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5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 15:02:25 AM 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION [Non-Text] 2014 جامعه جده University of Jeddah (059) 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 14:27:25 3:56-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM <table><tr><td colspan="3">Policy Title: ELECTROCARDIOGRAPHIC (ECG) MONITORING</td></tr><tr><td>Department/Unit: Nursing Unit.</td><td>Policy Number: UOJ-MSA-NR-P/07</td><td>Replaces No:</td></tr><tr><td>Creation Date: 10/12/2022</td><td>Effective Date:</td><td>Review Date:</td></tr></table> Revision History <table><tr><td>Subject</td><td>Changes made</td><td>Done by</td><td>Revision date</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td>5:49-7-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM</td><td></td><td></td><td></td></tr></table> 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 14:29:25 AM Page 1 of 4 Enc: المرقاقات Date: اللاريه Ref.:[OJ-MSA-NR-P/07:الرقم] المملكه العربيه السعوديه - لسعوديه Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 80327 ب.م.م Scanned with CamScanner 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM اداره الخدمات الطبيه Medical Services Administration ريه جامه ج الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION [Non-Text] 2014 جامعه بده University of Jeddah (059) 1. CONDITIONS: 1.1 All Patient of medical services Administration. 2. PURPOSE: 2.1 To get a single ECG trace as a basic reading so that cardiac arrhythmias can be identified and analyzed and the heart rate can be recorded. 2.2 To take vital precautions in case patient in need to be checked by the physician again. 2.3 To support patient with important treatment. 3. DEFINITIONS: 3.1 Electrocardiographic (ECG) monitoring: is defined as measurement record of a patient's heart rate produced by electrocardiography (electro-relating to or caused by electricity. 3.2 Electrodes: are placed at different parts of the patient's skin to view the heart's electrical activity from different angles1. 3.3 Cable: o The wire that attaches to the electrode and conducts current back to the ECG machine. One end of a monitoring cable is attached to the electrode, and the other end to the ECG machine. 3.4 Lead: has two meanings: 3.4.1 The actual tracing that is obtained and is dependent on the position of the electrode and the monitoring of the mode selected1. Lead II is the most commonly used when ECG monitoring is required2. 3.4.2 The wire that connects the patient to the ECG monitor1. 3.5 Equipment: 3.5.1 Monitor. 3.5.2 Cable/wires. 3.5.3 Disposable self-adhesive electrodes. 4. Related N/A Documents: 5. POLICY: 5.1 Electrocardiographic (ECG) monitoring: is defined as measurement record of a patient's heart rate produced by electrocardiography (electro-relating to or caused by electricity. Page 2 of 4 Enc: المرقاقات Date: اللاريه Ref.:U OJ-MSA-NR-P/07:الرقم المملكه العربيه السعوديه - الجزاير Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 و.ب 80327 © @uofjeddah [Non-Text] www.uj.edu.sa © +966 12 2334444 © identity@uj.edu.sa Scanned with CamScanner 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 15:25:35Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION [Non-Text] 2014 جامعه جده University of Jeddah (059) 6. PROCEDURES: 6.1 Explain procedure to patient, he should be calm and relaxed for an accurate ECG reading. 6.2 Turn on the monitor. 15427-251-876-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM 6.3 clean and dry the skin, choose intact skin and over soft tissue, not over bony prominences or skin folds as these sites can produce false ECG reading .6.3.1 Patient's file. 6.4 apply conductive gel. press the click-on ECG leads place them on to the electrodes. 6.5 Apply right arm (RA) electrode (white) directly below the clavicle and near the right shoulder. 6.6 Apply left arm (LA) (black) electrode directly below the clavicle and near the left shoulder. 6.7 Apply left leg (LL) (red/green) electrode on left iliac fossa (left lower abdomen). The electrodes placed at these positions will produce ECG complexes for leads I, II, and III. 6.8 If further lead viewpoints are required, apply right leg (RL) electrode on right iliac fossa (right lower abdomen). Then apply the chest lead in the V1 position. 6.9 Connect leads to the ECG connection port. Where possible, connect correlating color into the module. However, be aware that lead placements may not always be color coded and positions should be checked. yYqyR6Z66k9yaEP-y1g==-6/20/2023 11:22:25 AM 6.10 Set the monitor to appropriate ECG lead either I, II, III. Lead II is the preferred lead. 6.11 Regularly monitor the patient's skin for signs of allergic reactions to electrodes. 7. RESPONSIBILITIES 7.1 All staff of Nursing Unit. 8. Appendix: 8.1 N/A 9. REFERENCES: 9.1 Ministry of Health Manual for Nursing Unit. Page 3 of 4 Enc: المرقاقات Date: اللاريه Ref.:[UOJ-MSA-NR-P/07] المملكه العربيه السعوديه - الجزاير Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 80327 ب.م.م [Non-Text] @uofjeddah [Non-Text] www.uj.edu.sa © +966 12 2334444 © identity@uj.edu.sa Scanned with CamScanner 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 15:42:25 AM اداره الخدمات الطبيه Medical Services Administration ريعه بامه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION [Non-Text] 2014 جامعه بده University of Jeddah (059) Prepared By: Name: Wh1v Mrs. Esraa Saady Position: Quality Representative, Nursing Unit Date: 10/12/2022 Signature: S. S. 2007 Reviewed By: Name: Mrs. Areej Saymaldaher Position: Supervisor, Nursing Unit Date: 01/05/2023 Signature: Reviewed By: Name: Dr. Eman Balbaid 13-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 11:22:25 AM Position: Supervisor, General Clinics Date: Signature: Recommended By: Name: Mr. Aslam Alrefai +ylg==-6/20/2023 11:22:25 AM Position: Supervisor, Quality&Patient Safety Unit Date: Signature: Approved By: Name: Dr. Mansour Tobaigy Position: Supervisor, Medical Services Administration Date: Signature: Page 4 of 4 Enc: المرقاقات Date: اللاريه Ref.:U OJ-MSA-NR-P/07:الرقم المملكه العربيه السعوديه - الجزء Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 80327 ب.م.م Scanned with CamScanner