Lesson 1Recognizin an correctin common artifacts: movement, muscle tremor, baseline wander, AC interference, an poor contactTeaches recognition of common artifacts such as movement, tremor, baseline wander, AC interference, and poor contact, and provides systematic steps to troubleshoot and correct them before final recording.
Spotting patient movement artifactHandling muscle tremor an shivrinFixin baseline wander causesReducin AC an electrical interferenceBetterin electrode contact qualityCheckin tracing after correctionsLesson 2Escalation protocol when abnormal/dangerous tracing identified: notifying clinician, activating emergency response, and documenting communicationsDescribes the escalation pathway when dangerous or unexpected ECG findings are seen, including who to notify, how to activate emergency response, and how to document communications and times accurately.
Definin abnormal an critical findinsNotifying di responsible clinicianActivating emergency response systemsStayin wid unstable patientsRecordin times an contacts madeHandover of ECG an clinical detailsLesson 3Patient identification and verifying test request against medical record and referral detailsCovers confirming patient identity, matching the ECG request to the chart and referral, checking indications and contraindications, and resolving discrepancies to ensure the correct test is performed on the correct patient.
Usin two unique patient identifiersMatchin request to chart an wristbandConfirming indication an urgencyResolvin discrepancies before testinDocumentin verification stepsLesson 4Room and equipment preparation: safety checks, infection control, electrical safety, and privacy setupExplains preparing the ECG room and equipment, including infection control, electrical and cable safety checks, privacy measures, and readiness of supplies to ensure a safe, comfortable, and compliant testing environment.
Daily ECG machine function checkInspectin leads an power cordsCleanin couch an high-touch surfacesHand hygiene an PPE selectionPositionin screens an drapesStockin paper, electrodes, an gelLesson 5Recording special populations and technical variants: obese patients, left ventricular hypertrophy, bundle branch block, and paced rhythmsDetails adaptations for obese patients and those with LVH, bundle branch block, or paced rhythms, including lead placement adjustments, technical settings, and documentation of variants to support accurate interpretation.
Adjustin leads in obese patientsRecordin in suspected LVHECG features of bundle branch blockCapturin paced rhythms accuratelyDocumentin nonstandard lead positionsNotin technical limitations on reportLesson 6ECG acquisition settings: filter, gain, paper speed, leads display, and calibration checksExplains key ECG machine settings: paper speed, gain, filters, lead display, and calibration checks. Emphasizes when to adjust settings and how to verify calibration for accurate measurements.
Standard paper speed an when to changeAdjustin gain fi small or large signalsUsin muscle an baseline filters safelySelectin lead display formatsRunnin a 1 mV calibration signalRecordin settings on di ECG printoutLesson 7Skin preparation techniques: shaving, abrasion, cleaning, and electrode selectionCovers skin assessment and preparation, including shaving hair, gentle abrasion, cleaning with appropriate agents, and choosing suitable electrodes to minimize impedance and reduce artifact.
Inspectin skin fi lesions or devicesShavin excessive chest hair safelyUsin abrasion to lower impedanceCleanin wid alcohol or soapSelectin appropriate electrode typeEnsuring firm electrode adhesionLesson 8Standard ECG lead positions: limb leads, precordial leads V1–V6, and anatomical landmarksReviews standard limb and precordial lead positions, key anatomical landmarks, and common placement errors. Emphasizes accurate, reproducible positioning to ensure diagnostic quality and comparability of ECGs.
Right an left limb lead placementLocatin intercostal spacesCorrect V1 an V2 positioninPlacin V3–V6 along di chest wallAvoidin breast tissue displacement errorsCheckin symmetry an consistencyLesson 9Immediate recognition of life-threatening patterns: STEMI, ventricular tachycardia, complete heart block, and asystole and immediate actionsFocuses on rapid recognition of STEMI, ventricular tachycardia, complete heart block, and asystole on a resting ECG, and outlines immediate actions, escalation pathways, and basic safety steps for the technician.
ECG criteria fi STEMI detectionIdentifyin ventricular tachycardiaRecognizin complete heart blockConfirming true asystole vs artifactImmediate actions an escalationDocumentin critical ECG eventsLesson 10Post-test documentation: report components, transmitting ECG to physician, storage, labeling, time stamps, and quality assurance logsOutlines required post-test documentation, including labeling, time stamps, report components, storage, secure transmission to the physician, and quality assurance logs to support traceability and audit.
Essential identifiers on each tracingRecordin date, time, an operatorSummarizin technical quality notesTransmitin ECG to physician systemsArchivin an backup proceduresCompleting QA an incident logs
