ECG leads are attached to the body while the patient lies flat on a bed
or table. Leads are attached to each extremity (4 total) and to 6
pre-defined positions on the front of the chest (Fig.121a). A small
amount of gel is applied to the skin, which allows the electrical
impulses of the heart to be more easily transmitted to the ECG leads.
The leads are attached by small suction cups, Velcro straps, or by
small adhesive patches attached loosely to the skin. The test takes
about 5 minutes and is painless. In some instances, men may require the
shaving of a small amount of chest hair to obtain optimal contact
between the leads and the skin.
12 leads may be employed for ECG using pre-defined positions on each
extremity (Fig 123b).



RB
35s5
NY

"Capt. Rob" wrote in message
ups.com...
ECG leads are attached to the body while the patient lies flat on a bed
or table.

What about the Bruce test (you know the treadmilll stress test, the patient
is upright and walking)

Leads are attached to each extremity (4 total) and to 6
pre-defined positions on the front of the chest (Fig.121a).


That's just wonderful! Which manufacturer makes an ECG machine that requires
4 noise cancelling leads?



A small
amount of gel is applied to the skin, which allows the electrical
impulses of the heart to be more easily transmitted to the ECG leads.

What about shaving and vigorously cleaning of the skin?


The leads are attached by small suction cups, Velcro straps, or by
small adhesive patches attached loosely to the skin.

Don't forget the leads with the small screws too. None of them attach
loosely, the artifact and contact impedance would be too high.

The test takes
about 5 minutes and is painless.

5 minutes? What are you testing for? The discover of some cardiac anomolies
requires weeks of testing ( that's what holters are for). Are you testing
that the machine is working?

In some instances, men may require the
shaving of a small amount of chest hair to obtain optimal contact
between the leads and the skin.

Now we hear about shaving! What about rubbing off the dead layer of skin?

12 leads may be employed for ECG using pre-defined positions on each
extremity (Fig 123b).

12 leads on each extremity? Check you typing there kiddo. In practice one
lead is used on an extremity. It is used to cancel noise. The extremity lead
sees almost no cardiac signal but the same induced noise (typically 50 or 60
Hz) as the chest electrodes. The extremity lead signal is used in conjuction
with the chest electrodes to input to a differential amplifier. The noise
signal is a common mode signal (common to both ECG electrodes and extremity
reference) which is cancelled by the differential amplifier. Typical CMRR
(common mode rejection ratios) for the differential amplifier are 90-110 dB.


Keep flopping about RB. Every EKG requirement on the ST Francis Hospital
(that's where your wife works) job postings (and there are a LOT of them)
requires 12 lead EKG of each nurse. Where are the 10 lead requirements? The
9 lead requirements?

Your nurse textbook doesn't fit the real world much does it?

This sums it all up nicely:

MAJOR SMACKEROOOO
SMACKDOWN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!

And to toss some salt on those wounds:

BWAAAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAAAAAAAAAHAAAAA AAAAAAAAAAAA!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Try again.

Might as well finish you off.

I do own a sailboat.

It's a Newport.

Bwaaaaaaaaaaaahaaaaaaaaaaaaahaaaaaaaaaa!!!!!!!!

Your nurse textbook doesn't fit the real world much does it?



Uh, where does Suzanne work, Bob? Hmmm?

Oops

RB
35s5
NY

I do own a sailboat.




WHOOOO HOOOOOOO!!! GOT YA!!!! BWAHAHAHAHAHAHAHHAHA!!!!!!!


Oh, it took a while, but SLAMBAMMMMM!!!!


BWAHAHAHAHAHHHAHAHAHA!!!!


RB
35s5
NY

Pictures!

--
"j" ganz @@
www.sailnow.com

"Bob Crantz" wrote in message
. ..
Might as well finish you off.

I do own a sailboat.

It's a Newport.

Bwaaaaaaaaaaaahaaaaaaaaaaaaahaaaaaaaaaa!!!!!!!!

"Capt. Rob" wrote in message
ups.com...
Your nurse textbook doesn't fit the real world much does it?



Uh, where does Suzanne work, Bob? Hmmm?

I know where Suzanne works.

It was you quoting out of some oddball nurse text book. I was pointing out
some of the shortcomings of the text book. Care to illustrate any points
that I made that were incorrect?

Let me know when you need some help, there is one thing you missed and could
have won this whole thing handily. But then you would actually have to have
working knowledge and hands on experience. Keep flapping flounder boy, just
say uncle when you run out of flap.

Bob Crantz

"Capt. Rob" wrote in message
ups.com...

I do own a sailboat.




WHOOOO HOOOOOOO!!! GOT YA!!!! BWAHAHAHAHAHAHAHHAHA!!!!!!!


Oh, it took a while, but SLAMBAMMMMM!!!!


BWAHAHAHAHAHHHAHAHAHA!!!!

Damn! You got me good, caught me unawares!

I actually own 2 sailboats! 2!

I know where Suzanne works.

It was you quoting out of some oddball nurse text book.


Yeah, it's just the standard text for final semester RN's. Damn oddball
book!


Bwahahahhahahahaha!


RB
35s5
NY

St Francis of Long Island Job Requirements:

http://8.7.96.79/work_with_us/detail.cfm?id=4

Everyone requires 12 lead!

What is the relevance of the text book or the nurses exam to the actual
practice at a leading cardiac clinic?

Are you saying your wife wasn't really prepared to enter real practice?



ID: 329.06
Category: Patient Support Staff
Department: K1
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P - 11P, including alternate weekends
Location: Roslyn

ID: 248.06
Category: Patient Support Staff
Department: M2
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shiftays, 7A - 3P, including alternate weekends
Location: Roslyn

ID: 271.06
Category: Patient Support Staff
Department: CTICU
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P-11P, including alternate weekends
Location: Roslyn

ID: 280.06
Category: Patient Support Staff
Department: K1
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Nights, 11P-7A, including alternate weekends
Location: Roslyn

ID: 311.06
Category: Patient Support Staff
Department: CCU
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shiftays, 7A - 3P, including alternate weekends
Location: Roslyn

ID: 319.06
Category: Patient Support Staff
Department: Women's Health Center
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: Current Nurse Extender experience required
FTE: Per Diem
Shift:Per Diem, Days, M-F
Location: Brookville

ID: 320.06
Category: Patient Support Staff
Department: Emergency Room
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part TIme
Shiftays, 7A-3P, including alternate weekends
Location: Roslyn

ID: 41.06
Category: Patient Support Staff
Department: CTICU
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P - 11P, including alternate weekends
Location: Roslyn

ID: 85.06
Category: Patient Support Staff
Department: K3
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P - 11P, including alternate weekends
Location: Roslyn

ID: 111.06
Category: Patient Support Staff
Department: K1
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P-11P including alternate weekends
Location: Roslyn

ID: 141.06
Category: Patient Support Staff
Department: M2
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shiftays, 7A - 3P, including alternate weekends
Location: Roslyn

ID: 176.06
Category: Patient Support Staff
Department: Emergency Room
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Full Time
Shiftays, 7A - 3P, including alternate weekends
Location: Roslyn

ID: 182.06
Category: Patient Support Staff
Department: P2
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P - 11P, including alternate weekends
Location: Roslyn

ID: 184.06
Category: Patient Support Staff
Department: P2
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Nights, 11P - 7A, including alternate weekends
Location: Roslyn

ID: 206.06
Category: Patient Support Staff
Department: M3
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shiftays, 7A - 3P, including alternate weekends
Location: Roslyn