Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1,3,5 |
Competency
Control infection risks in accordance with departmental protocols for each procedure |
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| # 2 | Learning outcome 1,3,5 |
Competency
Minimise risks and hazards in compliance with health and safety policies for each procedure |
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| # 3 | Learning outcome 1,3 |
Competency
Treat patients in a way that respects their dignity, rights, privacy and confidentiality at all times |
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| # 4 | Learning outcome 1,3 |
Competency
Review a suitably completed request form Greet the patient, check patient identity and ensure that the patient’s identity is confirmed as correct and fully identified on each type of recording system for each procedure |
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| # 5 | Learning outcome 1,3 |
Competency
Set up appropriate equipment in preparation for each type of procedure, including, resuscitation equipment where appropriate Calibrate where necessary |
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| # 6 | Learning outcome 1,3 |
Competency
Explain the process of procedure to the patient, address any procedure-related questions they may have and explain how they will be informed of the results for each procedure |
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| # 7 | Learning outcome 1,3 |
Competency
Gain appropriate consent for each procedure |
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| # 8 | Learning outcome 1,3 |
Competency
For each procedure, initiate a consultation, elicit information, clarify as necessary, summarise and empathise, and use active listening techniques while taking a patient history |
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| # 9 | Learning outcome 1,3 |
Competency
Take appropriate action to respond to the specific needs of the patient, as defined by the department protocol for each procedure |
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| # 10 | Learning outcome 1 |
Competency
Select suitable technology for echocardiography, position the patient as necessary and select a transducer suitable for each patient and study |
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| # 11 | Learning outcome 1 |
Competency
Perform a standard transthoracic echocardiogram in an adult patient, optimising image quality and identifying artefacts |
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| # 12 | Learning outcome 1,2 |
Competency
Make standard measurements and calculations for a normal echo |
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| # 13 | Learning outcome 2 |
Competency
Interpret images and formulate an accurate standard echocardiogram report, completing relevant documentation in line with national and local policies |
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| # 14 | Learning outcome 3 |
Competency
Select suitable technology for provocative electrocardiography, choosing and adapting the appropriate diagnostic technique |
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| # 15 | Learning outcome 3 |
Competency
Perform cardiac exercise tolerance testing for suspected coronary artery disease, pacemaker function and the differential diagnosis of cardiorespiratory disease |
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| # 16 | Learning outcome 4 |
Competency
Interpret the results and formulate accurate reports for provocative electrocardiography |
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| # 17 | Learning outcome 5 |
Competency
Carry out first-line maintenance and checking calibration procedures on the equipment used for each type of procedure |
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| # 18 | Learning outcome 5 |
Competency
Complete equipment maintenance records accurately and ensure that calibration records and fault reports are accurate, legible and complete for the equipment used for each type of procedure |
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| # 19 | Learning outcome 6 |
Competency
Document local diagnostic and treatment pathways for patients undergoing echocardiography or provocative ECG |
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Assessments
You must complete:
- 2 case-based discussion(s)
- 2 of the following DOPS/ OCEs:
| Perform appropriate infection control procedures in preparation for a transthoracic echo | DOPS |
| Perfrom a check that resuscitation equipment is in working order | DOPS |
| Make standard measurements for a normal transthoracic echo | DOPS |
| Construct an accurate echocardiogram report | DOPS |
| Construct an accurate exercise test report | DOPS |
| Assess request for suitability and cross check details with patient | OCE |
| Explain procedure to patient and check their understanding | OCE |
| Take a patient history | OCE |
| Perform a standard transthoracic echo | OCE |
| Supervise a cardiac exercise tolerance test | OCE |
Learning outcomes
The trainee should produce evidence of completion of immediate or advanced life support training before undertaking any of the learning outcomes.
- Plan, prepare and undertake a standard transthoracic echocardiogram in a patient with a structurally normal heart
- Under supervision, technically interpret the data and produce high-quality reports with respect to echocardiography, and be able to differentiate between artefact and physiological occurance
- Plan, prepare and undertake a range of provocative electrocardiography procedures, in accordance with national guidelines
- Under supervision, technically interpret the data and produce high-quality reports with respect to non-invasive provocative electrocardiography, and be able to differentiate between artefact and physiological occurance
- Carry out routine maintenance on equipment used for echocardiography and provocative electrocardiography prodcdures
- Document local diagnostic and treatment pathways for patients undergoing echocardiography or provocative electrocardiography