HLTART409C
Construct, adapt and install pressure management systems

This unit of competency describes the skills and knowledge required in technical support of selection and to install and construct support surfaces for the management of soft tissue integrity

Application

This unit applies to workers within the rehabilitative environment involving the application of solutions to effectively provide a support surface for clients so as to allow minimal compromise to tissue integrity


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Determine support surface requirements

1.1 Consider equipment prescription or instructions from relevant health professionals and confirm that all required technical information has been provided

1.2 Discuss and agree upon requirements with client and relevant health professional

2. Select an appropriate support surface

2.1 Select custom support system to meet client requirements in consultation with relevant health professionals

2.2 Consider technical aspects of the seating system in terms of applicability for effectiveness of pressure management and compliance with applicable guidelines

2.3 Document specifications for construction and selection in accordance with organisation policies and procedures

3. Manufacture support system

3.1 Select appropriate materials

3.2 Manufacture and/or modify support system in accordance with WHS requirements, relevant standards and organisation procedures

4. Install pressure cushion and/or pressure management components in a wheelchair

4.1 Install seating system in accordance with WHS requirements, relevant standards and organisation procedures

4.2 Assist with instructing clients and relevant others in the correct servicing and maintenance of the pressure management system

5. Evaluate pressure management support systems

5.1 Measure soft tissue interface pressures at support surfaces

5.2 Establish, maintain and store client files in accordance with organisation policies and procedures

Required Skills

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 foam polymer characteristics

Awareness of problems related to interface pressure measurement

Awareness of the biomechanics of pressure management

Awareness of the clinical management of pressure sores

Awareness of workplace procedures including:

appropriate practices to ensure efficient use of resources

codes of practice

health funds/policies

recording/documentation processes/techniques

regulatory requirements

relevant WHS standards/legislation

Awareness of the range and characteristics of commercially available support services and how they can be used to meet specified client requirements

Awareness of relative clinical, practical and other advantages/disadvantages of commercially available support surfaces

Awareness of terminology related to pressure management

Awareness of the effect of the client's soft tissue management on their health status

Awareness of the musculo-skeletal system

Basic awareness of aetiology of pressure sores

Organisation policies in relation to the scope of the role of the assistive technology technician

Essential skills:

It is critical that the candidate demonstrate the ability to:

Advise on technical aspects of support surfaces and/or support surface materials including cushion covers to meet client requirements

Communicate effectively with clients and others in order to provide clear and precise information about the proper use, maintenance and function of the seating system and/or its modifications

Evaluate, problem solve and address a variety of typical pressure management problems

Identify problems and bring them to the attention of the appropriate person

Maintain accurate records

Maintain, use and follow manufactures calibration procedures for interface pressure management tools

Make support surface repairs, modifications and adjustments

Measure interface pressure using single and multi sensor systems

Mount the support surface and/or components to a mobility device or seating system

Select appropriate materials and techniques for construction of support surfaces

Use design skills in the appropriate selection of materials for seating system manufacture, repair and/or modification

Use hand tools and machinery to undertake adjustments and modifications as required

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:

Apply procedures and processes including reporting requirements

Communicate with work colleagues, associates and clients including:

teamwork

client confidentiality

interpersonal skills

Manage time and workload

Use literacy skills required to fulfil job role in a safe manner

Use numeracy skills required to fulfil job role

Evidence Required

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 workplace performance is essential for assessment of this unit

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

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

Context of and specific resources for assessment:

Assessment should replicate workplace conditions as far as possible

Simulations may be used to represent workplace conditions as closely as possible

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

Resources essential for assessment include:

access to appropriate workplace where assessment can take place

access to relevant health professionals

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

Role play simulation

Related units:

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

HLTART401B Work effectively in the rehabilitation environment


Range Statement

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.

Support surfacemay include:

Commercially available wheelchair pressure cushions, backrests and postural control devices

Custom made wheelchair pressure cushions, backrests and postural control devices

Commercially available mattresses

Custom made mattresses

Commercially available positioning systems

Custom made positioning systems

Relevant health professionals include:

Rehabilitation engineer

Medical practitioner

Occupational therapist

Physiotherapist

Nurse

Orthotist

Equipment prescription or instructionsmay include:

Technical history of previous devices

Technical assessments

Technical requirements to meet assessed therapy goals

Basic measurements of seating system components

Technical advice may include:

Selection of materials for incontinence

Support characteristics

Support cover characteristics

Tolerance for error in manufacture

Service life of the support system

Support system cost benefit

Available manufacturing resources

Support system availability

Cast of custom modifications considered

Assessment may include:

Measurement of interface pressures

Measurement of pressure distribution

Discussion with relevant health professionals

Dimensional requirements for support surfaces

Manufacture may include:

Adaptation of commercially available therapeutic components for use as support surfaces

Design and manufacture of unique components or systems for support surfaces to maintain soft tissue integrity and/or devices for use on the wheelchair, positioning system or other support surface

Fabrication of foam polymer support surfaces

Vacuum forming expanded thermoplastic elastomers

Application of incontinence proofing barriers

Modification processes may include:

Use of hand tools, power tools and machinery

Sewing

Electric knife

Electric or pneumatic grinder

Grinding/shaping foam

Fabrication of covers by sewing or heat sealing

Support surfaces may include:

Postural support components attached to a wheelchair, wheelchair seat or backrest including:

lateral thoracic supports,

hip blocks

thigh adductor blocks

pommels

lumbar supports

head supports

Seat cushions and backrests including:

alternating pressure

low air loss

foam polymer

air

gel

Positioning systems

Positional seating components

Mattresses including:

alternating pressure

low air loss

foam

Head supports


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable