Dysrhythmia Monitoring

Scope and Impact of the Problem

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

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