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EKG Process

Date of Last Review: 5-24-2013
SME: Chief Nurse Officer

EKG results are required to support quality patient care. UTHCPC has established guidelines for ordering an EKG (electrocardiogram) for patients.

Requesting an EKG

The physician enters an order for the EKG.

Daily directory

The daily directory is a report generated by the EKG machine which lists the EKG's performed daily.

Generating results

Nursing staff proceeds with the process of reporting EKG results as follows:




Receives the physician's order requesting an EKG and generates a requisition.


Staff signs out and obtains the EKG machine from the lab, room 1A66.


The Licensed Nurse or Senior Psych Tech performs the EKG (using the guide on the machine) for placement of electrodes and leads and for data entry.


Upon completion of the EKG, the Registered Nurse gives it to the physician for review for any abnormal finding(s). Notification shall be documented in the Nursing Progress Notes.


Nursing staff files a copy of the rhythm strip in the medical record.


Ancillary staff transmits the rhythm strip to a cardiologist for interpretation.


Within 48-72 hours, ancillary staff receives a formal report and places it in the medical record.



Inquiries about EKG reports can be directed to extension 741-7854 between the hours of 8:00 a.m. and 2:00 p.m., Monday through Friday and to the Nursing Supervisor after hours and weekend.

Related Standards:

The Joint Commission: Provision of Care, Treatment, and Services
Medicare Condition of Participation for Psychiatric Hospitals

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Harris County Psychiatric Center University of Texas Health Science Center