ECG LOG AND FLOW SHEET

Effective Date: 
Wed, 12/01/2010
Reviewed: 
Mon, 08/01/2011
Policy: 

HC 884

Person performing ECG: Mounts ECG to Welch Allyn Schiller Sheet, Documents pt name, age,
sex, hgt, wgt, BP, pulse, SID, date, clinician, medications, reason for ECG & your initials
Also stamp ECG for clinician to determine "Keep" or "Send Out".