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

HLTANA004 Mapping and Delivery Guide
Respond to anaesthesia related emergencies

Version 1.0
Issue Date: March 2024


Qualification -
Unit of Competency HLTANA004 - Respond to anaesthesia related emergencies
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to recognise signs of client deterioration that pose an immediate threat to life and respond appropriately, including the preparation of drugs used in emergency situations.This unit applies to anaesthetic technicians working under the direction of, and in consultation with, an anaesthetist/medical officer in any hospital or day surgery setting.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 have been demonstrated in a simulated environment that reflects workplace conditions. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including those to simulate management of all emergencies identified in the Performance Evidence:

modelling of industry operating conditions, including presence of situations requiring problem solving in non-routine situations

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

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: Recognise clinical emergencies
  • Recognise signs of deterioration in clients and immediately report to appropriate clinician
  • Monitor, interpret and promptly recognise abnormal equipment readings and immediately report abnormal values to anaesthetist/medical staff
       
Element: Respond to clinical emergencies
  • Maintain client’s vital functions pending attendance of medical staff
  • Use communication escalation techniques according to organisation procedures
  • Promptly obtain emergency equipment and make ready for relevant medical staff
  • Assist the anaesthetist/medical staff to perform any emergency procedures under direction
  • Assist with the medical management of the client and allocate work to other team members according to priority
       
Element: Prepare drugs for administration in emergency situations
  • Ensure required drugs, diluents and fluids are to hand
  • Read expiry date for each drug, diluent or fluid and check it has not been exceeded
  • Make accurate calculations to prepare drug to correct nature, quantity and dilution based on medical officer requirements
  • Check drugs with an authorised person prior to and after mixing
  • Use correct equipment and maintain sterility of drug and diluent
  • Check final drug dilution with anaesthetist or medical officer
  • Administer drugs under the direction and supervision of the anaesthetist
  • Complete medication documentation in accordance with organisation policies and procedures
       
Element: Finalise emergency procedures
  • Document accurate and complete record of emergency situation and actions taken according to scope of own role
  • Participate in emergency de-brief according to organisation procedures
  • Review own role in emergency and identify potential actions to support future improvement
       


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 describe the performance needed to demonstrate achievement of the element

1. Recognise clinical emergencies

1.1 Recognise signs of deterioration in clients and immediately report to appropriate clinician

2.1 Monitor, interpret and promptly recognise abnormal equipment readings and immediately report abnormal values to anaesthetist/medical staff

2. Respond to clinical emergencies

2.1 Maintain client’s vital functions pending attendance of medical staff

2.2 Use communication escalation techniques according to organisation procedures

2.3 Promptly obtain emergency equipment and make ready for relevant medical staff

2.4 Assist the anaesthetist/medical staff to perform any emergency procedures under direction

2.5 Assist with the medical management of the client and allocate work to other team members according to priority

3. Prepare drugs for administration in emergency situations

3.1 Ensure required drugs, diluents and fluids are to hand

3.2 Read expiry date for each drug, diluent or fluid and check it has not been exceeded

3.3 Make accurate calculations to prepare drug to correct nature, quantity and dilution based on medical officer requirements

3.4 Check drugs with an authorised person prior to and after mixing

3.5 Use correct equipment and maintain sterility of drug and diluent

3.6 Check final drug dilution with anaesthetist or medical officer

3.7 Administer drugs under the direction and supervision of the anaesthetist

3.8 Complete medication documentation in accordance with organisation policies and procedures

4. Finalise emergency procedures

4.1 Document accurate and complete record of emergency situation and actions taken according to scope of own role

4.2 Participate in emergency de-brief according to organisation procedures

4.3 Review own role in emergency and identify potential actions to support future improvement

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:

determined and actioned response to diverse emergency situations, including:

respiratory/ airway emergencies:

difficult/compromised airway

can’t intubate can’t ventilate

bronchospasm

pneumothorax

laryngospasm

aspiration

suxamethonium apnoea

hypoxia/hypoxaemia

hypercarbia

cardiac emergencies:

ventricular fibrillation

ventricular tachycardia

pulseless electrical activity

asystole

third degree heart block

cardiac arrhythmias which pose threat to life for individual clients

perioperative myocardial infarcts

cardiac tamponade

malignant hyperthermia

hypothermia

hypovolaemic shock/massive blood loss

severe hypotension

severe hypertension

pulmonary hypertension

anaphylactic shock

thromboembolism or pulmonary embolism – fat, thrombus, air/gas, amniotic fluid

pulmonary oedema & negative pressure pulmonary oedema

local anaesthetic toxicity

total spinal

metabolic and endocrine abnormalities

drug administration error and adverse drug reaction

septic shower

followed established procedures for use of emergency equipment/ consumables, including:

difficult airway trolley and other airway and suction equipment

cardiac arrest trolley and defibrillator

heating/cooling equipment

infusion/transfusion equipment

monitoring equipment

medications

chest drains

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national, state/territory) for emergencies, and how these are applied in organisations:

codes of practice

duty of care

infection prevention and control

informed consent

mandatory reporting

privacy, confidentiality and disclosure

records management

rights and responsibilities of workers, employers and clients

work role boundaries – responsibilities and limitations in emergencies

work health and safety

the following anaesthetic emergencies, their signs, symptoms, physiological and non-physiological causes, treatment or resolution and prediction:

respiratory/ airway emergencies:

difficult/compromised airway

can’t intubate can’t ventilate

bronchospasm

pneumothorax

laryngospasm

aspiration

suxamethonium apnoea

hypoxia/hypoxaemia

hypercarbia

cardiac emergencies:

ventricular fibrillation

ventricular tachycardia

pulseless electrical activity

asystole

third degree heart block

cardiac arrhythmias which pose threat to life for individual clients

perioperative myocardial infarcts

cardiac tamponade

malignant hyperthermia

hypothermia

hypovolaemic shock/massive blood loss)

severe hypotension

severe hypertension

pulmonary hypertension

anaphylactic shock

thromboembolism or pulmonary embolism – fat, thrombus, air/gas, amniotic fluid

pulmonary oedema & negative pressure pulmonary oedema

local anaesthetic toxicity

total spinal

metabolic and endocrine abnormalities

drug administration error and adverse drug reaction

septic shower

external emergencies including equipment failure, equipment/consumable supply shortage, weather events, fire and power outage

algorithms used to de-escalate anaesthetic emergencies

crisis management basic principles including internal and external crisis sources

methods, principles and procedures for dealing with emergencies, including:

problem solving techniques

graded assertiveness

crisis communication principles

clinical handover

multidisciplinary team structure and functions

situation monitoring/situational awareness

massive transfusion protocol

Australian Resuscitation Council guidelines

Australian and New Zealand College of Anaesthetists (ANZCA) Anaphylaxis guidelines

ANZCA Malignant hyperthermia guidelines

features, functions and safe use of emergency equipment

emergency drug administration:

equipment

routes of administration in anaesthesia context

types, functions and effects of different drugs

legislation and protocols


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 describe the performance needed to demonstrate achievement of the element

1. Recognise clinical emergencies

1.1 Recognise signs of deterioration in clients and immediately report to appropriate clinician

2.1 Monitor, interpret and promptly recognise abnormal equipment readings and immediately report abnormal values to anaesthetist/medical staff

2. Respond to clinical emergencies

2.1 Maintain client’s vital functions pending attendance of medical staff

2.2 Use communication escalation techniques according to organisation procedures

2.3 Promptly obtain emergency equipment and make ready for relevant medical staff

2.4 Assist the anaesthetist/medical staff to perform any emergency procedures under direction

2.5 Assist with the medical management of the client and allocate work to other team members according to priority

3. Prepare drugs for administration in emergency situations

3.1 Ensure required drugs, diluents and fluids are to hand

3.2 Read expiry date for each drug, diluent or fluid and check it has not been exceeded

3.3 Make accurate calculations to prepare drug to correct nature, quantity and dilution based on medical officer requirements

3.4 Check drugs with an authorised person prior to and after mixing

3.5 Use correct equipment and maintain sterility of drug and diluent

3.6 Check final drug dilution with anaesthetist or medical officer

3.7 Administer drugs under the direction and supervision of the anaesthetist

3.8 Complete medication documentation in accordance with organisation policies and procedures

4. Finalise emergency procedures

4.1 Document accurate and complete record of emergency situation and actions taken according to scope of own role

4.2 Participate in emergency de-brief according to organisation procedures

4.3 Review own role in emergency and identify potential actions to support future improvement

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
 
Recognise signs of deterioration in clients and immediately report to appropriate clinician 
Monitor, interpret and promptly recognise abnormal equipment readings and immediately report abnormal values to anaesthetist/medical staff 
Maintain client’s vital functions pending attendance of medical staff 
Use communication escalation techniques according to organisation procedures 
Promptly obtain emergency equipment and make ready for relevant medical staff 
Assist the anaesthetist/medical staff to perform any emergency procedures under direction 
Assist with the medical management of the client and allocate work to other team members according to priority 
Ensure required drugs, diluents and fluids are to hand 
Read expiry date for each drug, diluent or fluid and check it has not been exceeded 
Make accurate calculations to prepare drug to correct nature, quantity and dilution based on medical officer requirements 
Check drugs with an authorised person prior to and after mixing 
Use correct equipment and maintain sterility of drug and diluent 
Check final drug dilution with anaesthetist or medical officer 
Administer drugs under the direction and supervision of the anaesthetist 
Complete medication documentation in accordance with organisation policies and procedures 
Document accurate and complete record of emergency situation and actions taken according to scope of own role 
Participate in emergency de-brief according to organisation procedures 
Review own role in emergency and identify potential actions to support future improvement 

Forms

Assessment Cover Sheet

HLTANA004 - Respond to anaesthesia related emergencies
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

HLTANA004 - Respond to anaesthesia related emergencies

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: