Electrode Placement For Pediatric Patients; Verify Status; Maintaining Quality Ecg Signal - GE ApexPro Operator's Manual

Managing patients

Electrode placement for pediatric patients

Verify status

Maintaining quality ECG signal

6-6
The choices for displayed leads are limited to I, II, and III. Any options usually
allowing more than one ECG lead selection are disallowed.
Respiration can be monitored from either lead I or II. It is not dependent on the
displayed lead. Respiration is not available for telemetry patients. For more
information, refer to SpO2 control settings on page
Typically, pediatric patients are large enough for a 5- or 6-leadwire electrode
configuration. This is the preferred monitoring setup for receiving the benefits of
Multi-Lead analysis. However, if the patient is too small for five or six electrodes, the
3-leadwire electrode configuration can be used. The right arm and left arm electrodes
are positioned on the right and left sides of the chest. The right leg electrode can be
placed on either the right or left side of the abdomen. Refer to
placement on page 6-4.
After the transmitter leadwires have been properly attached to the patient's electrodes,
verify lead quality, electrode status and transmitter function.
For more information, refer to
For more information, refer to
Electrodes are disposable and applied only once. Attempts to replace a loose
electrode guarantees excessive motion artifact and results in false alarms. Regardless
of patient type, electrodes should be replaced at least every 48 hours to maintain
quality signals during long-term monitoring. Over the course of 48 hours, the
electrode gel will start to dry out and the adhesive will age. This may irritate the
patient's skin.
The transmitter must be carried securely on the patient. Stabilize the electrode and
leadwire with a leadwire stress loop near the electrode. Tape the stress loop to the
patient. A secured stress loop prevents the leadwire rotation about the electrode snap,
leadwire tugging at the electrode and ECG artifact.
If the transmitter is allowed to dangle or jostle as the patient moves, then the weight
of the device will tug on the electrodes, causing degradation of the signal. Even if the
electrodes are in good contact, excessive tugging on the electrodes will change the
ApexPro™
7-25.
Maintaining quality ECG signal on page
Transmitters on page 2-2.
3-leadwire electrode
6-6.
306A
2001989-200E