Chapter 6 Monitoring ECG
Applying Electrodes to the Patient
The following sections show where to place electrodes when using 3- and 5-Lead cables to
perform ECG monitoring. For 3-Lead ECG cables, apply electrodes as in Figure 4-1, 3-Lead
Electrode Placement. For 5-Lead ECG cables, apply electrodes as in Figure 4-2, 5-Lead
Electrode Placement.
Avoid placing electrodes over tendons and major muscle masses.
3-Lead Electrode Placement
Depending upon local usage, the ECG leads are marked either RA, LA, and LL (or R, L, and
F). The following table shows the markings and color codes for the different lead sets.
AHA Color Coding
RA/White Electrode
LA/Black Electrode
LL/Red Electrode
6-4
IEC Color Coding
R/Red Electrode
L/Yellow Electrode
F/Green Electrode
3-Lead Electrode Placement
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Placement of Electrodes
Place near patient's right mid-clavicular line,
directly below clavicle.
Place near patient's left mid-clavicular line,
directly below clavicle.
Place between 6th and 7th intercostal
space on patient's left mid-clavicular line.
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