Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTAHW041 Mapping and Delivery Guide
Assess and manage emergency treatment of burns

Version 1.0
Issue Date: March 2024


Qualification -
Unit of Competency HLTAHW041 - Assess and manage emergency treatment of burns
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to effectively assess the severity of a burn injury and implement appropriate emergency care and management strategies for clients in Aboriginal and Torres Strait Islander communities.The unit applies to those Aboriginal and/or Torres Strait Islander Health Workers providing a range of primary health care services to Aboriginal and/or Torres Strait Islander clients and communities. All work is to be carried out with guidance from and under supervision of a medical practitioner or other appropriate health care professional.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.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

Skills must be demonstrated working:

in a health service or centre

as part of a multidisciplinary primary health care team

with Aboriginal and/or Torres Strait Islander clients and communities.

In addition, simulations and scenarios must be used where the full range of contexts and situations cannot be provided in the workplace or may occur only rarely. These are situations relating to emergency or unplanned procedures where assessment in these circumstances would be unsafe or is impractical.

Simulated assessment environments must simulate the real-life working environment where these skills and knowledge would be performed, with all the relevant equipment and resources of that working environment.

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

Assessment must be undertaken by a workplace assessor who has expertise in this unit of competency and who is:

an Aboriginal and/or Torres Strait Islander Health Worker

or:

accompanied by an Aboriginal and/or Torres Strait Islander person who is a recognised member of the community with experience in primary health care.

Prerequisites/co-requisites
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities
Slides
PPT
Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Elements define the essential outcomes.
       
Element: Assess the severity of a burn injury
  • Use culturally appropriate and safe communication skills when treating clients
  • Assess the size and depth of a burn injury using appropriate estimation methods
  • Identify the pre-disposing factors to burn depth progression
  • Identify the pre-disposing factors to delayed burn wound healing
       
Element: Implement burn injury emergency management procedures appropriate to the client’s burn injury
  • Identify need(s) for emergency services and medical assistance and undertake triage as required
  • Communicate with personnel, emergency management services and medical assistance personnel as appropriate
  • Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles
  • Use pain management strategies with the client
  • Refer clients with a burn injury to a Burn Unit, as appropriate
  • Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound
  • Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel
  • Monitor and document fluid balance chart
  • Monitor and document the client’s ongoing clinical status
       
Element: Treat burn injury according to specific burn type
  • Undertake a risk assessment of potential hazards in the incident area
  • Identify need(s) for emergency services/medical assistance and undertake triage as required
  • Communicate with appropriate personnel, emergency management services and medical assistance as appropriate
  • Convey information on client’s burn injury to relevant personnel to minimise the risk of complications
  • Use Personal Protective Equipment (PPE) when undertaking first aid
  • Use irrigation to minimise injury to unaffected body parts and to the health worker
  • Identify specific risks and implement management procedures to treat identified burn
  • Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors
  • Treat wound(s) in the immediate post-first-aid period
       
Element: Assess psychosocial needs and risks, implementing techniques that support the client and family.
  • Establish effective communication with a client and family
  • Provide a supportive environment to a client and family in crisis
  • Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children
  • Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies
  • Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others
       
Element: Implement burn injury emergency management procedures appropriate to the client’s burn injury
  • Identify need(s) for emergency services and medical assistance and undertake triage as required
  • Communicate with personnel, emergency management services and medical assistance personnel as appropriate
  • Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles
  • Use pain management strategies with the client
  • Refer clients with a burn injury to a Burn Unit, as appropriate
  • Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound
  • Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel
  • Monitor and document fluid balance chart
  • Monitor and document the client’s ongoing clinical status
       


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 specify the level of performance needed to demonstrate achievement of the element.

1. Assess the severity of a burn injury

1.1 Use culturally appropriate and safe communication skills when treating clients

1.2 Assess the size and depth of a burn injury using appropriate estimation methods

1.3 Identify the pre-disposing factors to burn depth progression

1.4 Identify the pre-disposing factors to delayed burn wound healing

2. Implement burn injury emergency management procedures appropriate to the client’s burn injury

2.1 Identify need(s) for emergency services and medical assistance and undertake triage as required

2.2 Communicate with personnel, emergency management services and medical assistance personnel as appropriate

2.3 Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles

2.4 Use pain management strategies with the client

2.5 Refer clients with a burn injury to a Burn Unit, as appropriate

2.6 Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound

2.7 Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel

2.8 Monitor and document fluid balance chart

2.9 Monitor and document the client’s ongoing clinical status

3. Treat burn injury according to specific burn type

3.1 Undertake a risk assessment of potential hazards in the incident area

3.2 Identify need(s) for emergency services/medical assistance and undertake triage as required

3.3 Communicate with appropriate personnel, emergency management services and medical assistance as appropriate

3.4 Convey information on client’s burn injury to relevant personnel to minimise the risk of complications

3.5 Use Personal Protective Equipment (PPE) when undertaking first aid

3.6 Use irrigation to minimise injury to unaffected body parts and to the health worker

3.7 Identify specific risks and implement management procedures to treat identified burn

3.8 Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors

3.9 Treat wound(s) in the immediate post-first-aid period

4. Assess psychosocial needs and risks, implementing techniques that support the client and family.

4.1 Establish effective communication with a client and family

4.2 Provide a supportive environment to a client and family in crisis

4.3 Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children

4.4 Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies

4.5 Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others

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:

performed emergency burn procedures for at least five different clients with burn injuries. This includes:

- assessing percentage of Total Burn Surface Area (TBSA) using Lund and Browder

- estimating burn depth

- communicating with personnel from emergency management services and/or medical services

- calculating fluid resuscitation requirements according to modified Parklands formula

- commencing intravenous resuscitation under supervision and/or as directed by a Medical Officer or other qualified personnel

- monitoring and documenting:

o fluid balance chart

o vital signs

- undertaking a risk assessment of potential hazards in the incident area

- delivering information to minimise the risks of complications

- delivering appropriate first aid to the burn type

- administering appropriate wound care in the immediate post-first-aid period, appropriate to the type of burn

- performing ‘to the floor’ irrigation in relation to chemical burn injuries

- communicating information to minimise the risk of burn wound complications

- using PPE as required

- instigating communication with clients and families

- enabling a supportive environment for clients and families

- providing support strategies for clients with possible non-accidental burn injuries.

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role.

This includes knowledge of:

- structure and function of the skin

- principles of healing

- principles of burns shock

- effects of burn injury on the immune system

- pathophysiology of inhalation injury

- estimating the percentage of TBSA using the Lund & Browder method

- determination of burn depth

- knowledge of the Jackson Burn Wound Model

- principles of moist wound healing

- predisposing factors to burn depth progression

- predisposing factors to delayed burn wound healing

- morbidity and mortality rates of burn injuries

- referral guidelines for clients with a burn injury to a Burns Unit

- regional emergency services

- expert medical assistance

- emergency burns injury management procedures:

o incident severity assessment

o systematic assessment of the person’s clinical status

o pain management strategies

- specific risks and management of:

o chemical injury

o electrical injury

o circumferential injury

o inhalation injury

o children with burn injuries

- fluid input and urinary output

- monitoring and documenting the person’s clinical status

- specific first aid management for thermal, chemical, and electrical burns, and cold injuries

- potential hazards associated with:

o flame, scald and contact burn incidents

o liquid and powder chemical burn incidents

o electrical burn incidents

o LPG, ice and other cold injury incidents

- contact persons from emergency and medical services

- information that minimises the risk of complications

- predisposing factors to burn depth progression

- correct emergency management of spinal injury (electrical injuries)

- PPE usage

- risks and management of specific chemical burns, including:

o acid burn

o alkaline burn

o powder chemical burn

o alkali-metal burn

o bitumen burn

- burn wound care and management, including:

o principles of wound care

o what environment minimises risk of infection

o principles of wound dressing selection

o traditional or bush medicines and local products that may help or infect a burn injury

- initial psychosocial management, encompassing:

o effective communication with family and client

o supportive environment for family and client

o mandatory obligations when working with children

o supportive strategies in relation to non-accidental injuries when working with adults.


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, 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 specify the level of performance needed to demonstrate achievement of the element.

1. Assess the severity of a burn injury

1.1 Use culturally appropriate and safe communication skills when treating clients

1.2 Assess the size and depth of a burn injury using appropriate estimation methods

1.3 Identify the pre-disposing factors to burn depth progression

1.4 Identify the pre-disposing factors to delayed burn wound healing

2. Implement burn injury emergency management procedures appropriate to the client’s burn injury

2.1 Identify need(s) for emergency services and medical assistance and undertake triage as required

2.2 Communicate with personnel, emergency management services and medical assistance personnel as appropriate

2.3 Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles

2.4 Use pain management strategies with the client

2.5 Refer clients with a burn injury to a Burn Unit, as appropriate

2.6 Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound

2.7 Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel

2.8 Monitor and document fluid balance chart

2.9 Monitor and document the client’s ongoing clinical status

3. Treat burn injury according to specific burn type

3.1 Undertake a risk assessment of potential hazards in the incident area

3.2 Identify need(s) for emergency services/medical assistance and undertake triage as required

3.3 Communicate with appropriate personnel, emergency management services and medical assistance as appropriate

3.4 Convey information on client’s burn injury to relevant personnel to minimise the risk of complications

3.5 Use Personal Protective Equipment (PPE) when undertaking first aid

3.6 Use irrigation to minimise injury to unaffected body parts and to the health worker

3.7 Identify specific risks and implement management procedures to treat identified burn

3.8 Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors

3.9 Treat wound(s) in the immediate post-first-aid period

4. Assess psychosocial needs and risks, implementing techniques that support the client and family.

4.1 Establish effective communication with a client and family

4.2 Provide a supportive environment to a client and family in crisis

4.3 Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children

4.4 Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies

4.5 Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others

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
 
Use culturally appropriate and safe communication skills when treating clients 
Assess the size and depth of a burn injury using appropriate estimation methods 
Identify the pre-disposing factors to burn depth progression 
Identify the pre-disposing factors to delayed burn wound healing 
Identify need(s) for emergency services and medical assistance and undertake triage as required 
Communicate with personnel, emergency management services and medical assistance personnel as appropriate 
Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles 
Use pain management strategies with the client 
Refer clients with a burn injury to a Burn Unit, as appropriate 
Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound 
Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel 
Monitor and document fluid balance chart 
Monitor and document the client’s ongoing clinical status 
Undertake a risk assessment of potential hazards in the incident area 
Identify need(s) for emergency services/medical assistance and undertake triage as required 
Communicate with appropriate personnel, emergency management services and medical assistance as appropriate 
Convey information on client’s burn injury to relevant personnel to minimise the risk of complications 
Use Personal Protective Equipment (PPE) when undertaking first aid 
Use irrigation to minimise injury to unaffected body parts and to the health worker 
Identify specific risks and implement management procedures to treat identified burn 
Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors 
Treat wound(s) in the immediate post-first-aid period 
Establish effective communication with a client and family 
Provide a supportive environment to a client and family in crisis 
Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children 
Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies 
Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others 
Identify need(s) for emergency services and medical assistance and undertake triage as required 
Communicate with personnel, emergency management services and medical assistance personnel as appropriate 
Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles 
Use pain management strategies with the client 
Refer clients with a burn injury to a Burn Unit, as appropriate 
Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound 
Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel 
Monitor and document fluid balance chart 
Monitor and document the client’s ongoing clinical status 

Forms

Assessment Cover Sheet

HLTAHW041 - Assess and manage emergency treatment of burns
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

HLTAHW041 - Assess and manage emergency treatment of burns

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: