URDANETA CITY
UNIVERSITY College of Health Sciences
Bachelor of Science in Nursing
Owned and operated by the City Government of Urdaneta
NCM 112 - Care of Clients with problem in Oxygenation, Fluid and Electrolytes, Infectious,
Inflammatory and Immunologic Response, Cellular Aberrations
RELATED LEARNING EXPERIENCE
Skill 1: ECG Placement
Name: _________________________________________ Date: ____________________
Year and Block: _______________________________ RLE Group: ______________
Directions: Please rate the student based on the competencies listed below. Indicate the rate on the space provided
for using the following as guide:
3 Excellent Student is able to do the task or demonstrate with full mastery,
indicating no errors and deficiency.
2 Satisfactory Student is able to do the task or demonstrate the skill with some
mastery, indicating major errors or deficiency.
1 Unsatisfactory Student is able to do the task with little mastery, indicating major errors
or deficiencies.
0 Needs Improvement Student is unable to demonstrate the skill.
PROCEDURE RATE
1. Gather Equipment
2. Wash your hands and introduce yourself to the patient and clarify their identity
3. Explain what you are going to do and gain consent to proceed. Explain the procedure to the
patient
4. Ensure the patient is comfortable.
5. Adequately expose the patient’s chest for the procedure (offer a blanket to allow exposure only
when required). Exposure of the patient’s lower legs and wrists is also necessary to apply the limb
leads.
6. Ask the patient to lay on the clinical examination couch with the head of the couch at a 45°
angle.
7. For the ECG pads to stick there must be good contact with the skin, therefore ensure there is
nothing which could prevent this, for example shave hair or wipe off any cream/lot
8. Input the patients data into the machine correctly, thus ensuring the correct details are printed
onto the ECG
9. Although this is called a 12 lead ECG you only need 10 sticky pads, 4 for the limb leads and 6
for chest leads. Place them in the following position.
10. Turn the ECG machine on and ensure ECG paper has been loaded into the machine.Double-
check all the electrodes are attached in the appropriate locations.
11. Ask the patient to lie as still as possible. Record the reading and print a copy. If the patient had
any chest pain at the time of recording you should record this on the ECG. If the ECG trace is poor,
double-check the connections to ensure there is good skin contact.
12. Once an ECG trace has been obtained, switch off the ECG machine. Disconnect the leads from
the pads and allow the patient to remove the pads themselves, or offer assistance if needed. Offer a
tissue as the pads are sticky.
13. Label the ECG with the patient’s details:
Name
Date of birth
Hospital number
(075) 600 - 1507
San Vicente West, Urdaneta City, Pangasinan
Bright future starts here ucu.edu.ph |
[email protected] URDANETA CITY
UNIVERSITY College of Health Sciences
Bachelor of Science in Nursing
Owned and operated by the City Government of Urdaneta
Indication for the ECG.
14. wash your hands.
15. Document your findings in the patient’s notes.
TOTA
L
Remarks:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
______________________________ ______________________________
Clinical Instructor Student’s Signature
(075) 600 - 1507
San Vicente West, Urdaneta City, Pangasinan
Bright future starts here ucu.edu.ph |
[email protected]
