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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 Consistency of performance should be demonstrated over the required range of clinical procedures relevant to the workplace 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 Evidence of competence must be demonstrated in off the job classroom assessments prior to assessment during placement in a practice setting

Method of assessment	Clinical assisting 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

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 andor Torres Strait Islander clients and communities

Related units	This unit should be assessed in conjunction with HLTAPB Confirm physical health status HLTAP401B Confirm physical health status HLTMAMPB Assist with clinical measurements in a medical practice HLTMAMP401B Assist with clinical measurements in a medical practice HLTMAMPB Manage emergency clients in a medical practice HLTMAMP406B Manage emergency clients in a medical practice

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.

Supervision includes:	The elements of direction, guidance, oversight and coordination of activities Any requirements for supervision of the medical assistant as specified in relevant professional guidelines and/or organisation policies Direct and/or indirect supervision, where: direct supervision is provided when the medical practitioner (or delegated health care professional) is actually present, observes, works with and directs the person who is being supervised indirect supervision is provided when the medical practitioner (or delegated health care professional) is easily contactable but does not directly observe the activities

Instructions may include:	Verbal Standing orders Written By phone Via electronic means

Confirm client identity may include:	Asking the client to confirm his/her name&DOB and checking this information against information in the medical record Asking the client's guardian/carer to confirm client's name and DOB and checking this information against information in the medical record

Explain clinical procedure may include:	Confirming the client, and/or their guardian/carer, understands and agrees to the procedure(s) about to be undertaken Confirming that the client's and/or guardian/carer's questions have been adequately answered Outlining the sensations and side effects the client may experience

Checking for contraindications may include:	Checking the client's medical record to see if any allergies or previous adverse reactions to similar procedures are recorded Asking the client and/or their guardian/carer if the client has any known allergies or previous adverse reactions to similar procedures Confirming the client's current health status and/or previous related medical conditions with the medical practitioner

Preparing the client may include:	Correctly positioning Removing clothing Follow medical practitioner's directions to: perform surgical cleanse of the area perform a surgical prep remove dressings and bindings

Positioning of client may include:	Sitting Standing Lying face down or face up on exam bed Secured in guardian/carer's arms Secure positioning of client using either guardian/carer, assistant or self Instructing client appropriately, eg not to move Discontinuing procedure if client is uncooperative

Contingencies may include:	Client fainting/loss of consciousness Client struggling, kicking, biting, etc Client movement Equipment failure or breakage Client refusing to cooperate

Signs of distress may include:	Client agitation Client appearing pale, cold, clammy, sweating, slumping, shallow breathing Client crying Client aggressive Client complaining of light-headedness or dizziness Loss of consciousness Client verbally refusing

Assisting medical practitioner with clinical procedures must include:	Assisting medical practitioner with: simple wound care suture and surgical clip removal ear irrigation throat swabs collection of specimen(s) venepuncture (phlebotomy) removal of plasters bandaging application of splints and slings administration of vitamin B12 injections Assisting medical practitioner who is undertaking: a physical exam a PAP test minor operations nebulisation plastering

Confidentiality of client information may be ensured by:	Adherence to Privacy Act Information disclosed to an appropriate person consistent with the responsibility of this position Legal and ethical requirements Secure location for written records Treatment room with privacy

Personal hygiene and infection control procedures may include:	Australian and State Standards and Legislation Industry standards Organisation procedures Standard precautions such as hand washing procedures Direct instructions from supervisor

Clinical guidelines, organisation policies, procedures and treatment protocols may include:	Industry standards (state and national) Organisation policy directives Privacy Act Relevant Australian standards

Documentation may include:	Recording information in client's computerised or physical medical record, under supervision of the medical practitioner, including: date and time of procedure procedure performed name of supplies used including batch and lot number and expiry date, if applicable details of procedure positioning of client for procedure site of procedure results of procedure any adverse effects or incidents advice or instructions given information collected regarding client's current health status, physical and social function medical assistant's signature or initials

Action required while monitoring client's condition may include	Obtaining assistance from medical team immediately Discontinuing procedure as directed Placing client in recovery position Commencing emergency assistance

Abnormal situations may include	Significantly abnormal results Altered response from client Angry response from client

Assist may include	Helping client to different position Providing client with supplies, eg tissues or wipes Retrieving client's personal effects, eg clothing, for easy access Helping client with movement and ambulation

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HLTMAMP402C - Assist with clinical procedures in a medical practice

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement