HLTPAT001
Identify and respond to clinical risks in pathology collection


Application

This unit describes the skills and knowledge required to recognise client risk factors, identify emergency situations and provide emergency or first aid response to client reactions associated with pathology specimen collection.

This unit applies to any individual for whom pathology collection is part of the job role. They may be working in collection centres, in hospitals or in other health care environments.

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. Recognise and assess potential risk

1.1 Identify potential clinical risks of performing collection procedure from review of client information in accordance with organisation procedures

1.2 Assess client against pre-test criteria and determine risk in accordance with organisation procedures

1.3 Identify and refer potential risk situations beyond scope of own role to appropriate person

2. Identify situations requiring emergency or first aid response

2.1 Observe clients for reactions during and after collection procedure

2.2 Promptly recognise signs of adverse reaction or complication

3. Respond to client reactions and complications

3.1 Follow documented procedures for any reactions and complications

3.2 Follow first aid protocols in accordance with organisation policies and procedures

3.3 Provide clear information to client and obtain consent from client where possible

3.4 Complete accurate record of incidents in accordance with organisation policies and procedures

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:

assessed and recognised potential clinical risks from review of information from at least 3 different clients

recognised adverse reactions and complications and followed required procedures in response to at least 3 different adverse events

recognised adverse reactions and complications requiring first aid response and provided first aid according to procedures for all of the following:

fainting

fitting

arterial puncture

nerve damage

bruising

excessive or prolonged bleeding

diabetic emergency

falls

grazes

scarring and burns

vomiting


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 and ethical considerations (national and state/territory) for emergency response, and how these are applied in organisations:

duty of care

informed consent

privacy, confidentiality and disclosure

records management

work role boundaries:

scope and limitations of own role in assessing clinical risk

points of referral for risk situations beyond scope of own role

work health and safety

standard infection control requirements for clinical procedures:

hand hygiene

use of personal protective equipment (PPE)

avoiding contact with bodily fluids

sharps injury prevention and treatment if sustained

waste disposal

client information that may inform assessment of risk:

clinical history

allergies

current and recent medications

recent illnesses

reactions/complications to previous collection procedures

anatomy and physiology relevant to pathology collections:

vascular and nervous systems, particularly the close association of blood vessels and nerves of the limbs relevant to pathology collection

arteries, veins and capillaries

heart function – significant structures, greater blood vessels that enter and exit the heart

direction of flow of oxygenated and deoxygenated blood through the heart and lungs

features of collection sites

types and features of clinical risks commonly associated with pathology collection:

reactions and complications to procedure

infection

hemoconcentration

haemolysis

blood components

sharps injury

excessive bleeding

damage to nervous system

vascular damage

location of venous access

concurrent treatments and therapy

intravenous (IV) therapy

emergency procedures for client reactions and complications

first aid and care protocols for:

fainting

fitting

arterial puncture

nerve damage

bruising

excessive bleeding

diabetic emergency

falls

grazes

scarring and burns


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 documented emergency and first aid procedures for the candidate to follow

modelling of industry operating conditions, including presence of situations requiring problem solving

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.


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.