Unit of competency Outline
Date retreived
22/07/2026 11:50 PM AWST
22/07/2026 11:50 PM 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 holter monitoring
Perform holter monitoring
Unit of competency
National Code
HLTCA402D
HLTCA402D
State Code
WD080
WD080
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
05/08/2014
Field of Education
030717 - Plant And Machine Operations
Original Release Date
05/08/2014
Nominal Hours
90
Description
DescriptorThis unit of competency describes the skills and knowledge required to attach a holter monitor to produce a diagnostic trace and analyse the trace following the monitoring process
Notes
Elements and Performance Criteria
1. Prepare equipment for use
- 1.1 Check equipment for good working order
- 1.2 Check materials for availability and supply
- 1.3 Insert new battery and cassette tape correctly into holter monitor
2. Prepare client for holter monitor
- 2.1 Receive and process the request for holter monitor in accordance with organisation procedures
- 2.2 Identify the client correctly following the organisation's guidelines for preventing client misidentification
- 2.3 Reassure and provide information to the client regarding the ECG procedure appropriately and completely
- 2.4 Involve the client fully in discussions about their treatment using language they can understand
- 2.5 Provide the client with the opportunity to ask questions and discuss areas of concern
- 2.6 Record client information
- 2.7 Review client medical history and address pre-existing conditions
- 2.8 Obtain and document consent following ethical and legal requirements
3. Attach holter monitor electrodes
- 3.1 Maintain the client's privacy and dignity throughout procedure
- 3.2 Complete preparation of client's skin for electrode placement as required
- 3.3 Position the client correctly and comfortably and place electrodes in accordance with client's needs and current standards
- 3.4 Attach leads correctly and double check lead placement
- 3.5 Take a trial trace and check for interference, wandering baseline and amplitude
- 3.6 Advise supervisor or an appropriate person if you think a client may be at risk
4. Analyse holter monitor trace
- 4.1 Remove the holter monitor from client
- 4.2 Review and correct the computer analysis of holter tape
- 4.3 Identify and action abnormal ECG patterns which require immediate medical attention
- 4.4 Print the full report and submit to cardiologist for review
- 4.5 Print final report printed and send to requesting medical officer
5. Complete holter monitor process
- 5.1 Remove holter monitor leads and electrodes from client
- 5.2 Provide client with assistance as required on completion of procedure
- 5.3 Clean holter monitor and leads on completion of procedure
- 5.4 Dispose of disposable holter monitor electrodes and other materials in accordance with waste management procedures
- 5.5 Remove holter monitor battery from device
- 5.6 Store holter monitor leads in accordance with manufacturer's specifications
- 5.7 Store holter monitor machine in accordance with manufacturer's specifications and WHS policy and procedures
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.
Checking of equipment must include:
Cleanliness
New battery
Calibration
Settings appropriate for a 3 or 5 lead rhythm
Maintenance in accordance to the relevant Australian Standards
Materials may include:
Electrodes
Battery
Cassette tape
Surgical tape
Skin prep
Tissues
Request may come from:
Registered medical practitioner
Registered nurse
Procedural information may include:
How to complete diary
When to press event button
How to turn off device
Client information may include:
Name
Medical record number
Date and time
Client symptoms
Time holter monitoring started
Skin preparation may include:
Cleaning and abrading the skin
Drying thoroughly prior to electrode application
Review and correction of computer analysis of holter tape may include:
Review and correct all templates
All events
Arrhythmias
Abnormal rates
Assistance for the client may include:
Cleaning of gel from chest and limbs
Re-arranging of clothing
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance.
Checking of equipment must include:
Cleanliness
New battery
Calibration
Settings appropriate for a 3 or 5 lead rhythm
Maintenance in accordance to the relevant Australian Standards
Materials may include:
Electrodes
Battery
Cassette tape
Surgical tape
Skin prep
Tissues
Request may come from:
Registered medical practitioner
Registered nurse
Procedural information may include:
How to complete diary
When to press event button
How to turn off device
Client information may include:
Name
Medical record number
Date and time
Client symptoms
Time holter monitoring started
Skin preparation may include:
Cleaning and abrading the skin
Drying thoroughly prior to electrode application
Review and correction of computer analysis of holter tape may include:
Review and correct all templates
All events
Arrhythmias
Abnormal rates
Assistance for the client may include:
Cleaning of gel from chest and limbs
Re-arranging of clothing
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
Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible
Consistency of performance should be demonstrated over the required range of workplace situations
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
Context of and specific resources for assessment:
Relevant organisation policy, guidelines, procedures and protocols
Method of assessment
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 supervision
Observation of work activities when performing holter monitoring
Observation of simulation and/or role play when performing holter monitoring
Discussion of physical and/or behavioural contingency scenarios involving duty of care
Authenticated transcripts of relevant education/ training courses
Recognition of relevant life/work experience
Written assessments/projects, questioning, e-learning can be used to assess knowledge
Authenticated reports of experience in performing holter monitoring (documentation associated with performance reviews, supervisor/coordinator evaluations of work performance)
Training records associated with first aid, occupational health and safety training, orientation/induction training, safe manual handing, universal infection control procedures
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Related units:
This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged
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
Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible
Consistency of performance should be demonstrated over the required range of workplace situations
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
Context of and specific resources for assessment:
Relevant organisation policy, guidelines, procedures and protocols
Method of assessment
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 supervision
Observation of work activities when performing holter monitoring
Observation of simulation and/or role play when performing holter monitoring
Discussion of physical and/or behavioural contingency scenarios involving duty of care
Authenticated transcripts of relevant education/ training courses
Recognition of relevant life/work experience
Written assessments/projects, questioning, e-learning can be used to assess knowledge
Authenticated reports of experience in performing holter monitoring (documentation associated with performance reviews, supervisor/coordinator evaluations of work performance)
Training records associated with first aid, occupational health and safety training, orientation/induction training, safe manual handing, universal infection control procedures
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Related units:
This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| D5813 | HLTCA402C | Perform holter monitoring | Unit of competency |
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AVA48 | HLTCAR002 | Perform holter monitoring | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| J085 | HLT42112 | Certificate IV in Cardiac Technology | Qualification |
| J082 | HLT41812 | Certificate IV in Pathology | Qualification |