A self-prepping ECG electrode assembly is provided. The electrode assembly includes an electrode element, an electrode stud, an abrasive member, an electrolyte gel, a cover member and a securing member. The electrode element and electrode stud are adapted to be rotatable within the electrode assembly. The electrode assembly may be used with a drive tool. The electrode assembly may be placed on the skin of a patient. The skin of the patient may be prepped for an ECG by inserting the drive tool into a bore formed in the electrode stud and turning the drive tool to achieve an oscillating rotation. In this manner the abrasive pad preps the patients skin for the ECG procedure.