How to place 6 lead telemetry?

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I'm very familiar with the tele lead placement when there are five leads, but what about six?! This is how they do it at my new hospital and I was flummoxed by the second brown lead. I asked a couple people but no one seemed to have a definitive answer. Google is not too helpful either.

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

I have never done 6 lead placement, is it like 12 lead without the limb leads? That's a configuration that would make sense to me, but not knowing you're set up, I'm not sure. 

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Are the brown leads marked? We have 6 lead telemetry but the extra one is purple. The brown is V1 and the purple is V6.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

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https://www.co.grand.co.us/DocumentCenter/View/626/ECG-Primer-The-Six-Second-ECG-Guidebook-Nursecom-Educational-Technologies

 

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Specializes in Tele, ICU, Staff Development.

We put our second chest lead in V3 position (not V5). It's more a matter of preference, and individualizing to the patient, not right or wrong, when it comes to the second chest lead in a 6 lead system.

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