Competency information
Details
Interrogate cardiac device and perform and interpret standard measurements appropriate to device undertaking testing to ensure lead integrity and stability, assessing stored diagnostics and histograms and the standard parameters of the device to establish and program appropriate safety margins.
Considerations
- Integrity and stability of leads.
- Safety margins in individual patients.
- Loss of capture and the resulting output threshold (loss of capture and programming options).
- Normal range for lead impedance.
- Pulse generator lead connection, including high-voltage leads.
- Medication used to treat cardiac arrhythmias.
- Action to be taken in the event of problems with leads.
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 | Outcome Perform and interpret procedures to assess implanted cardiac devices and, using appropriate algorithms, program and optimise the device to monitor or provide treatment appropriate to patients with single chamber bradycardia, recognising the clinical signs and symptoms of device complications. |
| # 2 | Outcome Perform and interpret procedures to assess implanted cardiac devices and, using appropriate algorithms, program and optimise the device to monitor or provide treatment appropriate to patients with single chamber tachycardia, recognising the clinical signs and symptoms of device complications. |
| # 3 | Outcome Perform and interpret procedures to assess implanted cardiac devices and, using appropriate algorithms, program and optimise the device to monitor or provide treatment appropriate to patients with dual chamber bradycardia, recognising the clinical signs and symptoms of device complications. |
| # 4 | Outcome Perform and interpret procedures to assess implanted cardiac devices and, using appropriate algorithms, program and optimise the device to monitor or provide treatment appropriate to patients with dual chamber tachycardia, recognising the clinical signs and symptoms of device complications. |
| # 5 | Outcome Perform and interpret procedures to assess implanted cardiac devices and, using appropriate algorithms, program and optimise the device to monitor or provide treatment appropriate to patients with CRT-P (cardiac resynchronization therapy with pacemaker), recognising the clinical signs and symptoms of device complications. |
| # 6 | Outcome Perform and interpret procedures to assess implanted cardiac devices and, using appropriate algorithms, program and optimise the device to monitor or provide treatment appropriate to patients with CRT-D (cardiac resynchronization therapy with defibrillator function) recognising the clinical signs and symptoms of device complications. |
| # 7 | Outcome Perform long-term follow-up procedures for patients with implanted cardiac devices, ensuring the safe and effective functioning of each device and highlighting devices that may need replacement. |