Electrocardiogram & Interpret

Introduces self	0	1
Confirms name & date of birth of patient (against wristband if present)	0	1
Explains & gains consent	0	1
Offers chaperone and exposes patient from waist up	0	1
Washes hands	0	1
Offers to shave hair and prepare skin to ensure good electrode contact	0	1
Inputs details into machine and checks paper settings	0	1
Places right and left arm leads correctly	0	1
Places right and left leg leads correctly	0	1
Places V1 on right 4th intercostal space	0	1
Places V2 in left 4th intercostal space	0	1
Places V4 in the left 5th intercostal space in the midclavicular line	0	1
Places V3 between V2 and V4	0	1
Places V5 horizontal to V4 in the anterior axillary line	0	1
Places V6 horizontal to V5 in the midaxillary line	0	1
Attaches leads to limb leads (Red, Yellow, Green, Black clockwise from right wrist)	0	1
Attaches leads to V1 to V6	0	1
Checks all leads, calibration and asks patient to lie as still as possible before printing	0	1
Asks patient if they are experiencing any palpitations or chest pain and writes this on ECG	0	1
Removes pads and offers tissues	0	1
Thanks patient and offers to help get dressed	0	1
Washes hands	0	1
Confirms name, DOB, hospital number on ECG	0	1
Confirms calibration and paper settings	0	1
Calculates heart rate and describes rhythm	0	1
Comments on cardiac axis	0	1
Comments on P wave morphology and PR interval	0	1
Comments on QRS morphology (checks for bundle branch block)	0	1
Comments on ST segment (checks for ST elevation)	0	1
Comments on T wave morphology	0	1
Comments on QT interval (mentions normal value)	0	1
Offers appropriate differential diagnoses	0	1
Examiner global score: confidence, methodical and proficient	0	1	2

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