Competency information
Details
Assess implanted device for arrhythmias and set appropriate algorithm to monitor or provide treatment appropriate to patient symptomology, referring for additional diagnostic testing relevant to any anomalies found.
Considerations
- Clinical indications, contraindications and patient benefit from cardiac rhythm management device.
- Medication used to treat cardiac arrhythmias.
- Normal range and measurement of appropriate intrinsic P/R wave- sensing amplitude and advise whether within normal limits.
- Identification and assessment of slew rate
- Measurement of Wenckebach cycle length where normal limits
- American Heart Association and European Standard Identification.
- Device selection related to the patient’s physiological needs.
- Complications associated with anatomical anomalies and device implantation.
- Choice of algorithms to monitor treatment.
- Choice of algorithms to provide treatment.
- Additional diagnostic testing that may be required.
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. |