Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1,2,3,4,5,6,7 |
Competency
Control infection risks in accordance with departmental protocols |
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| # 2 | Learning outcome 1,2,3,4,5,6,7 |
Competency
Minimise risks and hazards in compliance with health and safety policies |
Action View |
| # 3 | Learning outcome 1,2,3,4,5,6,7 |
Competency
Treat patients in a way that respects their dignity, rights, privacy and confidentiality at all times |
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| # 4 | Learning outcome 1,2,3,4,5,6,7 |
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 1,2,3,4,5,6,7 |
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 1,2,3,4,5 |
Competency
Perform cardiac monitoring and make accurate pressure and haemodynamic measurements appropriate to the procedure, acting on any adverse changes |
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| # 7 | Learning outcome 1,2,3,4,5,6 |
Competency
Take appropriate action to respond to the specific needs of the patient, as defined by department protocol |
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| # 8 | Learning outcome 6 |
Competency
Assist in the performance of the procedure under the direction of the primary operator during the pacemaker implantation procedure |
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| # 9 | Learning outcome 6,7 |
Competency
Make accurate measurements of all parameters, identify and rectify errors to ensure the correct functionality and safety of the implanted device, and complete all documentation accurately |
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| # 10 | Learning outcome 6,7 |
Competency
Perform testing to ensure appropriate lead position and stability, review the ECG and chest X-ray, identify lead position and confirm that the position is satisfactory |
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| # 11 | Learning outcome 6,7 |
Competency
Make standard measurements and calculations and ensure the pacemaker parameters and safety margins are appropriately programmed |
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Assessments
You must complete:
- 2 case-based discussion(s)
- 2 of the following DOPS/ OCEs:
| Perform haemodynamic monitoring and complete and a procedure event log during percutaneous coronary intervention | DOPS |
| Prepare an intra aortic balloon pump for use during percutaneous coronary intervention | DOPS |
| Perform accurate measurements during a pressure wire investigation | DOPS |
| Prepare an intravascular ultrasound machine for use during an interventional procedure | DOPS |
| "Prepare equipment and consumables as required for implantation of a permanent pacemaker" | DOPS |
| Provide technical support during a pacemaker implant procedure | DOPS |
| Demonstate adjustment of an intra aortic balloon pump in order to optimise haemodynamic support. | OCE |
| Peform a pacemaker follow-up procedure. Make accurate measurements of all parameters, identify and rectify errors to ensure the correct functionality and safety of the implanted device and... | OCE |
| Perform testing to ensure appropriate lead position and stability and review the ECG and Chest X-Ray, identify lead position and confirm that the position is satisfactory. | 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, set up and undertake cardiac physiological role for percutaneous coronary intervention (PCI)
- Plan, prepare, set up and undertake cardiac physiological role for intra-aortic balloon pump (IABP)
- Plan, prepare, set up and undertake cardiac physiological role for rotablation
- Plan, prepare, set up and undertake cardiac physiological role for flow wire
- Plan, prepare, set up and undertake cardiac physiological role for intravascular ultrasound (IVUS)
- Undertake cardiac physiological role in providing effective physiological/technical and scientific support and expertise for brady pacemaker implantation and temporary pacemaker insertion
- Manage post-brady pacemaker implantation follow-up