Google Links

Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

  1. Prepare equipment for use
  2. Prepare client for holter monitor
  3. Attach holter monitor electrodes
  4. Analyse holter monitor trace
  5. Complete holter monitor process

Required Skills

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 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 organisationThe level of skill required involves reading and documenting clinical information and understanding policy and procedure manuals

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

Evidence Required

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 andor 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 andor role play when performing holter monitoring

Discussion of physical andor behavioural contingency scenarios involving duty of care

Authenticated transcripts of relevant education training courses

Recognition of relevant lifework experience

Written assessmentsprojects questioning elearning can be used to assess knowledge

Authenticated reports of experience in performing holter monitoring documentation associated with performance reviews supervisorcoordinator evaluations of work performance

Training records associated with first aid occupational health and safety training orientationinduction 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


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.

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