What's the name of the ECG thingy that nurses put on a lot of peds patients?

  1. 0
    It's not an ECG per se, because an ECG would have 15 or so different leads that get placed all over the patient's body in order to get a reading.

    But there's this thingy... it's like an ECG, but there's only 3 leads and it goes into the cardiac monitor screen. There's a red wire, a black wire, and a white wire, so "smoke over fire, white is right" is used to place this thing's leads.

    What's it called?

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  2. 13 Comments...

  3. 2
    We call it a 3 lead ECG in Australia
    poppycat and DeBerham like this.
  4. 3
    Called a 3 lead ECG in California too!

    Posting from my phone, ease forgive my fat thumbs!
    tokmom, poppycat, and DeBerham like this.
  5. 1
    Not sure, but I think I would call that a 3 lead in Maryland...
    poppycat likes this.
  6. 1
    A heart monitor..
    poppycat likes this.
  7. 1
    Telemetry?

    ~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~
    turnforthenurseRN likes this.
  8. 0
    I'm also going to say telemetry....? Not sure if there is a special "name" for it.

    The 3-lead telemetry monitoring is typically used as a transport monitor. It offers two different views of the heart: lateral & inferior. The ER at my hospital uses this when transporting patients.

    The 5-lead telemetry monitoring, in addition to monitoring the lateral & inferior parts of the heart, also monitors the anterior part. We use 5-lead monitoring in ICU, CCU & PCU.

    The 12-lead allows to look at most surfaces of the heart and to look for changes. I can't say all surfaces because on a 12-lead, you can't see the posterior wall of the heart (you only look for reciprocal changes on the EKG) and we do not routinely do right-sided EKGs (only really indicated if you have an inferior wall MI). It is the gold standard to diagnose an MI and to confirm rhythm changes. 12-leads are not used to routine monitoring. If a patient is complaining of chest pain/discomfort or I notice a new rhythm change on the monitor (whether it's 3 or 5-lead) I will get a STAT 12-lead.
  9. 0
    ohhh ok
  10. 1
    Quote from turnforthenurseRN
    The 5-lead telemetry monitoring, in addition to monitoring the lateral & inferior parts of the heart, also monitors the anterior part. We use 5-lead monitoring in ICU, CCU & PCU.
    I sort of think it's overkill but many of the ICUs I work in now are using both whips (12 lead) for continuous monitoring.
    turnforthenurseRN likes this.
  11. 1
    Quote from Vespertinas
    I sort of think it's overkill but many of the ICUs I work in now are using both whips (12 lead) for continuous monitoring.
    The monitors must be huge...
    turnforthenurseRN likes this.


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