PRACTICAL CARDIAC EXERCISE STRESS TESTING
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1 PRACTICAL CARDIAC EXERCISE STRESS TESTING AIM SCOPE The aim of this assessment is to ensure that the student develops his/her skills with respect to patient-centred care, assisting in cardiac exercise stress testing. During this period of work based training students will apply their learning from the academic modules undertaken throughout their two years of training. On completion of this placement the student will be able to assist with more complex investigations. He/she will be expected to build his/her professional practice and practise safely in the work place. Students will be expected to use critical reflection to review and improve their performance in the work place and develop skills to promote continuous personal development. Learning outcomes On successful completion of this module the student will: 1. Understand his/her own level of competence, authority and knowledge base. 2. Explain his/her role and responsibilities. 3. Understand the principles of the anatomy and physiology of the cardiovascular system. 4. Assist (2 nd person) in cardiac exercise stress testing. 5. Demonstrate intermediate life support in accordance with current Resuscitation Council (UK) guidelines. 6. Adhere to appropriate standards of professional practice as defined in Good Scientific Practice. Clinical experiential learning Observe the use of cardiac ultrasound and discuss the role of this test in the diagnosis and management of patients. Attend a heart failure or cardiac rehabilitation clinic where patients with cardiac disease are treated and discuss the role of nutrition or other non-pharmacological strategies in the management of cardiac disease. Attend a multidisciplinary meeting and reflect on the way the multidisciplinary team contributes to the care of patients with disorders of the cardiovascular system. All of these experiences should be recorded in your portfolio. Evidence must include ECG traces (one per stage; more if relevant to report) and report. Note: Please attach an anonymised, countersigned copy of the report including the student s initials and basic patient information (i.e. age, gender, outpatient, inpatient).
2 ASSESSMENT PLAN OF CARDIAC EXERCISE STRESS TESTING To be completed by the word-based assessor prior to the assessment. Student to agree and countersign. Key points and instructions WBA signature:. Student signature:.. Date of assessment:..
3 PERFORMANCE CRITERIA OF CARDIAC EXERCISE STRESS TESTING PC Task Y/N Assessor s comments 1 Control infection risks for diagnostic and therapeutic invasive procedures in accordance with departmental protocols Minimise risks and hazards in compliance with Health and Safety policies. Check all resuscitation equipment in the room. Undertake intermediate life support in accordance with current Resuscitation Council (UK) guidelines (if necessary). Obtain a suitably completed request form, greet patient, check patient ID. 5 6 Under supervision, review the clinical history of the patient for suitability to perform the test. Prepare the environment, set up and calibrate equipment ready for use including battery check Treat patient in a way which respects their dignity, rights, privacy and confidentiality. Explain the procedure to the patient giving detailed instructions and checking the patient s understanding, and gain informed consent. Confirm that the patient has adhered to any pre-test instructions. 10 Ensure that the patient is suitably dressed and wearing appropriate footwear. 11 Prepare electrode sites and apply electrodes to the patient to obtain accurate and artefactfree recordings.
4 Record the patient s resting ECG and BP and compare these with the last set of patient recordings. demonstrate walking technique to ensure that he/she understands how to perform the procedure safely. Encourage the patient to reach a level of activity which would achieve his/her optimal result. 15 Monitor and record the ECG and BP throughout the test. 16 Record any adverse or unexplained changes and take appropriate action. 17 Identify when to end the test, in accordance with current guidelines. 18 Provide a recovery period in line with local and national guidelines, and support the patient throughout. 19 Produce ECG tracings of sufficient accuracy to assist in producing a factual report. 20 Undertake routine maintenance and calibration procedures. 21 Clean equipment in accordance with departmental procedures. 22 Keep accurate records in accordance with current guidelines and the legal framework for data security. WBA signature:. Student signature:.. Date of assessment:..
5 CARDIAC EXERCISE STRESS TESTING ASSESSMENT QUESTIONS (Related to performance criteria) Questions Answers WBA signature:. Student signature:.. Date of assessment:..
6
7 ASSESSMENT FEEDBACK ON STUDENT S PERFORMANCE OF CARDIAC EXERCISE STRESS TESTING Provide a description of the clinical scenario and feedback (to be completed by the WBA). WBA signature: Student signature:. Date of assessment:.. Please circle: Pass / Fail
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