Training activity information
Details
Perform a pre and post procedure device reprogramming checks for the following:
- MRI
- Surgery
- Endoscopy
- Radiotherapy
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee​.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- What knowledge of device parameters, MRI conditional settings, and specific programming protocols for surgery, endoscopy, and radiotherapy do you need?
- What specific skills do you hope to develop in performing these reprogramming checks accurately and efficiently? What is your current experience with device interrogation and reprogramming, and how will this activity enhance your practical skills?
- Have you reviewed the specific protocols for pre and post-procedure reprogramming for each type of intervention? What potential errors might occur during these checks, and how will you ensure accuracy? How do you feel about the responsibility of performing these checks, and what steps will you take to ensure you are prepared?
In action
- Focus on each step of the pre- and post-procedure reprogramming process. How are you interrogating and adjusting the device parameters? Why are you setting specific values? What decisions are you making regarding the necessary programming changes and verifying the device status? What aspects of the reprogramming checks feel routine, and what requires more focused attention due to the specific procedure?
- How effectively are you completing the pre- and post-procedure checks to ensure the device is appropriately configured for the intervention? What challenges are you encountering during the reprogramming process (e.g., understanding specific MRI conditional settings)? What are you learning about the practical application of temporary device reprogramming in different scenarios? How does this activity build upon your knowledge of CIED programming and device interactions?
- Are there any unexpected findings during device interrogation that require further action? What support or guidance might you need if you encounter difficulties during the reprogramming process? Are you meticulously documenting all reprogramming changes and verifying the final device settings?
On action
- What did you notice? Outline the steps you took to perform the pre- and post-procedure device checks for the specific medical procedure (MRI, surgery, endoscopy, or radiotherapy). Note any specific parameters you adjusted and the reasons for these adjustments
- What did you learn from the activity? Reflect on the importance of pre- and post-procedure device checks. Did you gain a better understanding of the specific reprogramming requirements for different procedures? Were there any challenges in performing the checks or documenting the changes? How does this activity contribute to patient safety during medical procedures?
- What will you take from the experience moving forward? Identify any areas where you need to improve your technical skills in device reprogramming or your understanding of specific procedure protocols. How will you ensure you perform these checks accurately and efficiently in the future? What resources or protocols will you consult?
Beyond action
- Did you encounter any unexpected findings during these checks? How did you address them? Review reflections from other experiences involving device programming and pre/post procedure management. Discuss complex cases with colleagues to refine your approach.
- How have these experiences impacted upon your current practice? Recognise the critical nature of these checks for patient safety. How has your attention to detail and adherence to protocols improved? How has your ability to identify potential issues before and after a procedure developed?
- How might these experiences contribute towards your future practice? Identify transferable skills such as attention to detail, following protocols, and technical proficiency. How will you ensure you remain skilled in performing these checks for different device types and procedures? How might you contribute to training junior colleagues in these essential skills?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 2 |
Outcome
Perform and interpret complex CIED follow up and effectively communicate results to patients and clinical staff as appropriate. |