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Evidence Guide: HLTCA402C - 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

 

HLTCA402C - Perform holter monitoring

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

Prepare equipment for use

  1. Check equipment for good working order
  2. Check materials for 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 materials for 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. Receive and process the request for holter monitor in accordance with organisation procedures
  2. Identify the client correctly following the organisation's guidelines for preventing client misidentification
  3. Reassure and provide information to the client regarding the ECG procedure appropriately and completely
  4. Involve the client fully in discussions about their treatment using language they can understand
  5. Provide the client with the opportunity to ask questions and discuss areas of concern
  6. Record client information
  7. Review client medical history and address pre-existing conditions
  8. Obtain and document consent following ethical and legal requirements
Receive and process the request for holter monitor in accordance with organisation procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the client correctly following the organisation's guidelines for preventing client misidentification

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Reassure and provide information to the client regarding the ECG procedure appropriately and completely

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Involve the client fully in discussions about their treatment using language they can understand

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record client information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review client medical history and address pre-existing conditions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain and document consent following ethical and legal requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Attach holter monitor electrodes

  1. Maintain the client's privacy and dignity throughout procedure
  2. Complete preparation of client's skin for electrode placement as required
  3. Position the client correctly and comfortably and place electrodes in accordance with client's needs and current standards
  4. Attach leads correctly and double check lead placement
  5. Take a trial trace and check for interference, wandering baseline and amplitude
  6. Advise supervisor or an appropriate person if you think a client may be at risk
Maintain the client's privacy and dignity throughout procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete preparation of client's skin for electrode placement as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advise supervisor or an appropriate person if you think a client may be at risk

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Analyse holter monitor trace

  1. Remove the holter monitor from client
  2. Review and correct the computer analysis of holter tape
  3. Identify and action abnormal ECG patterns which require immediate medical attention
  4. Print the full report and submit to cardiologist for review
  5. Print final report printed and send to requesting medical officer
Remove the holter monitor from client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review and correct the computer analysis of holter tape

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and action abnormal ECG patterns which require immediate medical attention

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Print the full report and submit to cardiologist for review

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Print final report printed and send to requesting medical officer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete holter monitor process

  1. Remove holter monitor leads and electrodes from client
  2. Provide client with assistance as required on completion of procedure
  3. Clean holter monitor and leads on completion of procedure
  4. Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures
  5. Remove holter monitor battery from device
  6. Store holter monitor leads in accordance with manufacturer's specifications
  7. Store holter monitor machine in accordance with manufacturer's specifications and OHS policy and procedures
Remove holter monitor leads and electrodes from client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide client with assistance as required on completion of procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean holter monitor and leads on completion of procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Remove holter monitor battery from device

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store holter monitor leads in accordance with manufacturer's specifications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store holter monitor machine in accordance with manufacturer's specifications and OHS policy and procedures

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, 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 and/or 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 and/or role play when performing holter monitoring

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

Written assessments/projects, questioning, e-learning can be used to assess knowledge

Authenticated reports of experience in performing holter monitoring (documentation associated with performance reviews, supervisor/coordinator evaluations of work performance)

Training records associated with first aid, occupational health and 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

Related units:

This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged

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 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 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 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

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