Competency information
Details
Make accurate measurements of all parameters, identify and rectify errors to ensure the correct functionality and safety of the implanted device, and complete all documentation accurately
Considerations
- Loss of capture and the resulting output threshold (and programming options)
- Normal range for lead impedance, including high-voltage leads
- Normal range and measurement of appropriate intrinsic P/R wave- sensing amplitude and advise whether within normal limits
- Identification and assessment of slew rate and the implications of a poor slew rate
- Measurement of Wenckebach, where appropriate
- Measurement of the stability of leads, and measures to be taken to ensure no diaphragmatic capture is present
- How to establish whether pacemaker parameters and safety margins are appropriately programmed
- American Heart Association and European Standard Identification
- Pulse generator lead connection
- Device selection related to patient physiological needs
- Complications associated with anatomical anomalies and device implantation
- Conscious sedation
- Measurements at implantation, including normal ranges
- Types of emergency temporary pacemakers, ie internal, pericardial and external
- Adjustment/programming of temporary pacemakers
- Potential problems with temporary pacemakers
- Interactions between permanent and temporary pacemakers
- Algorithms
- Lead and device hardware problems
- Assessment of implanted system in order to ascertain potential problems
- Documentation requirements
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 6 | Outcome Plan, prepare, set up and undertake cardiac physiological role for intravascular ultrasound (IVUS) |
| # 7 | Outcome Undertake cardiac physiological role in providing effective physiological/technical and scientific support and expertise for brady pacemaker implantation and temporary pacemaker insertion |