Unit of competency Outline

Date retreived
22/07/2026 3:02 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 evoked potentials recording

Perform evoked potentials recording

Unit of competency
National Code
HLTNE602C
State Code
D8364
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
25/03/2011
State Implementation and Classification
Approved Date
01/08/2011
Field of Education
060301 - General Nursing
Original Release Date
01/08/2011
Nominal Hours
100
Description
DescriptorThis unit of competency describes the skills and knowledge required to prepare a client to perform evoked potentials (EP) testing and to provide a technical report for diagnostic purposes
Notes
Elements and Performance Criteria
1. Prepare equipment, material and environment
  • 1.1 Review client booking list is reviewed for client details
  • 1.2 Identify special needs of client
  • 1.3 Select equipment, materials and location for test
  • 1.4 Ensure equipment and materials selected are clean, dry, in working order, and, where applicable, calibrated
  • 1.5 Review relevant, current literature, protocols and normal controls
  • 1.6 Arrange client bookings according to organisation procedures, clients' needs, reason for study and specific tests
2. Prepare client for procedure
  • 2.1 Ensure information on access to test location and test to be attended is received by client
  • 2.2 Receive and process request for test
  • 2.3 Correctly identify client ,reassure and inform client regarding the procedure
  • 2.4 Give client/carer the opportunity to ask questions and discuss areas of concern
  • 2.5 Check client consent has been obtained
  • 2.6 Review client's medical history, seek clarification specific details and take action, as required
3. Attach monitoring equipment
  • 3.1 Utilise personal protective equipment in accordance with standard and additional precautions
  • 3.2 Select type and number of electrodes according to client needs and test requirements
  • 3.3 Identify sites for electrode placement according to test requirements, current standards and organisation policies and procedures
  • 3.4 Complete skin preparation according to infection control guidelines and client needs
  • 3.5 Attach other monitoring equipment as required
  • 3.6 Correctly connect required leads between interface/head box and machine
  • 3.7 Perform pre test electrode impedance and establish integrity of electrode and application
  • 3.8 Adjust equipment and electrodes as required
  • 3.9 Enter client details and type of test on testing equipment
4. Conduct EP recording
  • 4.1 Perform additional validation techniques
  • 4.2 Select derivations and machine parameters according to client details, cooperation and concurrent results, and annotate and record
  • 4.3 Validate electrical impedance throughout the test as required
  • 4.4 Select stimulus type and strength according to test requirements and client tolerance level
  • 4.5 Recognise artefacts, annotate, and eliminate or reduce
  • 4.6 Monitor client's response to stimulus and adapt procedure accordingly
  • 4.7 Recognise primary complex as appropriate, according to departmental normal controls, and reproducible
  • 4.8 Identify appropriate signal to noise ratio is
  • 4.9 Annotate for neurologist reporting response to stimulus and changes throughout the procedure
  • 4.10 Identify and meet client needs during the EP recording
  • 4.11 Identify and respond to severe reactions and complications in accordance with organisation emergency procedures
5. Completion of procedure
  • 5.1 Perform post test electrode impedance and verify integrity of electrode contact
  • 5.2 Validate existence of computerised file or printouts
  • 5.3 Remove leads and electrodes from client and wash paste/gel off
  • 5.4 Provide client with assistance as required, on completion of the procedure
  • 5.5 Confirm timely follow up with referring doctor
  • 5.6 Record test and relevant information for retrieval and statistical purposes according to department procedures
  • 5.7 Provide information to client and carer according to duty of care, and organisation policies
  • 5.8 Clean, dry and store equipment in accordance with manufacturer's guidelines and infection control guidelines
  • 5.9 Dispose of disposable EP electrodes and other materials in accordance with waste management procedures and infection control guidelines
6. Generate report
  • 6.1 Review client details and amend as required
  • 6.2 Review test data, calculate amplitudes and latencies according to test requirements
  • 6.3 Review annotations and amend to provide accurate and concise information
  • 6.4 Prepare technical report with accompanying documentation and forward to neurologist for review as required
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.


Equipment and materials may include:
EP machine; portable, standard,
Electrodes eg caps, disc, mushroom; leads and accessories
Needle electrodes
Tape measure
Chair
Bed
Photic stimulator
Pattern generator and monitor
Other light stimulus
Click and white noise stimulator and earphones
Electrical nerve stimulator
Other stimulus
Resuscitation equipment
Gels
Electrode pastes


Environment may include:
Neurophysiology department
Wards
Operating theatre
Intensive care unit
Private neurologists' rooms


Client details may include:
Referral letter/request
Reason for study
Medical history
Address and phone number
Date of birth and age
Date of test
Date of previous test
Medications
Client's presenting condition
In care client/out of care client
Clients' expectations
Test requested
Referring doctor, address and phone number


Clients must include:
Neonates
Infants
Children
Adolescents
Adults
Elderly


Client medical history may include:
Event/s leading to referral
Cardiac disorder
Respiratory disorder
Vascular disorder
Neurological disorder
Infectious diseases
Epilepsy type and frequency, and date of last seizure
Psychiatric and behavioural disorders
Developmental disorder
Metabolic disorder
Medications


Action in response to client's medical history may include:
Additional testing


Personal protective equipment may include:
Gloves
Mask
Goggles
Gown


Integrity of electrodes must include:
Ground
Reference
Active electrodes
Stimulus electrodes


Additional validation techniques must include:
Touch test (of electrodes)
Exchange electrodes
Replace electrodes
Low, and of similar value, impedances


Complications and severe reactions may include:
Seizure
Cardio-respiratory arrest


Causes of changes throughout procedure may include:
EP findings
Equipment
Environmental
Client's comfort, physiological and psychological state
Seizures
Signal to noise ratio


Information provided to client's and carer's may include:
Appropriate follow up period with referring doctor to obtain results
Risks following procedure i.e. sedation, pupil dilation and refraining from driving and other activities as appropriate
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, 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
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace


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 evoked potentials (EP) recording
Observation of simulation and/or role play when performing evoked potentials (EP) recording
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
Questioning, written assessments/projects, e-learning can be used to assess knowledge
Authenticated reports of experience in performing evoked potentials (EP) recording (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)
Training records associated with First Aid, OH 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


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
Replaces
State Code National Code Title Type
C9369 HLTNE602B Perform evoked potentials recording Unit of competency
Replaced By
State Code National Code Title Type
WD219 HLTNE602D Perform evoked potentials recording Unit of competency
No information