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

HLTTH406C Mapping and Delivery Guide
Provide intra-operative equipment and technical support

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTTH406C - Provide intra-operative equipment and technical support
Description This unit of competency describes the skills and knowledge required to provide equipment and technical support during operative procedures
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application Work is performed within a defined range of functions and known routines and procedures, under the guidance of surgical and anaesthetic medical staff. The work requires a range of well developed skills where some discretion and judgment is required, and individuals take responsibility for the quality of their outputsAll activities are carried out in accordance with organisational policies, procedures and infection control guidelines and under the direction of operating room health professionals
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: Monitor the performance of equipment used
  • Observe equipment to ensure correct operation
  • Switch on warning devices and ensure that it is registering that the equipment is safe
  • Ensure gas, electrical, vacuum supplies are adequate for procedure at hand and/or back-up supply is available
  • Observe equipment whilst in use and, if a fault develops, take immediate action to avoid danger to clients, staff and equipment
  • Follow established procedures to rectify faulty equipment
       
Element: Attach and detach client attachments as required
  • Use personal protective equipment
  • Select appropriate client attachments and ensure equipment is attached safely and securely to appropriate sites
  • Re-position client attachments during theatre procedures as required
  • Safely detach client attachments when no longer required with minimum risk of damage to client, staff or equipment
  • Provide counter-traction during orthopaedic and plastic procedures and manipulations as directed
       
Element: Connect irrigation as directed
  • Select correct irrigation for operative procedure under the guidance of the surgical medical staff in correct sequence as required
  • Check irrigation type, sterile integrity and expiry date
  • Connect irrigation to sterile giving set using correct aseptic techniques
  • Change irrigation using aseptic techniques
  • Communicate the volume, type and number of irrigation bags to scout nurse
  • Dispose of used irrigation bags/giving sets according to organisational policy and procedures
       
Element: Adjust surgical equipment
  • Turn on/off surgical equipment under the guidance of medical staff and within manufacturers guidelines
  • Connect surgical equipment to electrical, vacuum, gas supply as required, and in accordance with standard operating procedures
  • Adjust surgical equipment settings to suit the surgical medical staff and in consultation with anaesthetic medical staff as required and within manufacturers guidelines
  • Communicate readings to surgical/anaesthetic medical staff as required
  • Communicate alarms/warnings, abnormal readings and equipment usage times to medical staff as required
  • Use aseptic techniques to pass sterile equipment/lines from the surgical team and connect to surgical equipment
  • Disconnect /reconnect surgical equipment, move and adjust during medical emergencies, repositioning of client and/or change of surgical procedure under the guidance of medical and nursing staff.
       


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

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

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

Context of and specific resources for assessment:

Access to appropriate workplace where assessment can take place

Simulation of realistic workplace setting for assessment

Relevant organisational policy, guidelines, procedures and protocols

Method of assessment

Observation of work activities when providing intra-operative equipment and technical support

Observation of simulation and/or role play when providing intra-operative equipment and technical support

Discussion of physical and/or behavioural contingency scenarios involving duty of care

Authenticated transcripts of relevant education/training courses

Recognition of relevant life/work experience

Written assignments/projects or questioning should be used to assess knowledge

Authenticated reports of experience when providing intra-operative equipment and technical support (Documentation associated with performance reviews, supervisor/coordinator evaluations of work performance)

Training records associated occupational health and safety training, orientation/induction training, safe manual handing, universal infection control procedures

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

Access and equity considerations:

Workers should have an understanding of Aboriginal and/or Torres Strait Islander culture and history and an ability to work with Aboriginal and/or Torres Strait Islander clients and communities

Assessors and trainers must have a knowledge of and take into account the influence of cultural and historic factors relating to health for those working with Aboriginal and/or Torres Strait Islander clients and communities

Related units:

This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged

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:

Anatomy and physiology relevant to safe use of surgical equipment

Basis principles of electricity

Client positioning aides and attachments

Functions of relevant equipment

Hazards and precautions of surgical equipment

Hazards and precautions of various client positions

Hazards associated with irrigation administration

Infection control procedures

Intra-operative client and staff safety concerning the settings of surgical equipment

Manufacturer's instructions of surgical equipment

Medical terms used in the operating room relevant to the technician's role

Medico-legal requirements relevant to role and scope of work practice

Occupational health and safety procedures

Overview of operating room air-conditioning and ventilation systems and their impact on the technician's role and work practices

Properties of matter relevant to the technician's role and work practice

Range of positions required for operative procedures

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply knowledge of sterilisation methods

Apply manual handling procedures

Follow procedures for timely set-up, trouble-shooting, and shut-down of equipment

Identify basic and routine faults and problems with surgical equipment

Identify the range and purpose of a range of operating theatre equipment

Maintain client confidentiality

Perform minor maintenance procedures

Recognise boundary of role in relation to maintenance of operating theatre equipment

Recognise hazards related to the use of each item of a range of operating theatre equipment

Use correct procedures for:

adjustment of surgical equipment

attachment and detachment of relevant equipment from clients in the operating room

maintenance of sterility

turning on/ shutting down surgical equipment

Use correct sequencing for the movement and connection of surgical equipment in relation to sterile equipment placement, anaesthetic and surgical team requirements

Work as part of a team and follow directions from operating room health professionals

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:

Communicate with health professionals

Complete basic arithmetic calculations

Deal with difficult co-workers and conflict

Demonstrate aseptic technique

Demonstrate manual dexterity during medical emergencies

Maintain the dignity and privacy of clients

Solve problems including the ability to use available resources and prioritise workload

Take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

Use oral communication skills as required to fulfil job roles in a safe manner and as specified by the organisation, including skills in:

asking questions

providing clear information

listening to and understanding workplace instructions

clarifying workplace instructions when necessary

literacy in English or a community language, depending on client group and organisation requirements

continued ...

Essential skills:

Use reading and writing skills as required to fulfil job roles in a safe manner and as specified by organisation at a level of skill that may range from the ability to understand symbols used in OHS signs to reading and interpreting manufacturers' instructions for equipment, workplace safety pamphlets or procedure manuals to reading labels and handling chemicals such as cleaning fluids

Work cooperatively in a team environment

Work with others and display empathy with client and relatives

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.

Equipment may include:

Endoscopic equipment

Diathermy

Arthroscopic equipment

Lasers

Monitors and camera tower

Printers videos

Lithoplast

Lithoclast/lithotripter

Saws/drills

Orthopaedic surgical equipment

Microscopes

Gas cylinders

Warming equipment

Tourniquet

Insufflator/laparoflater/hystroflator

Electrical and air-powered equipment

Calf compressors/stimulators

Cavitron ultrasonic surgical aspirator

Cryogen

Headlights

Light sources

Smoke evacuators

Suction equipment

Stealth/medrex

Operating table and attachments

Exsanguinators

Electro-surgical unit

Anti-embolus equipment

Suction

Light Sources

Lithoclast/lithotripter

Operating lights

Air/electric power sources for drills/saws

Phacoemulsification machine

continued ...

Equipment may include:
(contd)

Resuscitation cot/porta cot

Smoke evacuators

Fire extinguisher

Single lens reflect/digital cameras

Gel pads

Ultracision

Fluid management systems

Optical tracking devices

Cell saver

Warming equipment

Drains

Catheters

Intravenous lines

Intravenous pressure bags

Client attachments may include:

Anti-embolism equipment

Diathermy earth-plate and lead

Traction devices

Zimmer knee splints

Charnley pillow

Ted stockings

Tourniquets

Personal protective equipment may include:

Gown

Gloves

Mask

Protective eyewear

Apron

Lead Gown

Sterile equipment/lines may include:

Irrigation lines

Drill/saw/reamer electrical cords/hoses

Insufflator/hystroflator/laporaflator gas tubing

Suction tubing

Mono-polar/bi-polar diathermy/phaco leads

Book-walter retractor

Camera lead

Light source fibre-optic cord

Endoscopic shaver cord

Traction devices

Smoke evacuators

Cranial arc leads

Probe leads

Surgical team may include:

Registered nurses

Enrolled nurses

Surgeon

Anaesthetist

Other medical practitioner

Perfusionist

Other operating theatre staff

Surgical equipment may include

Phacoemulsification machine

Endoscopic equipment

Diathermy

Arthroscopic equipment

Operating chairs

Operating tables and accessories

Positioning aids and equipment

Lasers

Monitors and camera tower

Theatre lights

Printers videos

Lithoclast/lithotriptor/lithoplast

Saws/drills

Orthopaedic surgical equipment

Orthopaedic frames

Microscopes

Warming equipment

Tourniquet

Insufflator/laparoflator/hystroflator

Electrical and air-powered equipment

Calf compressors/stimulators

CUSA

Cell saver

Cryogen

Headlights

Light sources

Smoke evacuators

Suction equipment

Stealth/medrex

Operative procedure may include:

General, regional and local anaesthetic

Interventional radiology

General surgery

Gastro-intestinal

Ear, nose and throat

Gynaecology

Obstetrics

Orthopaedics

Vascular

Urology

Oral, dental and maxillofacial

Cardiothoracic

Neurosurgery

Plastics and reconstructive

Trauma/emergency surgery

Ophthalmic surgery

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
Observe equipment to ensure correct operation 
Switch on warning devices and ensure that it is registering that the equipment is safe 
Ensure gas, electrical, vacuum supplies are adequate for procedure at hand and/or back-up supply is available 
Observe equipment whilst in use and, if a fault develops, take immediate action to avoid danger to clients, staff and equipment 
Follow established procedures to rectify faulty equipment 
Use personal protective equipment 
Select appropriate client attachments and ensure equipment is attached safely and securely to appropriate sites 
Re-position client attachments during theatre procedures as required 
Safely detach client attachments when no longer required with minimum risk of damage to client, staff or equipment 
Provide counter-traction during orthopaedic and plastic procedures and manipulations as directed 
Select correct irrigation for operative procedure under the guidance of the surgical medical staff in correct sequence as required 
Check irrigation type, sterile integrity and expiry date 
Connect irrigation to sterile giving set using correct aseptic techniques 
Change irrigation using aseptic techniques 
Communicate the volume, type and number of irrigation bags to scout nurse 
Dispose of used irrigation bags/giving sets according to organisational policy and procedures 
Turn on/off surgical equipment under the guidance of medical staff and within manufacturers guidelines 
Connect surgical equipment to electrical, vacuum, gas supply as required, and in accordance with standard operating procedures 
Adjust surgical equipment settings to suit the surgical medical staff and in consultation with anaesthetic medical staff as required and within manufacturers guidelines 
Communicate readings to surgical/anaesthetic medical staff as required 
Communicate alarms/warnings, abnormal readings and equipment usage times to medical staff as required 
Use aseptic techniques to pass sterile equipment/lines from the surgical team and connect to surgical equipment 
Disconnect /reconnect surgical equipment, move and adjust during medical emergencies, repositioning of client and/or change of surgical procedure under the guidance of medical and nursing staff. 

Forms

Assessment Cover Sheet

HLTTH406C - Provide intra-operative equipment and technical support
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

HLTTH406C - Provide intra-operative equipment and technical support

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: