Quote from nurs1ng
Can anyone tell me how you would position each lead on a patient's back? Thanks.
When we prone patients in the ICU, we'd place the leads the exact relative placement as if they were anterior.
Remember this is for telemetry monitoring, not diagnostics.
For surgery, or in your case, you tend to move them toward the RA/LA leads superior and the RL/LL leads so they are receive less direct pressure. The V lead you can probably still place in the V6 position.
Just remember for two lead evaluation, a posterior "II" and psuedo V6 won't have the advantage of monitoring II/V1 to see obvious axis shifts to differentiate A vs V tach at a glance and your QRS morphology is going to be a bit different, but good enough for monitoring.