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Elements and Performance Criteria

  1. Prepare electrocardiography (ECG) machine for use
  2. Prepare client and attach ECG leads
  3. Produce ECG trace according to the documented procedures
  4. Recognise and manage common ECG interference patterns

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes knowledge of

All steps in the production of a client ECG trace

Anatomy and physiology relevant for safe and accurate ECG monitoring

Attachment locations of all the ECG leads

Calibration procedures for manual ECG machines

Identifies causes of the common trace interference and the appropriate remedies

Obligations with respect to confidentiality of client information

Rationale for routine safety checks that must be performed with each use of the apparatus

Understanding of the need for medical equipment to be listed with TGA and that it must be accompanied by documentary evidence of that listing

Understanding that ECG Apparatus must comply with AS Technical Management Program for Medical Devices which specifies the minimum maintenance program

Understanding that medical equipment must comply with ASNZS Electrical Standard which lists test specifications for medical and electrical equipment and requirements for safety testing of Electrocardiographs

Essential skills

Ability to

Comply with policies and procedures including those of OHS and infection control

Demonstrate all steps that must be taken to ensure equipment is safe

Demonstrate the attachment of all leads to a client

Follow procedure for client identification

Identify an ECG trace that is unsatisfactory for diagnostic purposes

Identify and manage all forms of interference

Manage clients who may have difficulties with this procedure

Manage the known common interferences in the production of an ECG trace

Operate an ECG machine and leads

Produce a good client ECG trace

Provide appropriate level of care reflecting courtesy responsiveness and helpfulness

Reassure and assist clients to feel comfortable and relaxed

Recognise boundaries of responsibilities and refer problems to supervisor

Take into account opportunities to address waste minimisation environmental responsibility and sustainable practice issues

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of workplace performance is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible

Context of and specific resources for assessment

Relevant ECG equipment and leads

ECG procedure manual

Emergency response procedures

Infection control procedures

Clinical risk assessment policy and procedures

Workplace health and safety guidelines

Other organisation policies and procedures

Duties statements andor job descriptions

Method of assessment may include

Observation in the work place

Written assignmentsprojects or questioning should be used to assess knowledge

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting laboratory If successful a second assessment is to be conducted during workplace application under direct observation of performance

Interviewing and questioning

Computeraided assessment

Staffclient feedback

Supporting statement of supervisors

Access and equity considerations

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities

Related units

This unit can be delivered and assessed independently however holistic assessment practice with other pathology units of competency is encouraged


Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

An appropriate health professional may include:

Registered nurse

Pathologist

Medical officer

ECG technician

ECG trace requests may come from:

A registered medical practitioner

Nominated nursing staff eg nurse practitioner

ECG machines may be:

Manual

Automatic

Client preparation and ECG recording may need to take into account:

Clients may be inflexible, arthritic, in pain, tense or stressed

Clients may be large or small

Difficulties in obtaining an accurate trace at the first attempt

Electrical interference may be caused by corroded electrodes or poor electrode skin contact

Skeletal muscle tremor is usually due to pain, discomfort or anxiety

Skeletal muscle activity is most commonly due to a cold environment and/or client movement

Wandering base line interference is commonly due to loose electrodes, but may also be due to a swaying cable or an unusually heavy diaphragm action in clients

Protective clothing may include:

Gloves

Gowns

Venues for electrocardiography may include:

Centres/clinics

Hospitals

Other institutions - ie Psychiatric institutions

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