HLTCA404C
Perform basic cardiopulmonary resuscitation in a cardiac testing environment

This unit of competency describes the skills and knowledge required to identify and respond to clinical emergencies and to perform basic life support in a cardiac testing environment

Application

Work performed requires a range of well developed skills and the ability to apply solutions to a range of predictable and unpredictable problems. Individuals use discretion and judgement and take responsibility for the quality of their own outputs

All activities are carried out in accordance with relevant standards, organisation policies and procedures and infection control guidelines


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Identify the need for cardiopulmonary resuscitation (CPR)

1.1 Identify client requiring assistance

1.2 Check immediate environment for safety and complete required action to remove or reduce risks

1.3 Accurately assess client'sresponsiveness

1.4 Correctly identify need for CPR and summon medical assistance

1.5 Utilise personal protective equipment in accordance with standard and additional precautions

1.6 Check client's airway for patency and clear any obstruction

1.7 Establish and maintain client's airway

1.8 Correctly assess client's breathing

1.9 Correctly assess clients circulation

1.10 Correctly position the client

1.11 Promptly obtain emergency equipment and make ready for use

2. Perform CPR

2.1 Identify the client as apnoeic and mouth to mask breathing is correctly performed

2.2 Assess the clients pulse as absent and correctly perform external cardiac compression

2.3 Regularly assess the client for the return of spontaneous breathing and circulation

2.4 Accurately communicate a complete history of the incident to medical/paramedical personnel

2.5 Document actions in accordance with organisation policies and procedures

3. Support the client on completion of basic CPR

3.1 Client is provided with appropriate care and support during the immediate recovery period

3.2 Respond accurately to questions from the medical/paramedical personnel concerning the incident

3.3 Provide the client with facilities and refreshments as appropriate for the recovery period

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:

Anatomy and physiology, in both adults and children, relevant to performing basic CPR, including clients with altered cardiac function

Boundaries of responsibilities and ability to refer problems to supervisor, anaesthetist or other appropriate health professional

Critical information to communicate to medical/paramedical personnel

Current techniques for CPR in accordance with Australian Resuscitation Council guidelines

Different types of support/comfort for adults and children

Electrical safety requirements

Expected period of recovery following the incident

Identification and significance of potential hazards to self and others

Levels of consciousness

Essential skills:

It is critical that the candidate demonstrate the ability to:

Comply with organisation policies and procedures including those of OHS and infection control, and current standards

Identify of various emergency conditions

Respond to emergencies and maintain clients vital functions

Understand and implement current techniques for CPR in accordance with Australian Resuscitation Council guidelines

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:

Assess and maintain a client's vital functions

Communicate with people from diverse cultural and linguistic backgrounds

Deal with conflict

Demonstrate the methods and procedures for dealing with emergencies

Display empathy with client and relatives

Manage potential hazards

Recognise emergency conditions

Solve problems including the ability to use available resources

Use numeracy skills ranging from the ability to complete basic arithmetic calculations, recording stock levels and statistical information

Use oral communication skills-language competence required to fulfil job roles in a safe manner and as specified by the organisation. Assessors should look for skills in asking questions, providing clear information, listening to and understanding workplace instructions, and clarifying workplace instructions when necessary. Effective verbal and non verbal communication skills with a range of internal and external persons are essential. Organisation may require competence in English or a community language, depending on client group

Use reading and writing skills-literacy competence required to fulfil job roles in a safe manner and as specified by the organisation. The level of skill required involves reading and documenting clinical information and understanding complex policy and procedure manuals.

Work with others within a team

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

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

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

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:

Relevant organisation policy, guidelines, procedures and protocols

Method of assessment:

Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision.

Observation of work activities when performing CPR in a cardiac testing environment

Observation of simulation and/or role play when performing CPR in a cardiac testing environment

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

Questioning, written assessments/projects can be used to assess knowledge

Authenticated evidence of relevant work experience and/or formal/informal learning

Authenticated evidence of experience in performing CPR in a cardiac testing environment (Documentation associated with performance reviews, supervisor/coordinator evaluations of work performance)

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

Related units:

This unit should be assessed in conjunction with:

HLTAP401B Confirm physical health status

Holistic assessment practice with other health services units of competency is encouraged


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.

Clientsmustinclude:

Babies

Infants

Children

Adults

Accurate assessment of clients responsivenessmustinclude:

Verbal stimulation

Physical stimulation

Techniques to establish clients airwaymustinclude:

Head tilt

Jaw lift

Client positionsmustinclude:

Recovery position

Positioning for performance of CPR

Personal protective equipment may include:

Resuscitation mask

Gloves

Gowns

Types of client support may include:

Verbal

Physical presence

Emergency equipment may include:

Blood pressure monitors

Defibrillator/cardioverter

Electro cardiograph monitor

Equipment for airway management

Equipment for oxygen therapy

Intravenous access/therapy

Pulse oximeter monitor

Suction equipment


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable