Application
This unit describes the skills and knowledge required to accurately obtain and document casualty information from various sources during a resuscitation.
This unit applies to Australian Defence Force (ADF) personnel working as part of a resuscitation team in an operational context.
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.
Elements and Performance Criteria
ELEMENT | PERFORMANCE CRITERIA |
Elements define the essential outcomes | Performance criteria describe the performance needed to demonstrate achievement of the element |
1. Prepare for the role of scribe | 1.1 Prepare resuscitation documentation prior to arrival of casualty 1.2 Prepare resuscitation area to receive the casualty 1.3 Prepare own personal protective equipment in accordance with organisation policies and procedures 1.4 Follow guidance from team leader and resuscitation team members in accordance with prescribed role |
2. Participate as a scribe in the resuscitation | 2.1 Follow personal hygiene and infection control procedures 2.2 Ascertain casualty identity and history and record accurately 2.3 Record treatment information and casualty’s response to treatment 2.4 Maintain chronological record of events and procedures of the resuscitation 2.5 Communicate relevant treatment information to other team members to aid in the continuity of care of the casualty |
3. Perform post resuscitation duties | 3.1 Accurately complete all relevant documentation 3.2 Provide documentation to team leader for authorisation 3.3 Organise ongoing casualty transfer in accordance with procedures 3.4 Refurbish resuscitation area in preparation for the next resuscitation 3.5 Participate in post event team debrief as applicable |
Evidence of Performance
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:
completed the following tasks at least 3 times in line with governing regulations, trauma codes of practice and workplace procedures:
interpreted clinical data from multiple resources and accurately recorded details chronologically within emergency time constraints
recorded the following clinical information in a legible and clear manner:
medication
observations
assessment outcomes
interventions
referrals
pathology specimens
consumables (i.e. traceable with serial numbers)
operated/interpreted the following basic resuscitation equipment:
vital signs monitoring
intra-venous lines and fluids
monitors
used effective communication and teamwork skills:
active listening
questioning
feedback
information sharing
completed basic arithmetic calculations and recorded numbers
Evidence of Knowledge
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, ethical and military requirements for scribe work:
codes of practice
duty of care
infection prevention and control
informed consent
mandatory reporting
privacy, confidentiality and disclosure
records management and documentation
rights and responsibilities of workers, employers and clients
specific information sources that inform work practice:
Primary clinical care manual (PCCM)
organisation/unit standard operating procedures
current operational mandate
work role boundaries – responsibilities and limitations
work health and safety
documentation used for casualty resuscitation purposes, including associated pathology requirements
personal protective equipment requirements
standard resuscitation equipment schedules and operation
clinical monitoring requirements for resuscitation
documentation processes relevant to receiving and resuscitating a casualty
medical terminology
basic anatomy and physiology of all body systems
general resuscitation protocols provided by Australian Resuscitation Council (ARC)
general pathology and investigative requirements pertaining to standard resuscitation processes
inter-departmental transfer requirements
role of other resuscitation team members and support services
storage and security requirement for personal effects (including weapons, explosives and pyrotechnics)
Assessment Conditions
Skills must have been demonstrated in the workplace or in a simulated environment that reflects workplace conditions. The following conditions must be met for this unit:
use of suitable facilities, equipment and resources, including:
a resuscitation bay mimicking the work environment
casualties (high fidelity simulation, resuscitation mannequins and/or actors)
documentation used within the resuscitative environment
pathology samples/containers requiring labelling
modelling of industry operating conditions, including:
a minimum of 3 people in the resuscitation team
a minimum of 1-2 other personnel supporting the resuscitation
Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors. In addition, assessors must have at least 3 years’ experience as a health professional in a resuscitative/emergency department setting.
Foundation Skills
The Foundation Skills describe those required skills (language, literacy, numeracy and employment skills) that are essential to performance. |
Foundation skills essential to performance are explicit in the performance criteria of this unit of competency. |