Question

Calculate the equipment management number of a holter ecg and find the appropriate standards( standard for basic safety and performance measurements related to a holter ecg

Answer 1

The number and position of electrodes varies by model, but most Holter monitors employ between three and eight. These electrodes are connected to a small piece of equipment that is attached to the patient's belt or hung around the neck, keeping a log of the heart's electrical activity throughout the recording period.

• A Holter Monitor will be attached to a child of any age, who, as per Cardiology team, requires further cardiac testing.
• Holter Monitor’s may be used in conjunction with other diagnostic tests, i.e ECHO, 12-15 lead ECG, blood test, exercise stress test.
• The Cardiologist will determine the length of time the Holter Monitor should be left on.
• The Cardiology team will order the Holter Monitor on EMR. Nurses will be able to acknowledge the EMR Holter Monitor order in IP Summary and further view this order either in the EMR Chart Review Activity or ADT Navigator Activity.
• A Cardiac Technician is responsible for attaching the Holter Monitor.
• Prior to attaching the electrodes the skin must be clean, dry and hair free. The chest may be cleaned with normal saline/warm soapy water to remove any oily residue, or hair on the chest may need to be shaved, to ensure the electrodes stick well. Extra mefix tape may be secured over the electrodes to reinforce attachment.
• Holter Monitors may be attached within an inpatient or outpatient setting.