Podcast
Questions and Answers
What should be ensured before applying the monitor to the patient?
What should be ensured before applying the monitor to the patient?
- The monitor is properly calibrated
- The patient is wearing loose clothing
- The monitor batteries are fresh (correct)
- The patient has fasted for 12 hours
What action should patients refrain from while wearing the Holter monitor?
What action should patients refrain from while wearing the Holter monitor?
- Taking notes in a symptom diary
- Pressing the event button
- Showering or swimming (correct)
- Continuing normal activities
What should a patient do if the electrodes become loose?
What should a patient do if the electrodes become loose?
- Remove the lead wires immediately
- Change the electrodes at home
- Turn off the monitor
- Call the provider's office (correct)
Which of these symptoms requires immediate action from the patient?
Which of these symptoms requires immediate action from the patient?
What should patients do with the equipment after completing the test?
What should patients do with the equipment after completing the test?
How does gently preparing the skin affect the electrodes?
How does gently preparing the skin affect the electrodes?
Patients are instructed to keep a diary of what while wearing the Holter monitor?
Patients are instructed to keep a diary of what while wearing the Holter monitor?
What type of monitoring requires specific instructions for applying the monitor?
What type of monitoring requires specific instructions for applying the monitor?
What is the formula used to calculate the age-predicted maximal heart rate?
What is the formula used to calculate the age-predicted maximal heart rate?
When should the stress test be stopped?
When should the stress test be stopped?
What is the target heart rate goal during the stress test?
What is the target heart rate goal during the stress test?
What devices are necessary for conducting an exercise test?
What devices are necessary for conducting an exercise test?
Which of the following is NOT a patient monitoring parameter during the test?
Which of the following is NOT a patient monitoring parameter during the test?
What initial step is crucial before conducting a stress test?
What initial step is crucial before conducting a stress test?
How often should the EKG be repeated after the test?
How often should the EKG be repeated after the test?
What should be advised to the patient after completing the cardiac stress test?
What should be advised to the patient after completing the cardiac stress test?
What is the main reason for ensuring accurate face contact during an EKG procedure?
What is the main reason for ensuring accurate face contact during an EKG procedure?
Why might chest hair need to be clipped for a male patient during an EKG?
Why might chest hair need to be clipped for a male patient during an EKG?
What should a technician do to prepare a patient's skin before placing electrodes?
What should a technician do to prepare a patient's skin before placing electrodes?
What is a key responsibility of the EKG technician after completing a test?
What is a key responsibility of the EKG technician after completing a test?
What is the recommended action regarding a female patient’s bra during the EKG process?
What is the recommended action regarding a female patient’s bra during the EKG process?
How should electrodes be attached to the lead wires in an EKG procedure?
How should electrodes be attached to the lead wires in an EKG procedure?
What is the main benefit of using electronic health records (EHRs) in an EKG procedure?
What is the main benefit of using electronic health records (EHRs) in an EKG procedure?
What should the EKG technician check after attaching the electrodes?
What should the EKG technician check after attaching the electrodes?
What is the first step an EKG technician must take before conducting an EKG test?
What is the first step an EKG technician must take before conducting an EKG test?
How should the EKG technician confirm the patient's identity?
How should the EKG technician confirm the patient's identity?
What should the EKG technician do if the patient does not understand English?
What should the EKG technician do if the patient does not understand English?
Why is medical interpretation important in EKG procedures?
Why is medical interpretation important in EKG procedures?
Which of the following is NOT a recommended method for patient identification?
Which of the following is NOT a recommended method for patient identification?
What might be a reason for patients not to ask for clarification during EKG procedures?
What might be a reason for patients not to ask for clarification during EKG procedures?
Which approach is crucial when communicating with patients during EKG procedures?
Which approach is crucial when communicating with patients during EKG procedures?
What is a primary goal of the patient identification process in EKG testing?
What is a primary goal of the patient identification process in EKG testing?
What is the preferred way for an EKG technician to describe tests to children?
What is the preferred way for an EKG technician to describe tests to children?
When should an EKG technician wear gloves?
When should an EKG technician wear gloves?
What precaution should be taken regarding masks during an EKG test?
What precaution should be taken regarding masks during an EKG test?
How should an EKG technician approach emergency situations during testing?
How should an EKG technician approach emergency situations during testing?
What should be done if an EKG technician is unsure about what personal protective equipment (PPE) to use?
What should be done if an EKG technician is unsure about what personal protective equipment (PPE) to use?
In what way should adult patients with developmental disabilities be treated by EKG technicians?
In what way should adult patients with developmental disabilities be treated by EKG technicians?
What should families or caregivers of patients with developmental disabilities be allowed during the EKG test?
What should families or caregivers of patients with developmental disabilities be allowed during the EKG test?
What term can be used to refer to electrodes when speaking to children?
What term can be used to refer to electrodes when speaking to children?
Study Notes
Patient Preparation for EKG Testing
- The EKG technician should always identify themselves and the patient, and confirm the patient's identity using a combination of name, date of birth, and matching the information against the provider's order.
- The technician must make sure the patient understands the procedure; they should be able to ask questions. The technician can use simpler language or an interpreter if the patient does not understand English.
- Patients with developmental disabilities should be treated as adults, and their parents or caregivers should be allowed to stay in the exam room during the test.
- The EKG technician should always wear gloves to protect both themselves and the patient from infection, and they should wear a mask if the patient has or may have a respiratory illness.
Performing Standard EKG Tests
- The EKG technician should prepare the patient's skin by drying it or removing lotion and clipping any hair that might prevent good electrode contact.
- The technician should attach electrodes to the patient's skin using the correct placement for each lead wire according to facility policy.
- The technician should monitor the patient's heart rate before, during, and after the test.
Performing Stress Test
- The EKG technician should obtain and document the patient's baseline vital signs and explain the procedure to the patient.
- The technician should carefully monitor the patient's EKG, heart rate, blood pressure, respirations, and oxygen saturation readings during the stress test.
- The patient should be told to rest after the test and avoid stimulants.
- The EKG technician should stop the test when the patient requests it or when the heart rate does not go above 120 BPM.
Holter Monitoring
- The EKG technician should explain this type of monitoring to the patient before attaching the electrodes.
- The technician should ensure the monitor's batteries are fresh and provide the patient with extra batteries and instructions on how to change them.
- The technician should tell the patient to call 911 for severe chest pain, weakness, or shortness of breath.
- The technician should educate the patient on how to use the event button for recording possible symptoms.
Documentation
- The completed EKG must be uploaded into the patient's medical record.
- The technician must always check that the EKG is uploaded to the correct patient's chart, even if the machine automatically uploads the EKG.
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Description
This quiz covers essential procedures for patient preparation and the performance of standard EKG tests. It includes important protocols for technician conduct, patient communication, and appropriate hygiene measures. Test your knowledge of EKG testing best practices to ensure patient safety and comfort.
