Positioning ECG Interpretation


Part 1

Traditionally the patient should be supine and well-supported in the bed. No pillows unless documented and permitted by your facility. However, many patients, especially cardiac patients may have a very hard time lying supine.

Any time you have to change the position of the patient or use additional supportive measures (pillow under the knees or head), it is important that this be documented.

Part 2

Changing the physical position may be enough to influence the shape of the cardiac complexes and make it more difficult for the physician to interpret and diagnose the patient. So, any changes must always be documented.

If there are metal side rails on the bed or gurney and it is necessary to raise them to stabilize the patient on the bed or for safety. Always make certain that there is a barrier (sheet, blanket, pillows or rail pad) between the patient and the rail.




Authors and Sources

Authors and Reviewers


Sources

  • Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
    ISBN10: 1265013470, ISBN13: 9781265013479
    McGraw Hill, 2023
  • Rapid Interpretation of EKG's, Sixth Edition
    Dale Dublin
    Cover Publishing Company
  • EKG Reference Guide
    EKG.Academy
  • 12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
    Aaron Reed
    Create Space Independent Publishing
  • Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
    Elsevier-Health Sciences Division
    Barbara A. Erickson, PhD, RN, CCRN
  • The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
    Publisher: Lippincott Williams & Wilkin)
    ISBN-10: 0781784425; ISBN-13: 978-0781784429
  • Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
  • ECG Reference Guide
    PracticalClinicalSkills.com






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