The 11-STEP Method
THE 11 STEP METHOD 1. Other 2. Evaluate the P wave 3. Determine the rhythm 4. Determine the rate 5. Calculate the duration of the PR interval 6. Calculate the duration of the QRS complex 7. Evaluate the T wave 8. Calculate the duration of the QT interval 9. Assess the ST segment 10. Interpretation 11. Treatment THE 11 STEPS 1. Other Identify anything you consider unusual or obvious about the rhythm, e.g., extra P waves, inverted T waves. 2. Evaluate the P Wave Are P waves present? Do the P waves have a normal configuration? Do all the P waves have a similar size and shape? Is the P wave consistently followed by a QRS complex? Is there a QRS after every P wave? 3. Determine the Rhythm You can use the pencil and paper method or the calipers method to assess whe...