NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS

Transcription

1 NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS AIM SCOPE The aim of this assessment is to ensure that the student develops his/her skills with respect to patient-centred care and routine non-invasive investigations, performing the recording of resting blood pressure (BP) on a range of patients. 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 resting BP recording on a range of patients. 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. Measure and interpret resting BP on a range of patients, using analogue and digital equipment. 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 appraise the evidence base underpinning at least one of the routine investigations and one treatment plan. Prepare a portfolio of evidence containing BP recordings (anonymised) from a range of patients that you have obtained recordings from and your report on each BP recording. Attend a clinic (primary or secondary care) where patients with hypertension attend and discuss with your supervisor the role of resting BP recording in the diagnosis and treatment of patients with hypertension. Review the pharmacological treatment of a series of patients with treated hypertension and discuss the mechanisms of action of each treatment, indications, contra-indications and potential side effects. All of these experiences should be recorded in your portfolio. Evidence required includes a range of patients including inpatients, outpatients, geriatric, medical, surgical and technically challenging patients.

2 ASSESSMENT PLAN OF NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS 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 NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS 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 Obtain a suitably completed request form, greet patient, check patient ID and recent clinical history. Prepare the environment for resting BP recording, set up and calibrate equipment ready for use including, if appropriate, resuscitation equipment. Treat patient in a way which respects their dignity, rights, privacy and confidentiality. 7 Explain the procedure to the patient and gain informed consent. 8 Choose the correct cuff size for the patient. 9 Locate the pulse in the cubital fossa and ensure the posture and position of the arm is correct. 10 Estimate systolic BP by palpation. 11 Inflate the cuff at least 30mmHg above the estimated systolic BP and reduce the pressure smoothly. 12 Make an accurate recording of BP.

4 13 14 Evaluate the technical quality of BP recordings, identify sub-optimal BP recordings, and take remedial action and remeasure if necessary. Check and interpret the results in the clinical context. 15 Keep accurate records in accordance with current guidelines and the legal framework for data security. 16 Undertake routine maintenance and calibration procedures for BP recording. 17 Clean BP recording equipment in accordance with departmental protocol. Student recorded value: / WBA recorded value: / WBA signature:. Student signature:.. Date of assessment:..

5 NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS ASSESSMENT QUESTIONS (Related to performance criteria) Questions Answers WBA signature:. Student signature:.. Date of assessment:..

6 ASSESSMENT FEEDBACK ON STUDENT S PERFORMANCE OF NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS 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