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

HLTAMBCR603B Mapping and Delivery Guide
Deliver intensive clinical care

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTAMBCR603B - Deliver intensive clinical care
Description This unit describes the skills and knowledge required to deliver pre-hospital client care at a specialised level, by assessing specialised needs of a client, planning and administering procedures, and monitoring the state of the client
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The knowledge and skills specified in this unit are typically required by a person involved directly in the provision of advanced clinical care at the level of an intensive care paramedic in a state or territory ambulance serviceThe unit involves application of specialised knowledge of pathophysiology and pharmacology for advanced clinical careThe application of knowledge and skills described in this competency unit relate to functioning independently to plan and practise advanced client care within relevant state/territory clinical practice and application of skills guidelinesSuccessful assessment of the essential knowledge described in this competency unit (and its co-requisite) is required before undertaking independent client assessment and delivery of care at the level of skill described
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisite units: This unit must be assessed after successful achievement of pre-requisites:HLTAMBAS501B Conduct clinical assessmentHLTAMBCR502B Deliver standard 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 need for specialised intervention
  • Assess client on the basis of a high level of clinical knowledge and a high level of contemporary clinical evidence based practice
  • Ensure assessment of the need for specialised intervention is based on a demonstrable and clearly thought out series of problem solving steps or linkages
  • Ensure that client assessment process can be analysed and explained when subject to clinical audit
       
Element: Analyse information from clinical assessment to make a judgement about specialised pre- hospital client care
  • Use systematic evaluation of client assessment to interpret and make judgements regarding specialised client care requirements
  • Ensure judgement is in line with high level contemporary evidence based practice and organisation clinical practice guidelines/protocols
  • Ensure the judgment, which forms the basis on which specialised treatment is planned, can be reasonably justified in terms of the information available at the time
       
Element: Plan specialised pre-hospital client care
  • Establish priorities of care based on assessment of the total scene and drawing on specialised knowledge and experience
  • Recognise and interpret mechanisms of injury and potential for client deterioration in conjunction with a broad range of factors inherent in client's condition, environment and potential impact of procedures or movement
  • Develop contingency plans, based on mechanisms of injury and potential for client deterioration
  • Establish client management plan, based on analysis of the scene and the client and drawing on high level clinical knowledge
  • Determine client's potential or actual time criticality versus transport criticality
       
Element: Implement procedures for specialised pre- hospital client care
  • Commence all client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical and legislative guidelines and pharmacological requirements
  • Ensure all actions are in accordance with organisation standard operating procedure and clinical practice guidelines/protocols
  • Consult and collaborate with designated medical authorities as required
       
Element: Monitor specialised pre-hospital client care and modify as required
  • Monitor all aspects of client's condition including vital signs at appropriate intervals to establish trends in terms of specialised procedures, interventions or knowledge
  • Assess potential effects of procedures implemented on client's condition
  • 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
  • Recognise the need for assistance and seek help immediately where the situation or client's condition requires treatment outside the scope or authority to practise of the attending officer
  • Maintain and/or modify treatment, according to client need as determined by the re-assessment process
       
Element: Hand over client requiring specialised care
  • Document relevant client details according to organisation clinical practice guidelines/protocols
  • 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 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)

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

Assessment must include evidence of competence in dealing with all situations outlined in Essential Skills section of this competency unit

Evidence must include demonstration over a period of time to ensure consistency of performance

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 minimum period of 4 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

Related units:

This unit should be assessed in conjunction with the following competency unit:

HLTAMBAS604B Conduct advanced 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:

Detailed knowledge to enable accurate judgement and delivery of specialised client care in the field of emergency out of hospital care

Detailed understanding of the structure and function of major organs (appropriate to this level) including a detailed understanding of heart structure and function (including electrophysiology, dysrrhythmias)

Cell transport systems

An understanding of pharmacological processes and drug actions, indications and contraindications (appropriate to this level)

Understanding of cellular respiration (glycolysis, Kreb's Cycle, electron transport chain) and ATP production

Recognition of the signs and symptoms of a broad range of clinical conditions and the (provisional) diagnosis of same

An advanced comprehension of trauma issues

An advanced understanding of medical emergencies (including diving, altitude, temperature, OD and poisoning, crush injuries and obstetrics)

Understanding of the effects of intrinsic (age, health etc) and extrinsic (environment, medications etc) factors on client condition and treatment

Maintenance systems (including immunity and haemostasis)

Procedures and equipment in accordance with organisation policies relating to specialised client care

Client psychology related to trauma

Receiving facility requirements or how to access these requirements

Function of documentation being provided

Essential skills:

It is critical that the candidate demonstrate the ability to:

Assess client and implement procedures needed for client care under a variety of conditions and circumstances

Demonstrate the capacity to take into account subtle factors affecting the client's condition, from a broad range of areas

Make a sound judgement based on knowledge

Accurately complete all documentation and supply all relevant client information to receiving facility staff under a variety of conditions and circumstances, including routine, non-routine and emergency, including:

correct use of approved documents

correct documentation of client and incident details

interaction with receiving facility personnel

Apply a wide range of detailed knowledge and advanced skills (eg. ECG interpretation) to diagnose and deliver appropriate care for an extensive range of clinical conditions.

Apply knowledge and understanding to familiar and unfamiliar situations.

Apply the clinical problem solving process as it applies to specialised 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 problem solving skills including:

using available resources

analysing information

making decisions that ensure the safe access/egress and client welfare in a life-threatening situation

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 and case management materials

preparing handover reports for receiving agency staff

Use interpersonal skills, including:

working with others

showing empathy with client and relatives

relating 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.

Specialised intervention may include, but is not limited to:

Those procedures approved for specialised client care based upon organisation policies and procedures and assessment of the knowledge and understanding of the officer involved.

Situation involves a client in need and may 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

Mechanism of injury is obtained from a detailed description of what specifically happened physically to the client during an incident, such as:

High speed vehicle accidents

Falls

Being struck by a vehicle

Being thrown from a moving vehicle

Penetrating injury e.g. gunshot, stabbing

Electrocution

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

Advanced pharmacological agents for the management of:

cardiac arrest

cardiac dysrhythmias

pain relief

airway management

hypoglycaemia

hypovolaemia

sedation

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

Airway management e.g. endotracheal intubation

Intravenous and intraosseous cannulation

Tension pneumothorax decompression

Other techniques as indicated by organisation clinical practice guidelines/protocols

Reports may be verbal (oral or written) or non-verbal (with gestures), and types of documentation may include, but are not limited to:

Incident reports

Handover reports

Case management material

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

Medical personnel

Police officers

Legal practitioners

Other acts and regulations are those specified in each state/territory that relate to:

Confidentiality

Freedom of information

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

Documentation

Reporting of client medical information, where approved as acting in the best interests of the client

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
Assess client on the basis of a high level of clinical knowledge and a high level of contemporary clinical evidence based practice 
Ensure assessment of the need for specialised intervention is based on a demonstrable and clearly thought out series of problem solving steps or linkages 
Ensure that client assessment process can be analysed and explained when subject to clinical audit 
Use systematic evaluation of client assessment to interpret and make judgements regarding specialised client care requirements 
Ensure judgement is in line with high level contemporary evidence based practice and organisation clinical practice guidelines/protocols 
Ensure the judgment, which forms the basis on which specialised treatment is planned, can be reasonably justified in terms of the information available at the time 
Establish priorities of care based on assessment of the total scene and drawing on specialised knowledge and experience 
Recognise and interpret mechanisms of injury and potential for client deterioration in conjunction with a broad range of factors inherent in client's condition, environment and potential impact of procedures or movement 
Develop contingency plans, based on mechanisms of injury and potential for client deterioration 
Establish client management plan, based on analysis of the scene and the client and drawing on high level clinical knowledge 
Determine client's potential or actual time criticality versus transport criticality 
Commence all client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical and legislative guidelines and pharmacological requirements 
Ensure all actions are in accordance with organisation standard operating procedure and clinical practice guidelines/protocols 
Consult and collaborate with designated medical authorities as required 
Monitor all aspects of client's condition including vital signs at appropriate intervals to establish trends in terms of specialised procedures, interventions or knowledge 
Assess potential effects of procedures implemented on client's condition 
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 
Recognise the need for assistance and seek help immediately where the situation or client's condition requires treatment outside the scope or authority to practise of the attending officer 
Maintain and/or modify treatment, according to client need as determined by the re-assessment process 
Document relevant client details according to organisation clinical practice guidelines/protocols 
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

HLTAMBCR603B - Deliver intensive 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

HLTAMBCR603B - Deliver intensive 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: