Competency information

Details

Set up a cardiac monitor and monitor heart function in a range of critically ill patients, interpreting and responding to trends in physiological variables and calibrating as necessary.

Considerations

  • Standard operating procedure.
  • 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.
  • Electrode sites for cardiac monitoring to achieve optimum ECG waveform.
  • Choice of monitor and monitor settings and rate alarm.
  • How to recognise technical artefacts.
  • Principles of acquiring appropriate data and converting it into information to support the diagnosis and treatment of critically ill patients.
  • How to minimise patient discomfort in relation to monitoring devices.
  • Normal ranges and interpretation in the context of the clinical circumstances.
  • Identification of abnormalities requiring urgent intervention.
  • How to differentiate real change from artefact and respond appropriately.
  • Cleaning and disinfection post monitoring.
  • Routine maintenance.

Relevant learning outcomes

# Outcome
# 3 Outcome Perform ECG monitoring, recognising and responding to trends in physiological variables.