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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. |
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Pathophysiological concepts include: | Cellular injury and change: physical, chemical, and infectious agentsinflammatory processhypertrophy, hyperplasia, atrophy, necrosis, and gangrenetumour, neoplasm, benign, malignant, metastasis, and anaplasiaImmunology:immune response and immunoglobulins, including:hypersensitivityanaphylaxistissue rejectionblood mismatchAcquired Immune Deficiency SyndromeHepatitis Boncogenesauto-immunitymalignant disease |
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Fluid and electrolyte imbalance includes: | 'Electrolyte', 'non electrolyte', 'solvent' and 'solute'Role of electrolytesPotential problems of electrolyte imbalance:sodium, potassium, calcium, phosphate, magnesium and chlorideMechanisms of fluid movement through the body:Tonicitydiffusion, active transport, osmosis, hydrostatic pressure, facilitated diffusion, and filtrationMaintenance of normal fluid volume:antidiuretic hormone, sodium, negative feedback, sex hormones and thirstOedemaStates of fluid imbalance:normovolaemia', 'hypovolaemia' and 'hypervolaemia'burns, sweating, 3rd space shift, diarrhoea and vomiting |
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Acid base imbalance includes: | pH, acidosis, alkalosis, physiological acidosisPhysiological effects of acidosis and alkalosisBuffer systems and compensationpH imbalances: Respiratory acidosisrespiratory alkalosismetabolic acidosismetabolic alkalosis |
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Advanced assessment includes: | Capture, interpret and record comprehensive information regarding a client's health status to support advanced clinical care. |
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Standard methods and protocols may include: | Clinical practice guidelinesOrganisation protocolsSkills manualsState/territory ambulance authority regulations and/or operational proceduresInternationally recognised scales, charts, guidelines and surveys (e.g. Glasgow coma scale, dermatome charts, blood pressure reading scales, National Asthma Guidelines) |
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Pharmacodynamics includes but is not limited to: | Drug interactionsPharmacological response of drugs associated with the state/territory ambulance service protocols/ guidelinesDuration and magnitude of response associated with the state/territory ambulance service protocols/ guidelines |
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Critical questioning refers to: | Purposeful, informed open questioning in the clinical setting to make sense of the information presented at the scene of injury or illness |
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Diagnostic reasoning refers to: | Using critical questioning and interpretation in the clinical setting which requires careful identification of key problems, issues, and the risks involved in responding to client needs |
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Poor states of perfusion involves: | Shock:pathophysiology of shockaerobic to anaerobic metabolismclassifications of shock stages of shock |
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Specific client conditions, disorders and injuries to be assessed must include but are not limited to: | Burns:burn classificationassessing burn areapotential systemic complicationsassessment of time criticalityburns of different aetiologyHead injuries:types and causes of head injuriesprimary and secondary injuryaetiology of head injuries including Monroe-Kellie doctrinecerebral perfusion and blood flowassessment of a client with a head injuryMaxillofacial trauma:levels of mortality and morbidityspecialised knowledge of associated structuresThoracic, abdominal and pelvic trauma:detailed knowledge of internal and external thoracic, abdominal and pelvic structuresdetailed assessment of blunt vs penetrating traumaEnvironmental:cold and heat disorderspressure disorders e.g. barotrauma drowning and near drowninglightning injuriesAcute coronary syndrome:progression of coronary artery diseaseischaemic disorders:anginaunstable anginaPrinzmetal anginamyocardial infarctionheart failurevalvular diseasehypertensive emergenciesother cardiovascular emergencies, e.g. peripheral vascular disease, pericarditis and endocarditisECG recognition:specialised knowledge of cardiac conductioncomprehensive ECG rhythm analysis12 lead ECG capture and assessment:axis determinationbundle branch and fascicular blocksSTEMI/non-STEMIInfarct imposters continued ... |
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Specific client conditions, disorders and injuries to be assessed must include but are not limited to: (contd) | Visceral disorders:specialised knowledge of the thoracic, pelvic, gastrointestinal and associated organs and related disordersdetailed knowledge of urogenital and reproductive disordersSpecial circumstances:medico-legal and ethical considerationsNeurological:-diseases: e.g. dementia, ms, motor neurone, cerebral palsy, behavioural emergenciespathogenesis:common pharmacologInfections e.g. meningitis, encephalitis, tetanusConditions: e.g. seizures and epilepsy, CVA, tumours, brain abscessSpinal injury:Specialised knowledge of sensory and motor functionsReflex arc e.g. autonomic dysreflexiaCardio-vascular changesRespiratory impairmentRespiratory:detailed knowledge of the respiratory system and its function e.g. mechanics of ventilation, inspiration and expiration, respiratory control and impact of gas lawsVentilation perfusion (V/Q)conditions and diseases e.g. asthma, chronic airways Limitation, pneumonia, PE, hyperventilation.respiratory assessmentPain:pain pathways and perceptionphysiological and psychological effects associated with paintherapeutic effect of drugs e.g. narcotics, steroidals and non-steroidals, anxiolytics, anti-emetics, over the counter medicationspain assessment and documentation according to standard methods and protocolschronic pain management |
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Specific categories of clients to be assessed must include but are not limited to: | Adult client (male and female)Obstetric client:specialised knowledge of foetal development:foetal distressneonatal physiologycongenital abnormalitiesabnormal pregnancy:pregnancy induced hypertension, gestational diabetes, eclampsia, ectopic pregnancy, hyperemesis gravidarumthreatened abortion, spontaneous abortion, supine hypotensive syndrome, ante-partum bleedingpre-existing congestive cardiac failure, pre-existing hypertension, pre-existing diabetesstages of labournormal presentation:pre/post haemorrhagenormal at-term infantt/premature infantabnormal presentation:multiple/breech/still birthlimb presentationprolapsed cordassessment of the newborn:APGARpost delivery treatment and evaluationother obstetric problems and gynaecology:post partum bleeding, dysmenorrhoea, menorrhagia, pelvic infections, displacement of pelvic organs, urinary problems, endometriosis paediatric client:detailed knowledge of differences in paediatric and adult anatomy and physiology as related to assessment of the paediatric clientdevelopmental stages of childhood e.g. psychosocial issuesissues surrounding paediatric assessmentspecific paediatric conditions e.g. croup, epiglottitis, febrile convulsionsgeriatric client:detailed knowledge of the normal anatomical and physiological changes associated with ageing as related to assessment of the geriatric clientpre-existing medical problems and pharmacology are considered |