Competency information

Details

Set up for invasive blood pressure monitoring for a range of patients interpreting and responding to trends in physiological variables and calibrating as necessary.

Considerations

  • Range of equipment used, relative merits and principles of measurement, including:
    • recognition of the errors or potential risks of using defective equipment in clinical practice and the implications of use
    • the application of relevant troubleshooting skills
    • identification of common faults and remedial action
    • current safety standards, including safety testing and routine maintenance
    • requirements for set-up and calibration specific to that procedure.
  • Preparation of life support equipment, where appropriate.
  • SOP for invasive blood pressure monitoring.
  • Indications for invasive blood pressure monitoring.
  • Advantages and disadvantages.
  • Principles of invasive pressure monitoring devices and optimisation to maximise accuracy:
    • catheter
    • tubing
    • transducer
    • amplifier and display unit
    • zero and calibration techniques
    • system dynamics, including damping, natural frequency, effect of air bubbles.
  • How to avoid extensive invasive procedures or monitoring.
  • How to minimise patient discomfort in relation to monitoring devices circumstances.
  • Identification of abnormalities requiring urgent intervention.
  • How to differentiate real change from artefact and respond appropriately.

Relevant learning outcomes

# Outcome
# 7 Outcome Perform invasive pressure monitoring, recognising and responding to trends in physiological variables.