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Evidence Guide: HLTCAR001 - Perform electrocardiography (ECG)

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTCAR001 - Perform electrocardiography (ECG)

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes of a unit of competency.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare electrocardiography machine for use

  1. Check cleanliness and settings of ECG machine prior to use in accordance with organisation procedures and infection control requirements
  2. Prepare ECG leads in accordance with the manufacturer’s specifications
Check cleanliness and settings of ECG machine prior to use in accordance with organisation procedures and infection control requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare ECG leads in accordance with the manufacturer’s specifications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare for ECG procedure

  1. Greet client courteously and identify self
  2. Identify client following organisation and regulatory procedure
  3. Obtain, interpret and accurately record personal and clinical information in accordance with organisation policies and procedures
  4. Provide complete and accurate information in easily understood language regarding the ECG procedure to client
  5. Provide client with the opportunity to ask questions and discuss areas of concern
  6. Obtain consent following ethical and legal requirements
Greet client courteously and identify self

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify client following organisation and regulatory procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide complete and accurate information in easily understood language regarding the ECG procedure to client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain consent following ethical and legal requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client for ECG procedure

  1. Maintain client privacy and dignity throughout procedure
  2. Follow standard infection control procedures
  3. Position the client correctly and comfortably as recommended by manufacturer or organisation procedure for different client groups
  4. Prepare client’s skin for electrode placement in accordance with organisation procedures and manufacturer instructions
  5. Attach leads in accordance with procedure required and manufacturer’s recommendations, and double check lead placement
  6. Identify potential client risks and advise supervisor if risk exists
Maintain client privacy and dignity throughout procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow standard infection control procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position the client correctly and comfortably as recommended by manufacturer or organisation procedure for different client groups

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client’s skin for electrode placement in accordance with organisation procedures and manufacturer instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Attach leads in accordance with procedure required and manufacturer’s recommendations, and double check lead placement

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify potential client risks and advise supervisor if risk exists

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Produce an ECG trace

  1. Produce traceand check trace for diagnostic suitability
  2. Identify and respond to situations where repeat trace is required
  3. Forward trace to relevant organisation or medical officer for interpretation using required method of transmission according to organisation procedure
  4. Record episode details in accordance with organisation procedures
Produce traceand check trace for diagnostic suitability

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to situations where repeat trace is required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Forward trace to relevant organisation or medical officer for interpretation using required method of transmission according to organisation procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record episode details in accordance with organisation procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete ECG process

  1. Remove ECG leads and electrodes from client maintaining client privacy and ensuring skin integrity
  2. Provide client with assistance as required, on completion of procedure
  3. Dispose of waste in accordance with waste management procedures
  4. Store ECG machine in accordance with manufacturer’s specifications
Remove ECG leads and electrodes from client maintaining client privacy and ensuring skin integrity

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide client with assistance as required, on completion of procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dispose of waste in accordance with waste management procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store ECG machine in accordance with manufacturer’s specifications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Prepare electrocardiography machine for use

1.1 Check cleanliness and settings of ECG machine prior to use in accordance with organisation procedures and infection control requirements

1.2 Prepare ECG leads in accordance with the manufacturer’s specifications

2. Prepare for ECG procedure

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 ECG procedure to client

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

2.6 Obtain consent following ethical and legal requirements

3. Prepare client for ECG procedure

3.1 Maintain client privacy and dignity throughout procedure

3.2 Follow standard infection control procedures

3.3 Position the client correctly and comfortably as recommended by manufacturer or organisation procedure for different client groups

3.4 Prepare client’s skin for electrode placement in accordance with organisation procedures and manufacturer instructions

3.5 Attach leads in accordance with procedure required and manufacturer’s recommendations, and double check lead placement

3.6 Identify potential client risks and advise supervisor if risk exists

4. Produce an ECG trace

4.1 Produce traceand check trace for diagnostic suitability

4.2 Identify and respond to situations where repeat trace is required

4.3 Forward trace to relevant organisation or medical officer for interpretation using required method of transmission according to organisation procedure

4.4 Record episode details in accordance with organisation procedures

5. Complete ECG process

5.1 Remove ECG leads and electrodes from client maintaining client privacy and ensuring skin integrity

5.2 Provide client with assistance as required, on completion of procedure

5.3 Dispose of waste in accordance with waste management procedures

5.4 Store ECG machine in accordance with manufacturer’s specifications

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Prepare electrocardiography machine for use

1.1 Check cleanliness and settings of ECG machine prior to use in accordance with organisation procedures and infection control requirements

1.2 Prepare ECG leads in accordance with the manufacturer’s specifications

2. Prepare for ECG procedure

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 ECG procedure to client

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

2.6 Obtain consent following ethical and legal requirements

3. Prepare client for ECG procedure

3.1 Maintain client privacy and dignity throughout procedure

3.2 Follow standard infection control procedures

3.3 Position the client correctly and comfortably as recommended by manufacturer or organisation procedure for different client groups

3.4 Prepare client’s skin for electrode placement in accordance with organisation procedures and manufacturer instructions

3.5 Attach leads in accordance with procedure required and manufacturer’s recommendations, and double check lead placement

3.6 Identify potential client risks and advise supervisor if risk exists

4. Produce an ECG trace

4.1 Produce traceand check trace for diagnostic suitability

4.2 Identify and respond to situations where repeat trace is required

4.3 Forward trace to relevant organisation or medical officer for interpretation using required method of transmission according to organisation procedure

4.4 Record episode details in accordance with organisation procedures

5. Complete ECG process

5.1 Remove ECG leads and electrodes from client maintaining client privacy and ensuring skin integrity

5.2 Provide client with assistance as required, on completion of procedure

5.3 Dispose of waste in accordance with waste management procedures

5.4 Store ECG machine in accordance with manufacturer’s specifications

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 ECG traces satisfactory for diagnostic purpose

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 ECGs, 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

key features of AS/NZS 3200.1.2:2005 and AS/NZ 3551:2012 or their successors, in relation to ECG equipment,

client factors that affect ECG, including:

physical limitations

respiratory function

features, function and use of ECG equipment, including:

pre-checking and calibration procedures

electrical safety requirements

common problems and how to respond

routine maintenance requirements

sources of interference, including:

client

equipment

environment

quality requirements for ECG tracing

anatomy and physiology of the heart

normal and abnormal ECG rhythms