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Evidence Guide: HLTCAR002 - Perform holter monitoring

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

 

HLTCAR002 - Perform holter monitoring

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare equipment for use

  1. Check equipment for good working order
  2. Check materialsfor availability and supply
  3. Insert new battery and cassette tape correctly into holter monitor
Check equipment for good working order

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check materialsfor availability and supply

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Insert new battery and cassette tape correctly into holter monitor

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client for holter monitor

  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 holter monitoring procedure to client
  5. Provide the 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 holter monitoring procedure to client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide the 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 for monitor recording

  1. Maintain client privacy and dignity throughout procedure
  2. Follow standard infection control procedures
  3. Position the client correctly and comfortably and place electrodes in accordance with organisation and manufacturer procedures, client’s needs and current standards
  4. Prepare client’s skin for electrode placement as required
  5. Attach leads correctly and double check lead placement
  6. Take a trial trace and check for interference,wandering baseline and amplitude as required
  7. Identify potential client risks and advise supervisor if risk exists
  8. Provide accurate instruction to client on use of device
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 and place electrodes in accordance with organisation and manufacturer procedures, client’s needs and current standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client’s skin for electrode placement as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Attach leads correctly and double check lead placement

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify potential client risks and advise supervisor if risk exists

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide accurate instruction to client on use of device

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Process holter monitor trace

  1. Produce traceand check trace for diagnostic suitability
  2. Identify and respond to situations where repeat trace is required
  3. Remove holter monitor leads and electrodes from client
  4. Review computer analysis of holter tape in accordance with scope of job role or organise submission of tape to requesting medical officer
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:

 

 

 

 

 

 

 

Remove holter monitor leads and electrodes from client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete holter monitor process

  1. Provide client with assistance as required on completion of procedure
  2. Clean holter monitor and leads on completion of procedure in accordance with infection control procedures
  3. Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures
  4. Store holter monitor leads and machine in accordance with manufacturer’s specifications and work health and safety (WHS) policy and procedures
Provide client with assistance as required on completion of procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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

Required Skills and Knowledge

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