Verify the order and patient identity
Perform hand hygiene
Gather the EKG machine, electrodes, and supplies
Explain the procedure to the patient
Ensure patient privacy and proper exposure of the chest, arms, and legs
Have the patient lie flat or as tolerated
Ask the patient to remain still and relax
Clean and dry the skin where electrodes will be placed
Remove excess hair if needed for good electrode contact
Place the limb electrodes on both wrists and both ankles or on the appropriate proximal limb sites
Place the chest electrodes in the correct V1 to V6 positions
Confirm all electrodes are securely attached
Check that lead wires are connected correctly
Instruct the patient to stay still and not talk
Acquire the EKG tracing
Check the tracing for quality and repeat if needed
Label the tracing with patient information, date, and time
Remove the electrodes and clean the patient’s skin
Dispose of supplies appropriately
Document the procedure and report any abnormal findings