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Cardioscan Pty. Ltd.
How To Guide for ECG’s
Edan SE-1200
Presenter
Maree Halliday
Cardioscan Pty. Ltd.
Company Information
 Cardioscan is the largest provider of cardiac reporting offering services
to Pathology companies, General Practitioners and Private Hospitals in
Australia and has been running since 1984.
 Backed by a team of dedicated Cardiologists and Technicians.
The mission:
 To deliver superior cardiac reporting services by providing excellent
reporting turnaround times, 2 hours for urgent and 4 hours for normal
ECG’s, 24 hour turnaround service for Holter and NBP’s.
 Our aim is for our customers to be able to transfer data electronically
and receive these reports back in a timely manner with the ability to
produce statistical reports reducing duplication and excessive
paperwork.
Overview of Equipment
Picture
• Edan SE-1200
Monitor
• 12 Lead Set
• Trace Paper
• Telstra Wi-Fi Device
• Netgear Device
TRANSMITTING DEVICES
• Netgear leads
• Netgear (modem)
• Telstra Wi Fi device
Cardioscan Pty. Ltd.
ELECTRODES AND ALIGATOR CLIPS
12 Lead set – coloured coded
Aligator clips with the correct fitting of
electrodes
Initial Set Up
 Attach the Blue Alligator clips to the 12 lead set and plug cord
into the unit
 Insert the 2 NetGear cables into the right side of the Edan ECG
unit
Netgear
cables
12 lead cable position
Cardioscan Pty. Ltd.
ENSURE ALL ANCILLARY DEVICES ARE CONNECTED
Netgear
 Connect blue cable to Net
Gear Device then connect to
Edan.
 Connect black power cable to
Net Gear Device then to Edan
USB Port.
Cardioscan Pty. Ltd.
STEP ONE
ECG TRACING
 Check Telstra Wi-Fi device is on, turn on if
required by pressing and holding power
button.
 Unit should remain on at all times, do not
turn off.
 Check a number 1 is beside signal tower at
top centre of screen.
 Check signal strength indicated by
number of bars in top left corner.
STEP TWO
Press and hold power button until
“booting” appears on screen
Cardioscan Pty. Ltd.
STEP THREE
 Once the ECG machine is
turned on check that the
following 3 steps occur.
 Power Light will be on
 LAN light will be on
 WLAN light will be amber
and change to green
once Telstra device is
connected.
STEP FOUR
PLACEMENT OF LEADS
Lead Placement
Limb Leads
Apply limb ECG electrodes to the soft tissue of limbs or
outer torso
LA: black – Left Arm
LL: red – Left Leg
RA: white – Right Arm
RL: green – Right Leg
Chest Leads
V1: red
V2: yellow
V3: blue
V4: green
V5: orange
V6: purple
– 4th Intercostal space, right sternal border.
– 4th Intercostal space, left sternal border.
– Midway between V2 and V4.
– 5th Intercostal space, midclavicular line.
– Anterior axillary line, horizontal to V4
– Mid axillary line, horizontal to V4 and V5.
Cardioscan Pty. Ltd.
STEP FIVE
PATIENT DATA - PRESS F1
TAB ACROSS TO
EACH FIELD
PATIENT ID. TO
Patient Details
commence with
“Hospital prefix”
 To enter patient details,
Tab across to each field.
 If you tab past a field, you
must continue tabbing
through all fields until
returning to the missed
one.
 Once all fields have been
completed, tab to OK
then press enter button.
 This will return screen to
ECG Tracing
ADMISSION
NUMBER TO BE
INSERTED
Exam Room =
Ward
TAB TO OK THEN
PRESS “ENTER”
Cardioscan Pty. Ltd.
STEP SIX
RECORDING ECG
Check to ensure Netgear and
Telstra devices are connected
To commence recording of
ECG – press Start/Stop
Button
Cardioscan Pty. Ltd.
STEP SEVEN - CHECK
•
At top centre of screen under auto
the following will appear;
• Recording
• Printing
• ECG Printout will occur
automatically
• Transmitting
• The word Trans is visible
until transmission is
complete.
• If transmitting NOT
successful, ECG is stored,
accessed and manually
transmitted via F7, Patient
Files
Cardioscan Pty. Ltd.
* On completion of this final step the ECG will be automatically
sent to Cardioscan in Melbourne for analysing and reporting
* An ECG recording will be automatically saved in patient file.
TROUBLE SHOOTING
 Chest leads
 poor contact or alligator
clip is attached incorrectly
to dot
Correct
Incorrect
 Lead indicators are
highlighted in yellow if
incorrect
Cardioscan Pty. Ltd.
DOING THE ECG
Prior





Ensure all equipment on ECG trolley: ECG electrodes, Chlor-Hex swabs, clippers and blades; check paper level in machine
Explain ECG procedure to patient
Wash hands
Patient Prep - Electrodes need good skin contact for good ECG tracing
1 Position patient
2 Expose chest area
3 For males shave chest as required
Enter patient data into machine – all fields MUST be filled (ref p2)
Important




Be aware of any cardiac symptoms at the time of recording, such as chest pain, palpitations or shortness of breath
Symptoms must be hand written on the printout and reported to nurse in charge
Check Telstra Device connection – can be manually transmitted later
Ensure good quality ECG trace before printing/sending.

Remove electrodes: re-stick electrodes on plastic film from packet, place patient label on back of film and store in patient
folder
Cover the patient and return them to a position of comfort
Wash Hands
Return ECG trolley to storage. Plug In white power cord.
Wipe leads with detergent wipes, replace equipment as required and leave trolley clean




TROUBLESHOOTING
ANCILLARY DEVICES CONNECTIVITY
STEP 1. Firstly check both MODEM and TELSTRA
device are turned on and connected.
Disconnect black Netgear cable from ECG machine
and reconnect.
Check:
Power light GREEN
LAN light GREEN
WLAN light amber, changing to GREEN once
TELSTRA device is connected.
If required:
Turn off TELSTRA device
Turn on TELSTRA device ( observe the word
TELSTRA increase in size)
Check signal strength ( visual check symbol of
tower 1 next to battery strength indicator)
Troubleshooting
http://incenter.medical.philips.com
To Access Patient Files
To open and change patient files press F7 button
Screen will change to bring up list of patients and
show the following functions at bottom of screen
1. Trans All – this allows all listed ECG’s
to be transmitted to Cardioscan.
2. Export All – This allows all ECG’s to be
exported to different file
3. Del All – This allows all highlighted
ECG’s to be deleted
4. Select - This highlights the patient
required and changes screen as at C-I
below.
5. Search – this allows you to look for a
patient by either Name, ID , or Time.
6. Import – This allows data to be
imported from external source
7. Return – this allows a return to
previous page.
If a patient ECG has not transmitted successfully,
there will be a blank field under MODE.
Select Patient
Use buttons on grey arrow pad at bottom right of keyboard
to scroll up or down
•
•
Once patient has been selected press F4
Button
Screen will change to allow the following
functions located at the bottom of the screen
• Edit – This allows you to change the
patient information demographics
• Record –
• Trans – This allows you to send the ECG
for reporting
• Export – This allows data to sent to
external device
• Delete – This allows selected data to be
deleted from recorder
• Preview – This allows you to view ECG
recording and if required print new
copy of tracing.
• Return – this allows you to return to
previous screen
Transmit Selected ECG from Patient File
•
•
•
Ensure Modem and Telstra device are turned
on and connected
Push F3 button to transmit ECG to
Cardioscan.
Once transmitted which can take a short time
a pop up box will notify if successfully
transmitted.
PLEASE NOTE
• Once ECG has been sent to Melbourne
leave Telstra device and ECG Machine on
for approximately one minute to ensure
full transmission
• Turn Edan off at power button
• Plug in white power cord to ensure
battery charging of EDAN and Telstra
device
• Please ensure Telstra device remains
connected to power as battery life is
limited.
Additional Information
The small space between the clavicle and the 1st rib is NOT the 1st ICS
The center of the active surface of the electrode should be aligned with the
relevant anatomical landmark
When recording and ECG from female patients, it is convention that V4 – V6 are
placed under the breast. If correct anatomical positions are not possible,
then position electrode in best practical position.
Check for an inverted or negative QRS in lead aVR, as this indicates arm lead
reversal
Remember: “white is right”
There are many rhymes to remember the limb leads
– ask your senior nurses
Using out of date / old electrodes may degrade the ECG signal quality.