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

HLTAMBCR502C Mapping and Delivery Guide
Deliver standard clinical care

Version 1.0
Issue Date: November 2018


Qualification -
Unit of Competency HLTAMBCR502C - Deliver standard clinical care
Description This unit of competency describes the knowledge and skills required to deliver 'standard' client care in the pre-hospital (or equivalent) environment by planning and administering procedures, and monitoring the state of the client based on assessment of the client needs
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application Workers involved directly in providing out-of-hospital care in the ambulance environment typically require the knowledge and skills specified in this unit. These workers must be able to apply a comprehensive knowledge of anatomy, physiology, pathophysiology and pharmacology to delivery of client careSuccessful assessment of the Essential Knowledge described in this competency unit (and its co-requisite) is required before undertaking supervised client assessment and delivery of care at the level of skill describedApplication of skills and knowledge described by this competency standard is to be undertaken within relevant State/Territory clinical practice guidelines
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisite unitsThis unit must be assessed after successful achievement of pre-requisites:HLTAP401B Confirm physical health statusHLTAMBCR401C Deliver basic clinical care
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: Assess client needs, including non-obvious clinical needs
  • Conduct client assessment, including advanced primary, vital sign and secondary surveys, including non-obvious clinical signs, using applied clinical knowledge
  • Ensure client assessment includes consideration of psychosocial, developmental and cultural considerations
  • Base client assessment on a demonstrable and clearly thought out series of problem solving steps or linkages
  • Collect and analyse information that contributes to the client assessment
  • Identify main complaints as a basis for systematic prioritised treatment
  • Refer to client's medical history in the selection of appropriate treatment procedure
       
Element: Use information to make a judgement about standard pre-hospital client care
  • Systematically evaluate and interpret client assessment information to make judgements regarding client care requirements
  • Ensure judgement is in line with evidence-based practice and local clinical practice guidelines
  • Ensure judgment, which forms the basis on which treatment is planned, can be reasonably justified in terms of the information available at the time
       
Element: Plan standard pre-hospital client care
  • Establish priorities of care based on assessed client needs and overall assessment of the scene
  • Recognise mechanisms of injury and potential for client deterioration
  • Develop contingency plans, based on mechanisms of injury and potential for client deterioration
  • Establish client management plan, based on primary and secondary survey, client history, assessment of the scene and factors related to distance from hospital/medical care
  • Determine client's potential or actual time criticality versus transport criticality
       
Element: Implement standard pre-hospital client care procedures
  • Implement all care and treatment procedures to the level of expertise and authority to practise of the individual within the limits of the local ambulance clinical practice guidelines
  • Commence client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical guidelines and pharmacological requirements
  • Recognise the need for assistance where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer and seek help immediately
  • Implement client care techniques in accordance with infection control procedures and techniques
  • Use safe lifting and client handling techniques in accordance with WHS requirements and organisation policies and procedures
       
Element: Monitor standard pre-hospital client care and modify as require
  • Monitor all aspects of client's condition at appropriate intervals to establish trends
  • Assess potential effects on client's condition of procedures implemented
  • Monitor drug therapy, noting effectiveness of treatment regime and amend according to client's condition
  • Recognise changes in client's condition and adapt management according to the scope or authority to practise of the attending officer
  • Where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer, recognise the need for assistance and seek help immediately
       
Element: Hand over client requiring standard client care
  • Document relevant client details according to local ambulance standard operation procedure
  • Maintain client confidentiality at all times
  • Ensure documentation for handover procedures conveys all necessary information
  • Convey information appropriately to those individuals involved in ongoing client care to facilitate understanding and optimise continuing client care
  • Maintain client care until responsibility for client care is taken over by staff of the receiving agency
       


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.

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:

Assessment must establish acquisition of Essential Knowledge across the Range Statement outlined in HLTAMBAS501A Conduct clinical assessment prior to assessment of skills application for this unit

Skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory/ practical)

After successful completion of initial assessment, further assessment is to be conducted during workplace application under direct supervision

The application of skills and knowledge described in this competency unit should be assessed in conjunction with the application of knowledge and skills identified in HLTAMBAS501A Conduct clinical assessment

Candidates must demonstrate their ability to apply essential knowledge and skills identified for this competency unit before undertaking independent workplace application

Candidates must provide evidence of their ability to apply all clinical competencies consistently (over a period, usually of 12 months) as part of supervised clinical practice

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 and/or Torres Strait Islander clients and communities

Resource implications:

Access to appropriate workplace and simulation of realistic workplace setting where assessment can be conducted

Access to equipment and resources normally used in the workplace

Method of assessment:

Evidence must include observation of performance in the work environment and in a simulated work setting

Observations, questioning and evidence gathered from the workplace environment

Demonstration over a period of time to ensure consistency of performance

Related units:

This unit is to be assessed in conjunction with the following competency unit which identifies underpinning knowledge required for assessment of client needs and delivery of client care at this level:

HLTAMBAS501B Conduct clinical assessment


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.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

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:

Comprehensive knowledge of anatomy, physiology, pathophysiology and pharmacology as per Essential Knowledge defined in unit: HLTAMBAS501A Conduct clinical assessment

An understanding of trauma causes and effects

An understanding of common environmental emergencies

Protocols and ambulance equipment

Organisation policies for standard client care

Understanding of client psychology

Significance of assessment findings

Receiving facility requirements or how to access these requirements

Relevant legal and industrial requirements

Organisation administrative policies and procedures

Function of documentation being provided

Essential skills:

It is critical that the candidate demonstrate the ability to:

Demonstrate:

integrated assessment and implementation of procedures needed for client care under a variety of conditions and circumstances

accurate completion of all documentation, supplying all relevant client information to receiving facility staff under a variety of conditions and circumstances, including routine, non-routine and emergency

Provide clear explanations of reasons for intervention, basis for assessment, problems encountered and solutions found

Apply knowledge to identify, diagnose and manage common pathophysiologies

Apply knowledge and understanding to familiar and unfamiliar situations.

Apply clinical problem solving processes as they apply to standard client care

In addition, the candidate must be able 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 the ability to:

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation, including:

asking questions

active listening

asking for clarification from client or other persons at the scene

negotiating solutions

acknowledging and responding to a range of views

Use written communication skills (literacy competence) required to fulfil job roles as specified by organisation, including:

reading and understanding:

incident reports

case management materials

manufacturers' specifications for the use of materials and equipment

preparing handover reports for receiving agency staff

Use interpersonal skills including:

working with others

empathy with client and relatives

relate to persons from differing cultural, social and religious backgrounds

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.

Client assessment must include but is not limited to:

Integration of anatomy and physiology, primary, vital sign and secondary surveys, including non-obvious clinical signs, using applied clinical knowledge at the standard level of client care

Client assessment includes consideration of psychosocial, developmental and cultural considerations

Assessment based on a demonstrable and clearly thought out series of problem solving steps or linkages

Information that contributes to the assessment is collected and analysed

Main complaints are identified as a basis for systematic prioritised treatment

Client's medical history is referred to in the selection of treatment procedure

Clinical judgement must include but is not limited to:

Systematic evaluation of client assessment to interpret and make judgements regarding standard client care requirements

The use of evidence-based practice and local clinical practice guidelines/protocols

A treatment plan which can be reasonably justified in terms of the information available at the time

Medico-legal considerations

Primary survey must include, but is not limited to:

Dangers

Response

Airway

Breathing

Circulation

Vital signs may include, but are not limited to:

Conscious state assessment e.g. Glasgow Coma Score, AVPU-alert, voice, pain, unconscious

Respiratory status assessment e.g. rate, rhythm, effort and breath sounds

Perfusion status assessment e.g. pulse, blood pressure, capillary refill and skin

Secondary survey may include, but is not limited to:

Systematic head to toe physical body examination

Assessment of time criticality as indicated by physiological status or pattern and mechanism of injury

Client history includes:

Pre-existing conditions

Allergies

Current medication or treatment

The integration of anatomy and physiology into standard client assessment, care and treatment must include but is not limited to:

Cardiovascular system

Respiratory system

Musculo-skeletal system

Endocrine system

Nervous system

Digestive system

Urinary system

Reproductive system

Integumentary system

Lymphatic system

Special senses

Assessment of consideration for psychosocial, developmental and cultural considerations must include, but is not limited to:

Geriatric clients

Obstetric clients

Paediatric clients

Mental health clients

Demonstration of assessment of client's main complaint must include but is not limited to the following conditions:

Kinematics of trauma

A compromised Integumentary System

Burns trauma

A medical or traumatic disorder of the Musculoskeletal system

Extremity trauma

Neurological insult

Mental health disorders

Metabolic disorders

Poisoning or overdose emergency

Cardio-vascular insult

Hypoperfusion

Immunological disorders

Respiratory disorders

Thoracic trauma

Abdominal disorders or trauma

Urogenital disorders or trauma

Gynaecological disorders

Medical or traumatic obstetric disorders

Genetic disorders

Medical or traumatic geriatric disorders

Medical or traumatic paediatric disorders

Treatment may include, but is not limited to:

Procedures approved by the Australian Resuscitation Council to the level of Advanced Life Support

Within any limits defined according to organisation policies and procedures

Situation involves a client in need and must include, but is not limited to:

Transfer of client with pre-diagnosed illness or injury

Transfer of client with sudden undiagnosed illness or injury

Management of client in trauma or with undiagnosed illness

Drug therapy used in the treatment of a client's condition may include, but is not limited to:

Standard pharmacological agents for the management of anaphylaxis, continuous recurrent seizures, narcotic overdose

Other medications as indicated by local ambulance clinical guidelines

Techniques, where client's condition indicates they would be of some benefit, may include, but are not limited to:

Airway management e.g. nasopharyneal airway, laryngeal mask airway, and laryngoscopy and magill forceps

Cardiac dysrhythmia interpretation and manual direct current counter shock

Other techniques as indicated by State/Territory ambulance clinical guidelines

Establishing a standard client management plan must include, but is not limited to:

Establishing priorities of care

Determining a client's time or transport criticality

Regular reassessment of the client.

Recognising and responding to changes to client's condition.

Reports may include, but are not limited to:

Oral or written reports

Client handover

Incident reports

Patient Care Record

Case management material

Client care implementation must include, but is not limited to:

Care is implemented at a level consistent with the level of expertise and authority to practice of the officer, within the limits of the organisation clinical practice guidelines/protocols.

The need for additional assistance is sought promptly when the client's condition or situation is beyond the scope or authority to practice of the attending officer

Infection control principles and practices are observed at all times for the safety of the client and attending officers

Client is lifted in accordance with the organisation WHS policies and procedures.

Persons authorised to receive confidential information may include, but are not limited to:

Medical personnel

Police Officers

Legal practitioners

Others, where approved as acting in the best interests of the client

Acts and regulations are those specified in each State/Territory that relate to:

Confidentiality and privacy

Freedom of information

Drug and poisons regulations

Health

Mental Health

Policy and procedures are organisation policies and procedures that relate to:

Documentation

Reporting of client medical information

Occupational Health and safety

Clinical Practice

Operational

Medico-legal

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
Conduct client assessment, including advanced primary, vital sign and secondary surveys, including non-obvious clinical signs, using applied clinical knowledge 
Ensure client assessment includes consideration of psychosocial, developmental and cultural considerations 
Base client assessment on a demonstrable and clearly thought out series of problem solving steps or linkages 
Collect and analyse information that contributes to the client assessment 
Identify main complaints as a basis for systematic prioritised treatment 
Refer to client's medical history in the selection of appropriate treatment procedure 
Systematically evaluate and interpret client assessment information to make judgements regarding client care requirements 
Ensure judgement is in line with evidence-based practice and local clinical practice guidelines 
Ensure judgment, which forms the basis on which treatment is planned, can be reasonably justified in terms of the information available at the time 
Establish priorities of care based on assessed client needs and overall assessment of the scene 
Recognise mechanisms of injury and potential for client deterioration 
Develop contingency plans, based on mechanisms of injury and potential for client deterioration 
Establish client management plan, based on primary and secondary survey, client history, assessment of the scene and factors related to distance from hospital/medical care 
Determine client's potential or actual time criticality versus transport criticality 
Implement all care and treatment procedures to the level of expertise and authority to practise of the individual within the limits of the local ambulance clinical practice guidelines 
Commence client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical guidelines and pharmacological requirements 
Recognise the need for assistance where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer and seek help immediately 
Implement client care techniques in accordance with infection control procedures and techniques 
Use safe lifting and client handling techniques in accordance with WHS requirements and organisation policies and procedures 
Monitor all aspects of client's condition at appropriate intervals to establish trends 
Assess potential effects on client's condition of procedures implemented 
Monitor drug therapy, noting effectiveness of treatment regime and amend according to client's condition 
Recognise changes in client's condition and adapt management according to the scope or authority to practise of the attending officer 
Where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer, recognise the need for assistance and seek help immediately 
Document relevant client details according to local ambulance standard operation procedure 
Maintain client confidentiality at all times 
Ensure documentation for handover procedures conveys all necessary information 
Convey information appropriately to those individuals involved in ongoing client care to facilitate understanding and optimise continuing client care 
Maintain client care until responsibility for client care is taken over by staff of the receiving agency 

Forms

Assessment Cover Sheet

HLTAMBCR502C - Deliver standard clinical care
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

HLTAMBCR502C - Deliver standard clinical care

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: