APPLICATION OF AMBULATORY ELECTROCARDIOGRAPHY DEVICES

Transcription

1 APPLICATION OF AMBULATORY ELECTROCARDIOGRAPHY DEVICES AIM SCOPE The aim of this assessment is to ensure that the student develops his/her skills with respect to patient-centred care, performing ambulatory electrocardiography (ECG) monitoring. 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 competently perform and ambulatory ECG monitoring. 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. Fit and remove ambulatory ECG devices. 5. Adhere to appropriate standards of professional practice as defined in Good Scientific Practice. Clinical experiential learning Critically apply the scientific principles covered in the academic modules to this work-based specialist skill and specifically appraise the evidence base underpinning the use of ambulatory ECG monitoring. Attend outpatient clinics where patients with suspected cardiac arrhythmias are referred and discuss with the practice educator the diagnostic pathways linked to the use of ambulatory ECG monitoring. All of these experiences should be recorded in your portfolio. Evidence must include a variety of patients including inpatients, outpatients, geriatric, medical, surgical and technically challenging patients.

2 ASSESSMENT PLAN OF APPLICATION OF AMBULATORY ELECTROCARDIOGRAPHY DEVICES To be completed by the word-based assessor prior to the assessment. Student to agree and countersign. Key points and instructions Type of device: WBA signature:. Student signature:.. Date of assessment:..

3 PERFORMANCE CRITERIA OF APPLICATION OF AMBULATORY ELECTROCARDIOGRAPHY DEVICES PC Task Y/N Assessor s comments 1 Control infection risks in accordance with departmental protocols. 2 Minimise risks and hazards in compliance with Health and Safety policies. 4 Obtain a suitably completed request form, greet patient, check patient ID and recent clinical history. 5 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. Choose an ambulatory ECG device most suited to the patient and his/her symptoms. 9 Choose the most appropriate electrodes for the ambulatory ECG device. 10 Choose the optimal electrode position and prepare the patient s skin and apply electrodes. 11 Prepare the ambulatory ECG recorder for connection to the patient. 12 Connect the leads (if appropriate) and recorder in such a way that artefact is minimised and to ensure patient comfort.

4 13 Check that the monitor is recording/working correctly. 14 Explain the use of the patient diary and how to activate the device as necessary. 15 Remove the equipment from the patient, clarify symptoms and explain the procedure for receiving results. 16 Undertake routine maintenance and calibration procedures for ambulatory ECG recording. 17 Clean ambulatory ECG recording equipment in accordance with departmental protocol. WBA signature:. Student signature:.. Date of assessment:..

5 APPLICATION OF AMBULATORY ELECTROCARDIOGRAPHY DEVICES ASSESSMENT QUESTIONS (Related to performance criteria) Questions Answers WBA signature:. Student signature:.. Date of assessment:..

6 ASSESSMENT FEEDBACK ON STUDENT S PERFORMANCE OF APPLICATION OF AMBULATORY ELECTROCARDIOGRAPHY DEVICES 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