battery remains charged by leaving connected to power
The small space between the clavicle and the 1st rib is NOT the 1st ICS
The center of the active surface of the electrode should be aligned with the relevant anatomical landmark
When 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 electrodes in best practical position.
Check for an inverted or negative QRS in lead aVR, as this indicates arm lead reversal
Remember: “white is right”
There are many rhymes to remember the limb leads
– ask your senior nurses
Using out of date / old electrodes may degrade the ECG signal quality.
STEP 1. Firstly check both MODEM and TELSTRA device are turned on and connected.
Disconnect black Netgear cable from ECG machine and reconnect.