ECG Lead Placement

ICU · General · 10–20 min

Correct placement of 12-lead ECG electrodes.

Indications

  • Chest pain
  • Arrhythmia
  • Preop

Equipment

  • 12-lead ECG machine
  • Electrodes
  • Skin prep pad

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/5)

Tap to complete

1. Prep skin

Shave excess hair, wipe with alcohol.

2. Limb leads

3. Chest leads

4. Record

5. Check quality

Immediate complications

  • Skin irritation

Prevention

  • Correct placement to avoid misdiagnosis

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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