NorthEast Monitoring, Inc. NEMM019-Rev-O
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Chapter 2 -Holter Recording
The Holter Recording Procedure
To use a DR200/HE or a DR300 digital recorder to record a patient’s long-term ECG
(Holter), follow the appropriate steps listed below:
Step 1
- Hook-up patient;
Step 2
- Prepare the recorder
Step 3 -
Enter patient ID on recorder;
Step 4
- Start recording.
These steps are described in detail starting with the next section.
If you have a new SD Card that has not been formatted with a flash.dat file, you will
need to use your NorthEast Monitoring, Inc. Holter LX Analysis software to initialize
the card for the first time.
When the recording is finished, simply remove batteries to stop recording.
Step 1: Hook-up Patient for Holter
The most important element in Holter monitoring is recording a clean long-term ECG
signal. Because a clean signal is directly dependent on the hook-up procedure, great
care should be taken when hooking up the patient. Poor hook-up causes poor signal
quality and artifact.
To ensure proper hook-up, follow these steps:
1.
Using either the 5-Lead (3-channel) or 7-Lead (3-channel) hook-ups shown, identify
sites for the electrodes. You can also choose a 3-Lead hook-up (2-channel) which is
shown in the Event section of this manual.
2.
Prepare the patient’s skin. If the patient has hair in any of the electrode areas, shave
it with a safety razor. Use an alcohol pad and rub the sites briskly until the skin red-
dens. Let the skin air dry before proceeding.
3.
Attach the patient cable to the recorder. Next, snap a lead wire from the patient cable
to each of the electrodes.