HLTDEF004
Attend to emergency patients being transported by road


Application

This unit describes the skills and knowledge required to convey and receive information, safely move and transport patients, and hand patient over to destination facility.

This unit applies to Australian Defence Force (ADF) clinical health care providers.

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. Convey and receive information relating to the incident

1.1 Identify patient to be transported and ascertain clinical requirements for transport

1.2 Plan client care and equipment requirements within scope of own role

1.3 Determine route and timings for transfer from operational information

1.4 Report clear and comprehensive details to all personnel involved in the plan

1.5 Provide patient with clear information on transport procedures as appropriate

2. Move patient safely

2.1 Secure patient and equipment for transport according to safety requirements

2.2 Conduct loading/unloading smoothly following safe manual handling procedures

2.3 Prevent unnecessary movement that may exacerbate clinical condition

2.4 Recognise and respond to patient privacy considerations

3. Transport patient

3.1 Check that patient has been adequately prepared for transport in accordance with directions and plan

3.2 Identify and respond to any change to original transport plan

3.3 Maintain continuity of care during transport

3.4 Use clinical equipment during transport as required

3.5 Liaise with the vehicle driver to optimise patient care

3.6 Maintain communication between driver and destination facility to optimise patient care

4. Hand over patient to destination health facility

4.1 Accurately document clinical information regarding transport

4.2 Follow procedures to maintain confidentiality of information

4.3 Provide a verbal clinical report to the receiving health professional

4.4 Convey transport concerns as applicable

4.5 Continue patient care until responsibility is taken over by staff of the destination facility

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:

developed and documented at least 1 transport/movement plan that includes:

logistical requirements, including relevant points of contact

clinical requirements

transported a patient by road in at least 2 different situations in accordance with state/territory regulations and organisation policies and procedures:

used safe manual handling techniques

used ancillary equipment

used effective communication during the transport process:

used communication equipment and systems

communicated with vehicle driver

communicated with health professionals using appropriate medical terminology

adapted approaches to clinical tasks to the emergency transport context


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 emergency transport:

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 patients

work role boundaries – responsibilities and limitations

work health and safety, manual handling safety for self, patients and equipment

organisation policies and procedures for patient transport

methods of loading and unloading patients under life-threatening conditions

types of movement that exacerbate clinical conditions

patient care and restraint during transportation

configuration of the road transport vehicle being used for carriage

operation of communications equipment (radio/2 way)

features of AS/NZS 4535:1999 ambulance restraint systems that apply to patient transport from an individual worker’s perspective


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 road transport vehicle suitable for patient transport

casualties (high fidelity simulation, resuscitation mannequins and/or actors). Note: 1 transport assessment must include an actual person (not a mannequin) and can be conducted in a simulated role

documentation used within the emergency environment

in service stretchers

modelling of industry operating conditions, including:

a minimum of 2 people in the transport team (1 driver and the designated carer)

a minimum of 1-2 other personnel supporting the transport process

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 an acute care/emergency/pre-hospital 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.