Identify ECG recordings and abnormal rhythms.

Identification should include

• ongoing monitoring of a patient/client
• capturing and recording ECG tracings
• identifying and measuring waveform characteristics (e.g., P waves, T waves, QRS complexes)
• recognizing atrial and ventricular abnormalities (e.g., premature ventricular contraction [PVC], premature atrial contraction [PAC])
• distinguishing regular and irregular rhythms
• recognizing cardiac rhythm classifications and rates
• sinus
• atrial
• ventricular
• asystole
• initiating response to life threatening arrhythmias per facility policy
• monitoring patient/client vital signs and tolerance during testing
• preparing the report for the appropriate healthcare team member
• transmitting the report to the patient’s EMR/EHR or chart
• identifying the disease processes affecting ECG rhythms.

Process/Skill Questions:

• How would one identify the signs and symptoms of cardiopulmonary compromise?
• What are the components of an ECG?
• What is an artifact?
• What is meant by a 5-lead ECG?
• What is the difference between a P wave and QRS complex?
• What causes an arrhythmia?
• What variances in waves are present with ischemia?
• Why is a baseline reading important?
• What are two life-threatening arrhythmias and their treatments?