Assessor Resource

HLTCAR002
Perform holter monitoring

Assessment tool

Version 1.0
Issue Date: April 2024


This unit describes the skills and knowledge required to attach a holter monitor and produce a diagnostic trace for submission to the requesting medical officer.

This unit applies to any health worker involved in holter monitoring. This work takes place in pathology collection centres, medical centres, hospitals and cardiologist rooms.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare equipment for use

1.1 Check equipment for good working order

1.2 Check materialsfor availability and supply

1.3 Insert new battery and cassette tape correctly into holter monitor

2. Prepare client for holter monitor

2.1 Greet client courteously and identify self

2.2 Identify client following organisation and regulatory procedure

2.3 Obtain, interpret and accurately record personal and clinical information in accordance with organisation policies and procedures

2.4 Provide complete and accurate information in easily understood language regarding the holter monitoring procedure to client

2.5 Provide the client with the opportunity to ask questions and discuss areas of concern

2.6 Obtain consent following ethical and legal requirements

3. Prepare for monitor recording

3.1 Maintain client privacy and dignity throughout procedure

3.2 Follow standard infection control procedures

3.3 Position the client correctly and comfortably and place electrodes in accordance with organisation and manufacturer procedures, client’s needs and current standards

3.4 Prepare client’s skin for electrode placement as required

3.5 Attach leads correctly and double check lead placement

3.6 Take a trial trace and check for interference,wandering baseline and amplitude as required

3.7 Identify potential client risks and advise supervisor if risk exists

3.8 Provide accurate instruction to client on use of device

4. Process holter monitor trace

4.1 Produce traceand check trace for diagnostic suitability

4.2 Identify and respond to situations where repeat trace is required

4.3 Remove holter monitor leads and electrodes from client

4.4 Review computer analysis of holter tape in accordance with scope of job role or organise submission of tape to requesting medical officer

5. Complete holter monitor process

5.1 Provide client with assistance as required on completion of procedure

5.2 Clean holter monitor and leads on completion of procedure in accordance with infection control procedures

5.3 Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures

5.4 Store holter monitor leads and machine in accordance with manufacturer’s specifications and work health and safety (WHS) policy and procedures

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

followed established technical, infection control and safety requirements and produced at least 3 different holter monitor traces satisfactory for diagnostic purposes

identified and responded appropriately to situations of interference, increased amplitude or wandering baseline

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations for holter monitoring, and how these are applied in organisations, including:

children in the workplace

duty of care

informed consent

mandatory reporting

privacy, confidentiality and disclosure

records management

work role boundaries

work health and safety

standard infection control requirements

client factors that affect holter monitor testing, including:

physical limitations

respiratory function

features, function and use of holter monitor equipment, including:

pre-checking procedures

electrical safety requirements

common problems and how to respond

routine maintenance requirements

sources of interference:

client

equipment

quality requirements for a holter monitor trace

anatomy and physiology relevant for performance of holter monitoring testing and interpretation

Skills must have been demonstrated in the workplace or in a simulated environment that reflects workplace conditions. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including:

holter monitor

procedures for the candidate to follow

modelling of industry operating conditions, including:

interaction with clients

presence of situations requiring problem solving

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare equipment for use

1.1 Check equipment for good working order

1.2 Check materialsfor availability and supply

1.3 Insert new battery and cassette tape correctly into holter monitor

2. Prepare client for holter monitor

2.1 Greet client courteously and identify self

2.2 Identify client following organisation and regulatory procedure

2.3 Obtain, interpret and accurately record personal and clinical information in accordance with organisation policies and procedures

2.4 Provide complete and accurate information in easily understood language regarding the holter monitoring procedure to client

2.5 Provide the client with the opportunity to ask questions and discuss areas of concern

2.6 Obtain consent following ethical and legal requirements

3. Prepare for monitor recording

3.1 Maintain client privacy and dignity throughout procedure

3.2 Follow standard infection control procedures

3.3 Position the client correctly and comfortably and place electrodes in accordance with organisation and manufacturer procedures, client’s needs and current standards

3.4 Prepare client’s skin for electrode placement as required

3.5 Attach leads correctly and double check lead placement

3.6 Take a trial trace and check for interference,wandering baseline and amplitude as required

3.7 Identify potential client risks and advise supervisor if risk exists

3.8 Provide accurate instruction to client on use of device

4. Process holter monitor trace

4.1 Produce traceand check trace for diagnostic suitability

4.2 Identify and respond to situations where repeat trace is required

4.3 Remove holter monitor leads and electrodes from client

4.4 Review computer analysis of holter tape in accordance with scope of job role or organise submission of tape to requesting medical officer

5. Complete holter monitor process

5.1 Provide client with assistance as required on completion of procedure

5.2 Clean holter monitor and leads on completion of procedure in accordance with infection control procedures

5.3 Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures

5.4 Store holter monitor leads and machine in accordance with manufacturer’s specifications and work health and safety (WHS) policy and procedures

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

followed established technical, infection control and safety requirements and produced at least 3 different holter monitor traces satisfactory for diagnostic purposes

identified and responded appropriately to situations of interference, increased amplitude or wandering baseline

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations for holter monitoring, and how these are applied in organisations, including:

children in the workplace

duty of care

informed consent

mandatory reporting

privacy, confidentiality and disclosure

records management

work role boundaries

work health and safety

standard infection control requirements

client factors that affect holter monitor testing, including:

physical limitations

respiratory function

features, function and use of holter monitor equipment, including:

pre-checking procedures

electrical safety requirements

common problems and how to respond

routine maintenance requirements

sources of interference:

client

equipment

quality requirements for a holter monitor trace

anatomy and physiology relevant for performance of holter monitoring testing and interpretation

Skills must have been demonstrated in the workplace or in a simulated environment that reflects workplace conditions. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including:

holter monitor

procedures for the candidate to follow

modelling of industry operating conditions, including:

interaction with clients

presence of situations requiring problem solving

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
 
Check equipment for good working order 
Check materialsfor availability and supply 
Insert new battery and cassette tape correctly into holter monitor 
Greet client courteously and identify self 
Identify client following organisation and regulatory procedure 
Obtain, interpret and accurately record personal and clinical information in accordance with organisation policies and procedures 
Provide complete and accurate information in easily understood language regarding the holter monitoring procedure to client 
Provide the client with the opportunity to ask questions and discuss areas of concern 
Obtain consent following ethical and legal requirements 
Maintain client privacy and dignity throughout procedure 
Follow standard infection control procedures 
Position the client correctly and comfortably and place electrodes in accordance with organisation and manufacturer procedures, client’s needs and current standards 
Prepare client’s skin for electrode placement as required 
Attach leads correctly and double check lead placement 
Take a trial trace and check for interference,wandering baseline and amplitude as required 
Identify potential client risks and advise supervisor if risk exists 
Provide accurate instruction to client on use of device 
Produce traceand check trace for diagnostic suitability 
Identify and respond to situations where repeat trace is required 
Remove holter monitor leads and electrodes from client 
Review computer analysis of holter tape in accordance with scope of job role or organise submission of tape to requesting medical officer 
Provide client with assistance as required on completion of procedure 
Clean holter monitor and leads on completion of procedure in accordance with infection control procedures 
Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures 
Store holter monitor leads and machine in accordance with manufacturer’s specifications and work health and safety (WHS) policy and procedures 

Forms

Assessment Cover Sheet

HLTCAR002 - Perform holter monitoring
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

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Date:


Assessment Record Sheet

HLTCAR002 - Perform holter monitoring

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: