Assessor Resource

HLTANA002
Monitor clients during anaesthesia

Assessment tool

Version 1.0
Issue Date: March 2024


This unit describes the skills and knowledge required to observe and monitor clients, taking a broad range of clinical tests and measurements.

The unit applies to anaesthetic technicians working under the direction of, and in consultation with, an anaesthetist in any hospital or day surgery setting.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Observe client

1.1 Read and interpret information in client records

1.2 Check client’s physiological parameters as directed

1.3 Identify deviations from acceptable limits, check equipment for true reading and report to the anaesthetist

1.4 Identify and respond to signs of client discomfort, distress or adverse reaction within role responsibility

2. Take measurements and samples

2.1 Select and prepare equipment suited to test or measurement being conducted

2.2 Prepare client according to requirements of test or measurement

2.3 Maintain aseptic technique during collection of body fluid for analysis

2.4 Accurately measure client’s fluid intake and output/loss

2.5 Perform measurement or take samples in accordance with manufacturer’s guidelines and organisation policies and procedures

2.6 Determine quality of measurement or sample based on established procedures

3. Report measurements

3.1 Read test results and report to the anaesthetist

3.2 Promptly identify and report abnormal findings to the anaesthetist

3.3 Document results of measurement or ensure documentation is completed

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

provided monitoring assistance to an anaesthetist during at least 5 procedures

followed established technical and infection control procedures to undertake each of the following clinical measurements and tests at least twice:

arterial blood gases

blood pressure

blood glucose level

circulation

electrocardiography (ECG)

12 lead ECG

haemoglobin

inspired/expired gases (Functional inspiratory oxygen (FiO2), Functional expiratory oxygen (FeO2), end-tidal carbon dioxide (ETCO2), tidal volume (TV), inspiratory pressure, minute volume (MV), respiratory rate (RR), minimal alveolar concentration (MAC)

level of consciousness

neuromuscular function

oxygenation (oximetry, FiO2, partial pressure oxygen (PaO2)

pulse

respiration

temperature

fluid balance

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national, state/territory) for client monitoring, and how these are applied in organisations:

codes of practice

duty of care

infection prevention and control

informed consent

mandatory reporting

manufacturer’s guidelines

privacy, confidentiality and disclosure

records management

rights and responsibilities of workers, employers and clients

work role boundaries – responsibilities and limitations

work health and safety

clinical measurements undertaken by anaesthetic technicians:

purpose

how they are undertaken

normal results and variations from normal

implications of abnormal results for all of the following:

arterial blood gases

blood pressure

blood glucose level

peripheral perfusion/skin colour

haemodynamic (non-invasive blood pressure, invasive blood pressure, central venous pressure, pulmonary artery wedge pressure, pulse, heart rate, cardiac output)

dermatomes

ECG

12 lead ECG

haemoglobin

blood tests samples for urea and electrolytes (U&E), coagulation profile (coags), full blood count (FBC),

inspired/expired gases (FiO2, FeO2, ETCO2, TV, insp pressure, MV, RR, MAC)

level of consciousness clinical observation & entropy/bispectral index monitoring)

neuromuscular function

oxygenation (oximetry, FiO2, PaO2

pain assessment

temperature

acid base balance

heart & lung sounds

fluid balance monitoring requirements, including:

urine

gastrointestinal

blood

irrigation

intravenous

intra-arterial

clinical documentation requirements

principles of biomedical science for anaesthesia:

electrical potential

fibreoptics

hydrostatic/atmospheric/oncotic pressure

oscillometry

photometrics/photoelectrics

thermistor

transducers

Skills must have been demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including those required by tests specified in performance evidence

modelling of industry operating conditions, including presence of situations requiring problem solving in non-routine situations

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Observe client

1.1 Read and interpret information in client records

1.2 Check client’s physiological parameters as directed

1.3 Identify deviations from acceptable limits, check equipment for true reading and report to the anaesthetist

1.4 Identify and respond to signs of client discomfort, distress or adverse reaction within role responsibility

2. Take measurements and samples

2.1 Select and prepare equipment suited to test or measurement being conducted

2.2 Prepare client according to requirements of test or measurement

2.3 Maintain aseptic technique during collection of body fluid for analysis

2.4 Accurately measure client’s fluid intake and output/loss

2.5 Perform measurement or take samples in accordance with manufacturer’s guidelines and organisation policies and procedures

2.6 Determine quality of measurement or sample based on established procedures

3. Report measurements

3.1 Read test results and report to the anaesthetist

3.2 Promptly identify and report abnormal findings to the anaesthetist

3.3 Document results of measurement or ensure documentation is completed

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

provided monitoring assistance to an anaesthetist during at least 5 procedures

followed established technical and infection control procedures to undertake each of the following clinical measurements and tests at least twice:

arterial blood gases

blood pressure

blood glucose level

circulation

electrocardiography (ECG)

12 lead ECG

haemoglobin

inspired/expired gases (Functional inspiratory oxygen (FiO2), Functional expiratory oxygen (FeO2), end-tidal carbon dioxide (ETCO2), tidal volume (TV), inspiratory pressure, minute volume (MV), respiratory rate (RR), minimal alveolar concentration (MAC)

level of consciousness

neuromuscular function

oxygenation (oximetry, FiO2, partial pressure oxygen (PaO2)

pulse

respiration

temperature

fluid balance

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national, state/territory) for client monitoring, and how these are applied in organisations:

codes of practice

duty of care

infection prevention and control

informed consent

mandatory reporting

manufacturer’s guidelines

privacy, confidentiality and disclosure

records management

rights and responsibilities of workers, employers and clients

work role boundaries – responsibilities and limitations

work health and safety

clinical measurements undertaken by anaesthetic technicians:

purpose

how they are undertaken

normal results and variations from normal

implications of abnormal results for all of the following:

arterial blood gases

blood pressure

blood glucose level

peripheral perfusion/skin colour

haemodynamic (non-invasive blood pressure, invasive blood pressure, central venous pressure, pulmonary artery wedge pressure, pulse, heart rate, cardiac output)

dermatomes

ECG

12 lead ECG

haemoglobin

blood tests samples for urea and electrolytes (U&E), coagulation profile (coags), full blood count (FBC),

inspired/expired gases (FiO2, FeO2, ETCO2, TV, insp pressure, MV, RR, MAC)

level of consciousness clinical observation & entropy/bispectral index monitoring)

neuromuscular function

oxygenation (oximetry, FiO2, PaO2

pain assessment

temperature

acid base balance

heart & lung sounds

fluid balance monitoring requirements, including:

urine

gastrointestinal

blood

irrigation

intravenous

intra-arterial

clinical documentation requirements

principles of biomedical science for anaesthesia:

electrical potential

fibreoptics

hydrostatic/atmospheric/oncotic pressure

oscillometry

photometrics/photoelectrics

thermistor

transducers

Skills must have been demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including those required by tests specified in performance evidence

modelling of industry operating conditions, including presence of situations requiring problem solving in non-routine situations

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
 
Read and interpret information in client records 
Check client’s physiological parameters as directed 
Identify deviations from acceptable limits, check equipment for true reading and report to the anaesthetist 
Identify and respond to signs of client discomfort, distress or adverse reaction within role responsibility 
Select and prepare equipment suited to test or measurement being conducted 
Prepare client according to requirements of test or measurement 
Maintain aseptic technique during collection of body fluid for analysis 
Accurately measure client’s fluid intake and output/loss 
Perform measurement or take samples in accordance with manufacturer’s guidelines and organisation policies and procedures 
Determine quality of measurement or sample based on established procedures 
Read test results and report to the anaesthetist 
Promptly identify and report abnormal findings to the anaesthetist 
Document results of measurement or ensure documentation is completed 

Forms

Assessment Cover Sheet

HLTANA002 - Monitor clients during anaesthesia
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:


Assessment Record Sheet

HLTANA002 - Monitor clients during anaesthesia

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: