I learned this "mantra" when I was a nursing assistant. If you have 5 leads for a tele, go....
snow over grass
smoke over fire
start with White--right. Get it?, it rhymes... white right :wink2: right side of the chest. I put it about the second intercostal space under the clavicle in that spot where there's no bone.
Then green below that because SNOW OVER GRASS, white over green. Straight below the white sticky kind of at the bottom of the rib cage.
Brown is ground, smack in the middle of the chest. just at the bottom of the sternum.
then Black over red because SMOKE OVER FIRE. Since you've already got leads on the right side, the black and red have to go on the left, it's what you've got left. Put them in the same positions as the leads on the right side.
There probably is an exact textbook way to do this, but as long as the tele monitor is picking up a good waveform, you've got them placed good enough.
You don't have to change them on a regular basis, the less removing and replacing the better for the patient's skin. Sometimes folks are diaphoretic and they fall off from the moisture.
Also, if someone's got a hairy chest, you'll want to shave the hair off before putting the stickers down. Saves them some pain on removal and you'll pick up the waveform better when the stickies are right on the skin.
Also, also.... put the leads onto the stickers BEFORE you put them on the patient's chest. Sometimes you have to press pretty hard to get them attached depending on the brand, and it hurts people when you're pressing with one finger down into that sticker on their chest.