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Evidence Guide: HLTNE604D - Assist with nerve conduction studies and electromyography (EMG)

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

 

HLTNE604D - Assist with nerve conduction studies and electromyography (EMG)

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

Prepare equipment, materials and environment

  1. Review client booking list for client details
  2. Identify special needs of client
  3. Ensure equipment and materials selected are clean, dry, in working order, and, where applicable, calibrated
  4. Review relevant, current literature and protocols reviewed
  5. Ensure normal control data is available
  6. Confirm neurologists' requirements and preferences
Review client booking list for client details

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify special needs of client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure equipment and materials selected are clean, dry, in working order, and, where applicable, calibrated

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review relevant, current literature and protocols reviewed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure normal control data is available

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm neurologists' requirements and preferences

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client for procedure

  1. Arrange client bookings according to organisation procedures, clients' needs, and reason for study
  2. Ensure information on access to test location and test to be attended is received by client
  3. Receive and process request for test and give to Neurologist to read prior to test commencing
  4. Correctly identify client, reassure and inform regarding the procedure
  5. Give client/carer the opportunity to ask questions and discuss areas of concern
  6. Check client consent has been obtained
  7. Review client's medical history, seek clarification on specific details and action, as required by Neurologist
Arrange client bookings according to organisation procedures, clients' needs, and reason for study

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure information on access to test location and test to be attended is received by client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Receive and process request for test and give to Neurologist to read prior to test commencing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Correctly identify client, reassure and inform regarding the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Give client/carer the opportunity to ask questions and discuss areas of concern

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check client consent has been obtained

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review client's medical history, seek clarification on specific details and action, as required by Neurologist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist neurologist with performance of nerve conduction study

  1. Utilise personal protective equipment in accordance with standard and additional precautions
  2. Inform and reassure the client as appropriate throughout the procedure
  3. Make selections according to client details and concurrent results under the directions of the neurologist
  4. Recognise, annotate, eliminate or reduce artefacts
  5. Monitor client's response to electrical stimulus and adapt procedure accordingly under the direction of the neurologist
  6. Add/attach further monitoring equipment and/or electrodes in response to concurrent findings under the direction of the neurologist
  7. Test appropriate nerves and muscles according to standards, medical referral and concurrent results under the direction of the neurologist
  8. Identify and respond to severe reactions and complications in accordance with organisation emergency procedures
Utilise personal protective equipment in accordance with standard and additional precautions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Inform and reassure the client as appropriate throughout the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make selections according to client details and concurrent results under the directions of the neurologist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise, annotate, eliminate or reduce artefacts

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor client's response to electrical stimulus and adapt procedure accordingly under the direction of the neurologist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Add/attach further monitoring equipment and/or electrodes in response to concurrent findings under the direction of the neurologist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Test appropriate nerves and muscles according to standards, medical referral and concurrent results under the direction of the neurologist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to severe reactions and complications in accordance with organisation emergency procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Completion of procedure

  1. Perform post test calibration as required
  2. Provide client with assistance as required, on completion of the procedure
  3. Confirm timely follow up with referring doctor for results
  4. Record test details for retrieval and statistical purposes according to department procedures
  5. Provide information is to client and carer according to duty of care and organisation policies
  6. Clean dry and store equipment in accordance with manufacturer's guidelines and infection control guidelines
  7. Dispose of disposable materials in accordance with waste management procedures and infection control guidelines
Perform post test calibration as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm timely follow up with referring doctor for results

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record test details for retrieval and statistical purposes according to department procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide information is to client and carer according to duty of care and organisation policies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean dry and store equipment in accordance with manufacturer's guidelines and infection control guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dispose of disposable materials in accordance with waste management procedures and infection control guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Generate technical summary

  1. Review client details and amend as required
  2. Review annotations and amend to provide accurate and concise information
  3. Calculate amplitudes, latencies and conduction velocities
  4. Forward technical summary with accompanying documentation to neurologist for review
Review client details and amend as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review annotations and amend to provide accurate and concise information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Calculate amplitudes, latencies and conduction velocities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Forward technical summary with accompanying documentation to neurologist for review

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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, 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

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

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 assisting with performance of nerve conduction studies and electromyogram (EMG)

Observation of simulation and/or role play when assisting with performance of nerve conduction studies and electromyogram (EMG)

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

Questioning, written assessments/projects, e-learning can be used to assess knowledge

Authenticated reports of experience in assisting with performance of nerve conduction studies and electromyogram (EMG) (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)

Training records associated with First Aid, OH 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

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

Related units:

This unit should be assessed after or in conjunction with:

HLTAP501C Analyse health information

Required Skills and Knowledge

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 for providing assistance in the performance of nerve conduction studies and EMG

Basic pharmacology related to neurological and muscular function

Common causes of interference and the appropriate remedies

Complications and contraindications for clients undergoing nerve conduction study and EMG

Confidentiality requirements of client information

Electrical safety requirements

Emergency procedures in the event of complications relevant in the provision of assistance in the performance of nerve conduction study and EMG

Infection control policies, including standard and additional precautions, in relation to neurophysiology testing procedures

Medical terminology relevant to providing assistance in the performance of nerve conduction studies and EMG

Nerve conduction disturbance and appropriate test alterations relevant for providing assistance in the performance of nerve conduction studies

Normal nerve conduction study and EMG results

Protocols for nerve conduction study and EMG

Purpose of nerve conduction studies and EMG eg: diagnostic, prognostic classification of events

Routine maintenance policy and procedures for equipment

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply knowledge of boundaries of responsibilities and refer problems to supervisor, neurologist or other appropriate health professional

Assist with a diagnostic nerve conduction study and EMG

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

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

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

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:

Assist in identifying a nerve conduction study result that is unsatisfactory for diagnostic purposes

Assist in identifying and validating abnormal findings

Assist with a nerve conduction study and EMG of diagnostic quality

Correctly operate equipment

Correctly prepare client

Deal with conflict

Demonstrate computer skills relevant to workers' role

Manage the known common interferences in the production of a nerve conduction study and EMG

Solve problems including an ability to use available resources

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

Undertake basic cardiopulmonary resuscitation

Use correct equipment

Use numeracy skills including the ability to complete basic arithmetic calculations, recording stock levels, statistical information, measuring accurate amplitudes, and calculating correct velocities from accurate latency and distance measurements

Use oral communication skills required to fulfil job roles in a safe manner and as specified by the organisation, including skills in:

access and utilise interpreter service when necessary

asking questions

clarifying workplace instructions when necessary

listening to and understanding workplace instructions

literacy in English or a community language, depending on client group and organisation requirements

providing clear information

using effective verbal and non verbal communication skills with a range of internal and external persons

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

Work with others and display empathy with client and relatives

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.

Equipment may include:

Nerve conduction study/electromyography machine

Electrical stimulator

Magnetic stimulator

Thermometer/skin temperature monitor

Additional electrical leads

Tape measure

Calculator

Ruler

Materials may include:

Local anaesthetic ie topical, subcutaneous

Stimulating probes

Recording electrodes

EMG needles

Ground plate

Client details may include:

Referral letter/request

Medical history

Address and telephone number

Date of birth and age

Medications

Client's presenting condition

In care client/out of care client

Private/public

Clients' expectations

Tests requested

Referring doctor address, telephone number and provider number

Clients may include:

Neonates

Infants

Children

Adolescents

Adults

Elderly

Client medical history may include:

Event(s) leading to referral

Neurological disorder

Respiratory disorder

Muscular disorder

Orthopaedic disorders

Vascular disorder

Infectious diseases

Behavioural abnormalities

Action in response to client's medical history may include:

Alteration of procedure under the direction of the Neurologist

Personal protective equipment may include:

Gloves

Mask

Goggles

Gown

Complications and severe reactions may include:

Seizure

Cardio-respiratory arrest

Information provided to client's and carer's may include:

Appropriate follow up period with referring doctor for report