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Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

1. Elements define the essential outcomes
2. Prepare equipment for use
   • Check equipment for good working order
   • Check materialsfor availability and supply
   • Insert new battery and cassette tape correctly into holter monitor
3. Prepare client for 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
4. Prepare for monitor recording
   • 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
5. Process holter monitor trace
   • 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
6. Complete holter monitor process
   • 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

Performance Evidence

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

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Knowledge Evidence

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

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