Medical Device Competencies

Full Name *

Department

Date

Role

Band

Risk Category

Medical Device

What medical device are you assessing today?

Bladder Scanner

Below are the skills required for safe and effective use of the medical device. You must be able to answer "yes" to all the statements before considering yourself competent. Please note that users must refer to the user manual as responsibility for safe use remains with the user.

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean. Scanner on charge when not in use

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient

Yes No

Check bladder scanner in calibration date prior to use

Yes No

Select correct gender on bladder scanner, able to describe what affects accuracy of scanner, ie scars, staples, sutures, catheter. NB If female patient has had a hysterectomy select male patient

Yes No

Patient in supine position

Yes No

Correctly applies small amount of ultrasound gel

Yes No

Correctly palpates symphysis pubis

Yes No

Applies scanner to unbroken skin in midline, holds steady, presses scan button x3 times to ensure accurate reading

Yes No

Able to explain action to take if significant residual volume of urine is found

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Lateral Laying Transfer Board e.g. PAT slide

Familiar with instructions and where to find them.

Yes No

Demonstrates how to check lateral laying transfer board is in good working order

Yes No

Can state the maximum safe lifting weight

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Demonstrates knowledge and appropriate assessment of task, environment and client when deciding to use the lateral laying transfer board

Yes No

Demonstrates knowledge of factors that would contraindicate and limit use of Lateral Lying Transfer Board

Yes No

Prepares the environment

Yes No

Demonstrates safe removal of lateral laying transfer board and how to mitigate injury to skin

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

bBraun Infusion Pumps

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains the procedure to the patient

Yes No

Securely fasten the pump by using the pole clamp and attaching to an IV pole

Yes No

States the functions of the keys and indicators on the front panel

Yes No

Awareness the pump should remain plugged in when an infusion is in progress

Yes No

Demonstrates how to clear the infusion data and how to start a new therapy

Yes No

Demonstrates how to check the pumps battery status

Yes No

Demonstrates the correct insertion of the disposables

Yes No

Initiate and start a prescribed infusion

Yes No

Explain the information displayed on the screen whilst the pump is running

Yes No

Demonstrate the ability to change the rate once the infusion has started

Yes No

Explain why the pressure indicator is important and demonstrate how to check and adjust the pressure level

Yes No

Explain the difference between an AMBER and RED alarm and give an example of each

Yes No

Demonstrate how to set the standby mode and resume operation

Yes No

Demonstrate the correct way to remove the disposable from the pump

Yes No

Demonstrates how to turn off the pump

Yes No

Explain what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Cushions

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Staff member to have attended relevant pressure ulcer prevention training and equipment training sessions

Yes No

Following assessment correct pressure relieving cushion or equipment idenified as per matrix within pressure ulcer prevention policy

Yes No

Explanation to patient why equipment will be beneficial and agreement obtained prior to ordering

Yes No

Explanation that equipment is on loan and will be removed when assessed no longer neeeded.

Yes No

If repose equipment prescribed agree who will be responsible for at least weekly inflation

Yes No

Agree with patient or carer who will allow access if NRS delivery required.

Yes No

Either obtain equipment from peripheral store, ensuring white slip completed or order via NRS for delivery.

Yes No

Ensure equipment delivery to patient and care instructions explained. Including cleaning and inflation.

Yes No

Ensure appropriate repositioning advice and correct use of equipment expllained to patient and or carer

Yes No

Able to demonstrate how collections arranged via NRS if assessed equipment no longer requried.

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Enteral Feed Pump/ Applix Smart Pump

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Explains procedure to patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Demonstrates how to attach the pump to the pump holder

Yes No

Demonstrates how to detach the pump from the pump holder (depress button)

Yes No

Demonstrates correct identification of giving set to be used. (Applix)

Yes No

Demonstrates knowledge of function buttons

Yes No

Demonstrates how to check battery life

Yes No

Awareness the pump should remain plugged in when an infusion is in progress

Yes No

Demonstrates how to check patient prescription chart for type of feed and amount, checks expiry date of feed

Yes No

Demonstrates how to install the giving set in the pump

Yes No

Demonstrates how to prime the giving set

Yes No

Demonstrates how to set flow rate

Yes No

Demonstrates how to trouble shoot air alarm, occlusion alarm

Yes No

Demonstrates how to stop pump and remove giving set

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

ECG

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains the need to check expiry date of electrodes/tabs

Yes No

Explains the need to check paper is in the machine

Yes No

Explains procedure to patient

Yes No

Explains how consent gained prior to completion of an ECG

Yes No

Explains the purpose of the ECG to the patient and how the results will be communicated

Yes No

Explains the importance of checking the right patient identity

Yes No

Demonstrates how to ensure patient is comfortable, maintain their dignity and privacy and the need for them to be very still

Yes No

Awareness the machine should remain plugged in when an infusion is in progress

Yes No

Demonstrates correct positioning of electrodes to patient

Yes No

Demonstrates inputting patient data into the ECG machine. E.g. name, age

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Hand Held Huntliegh Doppler

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing, covering of wounds.

Yes No

Explain procedure to patient to gain informed consent.

Yes No

Attendance at leg ulcer study day recorded and competence gainied and maintained. Separate skill competence

Yes No

Ensure correct sized sphygnmometer cuffs used for arms and legs.

Yes No

Able to expalin when 8MHz and 5MHz probes would be used.

Yes No

Ensure patient rested and supine, if not able to tollerate record to ensure consistancy for future assessments.

Yes No

Complete procedure and calculate ABPI

Yes No

Devise plan of care and involving patient and provide patient with education and information

Yes No

Provide patient with contact information and signs which will requrie clinican assessment

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Hoists

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to charge battery

Yes No

Demonstrates how to use controls (up / down and leg opening)

Yes No

Demonstrates how to use the brakes and when it's appropriate to use them

Yes No

Can state the maximum safe lifting weight of the hoist and how to use weighing scales with the hoist

Yes No

Demonstrates how to operate (and reset) emergency stop

Yes No

Demonstrates the emergency lowering mechanism (electric only)

Yes No

Is aware of the cleaning procedures for the hoist

Yes No

Knows how to report a problem with the equipment

Yes No

Use of Hoist to move a Patient

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Selects the appropriate sling for the task they are completing , check it is clean and in good order

Yes No

Correctly position sling around patient demonstrating good posture and technique

Yes No

Selects appropriate loops on sling according to handling plan and attaches correctly

Yes No

Demonstrates optimum care for patient whilst moving them in the hoist

Yes No

Demonstrates removal of sling appropriately

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Mattresses

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Staff member to have attended relevant pressure ulcer prevention training and equipment training sessions

Yes No

Following assessment correct pressure relieving cushion or equipment idenified as per matrix within pressure ulcer prevention policy

Yes No

Explanation to patient why equipment will be beneficial and agreement obtained prior to ordering

Yes No

Explanation that equipment is on loan and will be removed when assessed no longer neeeded.

Yes No

If repose equipment prescribed agree who will be responsible for at least weekly inflation

Yes No

If dynamic matress prescribed ensure electical socket available to supply equipment

Yes No

Agree with patient or carer who will allow access if NRS delivery required.

Yes No

Ensure patient and carers aware that if own bed in use they must arrange for existing mattress to be removed

Yes No

Following delivery of equipment ensure patient and carers informed of correct setting for dynamic mattress

Yes No

Demonstrate features of mattress and who to contact if malfunction

Yes No

Ensure plan documented for equipment failure

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Nebuliser

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient

Yes No

Demonstates correct checks for medication adminisration, right patient, check allergies, right drug, route, dose, expiry date, time and signed by the prescriber

Yes No

Signs prescription administration record

Yes No

Demonstrates how to connect one end of the tubing to the outlet nozzle on the nebuliser and the other side of the tubing to the nebuliser chamber

Yes No

Demonstrates correct insertion of a clean filter

Yes No

Demonstrates how to twist the top off the medication and squeeze into the nebuliser chamber. Keeping it upright to prevent spillages

Yes No

Demonstrates how to attach the mouthpiece and mask to the nebuliser chamber

Yes No

Explains the ideal positioning of the patient (at least sitting up 45 degrees)

Yes No

Demonstrates how to turn on the nebuliser. A fine mist is produced and patient to have slow deep gentle breaths

Yes No

Demonstrates how to turn off the nebuliser once misting has stopped.

Yes No

Demonstrates how to clean the mouth piece and mask (rinse with water and air dry)

Yes No

Explains the need to change the mouth piece and mask at least 3 monthly earlier if soiled

Yes No

Demonstrates how to remove the filter after patient has completley finished with the nebuliser

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Profiling Bed

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient

Yes No

Clinician familiar with Community Bed Provision Policy

Yes No

Assessment for a profiling bed should be undertaken in collaboration with the patient and/or carer/relative

Yes No

Prescription for a profiling bed should be within guidance of local policy

Yes No

Patient and family/ carer made aware that the bed is a loan and will be removed when no longer requried.

Yes No

Clinican to be mindful of safe working load of equipment

Yes No

Bed prescription checklist to be completed to support safe provision

Yes No

Risk assessment checklist to be completed prior to ordering to ensure risk minimised

Yes No

Equipment provider will not clear bed space, if requried ensure adequate room for delivery and removal of previous bed.

Yes No

Consider compatability of additional equipment e.g. mattress and bed levers

Yes No

If necessary seek advice from senior clinician to support prescription

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Otoscope

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient

Yes No

Demonstrates how to use the equipment, using a new disposable cone/speculum each time

Yes No

Turn on the instrument light

Yes No

Pull back the outer eargently up and back

Yes No

Hold the otoscope at the handle with your small finger outstretched

Yes No

Gently put the otoscope in the ear - do not put pressure on the instrument or push it too far

Yes No

Move the otoscope and the ear very gently until you can see the eardrum

Yes No

Remove the disposable come/speculum

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Oxygen Concentrator

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient

Yes No

Able to verbalise meaning of green power light on, yellow and red lights on

Yes No

Demonstrates how to set up the machine with correct tubing and flow rate

Yes No

Demonstrates where the flow meter ball should be in relation to the flow rate

Yes No

Demonstrates how to connect face mask to the patient

Yes No

Verbalises the time in minutes it takes for the concentrator to reach the stated performance

Yes No

States frequency the air filter needs to be cleaned and how

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Propulse Ear Irrigator

Each day of use electronic irrrigator must be dissinfected using a solution of 0.1% chloride cleaning tablets following manufacturers instructions

Yes No

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Circuit breaker checked and used.

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient and positions of patient seated and under direct light.

Yes No

Confirm if patient has any contrindications to irrigation

Yes No

Reservoir filled with water approx 37 degrees C

Yes No

Single use accessories, jet applictor, speculum and jobson horne utilised.

Yes No

Irrigation performed by staff who have completed training and maintained competence only.

Yes No

Following procedure provide patient education and information to reduce the need for future aural irrigation.

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Portable Suction Machine (Eschman)

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing, gloves, goggles and apron

Yes No

Demonstrates knowledge of rationale and indications for use

Yes No

Demosntrates knowedlge of the need to maintain privacy and dignity of patient

Yes No

Demonstrates identification of control panel e.g. on/off switch

Yes No

Able to identify parts of the machine

Yes No

Demonstrates how to connect suction tubing to machine

Yes No

Demonstrates how to insert the catheter sucker into the mouth, along one side of the mouth and guide it along to the cheek towards the oropharynx without applying suction

Yes No

Demonstrates how to apply suction by unkinking the tubing or occluding the air hole in the scuker and remove the secretions and debris from the mouth

Yes No

Release suction and remove sucker from the mouth.

Yes No

Explains should only suction for up to about 10 seconds as can be distressing for the patient

Yes No

Explains to allow the patient to rest for at least 30 seconds between suctioning

Yes No

Explains to ask the patient to cough between suctions if able so secretions can rise to the top of the airway

Yes No

Demonstrates how to disconnect suction tubing from machine after use

Yes No

Demonstrates how to dispose of sucker and liner into clinical waste bin

Yes No

check re filter

Yes No

Demonstrates how to replace the suction liner

Yes No

Demonstrates knowledge of the need to complete entry in patient record, noting consistency, amount, colour and any odour and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements post use

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Toe Doppler

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment from patient

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains procedure to patient

Yes No

Successful completion of leg ulcer maangement and maintained competence

Yes No

Describe clinical applications for equipment

Yes No

Identify key components, on/off switch, volume control, headphone socket, battery low indicator,

Yes No

doppler probe, PPG, adaptor and sensor, toe cuffs & inflator system, battery compartment, speaker

Yes No

memory card, usb socket, LCD display

Yes No

Demonstrate removal of doppler probe, disconnect & reconnect probe from cable

Yes No

Fitting and charging the batteries

Yes No

Indicate when the unit may switch off automatically

Yes No

Aware of the importance and demonstrates effective infection and prevention covering all wounds

Yes No

Able to demonstrate correct use of hand held trigger device to ensure correct pressure reading

Yes No

Demonstrates knowledge of the need to complete entry in patient record, noting consistency, amount, colour and any odour and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Syringe Pump T34

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explain the functions of all the soft keys and the external features of the pump

Yes No

Demonstrate the correct method for commencing an infusion and explain the importance of confirming the correct syringe size and brand during set up

Yes No

Explain the rationale for setting the rate first before priming the administration set

Yes No

Demonstrate how to activate/deactivate the keypad lock and the rationale

Yes No

Discuss functions that remain active when the keypad is locked

Yes No

Demonstrate how to check the battery level and explain how long a battery lasts

Yes No

Explain/demonstrate how to change the battery mid-infusion

Yes No

Explain the purpose of the lock box and demonstrate how to use it correctly

Yes No

Demonstrate how to change the syringe without altering the rate

Yes No

Explain how to safely change an infusion line, ensuring that the rate is maintained

Yes No

Name three alarms and how to correct them

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

Demonstrate how to correctly dismantle the infusion system on completion

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Weighing Scales

Explain the initial checks required to ensure that the device is ready and safe to use. Service label in date. All wires in tact. Item clean

Yes No

Explains how to gain consent for use of equipment

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Explains the safety checks prior to use, scales stable on the ground, brakes applied, seat secure,

Yes No

States the correct use of the scales, read zero before patient mounts the scales

Yes No

Explains to the patient the procedure and the need to stay still during the measurement

Yes No

Explains the purpose of weighing the patient to the patient

Yes No

Explains the need to maintain patient's dignity and privacy.

Yes No

Recognises causes of expected error of reading, e.g. scales not zeroed, patient moving, scales not calibrated

Yes No

Demonstrates knowledge of the need to complete entry in patient record

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Blood pressure

Explain the initial checks required to ensure that the device is ready and safe to use.

Yes No

Explains how to gain consent for use of equipment

Yes No

Checks the size of the cuff is correct for the patient

Yes No

Checks the machine has been PAT tested and is in date

Yes No

Demonstrates an understanding of stable blood pressure parameters.

Yes No

Demonstates an understanding of when not to use a particular arm to test

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Defibrillator

Explain the initial checks required to ensure that the device is ready and safe to use.

Yes No

Explains how to gain consent for use of equipment

Yes No

Explains how to switch on the machine

Yes No

Explains how to apply the pads to the patient

Yes No

Demonstrates the understanding of when to stop CPR and allow the machine to analyze the patient heart rhythm

Yes No

Demonstates an understanding of the dangers surrounding the use of a defibrallator

Yes No

Demonstates an understanding to follow the instructions from the machine

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Thermometer

Explain the initial checks required to ensure that the device is ready and safe to use.

Yes No

Explains how to gain consent for use of equipment

Yes No

Explains how to check the equipment has been PAT tested and in working order

Yes No

Demonstrates how to apply the cover on the thermometer

Yes No

Demonstrates how to insert the thermometer into the patient

Yes No

Demonstrates the stable ranges of a patients temperature.

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Pulse oximetry

Explain the initial checks required to ensure that the device is ready and safe to use.

Yes No

Explains how to gain consent for use of equipment

Yes No

Explain the rationale for use of Pulse Oximetry

Yes No

Discuss the common cause of an inaccurate reading.

Yes No

Be able to discuss the indications for, and limitations of pulse oximetry.

Yes No

Demonstrate the ability to use a pulse oximeter safely and effectively.

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

BM Machine

Explain the initial checks required to ensure that the device is ready and safe to use.

Yes No

Explains how to gain consent for use of equipment

Yes No

Demonstrates standard precautions for infection prevention and control e.g. handwashing

Yes No

Demonstrates the correct calibration procedure if required

Yes No

Demonstrates how to check tests strips are in date

Yes No

Demonstrates how to operate the meter

Yes No

Demonstrates correct skin cleaning procedure if required

Yes No

Demonstrates corect method for obtaining blood sample using a single use self retracting blood lancet

Yes No

Able to state the significance of test results and action to take if blood sugar level low (hypoglycaemia) or high (hyperglycaemia)

Yes No

Demonstrates knowledge of the need to complete entry in patient record and complete risk assessment if required

Yes No

Explains what action to take in the event of a device failure alarm

Yes No

Explain the procedure for reporting adverse incidents

Yes No

State cleaning requirements

Yes No

State correct storage of device when not in use

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Biodex

General Familiarisation

Familiar with instructions and where to find them.

Fitting from the Chair Fitting from the plinth

Demonstrates how to switch on

Fitting from the Chair Fitting from the plinth

Demonstrates how to use controls (up / down)

Fitting from the Chair Fitting from the plinth

Demonstrates how to use the brakes and when it's appropriate to use them

Fitting from the Chair Fitting from the plinth

Aware of body weight and which category to have Biodex set to in order to offset body weight

Fitting from the Chair Fitting from the plinth

Can state the maximum safe lifting weight of the Biodex

Fitting from the Chair Fitting from the plinth

Demonstrates knowledge of the emergency lowering mechanism

Fitting from the Chair Fitting from the plinth

Is aware of the cleaning procedures for the hoist

Fitting from the Chair Fitting from the plinth

Knows how to report a problem with the equipment

Fitting from the Chair Fitting from the plinth

Use of Biodex in therapy session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Fitting from the Chair Fitting from the plinth

Prepares the environment

Fitting from the Chair Fitting from the plinth

Select appropriate transfer surface to fit harness (plinth or chair)

Fitting from the Chair Fitting from the plinth

Selects the appropriate harness leg straps for the task they are completing , check it is clean and in good order

Fitting from the Chair Fitting from the plinth

Correctly position harness and tighten around patient demonstrating good posture and technique

Fitting from the Chair Fitting from the plinth

Attach harness correctly to Biodex and able to offset to desired bodyweight

Fitting from the Chair Fitting from the plinth

Demonstrates optimum care for patient whilst moving in Biodex (flat ground and treadmill)

Fitting from the Chair Fitting from the plinth

Demonstrates removal of sling appropriately

Fitting from the Chair Fitting from the plinth

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Fitting from the Chair Fitting from the plinth

Exercise Bike

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to switch on

Yes No

Demonstrates how to use controls

Yes No

Demonstrates how to use the any safety features

Yes No

Can state the maximum user weight limit

Yes

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate plan and how to review and highlight changes

Yes No

Prepares the environment

Yes No

Select appropriate settings

Yes No

Correctly position patient

Yes No

Demonstrates optimum care and monitoring of patient whilst using the equipment

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Oswestry Frame

Familiar with instructions and where to find them.

Yes No

Is aware of the cleaning procedures

Yes No

Know how to check frame and straps

Yes No

Can state the maximum safe user weight limit

Yes No

Knows how to report a problem with the equipment

Yes No

Use in therapy session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Appropriate process to assist patient into standing within the frame

Yes No

Appropriate process to secure straps in the correct order during standing

Yes No

Demonstrates optimum care and monitoring of patient whilst using the equipment

Yes No

Appropriate process for sitting

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

MotoMed

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to switch on

Yes No

Demonstrates how to use controls

Yes No

Demonstrates how to use the any safety features

Yes No

Can state the maximum user weight limit

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate plan and how to review and highlight changes

Yes No

Prepares the environment

Yes No

Select appropriate settings

Yes No

Correctly position patient

Yes No

Demonstrates optimum care and monitoring of patient whilst using the equipment

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Ultrasound

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to switch on

Yes No

Demonstrates how to use controls and set prescribed treatment

Yes No

Is aware of the cleaning procedures

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate plan and how to review and highlight changes

Yes No

Prepares the environment

Yes No

Select appropriate settings

Yes No

Correctly position patient

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Tilt Table

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to switch on

Yes No

Demonstrates how to use controls (up / down)

Yes No

Demonstrates how to use the brakes and when its appropriate to use them

Yes No

Can state the maximum safe lifting weight

Yes No

Demonstrates knowledge of the emergency lowering mechanism

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Appropriately positions patient on the table

Yes No

Appropriately secures patient ensuring straps are clean and in good order

Yes No

Demonstrates optimum care for patient whilst using equipment

Yes No

Demonstrates appropriate raising and lowering of the table

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Ross Return

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Know how to check equipment

Yes No

Demonstrates how to use the brakes and when it's appropriate to use them

Yes No

Can state the maximum user weight limit

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Correct position of pads

Yes No

Appropriate process to manoeuver patient

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Treadmill

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to switch on

Yes No

Demonstrates how to use controls

Yes No

Demonstrates how to use the any saftey fetures

Yes No

Can state the maximum safe lifting weight

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Select appropriate settings

Yes No

Correctly position patient

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Plinth

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to switch on

Yes No

Demonstrates how to use controls (up / down)

Yes No

Demonstrates how to use the brakes and when its appropriate to use them

Yes No

Can state the maximum safe weight limit

Yes No

Demonstrates knowledge of the emergency lowering mechanism

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Appropriate process to manoeuver patient

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Parallel bars

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Is aware of the cleaning procedures

Yes No

Know how to check bars are secure and how to adjust the height

Yes No

Can state the maximum safe weight for use of the bars

Yes No

Can state the maximum safe lifting weight

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Appropriate process to alter height of bars to correct height for patient and ensure bars are secure

Yes No

Correctly position patient

Yes No

Appropriate process to stand and manoeuvre patient

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Sara Stedy

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Know how to check the equipment

Yes No

Demonstrates how to use the brakes and when it's appropriate to use them

Yes No

Can state the maximum user weight limit

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Correctly positions patient

Yes No

Demonstrate appropriate process to stand and transfer patient

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

Standing hoists

General Familiarisation

Familiar with instructions and where to find them.

Yes No

Demonstrates how to charge battery

Yes No

Demonstrates how to use controls (up / down and leg opening)

Yes No

Demonstrates how to use the brakes and when its appropriate to use them

Yes No

Can state the maximum safe lifting weight

Yes No

Demonstrates how to operate (and reset) emergency stop

Yes No

Demonstrates the emergency lowering mechanism

Yes No

Is aware of the cleaning procedures for the equipment

Yes No

Knows how to report a problem with the equipment

Yes No

Use of equipment in Session

Identifies the client, their appropriate handling plan and how to review and highlight changes within care plan

Yes No

Prepares the environment

Yes No

Aware of different types of slings available to use with equipment

Yes No

Selects the appropriate sling for the task, check it is clean and in good working order

Yes No

Correctly position sling around patient demonstrating good posture and technique

Yes No

Selects appropriate loops on sling according to handling plan and attaches correctly

Yes No

Demonstrates optimum care for patient whilst moving them in the standing hoist

Yes No

Demonstrates appropriate removal of sling

Yes No

Demonstrates standard precautions for infection prevention and control after using the device e.g. handwashing

Yes No

To report an issue with a form email us at
web@ecchcic.nhs.uk