Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTCA402C Mapping and Delivery Guide
Perform holter monitoring

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTCA402C - Perform holter monitoring
Description This unit of competency describes the skills and knowledge required to attach a holter monitor to produce a diagnostic trace and analyse the trace following the monitoring process
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application Work will be performed within a prescribed range of functions involving routine and non-routine methods and procedures which require the exercise of some discretion and judgement All procedures are carried out in accordance with organisation policies and procedures, occupational health and safety policies and procedures, current infection control guidelines and Australian and New Zealand Standards for maintaining infection controlAll tasks are carried out in accordance with State or Territory legislative requirements
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisite unitThis unit must be assessed after successful achievement of pre-requisite:HLTCA401C Perform electrocardiography (ECG)
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities
Slides
PPT
Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Prepare equipment for use
  • Check equipment for good working order
  • Check materials for availability and supply
  • Insert new battery and cassette tape correctly into holter monitor
       
Element: Prepare client for holter monitor
  • Receive and process the request for holter monitor in accordance with organisation procedures
  • Identify the client correctly following the organisation's guidelines for preventing client misidentification
  • Reassure and provide information to the client regarding the ECG procedure appropriately and completely
  • Involve the client fully in discussions about their treatment using language they can understand
  • Provide the client with the opportunity to ask questions and discuss areas of concern
  • Record client information
  • Review client medical history and address pre-existing conditions
  • Obtain and document consent following ethical and legal requirements
       
Element: Attach holter monitor electrodes
  • Maintain the client's privacy and dignity throughout procedure
  • Complete preparation of client's skin for electrode placement as required
  • Position the client correctly and comfortably and place electrodes in accordance with client's needs and current standards
  • Attach leads correctly and double check lead placement
  • Take a trial trace and check for interference, wandering baseline and amplitude
  • Advise supervisor or an appropriate person if you think a client may be at risk
       
Element: Analyse holter monitor trace
  • Remove the holter monitor from client
  • Review and correct the computer analysis of holter tape
  • Identify and action abnormal ECG patterns which require immediate medical attention
  • Print the full report and submit to cardiologist for review
  • Print final report printed and send to requesting medical officer
       
Element: Complete holter monitor process
  • Remove holter monitor leads and electrodes from client
  • Provide client with assistance as required on completion of procedure
  • Clean holter monitor and leads on completion of procedure
  • Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures
  • Remove holter monitor battery from device
  • Store holter monitor leads in accordance with manufacturer's specifications
  • Store holter monitor machine in accordance with manufacturer's specifications and OHS policy and procedures
       


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.

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

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

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

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 and/or Torres Strait Islander clients and communities

Context of and specific resources for assessment:

Relevant organisation policy, guidelines, procedures and protocols

Method of assessment

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 supervision

Observation of work activities when performing holter monitoring

Observation of simulation and/or role play when performing holter monitoring

Discussion of physical and/or behavioural contingency scenarios involving duty of care

Authenticated transcripts of relevant education/ training courses

Recognition of relevant life/work experience

Written assessments/projects, questioning, e-learning can be used to assess knowledge

Authenticated reports of experience in performing holter monitoring (documentation associated with performance reviews, supervisor/coordinator evaluations of work performance)

Training records associated with first aid, occupational health and safety training, orientation/induction training, safe manual handing, universal infection control procedures

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

Related units:

This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, 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.

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:

Anatomy and physiology relevant to holter monitoring and interpretation

Causes of the common trace interference and the appropriate remedies

Confidentiality and privacy requirements of client information

Electrical safety requirements

Principles of function, usage, indications, limitations and care of equipment relevant for performance of holter monitoring

Routine maintenance policy and procedures for equipment

Essential skills:

It is critical that the candidate demonstrate the ability to:

Communicate effectively with clients in relation to the procedure and manage clients' anxiety level

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

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

Identify and manage all forms of interference with trace

Identify the equipment requirements for performance of holter monitoring

Prepare different types of equipment for the performance of holter monitoring

Produce a good client holter monitor trace

Recognise boundaries of responsibilities and refer problems to supervisor or other appropriate health professional

continued ...

Essential skills (contd):

In addition, the candidate must be able 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 the ability to:

Communicate with people from diverse cultural and linguistic backgrounds

Correctly operate of holter monitor machine

Correctly prepare skin, place electrodes and anchor electrodes and leads

Deal with conflict

Identify a holter monitor trace that is unsatisfactory for diagnostic purposes

Manage the known common interferences in the production of a holter monitor trace

Prepare and use equipment for performance of holter monitoring

Produce a holter monitor trace satisfactory for diagnostic purposes

Solve problems Problem including the ability to use available resources

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

Use effective verbal and non verbal communication skills with a range of internal and external persons
Organisation may require competence in English or a community language, depending on client group

Use numeracy skills ranging from the ability to complete basic arithmetic calculations, recording stock levels and statistical information

Use oral communication skills required to fulfil job roles in a safe manner and as specified by the organisation, including skills in asking questions, providing clear information, listening to and understanding workplace instructions, and clarifying workplace instructions when necessary

Use reading and writing skills required to fulfil job roles in a safe manner and as specified by the organisation
The level of skill required involves reading and documenting clinical information and understanding policy and procedure manuals

Work with others and display empathy with client and relatives

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance.

Checking of equipment must include:

Cleanliness

New battery

Calibration

Settings appropriate for a 3 or 5 lead rhythm

Maintenance in accordance to the relevant Australian Standards

Materials may include:

Electrodes

Battery

Cassette tape

Surgical tape

Skin prep

Tissues

Request may come from:

Registered medical practitioner

Registered nurse

Procedural information may include:

How to complete diary

When to press event button

How to turn off device

Client information may include:

Name

Medical record number

Date and time

Client symptoms

Time holter monitoring started

Skin preparation may include:

Cleaning and abrading the skin

Drying thoroughly prior to electrode application

Review and correction of computer analysis of holter tape may include:

Review and correct all templates

All events

Arrhythmias

Abnormal rates

Assistance for the client may include:

Cleaning of gel from chest and limbs

Re-arranging of clothing

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 materials for availability and supply 
Insert new battery and cassette tape correctly into holter monitor 
Receive and process the request for holter monitor in accordance with organisation procedures 
Identify the client correctly following the organisation's guidelines for preventing client misidentification 
Reassure and provide information to the client regarding the ECG procedure appropriately and completely 
Involve the client fully in discussions about their treatment using language they can understand 
Provide the client with the opportunity to ask questions and discuss areas of concern 
Record client information 
Review client medical history and address pre-existing conditions 
Obtain and document consent following ethical and legal requirements 
Maintain the client's privacy and dignity throughout procedure 
Complete preparation of client's skin for electrode placement as required 
Position the client correctly and comfortably and place electrodes in accordance with client's needs and current standards 
Attach leads correctly and double check lead placement 
Take a trial trace and check for interference, wandering baseline and amplitude 
Advise supervisor or an appropriate person if you think a client may be at risk 
Remove the holter monitor from client 
Review and correct the computer analysis of holter tape 
Identify and action abnormal ECG patterns which require immediate medical attention 
Print the full report and submit to cardiologist for review 
Print final report printed and send to requesting medical officer 
Remove holter monitor leads and electrodes from client 
Provide client with assistance as required on completion of procedure 
Clean holter monitor and leads on completion of procedure 
Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures 
Remove holter monitor battery from device 
Store holter monitor leads in accordance with manufacturer's specifications 
Store holter monitor machine in accordance with manufacturer's specifications and OHS policy and procedures 

Forms

Assessment Cover Sheet

HLTCA402C - 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:

Signature:

Date:


Assessment Record Sheet

HLTCA402C - 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: