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Evidence Guide: HLTCAR003 - Assist with stress testing

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

 

HLTCAR003 - Assist with stress testing

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 stress testing equipment

  1. Check and confirm availability of materials
  2. Check equipment for good working order in accordance with organisation procedures and manufacturer guidelines
Check and confirm availability of materials

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check equipment for good working order in accordance with organisation procedures and manufacturer guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare clientfor stress testing

  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. Review client medical history and address pre-existing conditions within scope of own job role
  5. Provide complete and accurate information in easily understood language regarding the stress test procedure to client
  6. Provide client with the opportunity to ask questions and discuss areas of concern
  7. 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:

 

 

 

 

 

 

 

Review client medical history and address pre-existing conditions within scope of own job role

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide complete and accurate information in easily understood language regarding the stress test 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:

 

 

 

 

 

 

 

Attach electrodes for stress test

  1. Maintain client privacy and dignity throughout procedure
  2. Follow standard infection control procedures
  3. Prepare client’s skin for electrode placement as required
  4. Position client correctly and comfortably and place electrodes in accordance with client needs and current standards
  5. Attach blood pressure cuff correctly to the client
Maintain client privacy and dignity throughout procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow standard infection control procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client’s skin for electrode placement as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position client correctly and comfortably and place electrodes in accordance with client needs and current standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Attach blood pressure cuff correctly to the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist medical officer during stress test

  1. Ensure supervising medical officer is present prior to commencement of test
  2. Follow medical officer instruction during test
  3. Record blood pressure and 12 lead electrocardiography (ECG) whilst client is supine and standing
  4. Record and monitor 12 lead ECG and blood pressure during exercise and post exercise in accordance with policies and procedures
  5. Identify and report signs of client discomfort, distress or adverse reaction to the medical officer in attendance and check equipment for true reading
  6. Suspend or stop the test in response to adverse client reaction
  7. Inform and reassure client, as appropriate, throughout the procedure
  8. Maintain communication with the client throughout procedure
Ensure supervising medical officer is present prior to commencement of test

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow medical officer instruction during test

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record blood pressure and 12 lead electrocardiography (ECG) whilst client is supine and standing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record and monitor 12 lead ECG and blood pressure during exercise and post exercise in accordance with policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and report signs of client discomfort, distress or adverse reaction to the medical officer in attendance and check equipment for true reading

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Suspend or stop the test in response to adverse client reaction

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Inform and reassure client, as appropriate, throughout the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain communication with the client throughout procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete stress test

  1. Remove stress test leads and electrodes from client following correct procedure
  2. Store stress test leads in accordance with manufacturer’s guidelines
  3. Dispose of disposable stress test electrodes and other materials in accordance with waste management procedures
  4. Provide client with assistance as required, on completion of the procedure
  5. Complete, print and present report to cardiologist for review
Remove stress test leads and electrodes from client following correct procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store stress test leads in accordance with manufacturer’s guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dispose of disposable stress test electrodes and other materials in accordance with waste management procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete, print and present report to cardiologist for review

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 stress testing equipment

1.1 Check and confirm availability of materials

1.2 Check equipment for good working order in accordance with organisation procedures and manufacturer guidelines

2. Prepare clientfor stress testing

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 Review client medical history and address pre-existing conditions within scope of own job role

2.5 Provide complete and accurate information in easily understood language regarding the stress test procedure to client

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

2.7 Obtain consent following ethical and legal requirements

3. Attach electrodes for stress test

3.1 Maintain client privacy and dignity throughout procedure

3.2 Follow standard infection control procedures

3.3 Prepare client’s skin for electrode placement as required

3.4 Position client correctly and comfortably and place electrodes in accordance with client needs and current standards

3.5 Attach blood pressure cuff correctly to the client

4. Assist medical officer during stress test

4.1 Ensure supervising medical officer is present prior to commencement of test

4.2 Follow medical officer instruction during test

4.3 Record blood pressure and 12 lead electrocardiography (ECG) whilst client is supine and standing

4.4 Record and monitor 12 lead ECG and blood pressure during exercise and post exercise in accordance with policies and procedures

4.5 Identify and report signs of client discomfort, distress or adverse reaction to the medical officer in attendance and check equipment for true reading

4.6 Suspend or stop the test in response to adverse client reaction

4.7 Inform and reassure client, as appropriate, throughout the procedure

4.8 Maintain communication with the client throughout procedure

5. Complete stress test

5.1 Remove stress test leads and electrodes from client following correct procedure

5.2 Store stress test leads in accordance with manufacturer’s guidelines

5.3 Dispose of disposable stress test electrodes and other materials in accordance with waste management procedures

5.4 Provide client with assistance as required, on completion of the procedure

5.5 Complete, print and present report to cardiologist for review

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 stress testing equipment

1.1 Check and confirm availability of materials

1.2 Check equipment for good working order in accordance with organisation procedures and manufacturer guidelines

2. Prepare clientfor stress testing

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 Review client medical history and address pre-existing conditions within scope of own job role

2.5 Provide complete and accurate information in easily understood language regarding the stress test procedure to client

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

2.7 Obtain consent following ethical and legal requirements

3. Attach electrodes for stress test

3.1 Maintain client privacy and dignity throughout procedure

3.2 Follow standard infection control procedures

3.3 Prepare client’s skin for electrode placement as required

3.4 Position client correctly and comfortably and place electrodes in accordance with client needs and current standards

3.5 Attach blood pressure cuff correctly to the client

4. Assist medical officer during stress test

4.1 Ensure supervising medical officer is present prior to commencement of test

4.2 Follow medical officer instruction during test

4.3 Record blood pressure and 12 lead electrocardiography (ECG) whilst client is supine and standing

4.4 Record and monitor 12 lead ECG and blood pressure during exercise and post exercise in accordance with policies and procedures

4.5 Identify and report signs of client discomfort, distress or adverse reaction to the medical officer in attendance and check equipment for true reading

4.6 Suspend or stop the test in response to adverse client reaction

4.7 Inform and reassure client, as appropriate, throughout the procedure

4.8 Maintain communication with the client throughout procedure

5. Complete stress test

5.1 Remove stress test leads and electrodes from client following correct procedure

5.2 Store stress test leads in accordance with manufacturer’s guidelines

5.3 Dispose of disposable stress test electrodes and other materials in accordance with waste management procedures

5.4 Provide client with assistance as required, on completion of the procedure

5.5 Complete, print and present report to cardiologist for review

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 medical officer instructions, established procedures, safety requirements and infection control guidelines and produced at least 3 different diagnostic stress test results from 3 different people

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 stress testing, 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 (and limitations)

work health and safety

standard infection control requirements

client factors that affect stress 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 stress test

anatomy and physiology relevant for performance of stress testing and interpretation:

basic pharmacology related to cardiac function

recognition of life threatening cardiac rhythm abnormalities

complications and contraindications for clients undergoing stress testing