A Community of Exceptional Nurses
Studies show that nurses often monitor in a single lead regardless of diagnosis.1-2 Failure to properly prep skin prior to electrode placement may cause inappropriate monitoring alarms.3-4
When an electrode is misplaced by as little as 1 intercostal space, QRS morphology can change and misdiagnosis may occur (i.e., ventricular tachycardia [VT] may be misidentified as supraventricular tachycardia [SVT] or vice versa).5
Dysrhythmia Monitoring Practice Alert - [PDF: 4/2008]
Dysrhythmia Monitoring Educational Presentation - [PPT: 4/2008]
Electrode Placement & Lead Selection Audit Tool - [PDF: 4/2008]