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

HLTANA006 Mapping and Delivery Guide
Assist with clinical procedures used in anaesthesia

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTANA006 - Assist with clinical procedures used in anaesthesia
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to plan and prepare for anaesthesia for a range of surgical specialities, and provide assistance to the anaesthetist during regional anaesthesia, invasive monitoring and other anaesthetic related procedures. It includes the ability to prepare and monitor both client and equipment during the procedure.This unit applies to anaesthetic technicians working under the direction of, and in consultation with, an anaesthetist 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 the workplace with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including those required by procedures nominated 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: Prepare client and equipment
  • Read procedure information, check anaesthetist requirements and surgical factors that may impact on the anaesthetic procedure
  • Develop and communicate individualised anaesthesia plan in collaboration with anaesthetist
  • Select and prepare equipment and materials in relation to sequence and requirements of the clients and their anaesthetic procedure
  • Ensure all relevant anaesthetic equipment and materials are clean/disinfected/sterile, functioning correctly, prepared for use, and if necessary, calibrated
  • Position equipment and materials for accessibility
  • Accurately document accountable anaesthetic items
  • Position the client for the procedure and provide optimum conditions to facilitate access
  • Check environment for administration of anaesthesia and adjust accordingly
       
Element: Provide assistance to the anaesthetist
  • Provide assistance to the anaesthetist during anaesthetic procedures and the induction, maintenance and completion of anaesthesia
  • Check client’s physiological parameters when required or as directed by anaesthetist
  • Complete required documentation
  • Identify, validate and report deviations from acceptable limits of the client’s physiological parameters to the anaesthetist
  • Report signs of client discomfort, distress or adverse reaction to the anaesthetist
  • Assist with the perioperative medical management of the patient
       
Element: Restore equipment and environment at completion of procedure
  • Clean, disinfect or sterilise equipment in accordance with infection control guidelines and manufacturer’s instructions
  • 3.2 Manage faulty equipment in accordance with organisation policies and procedures and manufacturer's guidelines
  • Restore the environment to required status
  • Restock consumables according to facility requirements
       


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. Prepare client and equipment

1.1 Read procedure information, check anaesthetist requirements and surgical factors that may impact on the anaesthetic procedure

1.2 Develop and communicate individualised anaesthesia plan in collaboration with anaesthetist

1.3 Select and prepare equipment and materials in relation to sequence and requirements of the clients and their anaesthetic procedure

1.4 Ensure all relevant anaesthetic equipment and materials are clean/disinfected/sterile, functioning correctly, prepared for use, and if necessary, calibrated

1.5 Position equipment and materials for accessibility

1.6 Accurately document accountable anaesthetic items

1.7 Position the client for the procedure and provide optimum conditions to facilitate access

1.8 Check environment for administration of anaesthesia and adjust accordingly

2. Provide assistance to the anaesthetist

2.1 Provide assistance to the anaesthetist during anaesthetic procedures and the induction, maintenance and completion of anaesthesia

2.2 Check client’s physiological parameters when required or as directed by anaesthetist

2.3 Complete required documentation

2.4 Identify, validate and report deviations from acceptable limits of the client’s physiological parameters to the anaesthetist

2.5 Report signs of client discomfort, distress or adverse reaction to the anaesthetist

2.6 Assist with the perioperative medical management of the patient

3. Restore equipment and environment at completion of procedure

3.1 Clean, disinfect or sterilise equipment in accordance with infection control guidelines and manufacturer’s instructions

3.2 Manage faulty equipment in accordance with organisation policies and procedures and manufacturer's guidelines

3.3 Restore the environment to required status

3.4 Restock consumables according to facility requirements

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:

planned, prepared and assisted during induction, maintenance and completion of anaesthesia for each of the following for at least two lists each:

general surgery/gastro-intestinal – major laparotomy & minor surgery

ear, nose and throat surgery

gynaecological surgery - major & minor

obstetric surgery

orthopaedic surgery - major & minor

vascular surgery - major & minor

urological surgery - major & minor

ophthalmic surgery

paediatric – minor ear nose and throat (ENT), general & orthopaedic

remote site anaesthesia – radiology, electroconvulsive therapy (ECT), endoscopy

provided assistance with each of the following procedures on at least 3 occasions, ensuring use of aseptic technique:

spinal

arterial line

central venous catheter

provided assistance with each of the following procedures on at least 2 occasions, ensuring use of aseptic technique:

local

regional blocks including use of ultrasound

upper limb

lower limb

TAP block

epidural/combined spinal-epidural

caudal

peripherally inserted central catheter

midline catheter

transoesophageal echocardiograph (TOE)

blood patch

intercostal drainage

pain management procedures (e.g. chemical sympathectomy)

vascular 'cut downs'

external pacing

pulmonary artery catheter

balloon pump

intracranial pressure monitoring

12 lead ECG

monitored physiological parameters with reference to standard values of normal physiological function for each client’s usual parameters

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 clinical procedures, 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 and clinical documentation

rights and responsibilities of workers, employers and clients

work role boundaries – responsibilities and limitations

work health and safety (WHS)

types of regional and invasive procedures, how they are performed, and the anaesthetic technician’s role, for the following:

spinal

epidural

combined spinal-epidural

caudal

local

regional blocks, including use of ultrasound

upper limb

lower limb

TAP block

blood patch

arterial line

central venous catheter

peripherally inserted central catheter (PICC)

midline catheter

transoesophageal echocardiograph (TOE)

intercostal drainage

pain management procedures

vascular 'cut downs'

external pacing

pulmonary artery catheter

balloon pump

intracranial pressure monitoring

cell salvage/autotransfusion

12 lead ECG

spinal cord monitoring

types of equipment used for regional and invasive procedures, including function and operating guidelines, use, indications and limitations, and criteria for withdrawal

monitoring of and maintenance of stock levels perioperatively, including CO2 absorber, medications, fluids, consumables

anatomy, physiology factors that impact regional and invasive procedures for different client groups

pre-medications and their effects

types of surgery – emergency/urgent/elective/day case

types of common surgical procedures, their classification and factors for planning, preparation and management of anaesthesia, including:

general surgery/gastro-intestinal – major laparotomy & minor

ear, nose and throat surgery

gynaecological surgery - major & minor

obstetric surgery

orthopaedic surgery - major & minor

vascular surgery - major & minor

urological surgery - major & minor

ophthalmic surgery

paediatric – minor ENT, general & orthopaedic

dental/faciomaxillary surgery

cardiothoracic Surgery

neurosurgery

plastic/Reconstructive Surgery

trauma/emergency surgery

remote site anaesthesia - radiology, ECT/endoscopy

indications for surgery and risk factors

surgical approaches and duration of surgery

position of clients for surgery

common anaesthetic and surgical complications

risk of anaesthetic technique for surgical procedure

specialty medications required perioperatively

expected blood loss for different types of surgery

events during surgery that could affect anaesthesia, including:

massive blood loss

client repositioning

cross clamping and unclamping of aorta and other major blood vessels

orthopaedic bone cement syndrome

transurethral resection of the prostate (TURP) syndrome

application/release of tourniquet

tourniquet time

abdominal carbon dioxide insufflation

co-existing diseases and their perioperative medical management

age of the client and associated risks

types of anaesthetic techniques and preference card systems

intraoperative procedures, including:

nasogastric tube placement and suctioning

endotracheal tube suctioning

tracheostomy toileting

rapid infusion, blood transfusion & massive transfusion protocol

fluid balance-urine, gastric, blood loss & infusion

invasive/non-invasive clinical measurements

airway exchange

pain management techniques

invasive/non-invasive clinical measurement planning options

airway management planning options

ancillary equipment choices

pressure and nerve care

normal range of motion for client

thermal management

prevention of thromboembolism

patient emotional and physiological responses to surgery

procedures for transfer of anaesthetised patient to intensive care or radiology and equipment used

communication techniques within multidisciplinary team in operating theatre environment

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. Prepare client and equipment

1.1 Read procedure information, check anaesthetist requirements and surgical factors that may impact on the anaesthetic procedure

1.2 Develop and communicate individualised anaesthesia plan in collaboration with anaesthetist

1.3 Select and prepare equipment and materials in relation to sequence and requirements of the clients and their anaesthetic procedure

1.4 Ensure all relevant anaesthetic equipment and materials are clean/disinfected/sterile, functioning correctly, prepared for use, and if necessary, calibrated

1.5 Position equipment and materials for accessibility

1.6 Accurately document accountable anaesthetic items

1.7 Position the client for the procedure and provide optimum conditions to facilitate access

1.8 Check environment for administration of anaesthesia and adjust accordingly

2. Provide assistance to the anaesthetist

2.1 Provide assistance to the anaesthetist during anaesthetic procedures and the induction, maintenance and completion of anaesthesia

2.2 Check client’s physiological parameters when required or as directed by anaesthetist

2.3 Complete required documentation

2.4 Identify, validate and report deviations from acceptable limits of the client’s physiological parameters to the anaesthetist

2.5 Report signs of client discomfort, distress or adverse reaction to the anaesthetist

2.6 Assist with the perioperative medical management of the patient

3. Restore equipment and environment at completion of procedure

3.1 Clean, disinfect or sterilise equipment in accordance with infection control guidelines and manufacturer’s instructions

3.2 Manage faulty equipment in accordance with organisation policies and procedures and manufacturer's guidelines

3.3 Restore the environment to required status

3.4 Restock consumables according to facility requirements

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
 
Read procedure information, check anaesthetist requirements and surgical factors that may impact on the anaesthetic procedure 
Develop and communicate individualised anaesthesia plan in collaboration with anaesthetist 
Select and prepare equipment and materials in relation to sequence and requirements of the clients and their anaesthetic procedure 
Ensure all relevant anaesthetic equipment and materials are clean/disinfected/sterile, functioning correctly, prepared for use, and if necessary, calibrated 
Position equipment and materials for accessibility 
Accurately document accountable anaesthetic items 
Position the client for the procedure and provide optimum conditions to facilitate access 
Check environment for administration of anaesthesia and adjust accordingly 
Provide assistance to the anaesthetist during anaesthetic procedures and the induction, maintenance and completion of anaesthesia 
Check client’s physiological parameters when required or as directed by anaesthetist 
Complete required documentation 
Identify, validate and report deviations from acceptable limits of the client’s physiological parameters to the anaesthetist 
Report signs of client discomfort, distress or adverse reaction to the anaesthetist 
Assist with the perioperative medical management of the patient 
Clean, disinfect or sterilise equipment in accordance with infection control guidelines and manufacturer’s instructions 
3.2 Manage faulty equipment in accordance with organisation policies and procedures and manufacturer's guidelines 
Restore the environment to required status 
Restock consumables according to facility requirements 

Forms

Assessment Cover Sheet

HLTANA006 - Assist with clinical procedures used in anaesthesia
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

HLTANA006 - Assist with clinical procedures used in anaesthesia

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: