How to re-attach you patient's 3-lead Holter monitor.
Thank you for taking the time to watch this video. Holter monitors are used to determine a patient's rate and rhythm over a longer period of time and is a considered a very useful diagnostic tool. Occasionally, inpatients who wear Holter monitors, find that they become detached whilst in bed, on visiting the toilet, getting dressed or during physiotherapy. If the Holter monitor is reattached incorrectly, the ECG recording can be difficult to read which may lead to a delay in analysis time, misinterpretation or even vital data could be missed.
This video is aimed at HCWs in a patient facing role, who may have a patient who requires a Holter monitor... Should the electrodes become unstuck:
Wipe the skin clean with a clinell alcohol wipe and/or clean tissue - this allows for adequate skin contact and better ECG signal.
Place the electrode as seen in the instructional video. The Yellow electrode is to be placed in the centre of the patient’s chest, just right of the sternal border. The Red electrode should be placed on the ribcage, underneath the patients left nipple (approx. midclavicular). The Green electrode should be placed directly opposite to the patients Red electrode, on the patient's ribcage, under the patient's right nipple (approx. midclavicular also).
The stickers should form a 'sort-of' triangle formation on the patient’s chest.
Micropore tape or plasters can be placed over the stickers for additional support - please avoid placing micropore tape over the hardware (leads) as this makes the equipment difficult to clean later.
During hot weather, electrodes are more likely to become unstuck (rise in body temperature, sweat). In these circumstances, please ensure that the electrodes are still connected throughout the day.
If you have any questions, please contact the Cardiac Outpatients Dept on ext 4573 (RSCH) or 8317 (PRH) for advice and support.
Many Thanks!
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