Clinical Competency Area Recording a 12-lead ECG – Minimum stage 3 proficiency should be achieved, where this is not the case Document competency ( 1-3 ) & sign please complete action plan to achieve stage 3. Stage 1 Stage 2 Stage 3 Assessor Graduate Stage 1 Foundation – Stage 2 Intermediate – Date & Initial Date & Initial Date & Initial Date & Initial Date & Initial - 3 Competent Demonstrate the ability to prepare the patient for an ECG Demonstrate the ability to accurately apply electrodes Demonstrate the ability to record, optimise and dispatch an ECG Demonstrate the ability to modify and download a recorded ECG as appropriate Shows awareness of and follows infection control procedures Outcome: Assessor Feedback: Assessor: Date & Initials Graduate: Date & Initials
Clinical Competency Area – Recording a 12-lead ECG Minimum stage 3 proficiency should be achieved, where this is not the case please complete action plan to achieve stage 3. Document competency ( 1-3 ) & sign Stage 1 – Foundation Stage 2 – Intermediate 3 - Competent Stage 1 Date & Initial Stage 2 Date & Initial Stage 3 Date & Initial Assessor Date & Initial Graduate Date & Initial Demonstrate the ability to prepare the patient for an ECG Demonstrate the ability to accurately apply electrodes Demonstrate the ability to record, optimise and dispatch an ECG Demonstrate the ability to modify and download a recorded ECG as appropriate Shows awareness of and follows infection control procedures Outcome: Assessor Feedback: Assessor: Date & Initials Graduate: Date & Initials
CP_Preceptorship_Program_Document_V8_Draft_08_15.docx