ECG Lead Placement and Troubleshooting

CPDTime.
58m
Updated 29 May 2025 Certificate ANCC Accredited

Accurate ECG lead placement is critical to ensuring high-quality cardiac monitoring and diagnostic accuracy. Whether being used for routine observation or emergency assessment, even small errors in lead positioning can result in significant misinterpretations, potentially causing delayed or inappropriate patient care.

This Ausmed Course is designed to equip nurses, paramedics and other healthcare professionals with the skills and confidence to correctly place ECG leads and troubleshoot common issues. Enhance your practice by ensuring accurate recordings that support timely and effective patient care.

Content

7 Video Units • 16 Questions
Pre-reflection
1 Question
Introduction
4m
Pretest
3 Questions
Overview of ECGs
1 Question
5m
12-Lead ECG Placement
3 Questions
11m
3-Lead and 5-Lead ECG Placement
3 Questions
6m
Alternatives to the ‘Standard’ ECG
2 Questions
8m
Troubleshooting
2 Questions
6m
Conclusion
-1m
Post-reflection
1 Question

What you'll learn:

1

Explain the role of ECGs in assessing cardiac health and the proper preparation required to obtain accurate ECG recordings

2

Demonstrate knowledge of accurate 12-lead ECG placement on patients, including correct positioning of limb and chest leads to ensure high-quality diagnostic results

3

Describe the specific uses and applications of 3-lead and 5-lead ECG configurations

4

Demonstrate accurate placement of 3-lead and 5-lead ECGs for monitoring purposes

5

Apply knowledge of alternative ECG electrode placement to enhance cardiac assessment

6

Recognise common factors that can impact trace quality

7

Apply effective troubleshooting for ECG artifact or interference to ensure accurate ECG recording

Who it's for:

Registered nurses, paramedics and other healthcare professionals who may be required to perform an ECG and are looking to enhance their knowledge and skills in lead placement and troubleshooting.

Why it's needed:

Accurate electrocardiogram (ECG) lead placement is essential for precise diagnosis and accurate monitoring. Incorrect lead positioning can result in significant misinterpretations, including false-positive or false-negative findings, which may lead to improper patient management.

Studies have demonstrated that even minor deviations in electrode placement can cause clinically significant changes on an ECG, such as alterations in the ST-segment, which is often used to diagnose a heart attack. Despite the critical nature of correct ECG lead placement, research indicates a prevalent lack of knowledge and accuracy among healthcare professionals, including nurses and paramedics in practice.

For instance, a study assessing the accuracy of chest electrode placement by emergency medical services (EMS) and clinical personnel found notable inaccuracies, underscoring the need for improved training and education in this area.

Therefore, this course is necessary in order to help equip healthcare professionals with an improved understanding of how to obtain accurate diagnostic information, ultimately enabling them to provide appropriate and timely patient care.

Purpose:

To equip learners with an improved understanding of how to correctly place ECG leads and troubleshoot common issues, in order to ensure that they can confidently perform accurate ECG recordings and address any technical challenges in clinical practice.

Topics

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Last updated29 May 2025

Published29 May 2025

Due for review28 May 2026
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ANCC Accredited
The Ausmed Education Learning Centre is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialling Center’s Commission on Accreditation.
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