Packaging of Competency Standards for Vocational Qualifications

HSEO3001 TTNVQ Level 3 – Electrocardiography

Unit Code

Unit Title

Mandatory/ Elective Mandatory Mandatory

HS01001

Perform 12 Lead ECG

HS01002

Perform Stress Test

HS01003

Perform Holter Monitoring

Mandatory

HS01004

Perform Basic Cardiopulmonary Resuscitation Develop your competencies and professionalism Health, Safety and the Environment

Mandatory

EM00001 CN00001

Mandatory Mandatory

Copyright  2009 National Training Agency All rights reserved. No part of this document may be reproduced in any form or by any means without the prior permission of the publishers.

HS01001

HS01001 Unit Descriptor:

Perform 12 Lead ECG

Perform 12 Lead ECG This unit deals with the skills and knowledge required for performing 12 lead Electrocardiography. It describes the work expectations associated with preparing electrocardiography, preparing the client for ECG and conducting an ECG procedure.

ELEMENTS

PERFORMANCE CRITERIA

Candidates must be able to: 1

Prepare electrocardiography machine for use

1.1

1.2 1.3

2

Prepare client for ECG

2.1

Identify and inform client of ECG procedure correctly, following workplace procedures Assess client health status prior to conducting ECG, following workplace procedures

2.3

Check and record client information following established workplace procedures

2.4

Start ECG machine and enter client personal information into ECG machine, following manufacturer’s instructions

2.5

Position client for the attachment of leads, according to standard operating procedures

2.6

Prepare client’s skin for attachment of leads, following standard operating procedures

2.8

2.9

Conduct ECG procedure

Check ECG machine against checklist prior to use, following workplace procedures Record and report malfunctions according to established workplace procedures

2.2

2.7

3

Wear suitable protective clothing for the work environment, in accordance with standard procedures

3.1

3.2

Attach leads to the client according to procedure manual, using appropriate gel when necessary Re-check lead placement after attaching to client, following standard operating procedures Check that client is comfortable and that privacy and dignity is maintained throughout the procedure

Start ECG machine according to manufacturer’s specifications Monitor and observe ECG trace for artifacts and interference, taking corrective action where necessary

HS01001

Perform 12 Lead ECG

3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10

3.11

Observe client for signs of discomfort while the ECG trace is in process Record ‘rhythm strip’ if requested by the medical practitioner, following standard operating procedures Switch off ECG machine according to manufacturer’s specification Inform client of completion of ECG procedure, without discussing ECG findings Remove electrodes and leads from client following standard operating procedures Clean the skin area following standard procedures Check for client’s comfort after ECG, following established workplace procedures Dispose of disposable electrodes and other disposable materials in accordance with waste management procedures Send ECG trace to the requesting medical practitioner for interpretation/review, following workplace procedures

RANGE STATEMENT Protective clothing includes:  surgical/disposable gloves  disposable gowns  disposable mask  disposable shoes  disposable hat

Check list for ECG machine includes:  good electrical working order  cleanliness  calibration  mobility of equipment  correct settings  appropriate ECG paper specified by manufacturer’s instructions

Disposable materials include:

UNDERPINNING KNOWLEDGE & SKILLS Candidates must know: 1. what is an ECG 2. how to identify the different ECG wave forms 3. how to measure time and voltage, intervals and complexes and atrial/ventricular rates 4. what are the reasons for performing an ECG 5. what is the importance of the routine safety checks performed on the machine 6. what are the procedures required when performing safety checks on the machine 7. what are the policies and procedures for reporting accidents and incidents 8. what are the correct procedures for recording client information 9. how to operate an ECG machine 10. how to place and anchor electrodes and leads correctly 11. how to identify an unsatisfactory ECG trace 12. how to identify and manage the known common interferences in the production of an ECG trace

HS01001

Perform 12 Lead ECG

13. how to interpret abnormal ECG tracings 14. how to recognise ECG tracings that suggest medical emergencies 15. what actions should be taken when an ECG tracing suggests a medical emergency

EVIDENCE GUIDE (1)

Critical Aspects of Evidence Evidence should include the ability to:  communicate with clients to ensure they have a clear understanding of the ECG procedure  complete necessary checks to ensure equipment is safe and functioning  identify and manage common forms of interference  produce a good ECG trace

(2)

Method of Assessment Assessors should gather a range of evidence that is valid, sufficient, current and authentic. Evidence can be gathered through a variety of ways including direct observation, supervisor’s reports, project work, samples and questioning. Questioning techniques should not require language, literacy and numeracy skills beyond those required in this unit of competency. The candidate must have access to all tools, equipment, materials and documentation required. The candidate must be permitted to refer to any relevant workplace procedures, product and manufacturing specifications, codes, standards, manuals and reference materials.

(3)

Context of Assessment This unit may be assessed on or off the job. The competencies covered by this unit would be demonstrated by an individual working individually. The assessment environment should not disadvantage the candidate.

HS01002

HS01002

Perform stress test

Perform Stress Test

Unit Descriptor:

This unit deals with the skills and knowledge required for performing stress testing. It describes the work expectations associated with preparing equipment for use, preparing the client and attaching electrodes, assisting with and completing the stress test.

ELEMENTS

PERFORMANCE CRITERIA

Candidates must be able to: 1

Prepare equipment for use

1.1 1.2 1.3 1.4

2

Prepare client for stress test

Wear suitable protective clothing for the work environment, in accordance with standard procedures Check equipment to ensure it is in good working order, following manufacturer’s instructions Check materials to ensure availability and adequate supply Test defibrillator to ensure it is functioning according to manufacturer’s specifications

2.1

Check referral and record relevant information according to established workplace procedures

2.2

Identify and inform client of the details of the procedure correctly, following workplace procedures

2.3

Respond to client queries correctly, following workplace procedures

2.4

Check documentation to confirm client’s consent prior to performing procedure

2.5

Assess client’s health status prior to conducting the stress test

2.6 2.7

2.8 2.9

2.10

Maintain the client’s privacy and dignity throughout the procedure Prepare client’s skin for electrode placement as required, using appropriate gel where necessary, in accordance with standard operating procedures Obtain and record client’s baseline vital signs according to established workplace procedures Position client correctly and comfortably and place electrodes in accordance with standard operating procedures Attach blood pressure cuff to the client correctly, according to standard operating procedures

HS01002

3

Conduct stress test

Perform stress test

3.1 3.2 3.3

3.4 3.5

4

Complete stress test

4.1 4.2 4.3 4.4

4.5 4.6

Check that the supervising medical officer is present prior commencement of test Turn on machine according to manufacturer’s instructions Monitor and record 12 lead ECG and blood pressure continuously during the exercise and post exercise, in accordance with policies and procedures Identify and report any signs of client discomfort, distress or adverse reaction to the medical officer in attendance Suspend test in response to adverse client reaction and take appropriate reaction

Remove stress test leads and electrodes from patient following standard operating procedures Clean appropriate skin areas following standard operating procedures Store stress test leads in accordance with manufacturer’s guidelines Dispose of disposable stress test electrodes and other materials in accordance with waste management procedures Provide client with assistance on completion of the stress test, according to established workplace procedures Complete and present report to the medical practitioner for review

RANGE STATEMENT Protective clothing includes: • surgical/disposable gloves • disposable gowns • disposable mask • disposable shoes • disposable hat

Equipment includes:  monitoring equipment  basic resuscitation equipment  treadmill

Materials include:

UNDERPINNING KNOWLEDGE & SKILLS Candidates must know: 1. What is a stress test 2. What is the purpose of stress tests 3. What are the contraindications for clients who are about to under go a stress test 4. What are the complications for clients undergoing stress testing 5. What are the protocols for stress testing 6. What are the principles of function, usage, indications, limitations and care of equipment relevant for performance of a stress test

HS01002

Perform stress test

7. What are the electrical safety requirements 8. What are the routine maintenance policy and procedures for equipment 9. How to prepare and use equipment for performing a stress test 10. How to measure client vital signs 11. How to recognize cardiac rhythm disturbance 12. How to prepare the client’s skin prior to performing a stress test 13. How to place and anchor electrodes and leads correctly 14. What are the causes of the common trace interference and the appropriate action that should be taken 15. How to manage the common interferences in the production of a stress test trace 16. How to perform basic cardiopulmonary resuscitation in accordance with organizational policies and procedures and current standards 17. How to ensure a satisfactory stress test trace is produced for diagnostic purposes

EVIDENCE GUIDE (1)

Critical Aspects of Evidence Evidence should include the ability to:  identify the equipment requirements and prepare a range of equipment for performance of stress testing  communicate effectively with patients in relation to the procedure and manage clients’  anxiety level  identify steps that must be taken to ensure equipment is safe for use  identify and respond to contraindications before a stress test  identify and respond to complications during a stress test  identify and manage all forms of interference with an ECG trace  produce a satisfactory stress test trace

(2)

Method of Assessment Assessors should gather a range of evidence that is valid, sufficient, current and authentic. Evidence can be gathered through a variety of ways including direct observation, supervisor’s reports, project work, samples and questioning. Questioning techniques should not require language, literacy and numeracy skills beyond those required in this unit of competency. The candidate must have access to all tools, equipment, materials and documentation required. The candidate must be permitted to refer to any relevant workplace procedures, product and manufacturing specifications, codes, standards, manuals and reference materials.

(3)

Context of Assessment This unit may be assessed on or off the job. The competencies covered by this unit would be demonstrated by an individual working individually. The assessment environment should not disadvantage the candidate.

HS01003

HS01003

Perform Holter monitoring

Perform Holter Monitoring

Unit Descriptor:

This unit deals with the skills and knowledge required for performing Holter monitoring. It describes the work expectations associated with preparing equipment for use, preparing patient, attaching Holter monitor electrodes and completing the Holter monitoring process.

ELEMENTS

PERFORMANCE CRITERIA

Candidates must be able to: 1

Prepare equipment for use

1.1 1.2 1.3

2

Prepare client for Holter monitoring process

1.4

Insert new battery and digital media into Holter monitor according to standard procedures

2.1

Receive and process request for Holter monitor in accordance with organizational procedures

2.2

Identify client for Holter monitoring procedure checking records and client’s identification band

2.3

Assess client health status prior to conducting Holter monitoring procedure, following standard operating procedures

2.4

Inform client of Holter monitoring procedure, following standard procedures

2.5

Check and record client information following established workplace procedures

2.6

2.7 2.8 2.9 2.10

3

Complete Holter monitor

Wear suitable protective clothing for the work environment, in accordance with standard procedures Check Holter monitor equipment against checklist prior to use, following workplace procedures Check that the appropriate electrodes are available for use

3.1

Maintain client’s privacy and dignity throughout Holter monitoring procedure, following standard operating procedures Prepare client’s skin for electrode placement, following standard operating procedures Position client correctly and comfortably according to standard operating procedures Place electrodes, attach leads and Holter monitor on client in accordance with current standards Take a trial trace and check for any interference, wandering baseline and amplitude, following standard operating procedures

Remove Holter monitor leads and electrodes from patient following standard operating procedures

HS01003

Perform Holter monitoring

process 3.2 3.3 3.4

3.5 3.6 3.7 3.8 3.9 3.10

Provide client with assistance, as required, on completion of procedure, following workplace procedures Clean Holter monitor and leads upon completion of process, following standard operating procedures Dispose of disposable Holter monitor electrodes and other materials in accordance with waste management procedures Remove Holter monitor battery from device and store according to established procedures Store Holter monitor leads in accordance with manufacturer’s specifications Store Holter monitor machine in accordance with manufacturer’s specifications Record details of client’s Holter monitoring procedure, according to established workplace procedures Download information from the digital media ensuring that the ECG data is of a suitable quality for reading Send digital media and client records to medical practitioner for editing, diagnosis and final printing, following workplace procedures

RANGE STATEMENT Protective clothing includes:  surgical/disposable gloves  disposable gowns  disposable mask  disposable shoes  disposable hat

Check list for Holter monitoring machine includes:  cleanliness  correct settings  working according to manufacturer’s specifications

Electrodes include:

Holter monitoring procedures include:

UNDERPINNING KNOWLEDGE & SKILLS Candidates must know: 1. what is Holter monitoring 2. what are the indications for Holter monitoring 3. what are the principles of function and usage for performance of Holter monitoring 4. what are the routine maintenance policy and procedures for equipment 5. what are the ethical principles regarding confidentiality and client’s privacy 6. what are the methods of skin preparation 7. where are the correct electrodes placed on patient 8. how to anchor electrodes and leads correctly 9. how to prepare and attach Holter monitor correctly

HS01003

Perform Holter monitoring

EVIDENCE GUIDE (1)

Critical Aspects of Evidence Evidence should include the ability to:  identify and use equipment for performance of Holter monitoring  communicate effectively with clients  explain the Holter monitoring procedure to client correctly  perform a trial trace  demonstrate all steps that must be taken to ensure equipment is safe

(2)

Method of Assessment Assessors should gather a range of evidence that is valid, sufficient, current and authentic. Evidence can be gathered through a variety of ways including direct observation, supervisor’s reports, project work, samples and questioning. Questioning techniques should not require language, literacy and numeracy skills beyond those required in this unit of competency. The candidate must have access to all tools, equipment, materials and documentation required. The candidate must be permitted to refer to any relevant workplace procedures, product and manufacturing specifications, codes, standards, manuals and reference materials.

(3)

Context of Assessment This unit may be assessed on or off the job. The competencies covered by this unit would be demonstrated by an individual working individually. The assessment environment should not disadvantage the candidate.

HS01004

HS01004 Unit Descriptor:

Perform basic cardiopulmonary resuscitation

Perform Basic Cardiopulmonary Resuscitation This unit deals with the skills and knowledge required for performing basic cardiopulmonary resuscitation. It describes the work expectations associated with identifying the need for cardiopulmonary resuscitation and performing CPR on a client.

ELEMENTS

PERFORMANCE CRITERIA

Candidates must be able to: 1

Identify the need for cardiopulmonary resuscitation (CPR)

1.1

1.2 1.3 1.4 1.5 1.6 1.7

2

Perform CPR

Identify that the client is in cardiopulmonary distress, following standard operating procedures

Assess client’s responsiveness accurately following standard operating procedures Summon personnel assistance immediately, in accordance with standard operating procedures Utilize personal protective clothing in accordance with standard operating procedures Open client’s airway and clear any obstruction according to standard operating procedures Use techniques to maintain patency of client’s airway, according to standard operating procedures Assess client’s breathing and circulation following standard operating procedures

1.8

Position client correctly according to standard operating procedures

1.9

Request emergency equipment promptly and prepare for use according to standard operating procedures

2.1 2.2 2.3

2.4

2.5 2.6

2.7

Perform mouth to mask breathing correctly, following standard operating procedures Check client’s pulse according to standard operating procedures Perform external cardiac compression according to standard procedures, until assistance arrives or patient recovers Assess client regularly, according to standard operating procedures, checking for the return of spontaneous breathing and circulation Report incident to medical personnel accurately, following standard operating procedures Record actions taken in accordance with organizational policies and procedures Provide client with appropriate care and support during the immediate recovery period

HS01004

Perform basic cardiopulmonary resuscitation

RANGE STATEMENT Protective clothing includes:  gloves  disposable gown  resuscitation mask  goggles

Techniques include:  head tilt – chin lift  trauma jaw trust

Emergency equipment includes:  equipment for oxygen therapy  suction equipment  equipment for airway management  electro cardiograph monitor  cardiac monitor  blood pressure apparatus  pulse oximeter

UNDERPINNING KNOWLEDGE & SKILLS Candidates must know: 1. what is cardio pulmonary resuscitation 2. how to determine when to perform cardio pulmonary resuscitation 3. what are the current techniques of CPR 4. how to assess and maintain a client’s cardio pulmonary status 5. hat is the critical information to communicate to medical personnel 6. what are the steps to follow before, during and after performing CPR 7. how to perform CPR on a client

EVIDENCE GUIDE (1)

Critical Aspects of Evidence Evidence should include the ability to:  identify the need for cardiopulmonary resuscitation  understand and implement current techniques of CPR  perform external cardiac compression according to standard procedures  record and report incident according to organizational procedures

(2)

Method of Assessment Assessors should gather a range of evidence that is valid, sufficient, current and authentic. Evidence can be gathered through a variety of ways including direct observation, supervisor’s reports, project work, samples and questioning. Questioning techniques should not require language, literacy and numeracy skills beyond those required in this unit of competency. The candidate must have access to all tools, equipment, materials and documentation required. The candidate must be permitted to refer to any relevant workplace procedures, product and manufacturing specifications, codes, standards, manuals and reference materials.

(3)

Context of Assessment This unit may be assessed on or off the job. The competencies covered by this unit would be demonstrated by an individual working individually. The assessment environment should not disadvantage the candidate.

EM0001

EM00001: Unit Descriptor:

Develop Your Competencies and Professionalism

Develop Your Competencies and Professionalism This unit covers the knowledge and skills required to develop, maintain and upgrade action plans for self-improvement in the workplace

ELEMENTS

PERFORMANCE CRITERIA

1

1.1

Set measurable objectives for your performance

1.2

Review your performance to make sure you meet your objectives

1.3

Continue to improve your performance by setting new objectives

2.1

Identify new skills that will improve your effectiveness on the job

2.2

Develop an action plan to acquire the new skills that you have identified

2.3

Review your performance after you have acquired a new skill

3.1

Make contributions to meet objectives set for the team

3.2

Obtain honest feedback from your team members to improve your contributions

4.1

Show respect for other employees’ beliefs and points of view

4.2

Demonstrate to your supervisor that you can handle the responsibilities assigned to you

4.3

Ensure that your actions are not based on personal bias or gain

5.1

Report to work and complete your activities in a timely fashion

5.2

Show respect for your supervisor and follow instructions to the best of your ability

5.3

Use communication skills needed for the job

2

3

4

5

Develop action plans for your self-improvement

Continually acquire new skills to improve yourself

Ability to work in a team

Conduct yourself in an ethical manner

Demonstrate skills and attitudes needed on the job

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EM0001

Develop Your Competencies and Professionalism 5.4

Use computation skills needed for the job

RANGE STATEMENT Communication skills relate to PC 5.3 and include: • Verbal communication • Written communication • Writing job applications - completing personnel forms - reading instructions

Computation skills relate to PC 5.4 and include: • Using measuring tools • Calculating areas • Judging dimensions • Calculating money (pay sheets)

UNDERPINNING KNOWLEDGE 1. Why and how to plan activities to improve your skills 2. How to keep records of personal development activities 3. Why and how to review your own performance 4. What is a working relationship 5. How to establish and maintain a working relationship 6. Why are working relationships important 7. What is the code of conduct in the workplace 8.

Why you should observe the code of conduct

Page 2 of 2 Copyright 2008 National Training Agency All rights reserved. No part of this document may be reproduced in any form or by any means without the prior permission of the publishers.

CN00001

CN00001: Unit Descriptor:

Health, Safety and the Environment

Health, Safety and the Environment This unit deals with the skills and knowledge required for maintaining health and safety in all work contexts.

ELEMENTS

PERFORMANCE CRITERIA

Candidates must be able to: 1

2

3

4

Identify Harmful Tasks

Work without harming yourself or others

Handle Emergency Situations

Protect the Environment

1.1

Identify which of your tasks might be harmful to yourself or others

1.2

Deal with low risk tasks that are within your capability and responsibility

1.3

Report high risk tasks to persons responsible for health and safety

2.1

Follow safety procedures specified for your job

2.2

Follow manufacturer’s safety procedures when using equipment

2.3

Conduct yourself in a manner that will not cause harm to you or other employees

2.4

Wear appropriate protective clothing and gear required for your job

3.1

Report emergency situations to the persons responsible for health and safety

3.2

Take actions that you have been authorized for in an emergency situation

3.3

Follow instructions given by the person responsible for health and safety in an emergency

4.1

Identify which of your tasks might cause damage to the environment

4.2

Carry out tasks that might cause damage to the environment following your industry’s environmental policies and regulations

4.3

Report any environmental breaches to the relevant personnel

4.4

Take actions that you have been authorized for in an environmental breach

Page 1 of 2 Copyright 2008 Caribbean Association of National Training Agencies (CANTA) All rights reserved. No part of this document may be reproduced in any form or by any means without the prior permission of the publishers.

CN00001

Health, Safety and the Environment

RANGE STATEMENT Emergency situations relate to PC3.1 and include:  Fire  Accident  Illness

UNDERPINNING KNOWLEDGE Candidates must know: 1. what are agreed workplace health and safety policies and practices for controlling risks 2. what are the health and safety responsibilities within your job description 3. who is responsible for handling health and safety matters 4. how to use equipment materials and products safely 5. what are your responsibilities for reducing risks 6. what are the procedures for handling risks that you are unable to deal with 7. what procedures are employed in the event of an emergency situation 8. what are the applicable environmental regulations that apply to your industry 9. what can you do to ensure that you do not contribute to damaging the environment

EVIDENCE GUIDE (1)

Critical Aspects of Evidence Evidence should include a demonstrated ability to:  Identify and deal with low and high risk tasks  Comply with health and safety requirements  Handle emergency situations according to health and safety requirements  perform all tasks according to established procedures  report problems according to established procedures

(2)

Method of Assessment Assessors should gather a range of evidence, over a period of time, which is valid, sufficient and authentic. Evidence should be gathered through a variety of ways including direct observation and oral questioning. The candidate must have access to all tools, equipment, materials and documentation required. The candidate must be permitted to refer to any relevant workplace procedures, manufacturer’s specifications, codes, standards, manuals and reference materials.

(3)

Context of Assessment This unit may be assessed on the job or off the job. Where assessment is done off the job, an appropriate simulation must be used where the range of conditions reflects realistic workplace situations. The competencies covered by this unit would be demonstrated by working individually.

Page 2 of 2 Copyright 2008 Caribbean Association of National Training Agencies (CANTA) All rights reserved. No part of this document may be reproduced in any form or by any means without the prior permission of the publishers.