Physio Control LIFEPAK 15, Operating Instructions Manual

Page: 53 / 284

Chapter 4 | Monitoring
©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
53
ECG Monitoring Procedure
To perform ECG monitoring:
1. Press
ON
.
2. Attach the ECG cable to the green connector on the monitor.
3. Identify the appropriate electrode sites on the patient as shown in the following figure.
AHA Labels IEC Labels
RA Right Arm R Right
LA Left Arm L Left
*RL Right Leg N Negative
LL Left Leg F Foot
*
Note
: Not used for 3-lead cable.
Figure 17 Limb Lead Electrode Placement
4. Prepare the patient’s skin for electrode application:
•
Shave excessive hair at electrode site.
• For oily skin, clean skin with alcohol pad.
• Gently scrape skin to remove surface layer of dead cells and improve conduction of
electrical signals.
•
Avoid locating electrodes over tendons and major muscle masses.
•
Clean and dry the skin.
5. Apply ECG electrodes:
• Confirm that the package is sealed and the Use By date is not passed.
• Attach an electrode to each of the lead wires.
• Grasp electrode tab and peel electrode from carrier.
•
Inspect electrode gel and make sure gel is intact (discard electrode if gel is not intact).
•
Hold electrode taut with both hands. Apply the electrode flat to the skin. Smooth tape
outwardly. Avoid pressing the center of the electrode.
• Secure the trunk cable clasp to the patient’s clothing.
Note:
Ensure the electrodes do not contact any other conductive parts, including earth
(ground).
Note: Electrode quality is critical for obtaining an undistorted ECG signal. Always check
the date code on electrode packages for expiration date before using on a patient. Do not
use electrodes that have expired. Disposable electrodes are intended for a single use.
6. Select the desired ECG lead on the monitor screen.