SIFEMWK016
Treat complex ante mortem cases


Application

This unit describes the performance outcomes, skills and knowledge required to treat a variety of complex cases of ante mortem complications using radical techniques, where such action is required and likely to be successful, prior to a viewing of the deceased person by the family. The ante mortem cases requiring specialised embalming skills include bariatric deceased persons, deceased persons with emaciation, jaundice and oedema. It applies to embalming staff who work autonomously with a high level of responsibility and according to work health and safety, relevant legislation and workplace policies and procedures.

No licensing, legislative or certification requirements apply to this unit at the time of publication.


Elements and Performance Criteria

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare to treat complex cases of ante mortem complications.

1.1 Prepare and use personal protective equipment.

1.2 Prepare mortuary area and appropriate mortuary instruments and equipment.

1.3 Conduct case analysis to identify type of condition through physical examination of the deceased person.

1.4 Liaise with funeral staff and family, where appropriate, about the possible outcome of the treatment for viewing purposes.

2. Treat bariatric deceased person.

2.1 Determine if assistance is required to move deceased.

2.2 Establish best positioning for the embalming procedure.

2.3 Confirm appropriate primary injection site.

2.4 Determine specific chemicals required including strength and volume.

2.5 Recognise and manage hazards, complications and problems.

3. Treat deceased persons with emaciation.

3.1 Cleanse and disinfect the body.

3.2 Check skin for skin slip and durability.

3.3 Identify extent of emaciation.

3.4 Confirm appropriate primary injection site.

3.5 Determine specific chemicals required including strength and volume.

3.6 Identify hypodermic injection sites for areas requiring feature building.

3.7 Recognise and manage hazards, complications and problems.

4. Treat deceased persons with jaundice.

4.1 Check whites of eyes for jaundice.

4.2 Cleanse and disinfect the body.

4.3 Check skin for skin slip and durability.

4.4 Identify extent of jaundice condition in relation to bilirubin/biliverdin conversion.

4.5 Confirm appropriate primary injection site.

4.6 Determine specific chemicals required including strength and volume.

4.7 Recognise and manage hazards, complications and problems.

5. Treat deceased persons with oedema.

5.1 Cleanse and disinfect the body.

5.2 Check skin for skin slip and durability.

5.3 Identify type, location and extent of oedema through physical examination of the deceased person’s skin.

5.4 Confirm appropriate primary injection site.

5.5 Determine specific chemicals required including strength and volume.

5.6 Use elevation or other techniques to reduce swelling.

5.7 Check for leakage areas.

5.8 Identify and manage hazards, complications and problems.

6. Complete documentation and clean instruments, equipment and mortuary area.

6.1 Complete case analysis report including reference to any complications that occurred during treatment and corrective actions taken.

6.2 Clean, disinfect or sterilise instruments and equipment.

6.3 Dispose of waste materials as appropriate.

6.4 Store instruments and equipment and report faults.

6.5 Clean and disinfect mortuary area.

Evidence of Performance

Evidence of the ability to:

identify treatment requirements through a pre-embalming case analysis and treat complex cases of ante mortem complications using correct techniques and following work health and safety/occupational health and safety and infection control practices

prepare mortuary area and select and use the required instruments and equipment

clean, disinfect and sterilise the mortuary area, instruments and equipment at conclusion of the treatment

complete the case analysis report.

Evidence of performance of treating two or more complex ante mortem cases is required to demonstrate consistency of performance and ability to respond to different situations.


Evidence of Knowledge

Demonstrated knowledge of:

requirements for preparing the mortuary facility

mortuary equipment, instruments and materials and associated uses

cause and effect of people who have died of infectious and other diseases or complications and the embalming implications of these conditions

specific body examination techniques for oedema

case specific chemicals, strengths and volume

properties of cauterising agents

anatomical and linear guides for selected arteries raised

hypodermic insertion procedures for emaciated cases

hazards, complications and problems that may be associated with treating complex cases of ante mortem complications, including but not restricted to:

sharps injuries

needle stick injuries

blood splash

infection

chemical spill

wet area

application of standard precautions, including

use of personal protective equipment

presumption that all blood and body fluids are infectious

covering exposed cuts and abrasions, particularly on workers’ hands, with waterproof coverings prior to commencement of work

immediate treatment of puncture wounds or abrasions

funeral services industry parameters and protocols for dealing with the deceased, including social, cultural and religious considerations

federal, state or territory, and local government legislation and regulations in relevant to work health and safety/occupational health and safety, infection control and handling human remains

environmental impacts regarding embalming procedures and minimal impact practices to reduce these

correct and environmentally sound disposal methods for all types of waste and in particular for hazardous substances

workplace policies and procedures in relation to treating tissue gas

funeral services industry parameters and protocols for dealing with the deceased, including social cultural and religious considerations.


Assessment Conditions

Skills must be demonstrated in a mortuary workplace:

using suitable equipment and resources, including:

deceased bodies exhibiting a variety of complex ante mortem cases

mortuary instruments and equipment including personal protective equipment, chemicals and cleansing and disinfecting products

under industry operating conditions where there is:

integration of tasks with possible interruptions to work typical of the job role

speed and timing requirements that reflect commercial operating conditions

interaction with team members

As well as satisfying the NVR/AQTF mandatory competency requirements, assessors must also hold formal qualifications as an embalmer.


Foundation Skills

This section describes those language, literacy, numeracy and employment skills that are essential to performance.

Foundation skills essential to performance in this unit, but not explicit in the performance criteria are listed below:

Learning skills to identify and assess a variety of complex cases of ante mortem complications.

Reading skills to interpret work health and safety and infection control legislation.

Numeracy skills to calculate ratio for disinfecting instruments and equipment.


Sectors

Embalming


Competency Field

Mortuary Work and Embalming