• Select the best monitoring leads for dysrhythmia identification (display 2 leads when possible).

  • Lead V1 to diagnose wide QRS complex.

  • Lead II to diagnose atrial activity and measure heart rate.

  • Proper electrode placement is required for accurate diagnosis (see FigureF1).

  • Prepare the patient’s skin before attaching ECG electrodes.

  • Measure QT interval and calculate QTc using a consistent lead if high risk for Torsades de Pointes.

  • 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 (ie, ventricular tachycardia [VT] may be misidentified as supraventricular tachycardia [SVT] or vise versa).5 

  • V1 is...

You do not currently have access to this content.