Continuous ECG monitoring in hospital: part 2, practical issues

Journal article


Sampson, M (2018). Continuous ECG monitoring in hospital: part 2, practical issues. British Journal of Cardiac Nursing. 13 (3), pp. 128-134. https://doi.org/10.12968/bjca.2018.13.3.128
AuthorsSampson, M
Abstract

Continuous monitoring of the electrocardiogram (ECG) is a common intervention performed by cardiac nurses. In the first article of this two-part series, we evaluated the principal indications for ECG monitoring. These are the detection of arrhythmias, monitoring for myocardial ischaemia, and measurement of the QT interval. In this second article, the practical issues surrounding ECG monitoring are evaluated. The use of 3- and 5-electrode systems is discussed, and is related to ECG theory and normal coronary artery anatomy. Recommendations are made for lead selection, correct electrode placement, and the recording of 12-lead ECGs. The article concludes with a consideration of safe practice in respect of alarm management, and considers both individual and organisational approaches to reducing inappropriate alarms.

KeywordsECG monitoring; Arrhythmia; Myocardial ischaemia; QT interval; ECG lead; 1102 Cardiovascular Medicine And Haematology; 1110 Nursing; 1117 Public Health And Health Services
Year2018
JournalBritish Journal of Cardiac Nursing
Journal citation13 (3), pp. 128-134
PublisherMark Allen Healthcare
ISSN1749-6403
Digital Object Identifier (DOI)https://doi.org/10.12968/bjca.2018.13.3.128
Publication dates
Print27 Feb 2018
Publication process dates
Deposited05 May 2018
Accepted01 Feb 2018
Accepted author manuscript
License
File Access Level
Open
Additional information

This is the accepted manuscript version of a published work that appeared in final form in the British Journal of Cardiac Nursing, copyright (c) MA Healthcare, after technical editing by the
publisher. To access the final edited and published work see
https://www.magonlinelibrary.com/doi/10.12968/bjca.2018.13.3.128 Originally published March 2018.

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