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

HLTEN613B Mapping and Delivery Guide
Practise in a hyperbaric environment

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTEN613B - Practise in a hyperbaric environment
Description This competency unit describes the skills and knowledge required by the advanced level Enrolled/ Division 2 nurse to deliver a high standard of care to clients receiving treatment in a hyperbaric environment
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirementsEnrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not Applicable
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: Work in a hyperbaric environment
  • Work with an understanding of the roles and responsibilities of members of the hyperbaric unit health team
  • Identify potential causes of emergencies associated with a hyperbaric chamber and hyperbaric treatment and respond appropriately
  • Use appropriate methods to prevent emergencies in the chamber where applicable
  • Recognise and report contraindications to hyperbaric conditions for self where applicable
  • Apply procedures for infection control before, during and after treatments
  • Work with an understanding of the reason for pre-hyperbaric treatment safety checklists and participates in this process
  • Work with an awareness of rationale for staff undertaking annual hyperbaric medicals and participate in this process
  • Recognise the specific occupational health, safety and welfare conditions related to working in a hyperbaric environment
  • Recognise the potential impact of hyperbaric therapy on clients and their significant other/s
       
Element: Contribute to holistic and specific assessment for hyperbaric treatment
  • Perform a holistic assessment of the client in conjunction with the multi-disciplinary health care team, utilising resources and tools specific to the hyperbaric unit/organisation
  • Identify possible psychological and physical complications of hyperbaric treatment and associated client education requirements
  • Discuss the physical, psychological and social impacts of hyperbaric treatment with the client and identified significant other/s (with client consent)
  • Recognise and report contraindications for hyperbaric conditions for clients
       
Element: Plan care for clients requiring hyperbaric treatment
  • Document an individual plan of care for the client in conjunction with the health care team
  • Incorporate health teaching and discharge planning into practice in consultation/collaboration with the health care team
       
Element: Implement appropriate care for the client
  • Perform contemporary nursing interventions for the client undergoing hyperbaric therapy
  • Correctly use specific hyperbaric chamber equipment for treatments
  • Provide client informationand education regarding hyperbaric therapy
  • Demonstrate trouble shooting skills during hyperbaric treatments
  • Monitor condition of the client undergoing hyperbaric treatment and communicate throughout the treatment to the registered nurse, technician and medical officer as appropriate
  • Document outcomes of treatments according to hyperbaric procedures and organisation policy
       
Element: Document and evaluate outcomes of nursing interventions
  • Monitor and evaluate client response to interventions and progress toward planned goals and document according to organisation policy
  • Report outcomes of nursing interventions to the appropriate member of the healthcare team
  • Change care plans and modify nursing interventions in conjunction with the registered nurse or other member of the hyperbaric team
       


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:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment:

This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Observation in the work place

Written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning - verbal or written

Role play/simulation

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

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:

Awareness of the Australian Standard for Work in Compressed Air and Hyperbaric Oxygen Facilities

Basic structure and layout of a hyperbaric chamber

Common dive tables for hyperbaric treatment and their indications

Common treatment profiles for hyperbaric therapy and their indications

Conditions indicated for hyperbaric therapy treatment and the mechanisms of therapeutic benefit for each

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities

Educational resources and professional organisations associated with hyperbaric therapy

Legislative requirements for practice

Medical terminology

Organisation policy and procedure

Participating as a member of the health care team

Physiological effects of increased atmospheric pressure on the human body and of breathing 100% oxygen (hyper oxygenation), helium or mixed gases under hyperbaric conditions

Principles of health assessment

Rationale for staff undertaking annual hyperbaric medicals

Reflective practice

Specialised in-depth knowledge of anatomy, physiology and pathophysiology related to hyperbaric issues

Specialised knowledge and execution relating to emergency care

Specific considerations for paediatric clients

Workplace health and safety legislation

Essential skills:

It is critical that the candidate demonstrate the ability 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:

Apply relevant admission and discharge tools according to organisation policy

Apply relevant health unit assessment tools according to organisation policy

Apply cognitive processes to reflect problem solving and analysis in the planning implementation and evaluation of care to clients

Apply organisation policy and procedure relating to hyperbaric management

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

State/territory Nurse Regulatory Nurses Act

State/territory Nursing and Midwifery Regulatory Authority standards of practice

Scope of nursing practice decision making framework

Demonstrate accountability for personal outputs and broad client group outcomes

Use language, literacy and numeracy competence required to communicate effectively with client, group, colleagues and to record or report client outcomes

Use advanced communication skills

Use education and teaching strategies relating to health promotion and practical task applications for hyperbaric clients

Use information technology systems

Undertake nursing interventions which may include:

administration of nebulisers in the chamber

assessment, observation and documentation of clinical skills relating to the nursing management of hyperbaric interventions and emergencies

chest tube drainage in the chamber

client preparation for treatment

monitoring of intravenous infusions in the chamber

oral medication administration

pain management

setting up and management of breathing circuits (hood and BIBS / Scott mask )

setting up the chamber for treatments

suction in the chamber at depth and at surface

urinary drainage in the chamber

wound care and asepsis

wound management

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.

Clients may include:

Adults

Child

Adolescent

Members of the multi-disciplinary hyperbaric health care team include:

Hyperbaric nurses (inside and outside attendant)

Hyperbaric technicians

Medical staff

Experts in fire safety, wound management and otolarynology

Allied health staff

Theories of physics include:

Boyle's law

Charle's law

Henry's law

Dalton's law

Emergencies associated with the hyperbaric chamber and treatment may include:

Fire inside the chamber

Fire outside the chamber

Emergency decompression

Explosive decompression

Uncontrolled compression

Power failure

Communication failure

Chamber atmospheric contamination

Isolation emergency eg: violence / potential violence

Pneumathorax

Cardiac arrest and airway management

Hypoglycaemia

Oxygen toxicity (CNS and pulmonary)

Complications of hyperbaric therapy may include:

Client medical emergency conditions as listed in emergencies above plus

Claustrophobia

Sinus / dental barotrauma

Lung barotrauma

Indications for hyperbaric therapy may include:

Decompression sickness

Carbon Monoxide poisoning

Smoke inhalation

Osteoradionecrosis

Selected wound healing

Mixed non aerobic and aerobic infections

Air or gas embolism

Osteomyelitis (refractory)

Gas gangrene (Clostridial Myonecrosis)

Soft tissue radionecrosis

Crush injuries / compartment syndromes

Compromised skin grafts / flaps

Thermal burns

Blood loss

Some spider bites

Exceptional blood loss

Specific assessment tools and resources for hyperbaric assessment may include:

Auroscope

Blood glucose monitoring

Oxygen perfusion

Cardiac monitoring and ECG

Pulmonary function tests

Tissue perfusion tests

Relative contraindications for hyperbaric therapy include:

Pulmonary function tests

Tissue perfusion tests

Excessive alcohol intake

Dehydration

Asthma

Anxiety states or claustrophobia

Recent dental work in the previous 24 hours

Strenuous exercise previous and after therapy

Preparing to fly within 24 hours (staff and water divers only

Client education requirements must include:

The ability of the client to comprehend the education

What is hyperbaric therapy

The reason for hyperbaric therapy

The chamber and sequence of events that occur during a treatment

Demonstration and observation of air equalisation techniques

Prohibited items in the chamber and appropriate clothing for treatments

Complications of hyperbaric treatments

Nursing interventions include but are not limited to:

Setting up the chamber for treatments

Setting up and management of breathing circuits (hood and BIBS / Scott mask )

Client preparation for treatment

Wound management

Pain management

Oral medication administration

Monitoring of intravenous infusions in the chamber

Wound care and asepsis

Suction in the chamber at depth and at surface

Chest tube drainage in the chamber

Urinary drainage in the chamber

Administration of nebulisers in the chamber

Hyperbaric specific equipment may include but is not limited to:

Suction

Scrubber

Oxygen flow meters

Marquette monitor

Communication headphones

Medical lock

Manual overboard dump

Monitor panel and ECGS

Stretcher loading equipment for Drager chamber

Hand ventilator

Fire hose

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
Work with an understanding of the roles and responsibilities of members of the hyperbaric unit health team 
Identify potential causes of emergencies associated with a hyperbaric chamber and hyperbaric treatment and respond appropriately 
Use appropriate methods to prevent emergencies in the chamber where applicable 
Recognise and report contraindications to hyperbaric conditions for self where applicable 
Apply procedures for infection control before, during and after treatments 
Work with an understanding of the reason for pre-hyperbaric treatment safety checklists and participates in this process 
Work with an awareness of rationale for staff undertaking annual hyperbaric medicals and participate in this process 
Recognise the specific occupational health, safety and welfare conditions related to working in a hyperbaric environment 
Recognise the potential impact of hyperbaric therapy on clients and their significant other/s 
Perform a holistic assessment of the client in conjunction with the multi-disciplinary health care team, utilising resources and tools specific to the hyperbaric unit/organisation 
Identify possible psychological and physical complications of hyperbaric treatment and associated client education requirements 
Discuss the physical, psychological and social impacts of hyperbaric treatment with the client and identified significant other/s (with client consent) 
Recognise and report contraindications for hyperbaric conditions for clients 
Document an individual plan of care for the client in conjunction with the health care team 
Incorporate health teaching and discharge planning into practice in consultation/collaboration with the health care team 
Perform contemporary nursing interventions for the client undergoing hyperbaric therapy 
Correctly use specific hyperbaric chamber equipment for treatments 
Provide client informationand education regarding hyperbaric therapy 
Demonstrate trouble shooting skills during hyperbaric treatments 
Monitor condition of the client undergoing hyperbaric treatment and communicate throughout the treatment to the registered nurse, technician and medical officer as appropriate 
Document outcomes of treatments according to hyperbaric procedures and organisation policy 
Monitor and evaluate client response to interventions and progress toward planned goals and document according to organisation policy 
Report outcomes of nursing interventions to the appropriate member of the healthcare team 
Change care plans and modify nursing interventions in conjunction with the registered nurse or other member of the hyperbaric team 

Forms

Assessment Cover Sheet

HLTEN613B - Practise in a hyperbaric environment
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

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Assessor name:

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Assessment Record Sheet

HLTEN613B - Practise in a hyperbaric environment

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

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