12-LEAD ELECTROCARDIOGRAPHY
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1 12-LEAD ELECTROCARDIOGRAPHY 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 12-lead electrocardiography (ECG) on the adult patient. During this period of work based training students will apply their learning from the academic modules undertaken throughout their first year of training. On completion of this placement the student will be able to competently perform 12-lead ECG recording on the adult patient. 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 their own level of competence, authority and knowledge base. 2. Explain their role and responsibilities. 3. Adhere to national and departmental guidelines and protocols. 4. Understand the principles of the anatomy and physiology of the cardiovascular system. 5. Maintain a professional attitude and appearance at all times. 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 12-lead ECG recordings (anonymised) that you have obtained recordings from. All of these experiences should be recorded in your portfolio of evidence. Note: Please attach an anonymised, countersigned copy of the 12-lead ECG recording including the student s initials and basic patient information (i.e. gender, age, outpatient, inpatient).
2 12-LEAD ELECTROCARDIOGRAPHY ASSESSMENT PLAN To be completed by the word-based assessor prior to the assessment. Student to agree and countersign. Key points and instructions
3 12-LEAD ELECTROCARDIOGRAPHY PERFORMANCE CRITERIA PC Task Y/N Assessor s comments Obtain a suitably completed request form, greet patient, check patient ID and recent clinical history. Treat patient in a way which respects their dignity, rights, privacy and confidentiality. Explain the procedure to the patient and gain consent. Identify electrode sites on the patient according to current AHA/SCST* guidelines. Prepare the patients skin in order to ensure adequate electrode contact. Apply suitable electrodes firmly to the patient to minimise artefact. Choose machine settings appropriate to the ECG recording requested/required. Make an ECG recording ensuring that an accurate, artefact-free tracing is obtained. Take steps to modify the procedure if a suitable recording cannot be made and re-record if necessary. Remove electrodes and ensure that the patient and/or carer are informed of next steps. Check the ECG recording for abnormalities and inform a senior staff member if necessary. Demonstrate that ECG recordings are accurate, complete, legible and forwarded to the correct person in an appropriate timescale. Annotate all ECG recordings with the correct patient details and store safely.
4 12-LEAD ELECTROCARDIOGRAPHY ASSESSMENT QUESTIONS (Related to performance criteria) Questions Answers
5 ASSESSMENT FEEDBACK ON STUDENT S PERFORMANCE OF 12-LEAD ELECTROCARDIOGRAPHY 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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