For the first 10 or so years of my cardiac nursing career, I was not comfortable interpreting 12-lead electrocardiograms (ECGs). I wanted to be able to decipher them, so I tried to learn but understanding them always seemed unattainable. I took multiple classes with different instructors. I spent a clinical rotation as part of my clinical nurse specialist program focusing on ECG interpretation with a cardiology nurse practitioner, to no avail. I could not tell a left from a right bundle branch block and axis deviation seemed like gibberish. Finally, the instructor for the 12-lead ECG program at my hospital retired, and as the cardiac intensive care unit clinical nurse specialist/educator, I was asked to take over teaching the class. I agreed (with trepidation) and spent months consulting various sources to reeducate myself. Preparing to teach is what it took for me to really learn the concepts of 12-lead...

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