1,2 Use effective communication skills within the healthcare environment, adapting communication and language to meet the needs of the listener. The principles of effective communication, including written and electronic, verbal and The way effective communication can assist in identifying problems accurately, increase patient satisfaction, enhance treatment adherence, and reduce patient distress and anxiety. The importance of some key ideas, for example signposting, listening, language, non-verbal behaviour, ideas, beliefs, concerns, expectations and summarising in communication. Witness statements and/or evidence from reflective log KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1,2 Obtain a suitably completed request form, greet the patient and check patient ID for routine electrocardiography and office blood pressure measurement. Referral routes for cardiac diagnostic investigations. Requirements for correct completion of request forms and how to validate. The importance of checking and confirming the patient identity and the implications of not so. 1,2 Prepare the environment, set up and calibrate equipment ready for use for routine electrocardiography and office blood pressure measurement, including, if appropriate, resuscitation equipment. of equipment used, relative merits and principles of measurement. Requirements for the investigation environment to ensure privacy, dignity and comfort of the patient. Recognition of the errors or potential risks of using defective equipment in clinical practice and the implications of use. Identification of common faults and remedial action. Current safety standards, including safety testing and routine maintenance. Preparation and calibration of equipment.
Manufacturer’s and local protocols for equipment used. 1,2 Evaluate the technical quality of the ECG recording and pressure measurements. How to identify recordings/measurements that are sub-standard. When and how to refer to senior colleagues. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1,2 Treat the patient in a way that respects their dignity, rights, privacy and confidentiality while undertaking routine electrocardiography and office blood pressure measurement. The rights of the patient with regard to consent for treatment and confidentiality of consultation and medical records. Key factors influencing dignity, rights, privacy and confidentiality, including age, gender, culture and beliefs. Correct position of the patient ensuring comfort, cooperation and optimal investigation results. The impact of incorrect positioning or on investigation results. Evidence from DOPS on performing an ECG Accompanied by evidence from Questioning (written / verbal) Annotated ECG report and appropriately censored printout of recording 1 Perform, under direct supervision, a routine electrocardiogram in accordance with local health and safety regulations. The importance of introducing yourself and your role as a student healthcare science practitioner as part of the process of introduction and consent. How a trained member of staff explains the procedure to the patient and gains informed consent. Standard operating procedure (SOP). The importance of explaining the procedure for each investigation to the patient and gaining informed consent.
How to check and annotate recordings to ensure accuracy, completeness, legibility and suitability for analysis and reporting. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Measure ECG amplitudes and intervals and recognise a normal ECG. Derivation of the ECG and the relationship between the ECG and the cardiac cycle. Normal ECG findings and variations related to patient age, gender, activity and ethnic origin. Effect of exercise on the normal ECG. 2 Under supervision measure the resting BP using an automatic device. British Hypertension Society guidelines for blood pressure measurement. Importance of cuff size. Difficulties that may be encountered in obtaining an accurate BP measurement and relevant remedial actions. How to check and confirm results. Normal range for systolic and diastolic blood pressure. White coat hypertension. When to refer results to a senior colleague for further action. Routine maintenance and calibration procedures. DOPS & Questioning (written/verbal) 3 Reflect on your practice during this period of work based training and generate a reflective diary that demonstrates how you take Personal values, principles and assumptions, emotions and prejudices, understanding how these may influence personal judgement and behaviour. The role of critical reflection and reflective practice and the methods of reflection that can be used to Evidence from reflective log Obtain and upload evaluation from placement educator
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1,2 Use effective communication skills within the healthcare environment, adapting communication style and language to meet the needs of the listener when undertaking spirometry and oxygen saturation measurement. The principles of effective communication, including written and electronic, verbal and non-verbal. The way effective communication can assist in identifying problems accurately, increase patient satisfaction, enhance treatment adherence, and reduce patient distress and anxiety. The importance of some key ideas, for example signposting, listening, language, non-verbal behaviour, ideas, beliefs, concerns, expectations and summarising in communication. Witness statements and/or evidence from reflective log 1,2 Obtain a suitably completed request form, the patient and check patient ID when undertaking spirometry and spot oxygen saturation measurement. Referral routes for respiratory physiology diagnostic investigations. Requirements for correct completion of request forms and how to validate. The importance of checking and confirming the patient identity and the implications of not doing so. Evidence from DOPS on performing spirometry Accompanied by evidence from Questioning (written / verbal) Annotated Spirometry report and appropriately censored printout of recording
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1,2 Prepare the environment, set up and calibrate equipment ready for spirometry and oxygen saturation measurement. Range of equipment used, relative merits and principles of measurement. Requirements for the investigation environment to ensure privacy, dignity and comfort of the patient. Recognition of the errors or potential risks of using defective equipment in clinical practice and the implications of use. Identification of common faults and remedial action. Current safety standards, including safety testing and routine maintenance. Preparation and calibration of equipment. Manufacturers and protocols for equipment used. Evidence from DOPS on performing spirometry Accompanied by evidence from Questioning (written / verbal) Annotated Spirometry report and appropriately censored printout of recording 1,2 Evaluate the technical quality of recordings/measurements for spirometry and oxygen saturation measurement. How to identify recordings/measurements that are sub-standard. When and how to refer to senior colleagues KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE
1,2 the patient in a way that respects their dignity, rights, privacy and confidentiality when undertaking spirometry and oxygen saturation measurement. The rights of the patient with regard to consent for treatment and confidentiality of consultation and medical records. Key factors influencing dignity, rights, privacy and confidentiality, including age, gender, culture and beliefs. Correct position of the patient ensuring comfort, cooperation and optimal investigation results. The impact of incorrect positioning or non-cooperation on investigation results. Evidence from DOPS on performing spirometry Accompanied by evidence from Questioning (written / verbal) Annotated Spirometry report and appropriately censored printout of recording 1 Make height, weight and other appropriate measurements in accordance with standardised procedures, adapting them where necessary, for patients referred for spirometry and oxygen saturation measurement. Importance of accurate measurement of height and weight. Measurements that may be required pre investigation, such as height and weight. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Perform spirometry as part of a routine investigation. Standard operating procedures (SOPs). Evidence from DOPS on performing spirometry
accordance with national guidance), if a suitable recording cannot be made and re-record if necessary. Routine maintenance and calibration procedures. Choice of machine settings appropriate to the ECG recording requested/required. Identification and rectification of equipment faults/defects. How to check and annotate recordings to ensure accuracy, completeness, legibility and suitability for analysis and reporting. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 2 Measure ECG amplitudes and intervals and recognise a normal ECG. Derivation of the ECG and the relationship between the ECG and the cardiac cycle. Normal ECG findings and variations related to patient age, gender, activity and ethnic origin. Effect of exercise on the normal ECG. 2 Identify life-threatening/serious atrial and ventricular arrhythmias. Life-threatening/serious ECG changes and their relationship to cardiac anatomy, physiology and pathology. 2 Identify the ECG changes associated with myocardial ischaemia and infarction. ECG changes associated with myocardial ischaemia and infarction and their relationship to cardiac anatomy, physiology and pathology. 2 Identify the ECG changes associated with arrhythmia. ECG changes associated with sinus arrhythmia and their relationship to
2 Identify the ECG changes associated with junctional rhythms. ECG changes associated with junctional rhythms and their relationship to cardiac anatomy, physiology and pathology. 1 Undertake routine maintenance and calibration procedures for ECG machines. Routine maintenance and calibration procedures. DOPS 1 Clean ECG equipment in accordance with departmental protocol. Routine maintenance and calibration procedures. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Keep accurate records in accordance with current guidelines and the legal framework for data security. Best practice recommendations for record keeping and data security. The Data Protection Act and current key guidelines, and the legal framework for data security. Annotate Trust policy on data security Complete e-learning package. 3 Reflect on your practice and generate a reflective diary that demonstrates how you take responsibility for your learning and utilise the skills required of an independent learner, and your commitment to your continuing professional development. Personal values, principles and assumptions, emotions and prejudices, understanding how these may influence personal judgement and behaviour. The role of critical reflection and reflective practice and the methods of reflection that can be used to maintain or improve knowledge, skills and attitudes. How continuous personal development can improve personal performance. Evidence from reflective log/diary BIOM2001 Personal Development Portfolio 3 Comply with relevant guidance and laws, to include those relating to: your scope of practice Principles, guidance and law with respect to: medical ethics Obtain evidence of completion of Trust Courses
research ethics and governance patient confidentiality data protection equality and diversity use of chaperones informed consent. confidentiality information governance informed consent equality and diversity child protection elder abuse use of chaperones probity fitness to practise. Annotation of Policies KEY LEARNING OUCTOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Work constructively and effectively as a member of a multidisciplinary team. The underpinning principles of effective teamwork and working within and across professional boundaries. Witness statements from other healthcare professionals encountered in placement
1,2 Evaluate the technical quality of BP recordings/measurements, identify suboptimal recordings/measurements and where necessary, knowing when to refer to senior colleagues. How to identify recordings/measurements that are sub-standard. When and how to refer to senior colleagues. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1,2 Treat the patient in a way that respects their dignity, rights, privacy and confidentiality when measuring BP. The rights of the patient with regard to consent for treatment and confidentiality of consultation and medical records. Key factors influencing dignity, rights, privacy and confidentiality, including age, gender, culture and beliefs. Correct position of the patient ensuring comfort, cooperation and optimal investigation results. The impact of incorrect positioning or on investigation results. Evidence from DOPS on performing an ambulatory BP measurement Accompanied by evidence from Questioning (written / verbal) Annotated ambulatory BP report and appropriately censored printout of recording 1,2 Explain the procedure for BP measurement to the patient and gain informed consent. The importance of introducing yourself and your role as a student healthcare science practitioner as part of the process of introduction and consent. The importance of explaining the procedure for each investigation to the patient and gaining informed consent. The relevant procedures and requirements for patient conformance. Clinical indications and contraindications for each investigation.
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Comply with relevant guidance and laws, to include those relating to: your of practice research ethics and governance patient confidentiality data protection equality and diversity use of chaperones informed consent Principles, guidance and law with respect to: medical ethics confidentiality information governance informed consent equality and diversity child protection elder abuse use of chaperones probity fitness to practise Obtain evidence of completion of Courses Annotation of Policies 3 Work constructively and effectively as a member of a multidisciplinary team. The underpinning principles of effective teamwork and working within and across professional boundaries. Witness statements from other healthcare professionals encountered in placement MODULE Ambulatory ECG monitoring COMPONENT Specialist Years 2 and 3 AIM The aim of this module is to ensure that the student develops their skills with respect to patient-centred care and performs and analyses ambulatory ECG monitoring. During this period of work based training students will apply their learning from the modules Instrumentation, Signal Processing and Imaging; Pathophysiology of Common
Annotated ambulatory ECG report and appropriately censored printout of recording KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Prepare the environment, set up and calibrate equipment ready for ambulatory ECG monitoring. of equipment used, relative merits and principles of measurement. Requirements for the investigation environment to ensure privacy, dignity and comfort of the patient. Recognition of the errors or potential of using defective equipment in clinical practice and the implications of use. Identification of common faults and remedial action. Current safety standards, including safety testing and routine maintenance. Preparation and calibration of equipment. Manufacturer’s and local protocols for equipment used. Evidence from DOPS on performing an ambulatory ECG Accompanied by evidence from Questioning (written / verbal) Annotated ambulatory ECG report and appropriately censored printout of recording 2 Evaluate the technical quality of ambulatory ECG recordings, identify suboptimal recordings and re-record necessary, knowing when to refer to senior colleagues How to identify recordings/measurements that are When and how to refer to senior colleagues.
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 the patient in a way that respects their dignity, rights, privacy and confidentiality when undertaking ambulatory ECG monitoring. The rights of the patient with regard to consent for treatment and confidentiality of consultation and medical records. Key factors influencing dignity, rights, privacy and confidentiality, including age, gender, culture and beliefs. Correct position of the patient, ensuring comfort, co-operation and optimal investigation results. The impact of incorrect positioning or no co-operation on the investigation results. Evidence from DOPS on performing an ambulatory ECG Accompanied by evidence from Questioning (written / verbal) Annotated ambulatory ECG report and appropriately censored printout of recording 1 Explain the procedure to the patient and gain informed consent for ambulatory ECG monitoring. The importance of introducing yourself and your role as a student healthcare science practitioner as part of the process of introduction and consent. The importance of explaining the procedure for each investigation to the patient and gaining informed consent. The relevant procedures and requirements for patient conformance. Clinical indications and contraindications for each investigation
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Take responsibility for keeping your professional, technical and scientific knowledge and skills up to date. How to identify and evaluate the potential role for new and innovative technologies and scientific advances Evidence from reflective log/diary BIOM2001 Personal Development Portfolio 3 Meet commitments and goals in your professional practice using a range of organisational planning tools. Know different methods of planning, prioritising and organising, and how they can enhance personal effectiveness. 3 Comply with relevant guidance and laws to include those relating to: your scope of practice research ethics and governance patient confidentiality data protection equality and diversity use of chaperones informed consent Principles, guidance and law with respect to: medical ethics confidentiality information governance informed consent equality and diversity protection abuse use of chaperones probity fitness to practice Obtain evidence of completion of Trust Courses Annotation of Trust Policies 3 Work constructively and effectively as a member of a multidisciplinary team. The underpinning principles of effective teamwork and working within and across professional boundaries. Witness statements from other healthcare professionals encountered in placement
1,2 Control infection for diagnostic and therapeutic invasive procedures in accordance with departmental protocols. Protocols and requirements for hygiene and infection control related to the relevant range of investigations, including preparation, conduct and completion of investigation. Protocol for hand washing and how effective hand washing contributes to control of infection and trust requirements. Attend and evidence Trust update for YR2 placement for these competences. Complete a Plymouth University Risk Assessment Form for two competences. 1,2 Minimise and hazards in compliance with health and safety policies. The relevant health and safety regulations specific to the investigations, the potential hazards and risks, and the actions to be taken to minimise these. 1, 2, 3 Use effective communication skills within the healthcare environment, adapting communication style and language to meet the needs of the listener when assisting during diagnostic procedures. The principles of effective communication, including written and electronic, verbal and non-verbal. The way effective communication can assist in identifying problems accurately, increase patient satisfaction, enhance treatment adherence, and reduce patient distress and anxiety. The importance of some key ideas, for example signposting, listening, language, non-verbal behaviour, ideas, beliefs, concerns, expectations and summarising in communication. Witness Statement, preferably with patient feedback included Plus assessors comments KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Obtain a suitably completed request form, greet the patient and check patient ID for patients Referral routes for cardiac diagnostic investigations.
attending for cardiac exercise stress testing. Requirements for correct completion of request and how to validate. The importance of checking and confirming the patient identity and the implications of not doing so. Accompanied by evidence from Questioning (written / verbal) Annotated ECG report and appropriately censored printout of recording 1 Prepare the environment, set up and calibrate equipment ready for use for cardiac exercise stress testing. Range of equipment used, relative merits and principles of measurement. Requirements for the investigation environment to ensure privacy, dignity and comfort of the patient. Recognition of the errors or potential risks using defective equipment in clinical practice and the implications of use. Identification of common faults and remedial action. Current safety standards, including safety testing and routine maintenance. Preparation and calibration of equipment. Manufacturer’s and local protocols for equipment used. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Treat the patient in a way that respects their dignity, rights, privacy and confidentiality. The rights of the patient with regard to consent for treatment and confidentiality of consultation and medical records. Evidence from DOPS on performing a provocative ECG
When and how to refer to senior colleagues. Accompanied by evidence from Questioning (written / verbal) Annotated ECG report and appropriately censored printout of recording 1 Monitor and record the ECG and BP throughout the test, recording any adverse or unexplained changes, and take appropriate action. Safety procedures during the test. Adverse BP and ECG changes that should be reported. 1 Produce ECG tracings of sufficient accuracy to support the supervisor’s clinical report. Criteria for accurate ECG recordings. 1 Undertake routine maintenance and calibration procedures. Routine maintenance and calibration procedures. DOPS 1 Clean the equipment in accordance with departmental protocol. Routine maintenance and calibration procedures. 1 Keep accurate records in accordance with current guidelines and the legal framework for data security. Best practice recommendations for record keeping and data security. The Data Protection Act and current key guidelines and the framework for data security. Annotate policy on data security Complete e-learning package. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Reflect on your practice and generate a reflective diary that demonstrates how you take Personal values, principles and assumptions, emotions and prejudices,
responsibility for your learning and utilise the skills required of an independent learner, and your commitment to your continuing professional development. understanding how these may influence personal judgement and behaviour. The role of critical reflection and reflective practice and the methods of reflection that can be used to maintain or improve knowledge, skills and attitudes. How continuous personal development can improve personal performance. BIOM2001 Personal Development Portfolio Placement Learning Agreement 3 Take responsibility for keeping your professional, technical and scientific knowledge and skills up to date. How to identify and evaluate the potential role for new and innovative technologies and scientific advances. 3 Meet commitments and goals in your professional practice using a range of organisational and planning tools. Different methods of planning, prioritising and organising, and how they can enhance personal effectiveness. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Comply with relevant guidance and laws, to include those relating to: Principles, guidance and law with respect to: personal health and wellbeing Obtain evidence of completion of Trust Courses
MODULE TITLE Pacing and Diagnostic Cardiac Catheterisation Cardiovascular Sciences: Year 3 KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1,2 Control infection risks for diagnostic and therapeutic invasive procedures in accordance with departmental protocols. Protocols and requirements for hygiene and infection control related to the relevant of investigations, including preparation, conduct and completion of investigation. Protocol for hand washing and how effective hand washing contributes to control of infection and trust requirements. Attend and evidence Trust update for YR2 placement for these competences. Complete a Plymouth University Risk Assessment Form for these two competences. 1,2 Minimise risks and hazards in compliance with health and safety policies for diagnostic and therapeutic invasive procedures. The relevant health and safety regulations specific to the investigations, the potential hazards and risks, and the actions to be taken to minimise these.
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Take recordings appropriate to the investigation, make measurements from these, and change the range and paper speed to suit the pressures recorded. Zero pressure to ensure a patient baseline reading/measurement. How to identify recordings/measurements that are When and how to refer to senior colleagues. Evidence from required DOPS(or OCE) in cathlab Accompanied by evidence from Questioning (written / verbal) Cathlab documentation and coursework from BIOM3015 2 Select and prepare equipment for the implant of bradycardia devices and, under direct supervision, make appropriate measurements. Required documentation for implant of bradycardia devices. Range of diagnostic and therapeutic invasive procedures undertaken in a cardiac department. Adherence to any pre-test instructions. The need to check ECG and patient status throughout the procedure and report any adverse changes as necessary. Factors influencing the choice of technology for a cardiac rhythm management device.
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE Indications, contraindications and patient benefit for a cardiac rhythm management device. American Heart Association and European Standard Identification. How to identify recordings/measurements that are When and how to refer to senior colleagues. Evidence from required DOPS(or OCE) in cathlab Accompanied by evidence from Questioning (written / verbal) Cathlab documentation and coursework from BIOM3015 1, 2 Undertake routine maintenance and calibration procedures. Routine maintenance and calibration procedures. DOPS Risk Assessment 1, 2 Clean the equipment in accordance with departmental protocol Cleaning protocols. 1,2 Keep accurate records in accordance with current guidelines and the legal framework for data security Best practice recommendations for record keeping and data security. The Data Protection Act and current key guidelines and the framework for data security. Annotate Trust policy on data security Complete e-learning package.
KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Comply with the relevant guidance and laws, to include those relating to: your of practice research ethics and governance patient confidentiality data protection equality and diversity use of chaperones informed consent Principles, guidance and law with respect to: personal health and wellbeing medical ethics confidentiality information governance informed consent equality and diversity protection elder abuse use of chaperones probity fitness to practise Obtain evidence of completion of Courses Annotation of Trust Policies 3 Work constructively and effectively as a member of a multidisciplinary team The underpinning principles of effective teamwork and working within and across professional boundaries. Witness statements from other healthcare professionals encountered in placement Module Spirometry, Static Lung Volumes and Bronchodilator Response COMPONENT Specialist Years 2 and 3
and patient capability, identifying and correct errors in patient technique. How to distinguish between poor patient performance, technical faults and deterioration in clinical status. Reasons to stop the test to maintain the safety of the patient. 3 Select, prepare and administer a bronchodilator(s) and perform measurements according to and national guidelines. SOPs. Factors influencing the selection of bronchodilator and device. Correct preparation of bronchodilator device. Information needs of patients and how to explain in terms that facilitate understanding and co-operation. Factors influencing the effectiveness of administration that may impact on results. Correct administration of bronchodilator/device. Format and requirements for recording results. DOPS – Questioning/ Answering session. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE Interpret technically data from patients and generate a report for: spirometry lung volumes bronchodilator therapy Normal reference ranges. Typical patterns and results for common respiratory diseases. How to check accuracy of recording, identify artefacts and determine suitability for analysis. Collect spirometry measurements from the following: Normal Mild Obstruction Moderate Obstruction Severe Obstruction
comments that may influence the test outcome. 1, 2, 3 Generate a suitable report Normal reference ranges. Typical patterns and results for common respiratory disorders. DOPS – Witness Statement KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1, 2, 3 Decontaminate equipment for spirometry, static lung volumes and the administration of bronchodilators, and leave in a suitable condition for reuse. Decontamination procedures. Witness statement. SOP. 4 Perform routine calibration/quality control/verification of full lung function testing equipment, to include printouts of volume verification at different flow rates. Calibration logs, including both volume and gas concentration calibration. Volume calibration verification at differing flow rates on one piece of equipment. Requirements for calibration and quality control. The importance of the calibration log and records, including volume, flow and gas concentration. Current safety standards, including safety testing and routine maintenance. Requirements for accurate completion of equipment maintenance records. Complete your own calibration and physiological controls over a period of 5 (minimum) sessions. Interpret your findings in graphical form and report on these. Highlight the importance of calibration and physiological controls and why it used in the respiratory laboratory setting. 4 Perform VC measurements using a calibration syringe. SOP. The importance of volume verification. As – with syringe
Critically apply the scientific principles covered in the academic modules to this work based module and specifically appraise the evidence base underpinning single breath gas transfer. Observe the use of respiratory exercise testing and discuss the roles of this test in the diagnosis and management of patients. Attend a multidisciplinary meeting and reflect on the way the multidisciplinary team contributes to the care of patients with disorders of the respiratory system or disorders of sleep. Attend a meeting at which the outcome of a clinical audit is presented and discuss with your training officer how evidence based practice is implemented with respect to respiratory and/or sleep investigations. All of these experiences should be recorded in your e-portfolio. The following section details the competence and knowledge and understanding each trainee must gain. Each competence is linked to the relevant learning outcomes and trainees must demonstrate achievement of each competence for each linked learning outcome. MODULE TITLE Measurement of Gas Transfer and Oxygen Saturation Respiratory and Sciences : Years 2 and 3 KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1, 2 Control of infection risks pre, during and post gas transfer and oxygen saturation measurement, and actions taken to manage these. Protocols and requirements for hygiene and infection control related to the relevant range of investigations, including preparation, conduct and completion of investigation. Annotated hospital policy – Witness statements. Hand washing sign off at university before going out on placement.
Protocol for hand washing and how effective hand washing contributes to control of infection. 1, 2 Minimise risks and hazards in compliance with health and safety policies when undertaking gas transfer and oxygen saturation measurements. The relevant health and safety regulations specific to Respiratory and Sleep Science Investigations, the potential hazards and risks, and the actions to be taken to minimise these. Understanding relevant SOP – COSHH. Witness statements. 1, 2 Identify and act on any special requirements of the patient when undergoing gas transfer and oxygen saturation measurement, and if necessary, discuss with senior staff and carers. Potential special requirements of patients referred to a respiratory and sleep department. Witness statements - DOPS KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1, 2 Select suitable equipment for gas transfer and oxygen saturation, ensuring that the equipment is in working and is correctly configured in accordance with the requirements of the test. Factors influencing the choice of technology for investigating respiratory symptoms. Clinical indications, contraindications and patient benefit for respiratory and sleep investigations. Medication used to treat respiratory symptoms and conditions. DOPS 1,2 Obtain a suitably completed request form, greet the Referral routes for respiratory/sleep investigations. DOPS
that may influence the test outcome. 1 Generate a suitable report for gas transfer testing. Normal reference ranges. Typical patterns and results for common respiratory disorders. DOPS – witness statement 1 Decontaminate gas transfer equipment and leave in a suitable condition for reuse. Procedures for decontamination of gas transfer equipment. Witness statement 2 Obtain accurate measurements of spot SpO2 and rate in accordance with recommended procedures and the patient’s clinical condition. Standard operating procedures (SOPs). Reasons for measuring SpO2 and relevance to a range of patient conditions. Correct preparation for overnight pulse oximetry, including information needs of patients and carers. Requirements for monitoring and recording results. How to distinguish between technical faults and deterioration in clinical status. DOPS – witness statement 3 Perform alveolar volume and transfer test measurements on a physiological control. SOP. Complete your own calibration and physiological controls over a period of 5 (minimum) sessions. Interpret your findings in graphical form and report on Highlight the importance of calibration and physiological controls and why it used in the respiratory laboratory setting. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE
oximetry, limited sleep studies and CPAP. investigation considering the findings from the history and clinical examination. Indications and contraindications for each test. Requirements for correct completion of request forms and how to validate. How to communicate with patients in a way that respects their dignity, rights, privacy and confidentiality. The importance of checking patient identity. The importance of explaining the procedure to the patient and gain consent. How to take and record a patient history and key information required. Common pharmacological treatments used by patients referred with respiratory disease and disorders of sleep. Witness statement with questioning/ answering included. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 1 Explain the procedure for undertaking overnight oximetry to the patient, address any procedure related questions they may have and provide information on how the The importance of explaining the procedure to the patient. Common questions and concerns of patients about procedures. Witness statement of competence
utilise the skills required of an independent learner, and your commitment to your continuing professional development. The role of critical reflection and reflective practice and the methods of reflection that can be used to maintain or improve knowledge, skills and attitudes. How continuous personal development can improve personal performance. 3 Take responsibility for keeping your professional, technical and scientific knowledge and skills up to date. How to identify and evaluate the potential role for new and innovative technologies and scientific advances. 3 Meet commitments and goals in your professional practice using a range of organisational and planning tools. Different methods of planning, prioritising and organising, and how they can enhance personal effectiveness. Organising your profile timetable and advising assessors when work is ready to be assessed. KEY LEARNING OUTCOMES COMPETENCES KNOWLEDGE AND UNDERSTANDING SUGGESTED EVIDENCE 3 Comply with relevant guidance and laws, to include those relating to: your scope of practice research ethics and governance patient confidentiality data protection equality and diversity use of chaperones informed consent Principles, guidance and law with respect to: medical ethics confidentiality information governance informed consent equality and diversity child protection elder abuse use of chaperones probity Annotated hospital policies.