Cardiac Monitor (Telemetry) Lead Placement ;)

[@mchandler4908]

Thank you! On a Holter monitor for 48 hours. While moving about, my bottom leads (white, brown, and black) unsnapped. I knew brown was in the middle but couldn't remember the "smoke, fire", etc part. You've saved the day! :-)

[@elizabetheades6662]

EmpoweRN I have been a cardiac nurse for almost 12 years and the cardiac educator for our cardiac step-down unit for 5 years now. I am really not trying to be critical or mean at all but all 5 leads were placed completely incorrectly in this video. This is our policy based on AHA and ACC guidelines. The LA electrode should be placed on the upper left aspect of the chest-shoulder region just below the end of the left collarbone (clavicle). (Much farther up under the end of the clavicle than in the video) The RA electrode should be placed on the upper right aspect of the chest-shoulder region just below the end of the right collarbone (clavicle).(Much farther up under the end of the clavicle than in the video) The LL electrode should be placed in the left abdominal region at the level of the umbilicus. Anatomically this would be on the lower left anterolateral surface of the external oblique muscle. (The ones in the video are much too high on the ribs) The RL electrode should be placed in the right abdominal region at the level of the umbilicus. Anatomically this would be on the lower right anterolateral surface of the external oblique muscle. If you are using V1 for the chest lead, the brown (V) electrode should be placed in the 4th intercostal space to the right of the (patient's) sternal border. You should teach to feel for the intercostal spaces to properly place V1 or any other V lead.

[@anntoinetteb4107]

The brown one was not on the heart side, correct? It was her left and not the patients.

[@kokocar1160]

Elizabeth Eades I

[@dlrsa2]

I agree. Red on right shoulder, yellow lead left shoulder, green left lower, brown right lower and white on chest (middle).

[@cyrilkarunanayaka4299]

Elizabeth Eades 5

[@jonnicooper8055]

Amen, it is video's like this that mislead nurses everyday. If you watched this video, you should forget you did. Even an inch of misplacement can cause faulty recordings, therefore faulty readings, therefore faulty responses.

[@josephjasonsantiagolacour]

Groovy. Very practical. Be sure to tell your next filipina nurse, "mahal kita".

[@empowern]

philosophersphone Awesome thanks!! xoxo!!

[@kostas6621]

Thank you so much!!! I am a Certified Clinical Medical Assistant, Certified Phlebotomy Tech and soon next week Ill be a Certified Cardiac Monitor Telemetry Tech. still in medical school lol, I loved your video, i found it very simple and informative, thumbs up!!

[@empowern]

+Guillermo Lopez Pagan You're welcome! Thank you too for letting me know you like the video. I'm honored to hear it from you. Looking forward on seeing you here again. -xoxo

[@rebukeevil]

Finally a video that states if this is a 5 or 7 lead holter/telemetry monitor, Thank goodness...

[@empowern]

Rose M. Hi Rose! Really glad you enjoyed the video! Keep in touch love!! xoxo - Caroline

[@rituthakur4743]

Very informative and useful video. I think everybody should know about this, I can understood all things.... Thanks for making this video.... Hats off beautiful lady..

[@lovekeshverma1096]

Nice nursing vital monitoring ECG skill video in very simple way👍👍🙏🙏

[@Alllrrre]

you did it so easy for me to always remember thank you so much 😍

[@LovelyJanelabsyu]

Thank you so much for the info. I will not forget this :)... WHITE clouds over GREEN grass. BLACK smoke over RED fire. BROWN chocolate lake close to the heart. ❤

[@empowern]

Lovely Jane Hi Lovely! you're sweet. Thank you for sharing your quote. :) -xoxo

[@poohvie2513]

+EmpoweRN I use snow (white) over grass (green) , you'll see smoke (black) before fire (red) with a little dirt (brown) in the middle.

[@chrisl418]

Thank you for the easy to remember explanation. Nice job!

[@cashaldrarobinson3579]

Your video was GREAT , it helped me out thanks. I start my ICU rotation tomorrow,

[@empowern]

CaShaldra Robinson Thank you :) I'm glad to hear from you. Wish you all the best in your ICU rotation.. keep up the good work.. xoxo!!

[@CORALista91]

You don't get a reading when green is off because RL is the 'earth' electrode. It doesn't really do much but earth the electrical current, but without it you can't have anything. Interestingly enough it doesn't actually have to be in any position in particular unlike the others, they just teach us that to make the placement more systematic. Pretty cool, huh! I love ECGs. So interesting.

[@empowern]

Rhiannon Christine Ohhhh yes that i interesting! Thanks so much for sharing!! xoxo! - Caroline

[@TheKwach11]

Rhiannon Christine...u sound very knowledgeable on EKGs! I read ECGs over and over but don't seem to be doing well...u shud teach me!

[@sharonhammond7471]

This was great! Quick and easy, love it!

[@empowern]

Sharon Hammond Hi Sharon! Thanks for letting me know!! Looking forward to seeing you on here again soon! Much Love, - Caroline

[@kalilee18]

I like this video and find it cute. I'm currently doing my 30 day ambulatory telemetry reading, but thank goodness mine is only 3 leads. I have watched [most] of your videos as the patient wondering what it was like to be on the other side and the videos give a good idea. Thank you for doing what you do well. ~From a life long patient

[@empowern]

KalissaL Awe hi love!! Thanks so much for sharing & letting me know that you like the videos :) So sweet that you are interested in "the nurses prospective ;)" Wishing you health & wellness!! Much Love, - Caroline

[@kalilee18]

So, I went last week to get my port flushed and I had to take off my leads. Once we finished the flush I had to put the leads on and the nurse was trying to remember what she had learned so she wouldn't forget where to place them and couldn't.. I told her what I had learned in this video and she was impressed. Sorry to bother, but it was totally exciting to remember something my actual nurse had forgotten. Ha!

[@marissafletcher8145]

You have such helpful and inspiring videos :) I'm currently in nursing school, however I've worked as a nurse's assistant in a nursing home for 4 years. Sometimes my patient's family members look down on me and perceive me as inexperienced since I am young (20 years old). I was wondering if you could do a video on how to deal with rude family members, since I am sure this is something nurses have to face as well. Any advice would be greatly appreciated!!

[@empowern]

Hi Marissa! I do need to do a video about this topic! I received a similar request from someone else... will do it asap! I really like it when I get similair video request... it reminds me that I need to talk about this ;) I look forward to making it for you & will do it asap!! Keep in touch! xoxo - Caroline

[@Banithakur-qg9bc]

Very helpful video I'm also share your video great job

[@peacockwing]

Thank you so much for this video! I've started immersion on the CCU and couldn't remember how these were placed. The trick you gave will help me remember!

[@empowern]

sun set Awesome! I'm glad it helped you. good luck and wish you all the best with your immersion. I would be happy to see you here again soon. xoxo!!

[@xoHoney44]

Of course another helpful video ! :) I have a video request , you put a video up about how to ace the nursing interview and how to pick the right nursing school. Both extremely helpful for me for my future as well as countless others thanks ! This time I was wondering if you could make one helping in picking the right hospital to work in. Also what to do if the department we wish to work for requires a year of experience if we are new graduates. Thanks so much !!!

[@empowern]

Hi Diana! Really nice to hear form you! Thanks so much for letting me know that the videos have helped you! This is a great video request!! Thank you!! I will create it as soon as I can! Let me know if you need anything else!! xoxo - Caroline

[@Kayloves18]

Studying for an exam and this was very helpful! Thanks!

[@empowern]

+Kayla Bridges You're welcome! Thanks for letting me know it helps. Goodluck for you test! -xoxo

[@danihty81r2rjdfjkklkolahjl7]

12uysh,vsg,,szzclacn,nsak

[@audreyjanssen6300]

Kayla Bridges j

[@tangelachapman7868]

Thanks For Your Help Queen. 🙏❤️👍

[@irenebatingan5090]

very helpful, you have clearly, simply explained it well. Thanks a lot! :)

[@empowern]

+Irene Batingan Hi Irene, thanks for letting me know. I appreciate it a lot. Can't wait to hear from you again. -xoxo

[@empowern]

+Irene Batingan Hi Irene, thanks for letting me know. I appreciate it a lot. Can't wait to hear from you again. -xoxo

[@rosalinedmello368]

Very much help ful. Thank you 💓

[@poloclub1965]

Very easy to understand. Will apply this learning experience @ work. Thanx..

[@pcampanella1]

I like the clouds over the green grass analogy.

[@fatmahassan7949]

Thank u for this vedio from Egypt 😘

[@danrodriguez8813]

Outstanding!! It took me literally 2 tries! Thank you!!

[@emersonarchuleta]

omg thank u so much!!! i really needed this one!! im doing my clinical at a telemetry unit right now!!

[@empowern]

Your so welcome!! Thanks so much for letting me know that it helped! Have fun at clinical!! xoxo - Caroline

[@taobryant1524]

Very helpful and interesting video. Thanks a lot.

[@empowern]

tao bryant Hi Tao! Awesome! Thank you for letting me know!! Talk to you soon!!

[@nicolejoseph4846]

WOW thank you for this video I'm a new grad and willing to anything in nursing God bless !!!!!

[@empowern]

Nicole Joseph Congratulation! Thank you for the comment. I wish you all the best. xoxo!!

[@nationwideautotransportati3044]

Nicole Joseph ייצןצ

[@nevdale1648]

Great demonstration!! Thank you.

[@empowern]

Dahlia Roberts Hi Dahlia! Thank so much for letting me know! Looking forward to seeing you on here again soon!! xoxo - Caroline

[@susantasaha4761]

Nice video love from india technician student

[@Ondraasha]

Caroline, I love you, woman! ♥ Keep doing the amazing videos.

[@empowern]

***** lol! your awesome! Thank you :) I love you too!!! xoxo - Caroline

[@luzmarina7721]

Thank you so much for the information it helped a lot.

[@empowern]

+Luz Sepulveda You are so welcome. I'm glad to know it helped. Thanks for letting me know. It means a lot. -xoxo

[@katherinestephens1636]

It does matter if the leads are placed correctly & this is a nursing skill & there are specific anatomical locations where the leads are best placed i.e. second intercostal space, mid clavicular line.

[@rebukeevil]

Thanks you explained this so great I love this video ....I am so happy right now...!!!

[@obedience2038]

Hello. Thank you. I have a holter monitor for 24 hours. The doctor assistant was sick and a secretary the sometimes helps him put me the holter. The back instructions says that the #1 brown was supposed to be under the left chest side on the right position and #2 black next to brown one, but on going the left and down side. She put it on switch positions. And according to the holter monitor instructions these two are not to down from the chest, but these are about 3 inches under the chest. Do you think it will be possible the results will be correct? Thanks

[@angelique.c8]

This is so great! Thanks a lot!

[@empowern]

Your welcome!!

[@sethsharon2016]

I'm a Registered Nurse on the Med-Surg floor and they're going to have me start training for Telemetry so I found your video to be very informative and easy to understand, it helped take some of the edge off my to be quite frank. I was wondering if by any chance you had a video that talked about some of the important cardiac meds you would be giving to your tele' patients (especially medications for interventional purposes). Or perhaps any additional tips for this branch in Nursing. Any help would be greatly appreciated. Thanks!

[@keegannaidu6225]

Hi , I’m abit confused . I’m not too sure if the camera is reversed. But the placement of the brown lead is more to the right or left ? You said that it’s placed close to the heart but placed on the right , I’m confused 🙈

[@astharaturi9972]

And thank you so much for telling 🤗

[@joseluis1881981]

Hola.. Que equipo recomiendas para tener en el consultorio, para un Holter de ritmo? Compré un Holter marca Contec y otros. Pero un equipo bueno. Gracias si logras responder. 😁

[@edaazizi5521]

Thanks Caroline :))) Another great helpful video. Lots of love from Aus. Xoxo Eda

[@empowern]

Hi Eda! Thanks so much for letting me know! Always great to hear from you! See you again soon! xoxo - Caroline

[@michellabey2896]

Very helpful. ... Thank you for sharing. ..

[@empowern]

+Michella Bey It's a pleasure. Thanks for letting me know. -xoxo

[@scottbaker6371]

Thank you - very helpful

[@tomaszramus6054]

The way of memorizing the placement is just great, quite useful. :) BTW ive experienced working with monitor which had a yellow plug instead of brown one but its just a detail :) Ive subscribed your channel, i think its worth it. Thanks for creating such things, im impressed with your effort. Greetings from Poland and good luck

[@empowern]

Tomasz Ramuś Hi Tomasz! Wow you are from Poland! I love how youtube helps us all connect :) Thanks so much for subbing to the channel! Looking forward to hearing from you again soon! Much Love, - Caroline

[@nathancollins5822]

Simple and Solid

[@stethoscopeandscrubs]

Excellent Video Caroline! All Nurses Should be Subscribing To This Channel! Love your energy!

[@empowern]

Thank you so much for the comment! I really appreciate it! Looking forward to seeing you on here again soon!! - Caroline

[@toniw1961]

I'm scared of the medicine math, do you have a video for that?

[@aguudd]

Thank you!!

[@HNO-ASMR5]

good job

[@julialewis3201]

as nurses do you request a 15 respiratory monitor inservice and become denied?

[@leesemonya6594]

white clouds over green gass.. black smoke over red fire. last chocolate lays close to the heart. easy way to remember. :)

[@vanessacamacho2958]

What is the difference between telemetry and medsurg/telemetry? I heard that telemetry was just like a medsurg floor, but everyone has to be on a monitor.

[@klingie84]

Gotta love when the patient removes a few n we r all rushing 2 c what's going on....lol

[@nasrinbegam7458]

Loved this video

[@Jana-sq6ke]

why is the brown so midline? shouldnt it be closer to your left side?

[@mrs.gracejoe5531]

yes

[@mrs.gracejoe5531]

but is very interesting, I learned it last week.

[@mariahsalim5091]

super helpful

[@empowern]

+Mariah Salim Thank you. I'm glad you find it helpful. Makes all the effort worth it. -xoxo

[@toniw1961]

Thank you

[@jayeshmer3502]

Red ecg lead may be on right arm side ...correct order is ..red, yellow ,green, black (right arm,LA, LL, RL.) Lead V placed on the sternum .. 🕵️

[@cupcakexcake]

Hello! Can you do a video that touches on the subject TEAS please :)

[@empowern]

Hi Love!! Unfortunately I never took the TEAS... so I don't feel like I could make a proper video. Any other request, let me know though!! xoxo!! - Caroline

[@quianatindle3264]

very helpful thanks

[@RobStaal]

This beatiful woman gives me hartbeats 💜

[@julialewis3201]

how about respiratory machines dating back to 1940. do you receive an inservice?

[@kimmie777x]

Thank you so much!

[@empowern]

kimberlyrenee Your welcome!! xoxo!

[@amberglover7756]

Im interested in the telemetry technician, or ekg/ecg technician ? What are the qualifications and program I need to get my certificate. I am currently working at a hospital now as a housekeeper to get my foot in the door. I am interested in becoming a technician in the cardiac field or start a monitor tech.....any suggestions would be helpful? i am in college also and working full time at hospital

[@frankgiannini2896]

Thank you would of been nice if they gave us a diagram like this. On a Piece of paper... Thank you so much this was very helpful...👏👍

[@electriciandallastx9182]

Thanks for the thoughts you have provided here.

[@roddajagadeeswari4263]

Thanks a lot

[@whatsgood4685]

interesting. the green seems like some kind of ground wire

[@kleinbonto9948]

Awesome. :)

[@empowern]

Klein Bonto Thank you Klein! xoxo!!

[@grisfrans1079]

Chocolate close to the ❤ White clouds over green grass black smoke over 🔥 and Chocolate close to the ❤

[@PostLikeHakeem]

Thanks easy to remember

[@empowern]

Thanks so much for letting me know!! Looking forward to seeing you again soon! Much Love, - Caroline

[@MrEthanhines]

what about a 7 lead ge seer light extend monitor?

[@empowern]

+MrEthanhines 7 leads?? I only know 3, 5 & 12...

[@MrEthanhines]

+EmpoweRN I a currently wearing a Seer Light Extend (48rh) Holter Recorder. Colors Are :From Left to Right: Lower Left: RED(1); Right of Red: ORANGE(2); Upper Left Quadrant: Black(3), Blue(4), White(5). Lower Right: Green(6) Slightly above Green: Brown(7) that's 7 leads

[@empowern]

+MrEthanhines oh for 24 hour monitoring at home? I don't think we use those in the hospital...

[@avadheshyadav2964]

nice

[@waheed1tv]

Lovly

[@zero0ryn]

Just In case you are interested, European's including the UK have a different colour code (who knows why). Listed in order of HP / Philips / Aligent 5 lead Cable USA Brown (V), White (RA), Red (LL), Black (RA), Green (RL) UK / Euro White (V), Red (RA), Green (LL), Yellow (RA), Black (RL)

[@Marlencheeen]

why is there music in the background :(

[@empowern]

+Marlencheeen Sorry, using a lot less music these days 😊

[@veteranaction4318]

Please don't take so long to show the location. Also, I wanted to find out where the item goes V1 - 4th intercostal space to the right of sternum. Talk in confidence. It sounded like you wasn't sure at the begining

[@empowern]

+Veteran Action Ok I will talk faster and speak with confidence 💪

[@raquelitahinkerstoodle8672]

"Sounded like you wasn't" edumacated.

[@jayjayleehoffler2555]

Happy Thanksgivings

[@jahnavidevi2342]

Awesome to rem

[@joyofdigitalpainting8909]

thanks a lot dear !

[@empowern]

+Drnidhi Ahir You are very welcome!!! xoxo - Caroline

[@noorulainzahra8207]

😍😍wow

[@deedeeromelus149]

Can you do a phlebotomy video with the order of draw please. 😍😍😍😍😍😍😍😍😍

[@IsrarFatima-b8i]

Thank you so much

[@ReadySeasoning]

❤❤❤

[@PraiseLord4EVR]

😍😍😍

[@anasattar86]

love you

[@FabiolaMarin1]

❤

[@shar1824]

I say "don't shit in the middle" for Brown 😋

[@raquelitahinkerstoodle8672]

I say "The shit's always in the middle."

[@MegaMissfitz]

I'm hoping it doesn't interfere with my sarky sound waves, not to mention I can't wash my fringe in the morning 😬😬👎🏼

[@bernardacampos8023]

Totally ominous , you hear only the music clearly by the volume excreation

[@rekhathakur5461]

Wow

[@Lola-hu1zu]

The music is annoying

[@Jamesmax22]

Learned white over right, smoke over fire for the white, black, and red leads. Nice video. Also, you're hot.

[@alexmcgovern2983]

guess my nirse put it on wrong , the red and green are opposite

[@annettenieratko7068]

Your MCL1 lead is way off. 3rd intercostal space right stern all border

[@Dr_OdayAdi]

I guess tele techs being annoying is universal, too.

[@lindseysousa3755]

If only you knew why we are so "annoying" you wouldn't feel such disdain. We are usually the first to notice if someone is dying so..

[@altruistin]

very interesting and def. not universal. Here, in Germany a telemetric ecg has 3 or 4 leads (color coded black, red, yellow and green) and a diagnostic ecg has 10 leads. And I am pretty sure it is like that in most of the other european countries. Why don't they really makes those things universal? We use monitors produced by the same manufacturers all over the world.

[@empowern]

So true... a universal method would be great! I have have never seen a yellow one... but we do have 3 lead ecg monitors as well... probably could have mentioned it here... but I forgot lol! Thanks for letting me know!! I look forward to hearing from you again soon!! xoxo - Caroline

[@iamsmakessee1870]

Hiii

[@man_of_war]

It's a good video but the background music is just loud & irritating