HLTDEFHC404B
Conduct a clinical measurement

This unit covers the competency required to conduct a clinical measurement for a client as part of a treatment plan or as part of a health promotion program

Application

This unit of competency is applicable to Australian Defence Force (ADF) Health Care Providers


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Prepare for clinical measurement

1.1 Assess environment for suitability to conduct a clinical measurement

1.2 Select equipment, consumables and documentation, check for serviceability and arrange for use

1.3 Explain clinical measurement clearly and simply to the client to clarify its purpose and structure

1.4 Give client the opportunity to ask questions and discuss concerns

1.5 Gain informed consent from client in accordance with clinical guidelines, organisation policies and procedures

1.6 Assure and maintain confidentiality of client information

1.7 Use personal protective equipment if required

2. Obtain clinical measurements

2.1 Follow personal hygiene and infection control procedures

2.2 Conduct clinical measurements to produce valid, reliable and accurate results, in accordance with clinical guidelines, organisation policies and procedures

2.3 If measurement results are unreliable, conduct a re-measurement

2.4 Record results in accordance with clinical guidelines, organisation policies and procedures

3. Review and report measurement results

3.1 Provide measurement results to requesting authority

3.2 Examine results to determine outcome of clinical measurement if appropriate

3.3 Communicate outcome of measurements clearly and simply to client if appropriate to do so

4. Clean and store equipment

4.1 Clean and/or dispose of equipment and attachments in accordance with manufacturers' requirements and infection control procedures

4.2 Store equipment and attachments in accordance with clinical guidelines, 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:

Anatomy and physiology to enable measurement performance to be accurate and of minimum risk to clients

Factors affecting clinical measurement

Organisation policies and procedures

Pathophysiology to enable measurement performance to be accurate

Procedure manuals

Relevant abbreviations and symbols

Requirements for accurately conducting clinical measurements

What constitutes impaired clinical measurement

Essential skills:

It is critical that the candidate demonstrate the ability to:

Communicate effectively with the client regarding the procedures and the outcomes of the measurements

Perform the following measurements:

blood glucose measurement

chemical reagent strip urinalysis

distance visual acuity measurement

electrocardiograph (ECG)

manual blood pressure measurement

pure tone hearing measurement (audiometry)

spirometry measurement

Recognise conditions when measurement results may be unreliable

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:

Accurately perform simple physical examination on a client

Ask questions

Clarify workplace instructions when necessary

Interpret data

Conduct accurate clinical measurements

Deal with conflict

Interpret and communicate results

Listen to and comprehend workplace instructions

Operate equipment correctly and in accordance with manufacturers' specifications

Plan daily work routine

Provide clear information

Read and document clinical information

Record client results

Recognise when a client is not giving true result potential

Solve problems

Use available resources

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

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

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

Resource implications

Assessment requires access to:

appropriate measuring equipment

clients (or substitutes)

relevant organisation policies, guidelines, procedures and protocols

policies and guidelines from relevant professional body(ies) on the conduct of clinical measurements

manufacturers' specifications for the use and storage of equipment

Consistency in performance

Competency should be demonstrated over time with a range of clinical measurements that could be expected in the workplace

Context of assessment

Competency should be assessed in the workplace or in a simulated 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

Related units:

This unit may be assessed independently, but holistic assessment with other clinical units 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.

Environment assessment may include:

Adequate lighting

Health care practitioner's specified needs

Suitable climate

Suitable client privacy

Clinical measurements may include:

Blood glucose measurement

Body height, weight and circumference measurement

Chemical reagent strip urinalysis

Distance visual acuity measurement

Electrocardiograph (ECG)

Manual blood pressure measurement

Pure tone hearing measurement (audiometry)

Pitch discrimination

Spirometry measurement

Skin fold measurement

Equipment may include:

Balance beam scales

Dial scales

Digital scales

Chemical reagent strips

ECG machine

E chart (for clients with literacy problems or for clients not familiar with the English alphabet)

Glucometer

Otoscope

Peak flow meter

Pure tone audiometer

Pulse oximeter

Respiratory function measuring device (Vitalograph)

Snellen Alphabet chart

Tape measure

Wall mounted height measuring scale

Consumables may include:

Alcohol cleansing wipes

Cotton-tipped swab

Disposable gloves

Examination gowns

Gauze squares

Goggles/protective eyewear

Half-sheet for draping

Hazard bags for infection control

Instrument cleaning supplies

Sharps containers

Tongue depressors

Visual acuity charts

Confidentiality of client information may be ensured by:

Adherence to Privacy Act

Information disclosed to an appropriate person consistent with the responsibility of this position

Legal and ethical requirements

Secure location for written records

Treatment room with privacy

Personal hygiene and infection control procedures may include:

Australian and state standards and legislation

Industry standards

Organisation procedures

Standard precautions such as hand washing procedures

Direct instructions from supervisor

Clinical guidelines, organisation policies and procedures may include:

Clinical standards (state and national)

Industry standards (state and national)

Industry professional bodies

Organisation

Privacy Act

Relevant Australian standards

Relevant state/territory occupational health and safety bodies


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable