5 Clinical Competency Area Ambulatory ECG Interpretations – Guide Criteria for Stage 1, 2 & 3 – Stage 1 Stage 2 Stage 3 Able to operate the playback/analysis Able to down load data from Ability to change machine settings. Troubleshoot problems with storage device for analysis. Example: prematurity settings for analysis system/hardware system. Download ECG strips for atrial ectopics, sweep speed, interpretation. Manipulate analyser amplitude etc settings. Recognise and classify ECG complexes. Is able to classify normal Able to recognise and classify Recognises complex rhythms: rhythm, atrial and ventricular ECG complexes to intermediate Recognise areas of artefact and label ectopics, Atrial level as defined in ECG SVT vs VT correctly. fibrillation/flutter and interpretation competency Aberrancy dangerous rhythms. Check automatic evaluations for Produces accurate trends Is able to correlate Able to comment on findings with and histograms trends/histograms with patient reference to diagnosis. Example; accuracy including histograms and activities chronotropic incompetence, AF trends. rate control etc. *NB may not be available on all systems. – Ability to correlate patient symptom File/print ECG strips at Able to comment on findings at Able to correlate abnormal ECG symptom times symptom times. Example: Normal findings with patient symptoms times/diary events with recordings. or abnormal Select ECG tracings sufficient to Uses automatically selected Includes onset and offset of Able to correlate ECG tracings with information for inclusion in arrhythmia with appropriate sweep patient activities/symptoms illustrate and support the final evaluation. the report. speed/amplitude settings Production of a signed/dated factual Produces a report Includes additional information to Understands implications of containing histograms, support diagnosis report/diagnosis on patient care report according to local guidelines. trends and patient symptoms Recognition of circumstances where Able to ask colleagues for Able to prioritise findings for medic Able to recognise urgent findings help with ECG recognition review and seek advice from medics. views of colleagues should be sought. Example: on-call registrar to review dangerous rhythms Ability to store a copy of the report in line Able to the report Able to demonstrate methods for Able to retrieve stored reports from electronically on individual long-term storage/archiving archiving system with local guidelines. workstation
Guide – Criteria for Stage 1, 2 & 3 Stage 1 Stage 2 Stage 3 Able to operate the playback/analysis system. Download ECG strips for interpretation. Manipulate analyser settings. Able to down load data from storage device for analysis. Ability to change machine settings. Example: prematurity settings for atrial ectopics, sweep speed, amplitude etc Troubleshoot problems with analysis system/hardware Recognise and classify ECG complexes. Recognise areas of artefact and label correctly. Is able to classify normal rhythm, atrial and ventricular ectopics, Atrial fibrillation/flutter and dangerous rhythms. Able to recognise and classify ECG complexes to intermediate level as defined in ECG interpretation competency Recognises complex rhythms: SVT vs VT Aberrancy Check automatic evaluations for accuracy including histograms and trends. *NB – may not be available on all systems. Produces accurate trends and histograms Is able to correlate trends/histograms with patient activities Able to comment on findings with reference to diagnosis. Example; chronotropic incompetence, AF rate control etc. Ability to correlate patient symptom times/diary events with recordings. File/print ECG strips at symptom times Able to comment on findings at symptom times. Example: Normal or abnormal Able to correlate abnormal ECG findings with patient symptoms Select ECG tracings sufficient to illustrate and support the final evaluation. Uses automatically selected information for inclusion in the report. Includes onset and offset of arrhythmia with appropriate sweep speed/amplitude settings Able to correlate ECG tracings with patient activities/symptoms Production of a signed/dated factual report according to local guidelines. Produces a report containing histograms, trends and patient symptoms Includes additional information to support diagnosis Understands implications of report/diagnosis on patient care Recognition of circumstances where views of colleagues should be sought. Able to ask colleagues for help with ECG recognition Able to prioritise findings for medic review Able to recognise urgent findings and seek advice from medics. Example: on-call registrar to review dangerous rhythms Ability to store a copy of the report in line with local guidelines. Able to the report electronically on individual workstation Able to demonstrate methods for long-term storage/archiving Able to retrieve stored reports from archiving system 5 Clinical Competency Area – Ambulatory ECG Interpretations
CP_Preceptorship_Program_Document_V8_Draft_08_15.docx