Unit of competency Outline

Date retreived
24/07/2026 12:29 AM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Perform ECG

Perform ECG

Unit of competency
National Code
HLTPAT407D
State Code
WG838
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
07/05/2012
State Implementation and Classification
Approved Date
05/07/2013
Field of Education
060301 - General Nursing
Original Release Date
05/07/2013
Nominal Hours
30
Description
DescriptorThis unit of competency describes the skills and knowledge required to use an electrocardiograph, and to provide a client's ECG trace under the supervision of an appropriate health professional
Notes
Elements and Performance Criteria
1. Prepare electrocardiography (ECG) machine for use
  • 1.1 Check ECG machine against a checklist before each use for good electrical working order, for cleanliness, calibration, and for correct settings
  • 1.2 Check ECG machine to ensure that it is maintained according to the AS 3551 Technical Management Program for Medical Devices
2. Prepare client and attach ECG leads
  • 2.1 Correctly identify, reassure and inform client, regarding the ECG procedure
  • 2.2 Record client information eg name, medical record number, date and time, and whether client has chest pain or is pain free
  • 2.3 Position client for the attachment of leads
  • 2.4 Attach leads according to procedure manual, and correct lead placement is double checked
3. Produce ECG trace according to the documented procedures
  • 3.1 Label leads as they are recorded, and record if a filter is used
  • 3.2 Record lead 2 'rhythm strip', being of a length prearranged with the requesting practitioner
  • 3.3 Produce trace eliminating sources of interference and maintaining a straight base line
  • 3.4 Clean client's chest and ECG electrodes on completion of procedure
  • 3.5 Forward trace to cardiologist for reading
4. Recognise and manage common ECG interference patterns
  • 4.1 Identify and manage electrical interference
  • 4.2 Identify and manage skeletal muscle tremor
  • 4.3 Identify and manage excessive muscle activity
  • 4.4 Identify and manage a wandering baseline
RANGE STATEMENT

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.


An appropriate health professional may include:
Registered nurse
Pathologist
Medical officer
ECG technician


ECG trace requests may come from:
A registered medical practitioner
Nominated nursing staff eg nurse practitioner


ECG machines may be:
Manual
Automatic


Client preparation and ECG recording may need to take into account:
Clients may be inflexible, arthritic, in pain, tense or stressed
Clients may be large or small
Difficulties in obtaining an accurate trace at the first attempt
Electrical interference may be caused by corroded electrodes or poor electrode skin contact
Skeletal muscle tremor is usually due to pain, discomfort or anxiety
Skeletal muscle activity is most commonly due to a cold environment and/or client movement
Wandering base line interference is commonly due to loose electrodes, but may also be due to a swaying cable or an unusually heavy diaphragm action in clients


Protective clothing may include:
Gloves
Gowns


Venues for electrocardiography may include:
Centres/clinics
Hospitals
Other institutions - ie Psychiatric institutions
Home
EVIDENCE GUIDE

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Observation of workplace performance is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace
Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible


Context of and specific resources for assessment:
Relevant ECG equipment and leads
ECG procedure manual
Emergency response procedures
Infection control procedures
Clinical risk assessment policy and procedures
Workplace health and safety guidelines
Other organisation policies and procedures
Duties statements and/or job descriptions


Method of assessment may include:
Observation in the work place
Written assignments/projects or questioning should be used to assess knowledge
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct observation of performance
Interviewing and questioning
Computer-aided assessment
Staff/client feedback
Supporting statement of supervisor(s)


Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities


Related units:
This unit can be delivered and assessed independently, however holistic assessment practice with other pathology units of competency is encouraged
Replaces
State Code National Code Title Type
D8407 HLTPAT407C Perform electrocardiography (ECG) Unit of competency
Replaced By
State Code National Code Title Type
AVA49 HLTCAR001 Perform electrocardiography (ECG) Unit of competency
State Code National Code Title Type
J082 HLT41812 Certificate IV in Pathology Qualification