How To Guide for ECGs Edan SE-1200 Presenter Maree Halliday
Cardioscan Pty. Ltd. Slide 2 Company Information Cardioscan is the
largest provider of cardiac reporting offering services to
Pathology companies, General Practitioners and Private Hospitals in
Australia and has been running since 1984. Backed by a team of
dedicated Cardiologists and Technicians. The mission: To deliver
superior cardiac reporting services by providing excellent
reporting turnaround times, 2 hours for urgent and 4 hours for
normal ECGs, 24 hour turnaround service for Holter and NBPs. Our
aim is for our customers to be able to transfer data electronically
and receive these reports back in a timely manner with the ability
to produce statistical reports reducing duplication and excessive
paperwork. Cardioscan Pty. Ltd. Slide 3 Picture Overview of
Equipment Edan SE-1200 Monitor 12 Lead Set Trace Paper Telstra
Wi-Fi Device Netgear Device Slide 4 TRANSMITTING DEVICES Netgear
leads Netgear (modem) Telstra Wi Fi device Slide 5 ELECTRODES AND
ALIGATOR CLIPS 12 Lead set coloured coded Aligator clips with the
correct fitting of electrodes Cardioscan Pty. Ltd. Slide 6 Attach
the Blue Alligator clips to the 12 lead set and plug cord into the
unit Insert the 2 NetGear cables into the right side of the Edan
ECG unit Initial Set Up Netgear cables 12 lead cable position Slide
7 ENSURE ALL ANCILLARY DEVICES ARE CONNECTED Netgear Connect blue
cable to Net Gear Device then connect to Edan. Connect black power
cable to Net Gear Device then to Edan USB Port. Cardioscan Pty.
Ltd. Slide 8 STEP ONE ECG TRACING Check Telstra Wi-Fi device is on,
turn on if required by pressing and holding power button. Unit
should remain on at all times, do not turn off. Check a number 1 is
beside signal tower at top centre of screen. Check signal strength
indicated by number of bars in top left corner. Cardioscan Pty.
Ltd. Slide 9 STEP TWO Press and hold power button until booting
appears on screen Slide 10 STEP THREE Once the ECG machine is
turned on check that the following 3 steps occur. Power Light will
be on LAN light will be on WLAN light will be amber and change to
green once Telstra device is connected. Cardioscan Pty. Ltd. Slide
11 STEP FOUR PLACEMENT OF LEADS Lead Placement Limb Leads Apply
limb ECG electrodes to the soft tissue of limbs or outer torso LA:
black Left Arm LL: red Left Leg RA: white Right Arm RL: green Right
Leg Chest Leads V1: red 4th Intercostal space, right sternal
border. V2: yellow 4th Intercostal space, left sternal border. V3:
blue Midway between V2 and V4. V4: green 5th Intercostal space,
midclavicular line. V5: orange Anterior axillary line, horizontal
to V4 V6: purple Mid axillary line, horizontal to V4 and V5. Slide
12 STEP FIVE PATIENT DATA - PRESS F1 Patient Details To enter
patient details, Tab across to each field. If you tab past a field,
you must continue tabbing through all fields until returning to the
missed one. Once all fields have been completed, tab to OK then
press enter button. This will return screen to ECG Tracing PATIENT
ID. TO commence with Hospital prefix TAB ACROSS TO EACH FIELD TAB
TO OK THEN PRESS ENTER ADMISSION NUMBER TO BE INSERTED Cardioscan
Pty. Ltd. Exam Room = Ward Slide 13 STEP SIX RECORDING ECG Check to
ensure Netgear and Telstra devices are connected To commence
recording of ECG press Start/Stop Button Cardioscan Pty. Ltd. Slide
14 At top centre of screen under auto the following will appear;
Recording Printing ECG Printout will occur automatically
Transmitting The word Trans is visible until transmission is
complete. If transmitting NOT successful, ECG is stored, accessed
and manually transmitted via F7, Patient Files STEP SEVEN - CHECK
Cardioscan Pty. Ltd. Slide 15 *On completion of this final step the
ECG will be automatically sent to Cardioscan in Melbourne for
analysing and reporting *An ECG recording will be automatically
saved in patient file. Cardioscan Pty. Ltd. Slide 16 Chest leads
poor contact or alligator clip is attached incorrectly to dot Lead
indicators are highlighted in yellow if incorrect TROUBLE SHOOTING
Incorrect Correct Slide 17 Prior Ensure all equipment on ECG
trolley: ECG electrodes, Chlor-Hex swabs, clippers and blades;
check paper level in machine Explain ECG procedure to patient Wash
hands Patient Prep - Electrodes need good skin contact for good ECG
tracing 1 Position patient 2 Expose chest area 3 For males shave
chest as required Enter patient data into machine all fields MUST
be filled (ref p2) Important Be aware of any cardiac symptoms at
the time of recording, such as chest pain, palpitations or
shortness of breath Symptoms must be hand written on the printout
and reported to nurse in charge Check Telstra Device connection can
be manually transmitted later Ensure good quality ECG trace before
printing/sending. Remove electrodes: re-stick electrodes on plastic
film from packet, place patient label on back of film and store in
patient folder Cover the patient and return them to a position of
comfort Wash Hands Return ECG trolley to storage. Plug In white
power cord. Wipe leads with detergent wipes, replace equipment as
required and leave trolley clean DOING THE ECG Cardioscan Pty. Ltd.
Slide 18 TROUBLESHOOTING ANCILLARY DEVICES CONNECTIVITY STEP 1.
Firstly check both MODEM and TELSTRA device are turned on and
connected. Disconnect black Netgear cable from ECG machine and
reconnect. Check: Power light GREEN LAN light GREEN WLAN light
amber, changing to GREEN once TELSTRA device is connected. If
required: Turn off TELSTRA device Turn on TELSTRA device ( observe
the word TELSTRA increase in size) Check signal strength ( visual
check symbol of tower 1 next to battery strength indicator) Slide
19 Troubleshooting http://incenter.medical.philips.com Slide 20 To
open and change patient files press F7 button Screen will change to
bring up list of patients and show the following functions at
bottom of screen 1.Trans All this allows all listed ECGs to be
transmitted to Cardioscan. 2.Export All This allows all ECGs to be
exported to different file 3.Del All This allows all highlighted
ECGs to be deleted 4.Select - This highlights the patient required
and changes screen as at C-I below. 5.Search this allows you to
look for a patient by either Name, ID, or Time. 6.Import This
allows data to be imported from external source 7.Return this
allows a return to previous page. If a patient ECG has not
transmitted successfully, there will be a blank field under MODE.
To Access Patient Files Slide 21 Once patient has been selected
press F4 Button Screen will change to allow the following functions
located at the bottom of the screen Edit This allows you to change
the patient information demographics Record Trans This allows you
to send the ECG for reporting Export This allows data to sent to
external device Delete This allows selected data to be deleted from
recorder Preview This allows you to view ECG recording and if
required print new copy of tracing. Return this allows you to
return to previous screen Select Patient Use buttons on grey arrow
pad at bottom right of keyboard to scroll up or down Slide 22
Ensure Modem and Telstra device are turned on and connected Push F3
button to transmit ECG to Cardioscan. Once transmitted which can
take a short time a pop up box will notify if successfully
transmitted. PLEASE NOTE Once ECG has been sent to Melbourne leave
Telstra device and ECG Machine on for approximately one minute to
ensure full transmission Turn Edan off at power button Plug in
white power cord to ensure battery charging of EDAN and Telstra
device Please ensure Telstra device remains connected to power as
battery life is limited. Transmit Selected ECG from Patient File
Slide 23 Additional Information The small space between the
clavicle and the 1 st rib is NOT the 1 st ICS The center of the
active surface of the electrode should be aligned with the relevant
anatomical landmark When recording and ECG from female patients, it
is convention that V4 V6 are placed under the breast. If correct
anatomical positions are not possible, then position electrode in
best practical position. Check for an inverted or negative QRS in
lead aVR, as this indicates arm lead reversal Remember: white is
right There are many rhymes to remember the limb leads ask your
senior nurses Using out of date / old electrodes may degrade the
ECG signal quality.
