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Operating Instructions - Jaken Medical...

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Acquiring an ECG Using Alternative Lead Placements<br />

Acquiring an ECG Using Alternative Lead Placements<br />

At times it may be necessary to acquire an ECG using an alternative lead<br />

placement. The Alternate Chest Lead ECG allows acquisition of right chest<br />

leads and expanded left chest leads. Other alternative lead placements include<br />

Frank and Nehb.<br />

NOTE: The standard ECG is an important part of the<br />

Alternate Chest Lead ECG. If you are acquiring an Alternate<br />

Chest Lead ECG, run a standard resting ECG before continuing<br />

(for more information, see ÒAcquiring an Auto ECGÓ on pg. 6-<br />

2).<br />

1. ConÞgure either the CUSTOM LEAD 1 or CUSTOM LEAD 2 for<br />

the desired lead placement (see ÒCUSTOM LEAD 1 & CUSTOM<br />

LEAD 2Ó on pg. 4-9).<br />

2. Follow the directions for acquiring a STAT ECG or an AUTO<br />

ECG, as described earlier in this chapter (see page 6-1).<br />

3. From the Single ECG Functions List, press the left arrow key<br />

to return to the PREVIEW screen.<br />

4. Prepare the patient for the Alternate Chest Lead ECG according<br />

to guidelines in Chapter 5 (see ÒAlternate Chest LeadÓ on pg. 5-<br />

9). Attach electrodes according to the speciÞc instructions for<br />

each lead conÞguration.<br />

5. Verify patient ID on screen. If patient ID is incorrect or absent,<br />

follow steps 1 through 3 of ÒAcquiring an ECG Using an<br />

Existing Patient FileÓ on pg. 6-3.<br />

6. Select Ò5Ó or Ò6Ó from the keyboard, depending on whether the<br />

alternative placement was selected for CUSTOM LEAD 1 or<br />

CUSTOM LEAD 2.<br />

5<br />

1<br />

6<br />

2<br />

NOTE: If ALTERNATE CHEST LEAD was selected, the<br />

screen should display Alternate Chest Lead ECG. In addition,<br />

the statement ÒAlternate Chest Lead ECGÓ will appear on the<br />

printout in place of the interpretation.<br />

7. Verify waveforms before taking the ECG.<br />

NOTE: The Recorder Speed, Gain and Frequency Response<br />

settings (displayed in the lower right corner of the PREVIEW<br />

screen) can be temporarily modiÞed if necessary. See<br />

ÒTemporarily Changing Current SettingsÓ on pg. 6-5.<br />

ECG<br />

8. Press the ÒECGÓ function key to record the ECG.<br />

Eclipse automatically prints the ECG.<br />

Eclipse <strong>Operating</strong> <strong>Instructions</strong> 6-7

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