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Evidence Guide: HLTAMB004 - Conduct advanced clinical assessment

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAMB004 - Conduct advanced clinical assessment

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply pathophysiological concepts to assess patient’s body system function

  1. Apply specialised knowledge of fluid and electrolyte imbalance to determine the patient’s health status
  2. Demonstrate a specialised knowledge of acid base imbalance impacting the patient’s health status
Apply specialised knowledge of fluid and electrolyte imbalance to determine the patient’s health status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Demonstrate a specialised knowledge of acid base imbalance impacting the patient’s health status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify any variations from homeostasis when assessing a patient’s physical health status

  1. Use specialised knowledge of homeostasis imbalance to recognise signs and symptoms indicating abnormal functioning of body systems
  2. Update specialised knowledge of variations to cellular metabolism and apply when assessing patient for poor states of perfusion
Use specialised knowledge of homeostasis imbalance to recognise signs and symptoms indicating abnormal functioning of body systems

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Update specialised knowledge of variations to cellular metabolism and apply when assessing patient for poor states of perfusion

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct assessment of patients with specific conditions, disorders and injuries using advanced techniques

  1. Integrate comprehensive knowledge of pathophysiological concepts with assessment data and principles of management for specific conditions, disorders and injuries
  2. Evaluate the need for advanced assessment techniques and potential impact on patient’s health status
  3. Analyse assessment data and establish the need for and potential impact of pharmacological and/or fluid therapies on patient’s health status
  4. Employ a process of critical analysis and diagnostic reasoning to make links between patients illness and/or injury and information found at the scene to facilitate treatment strategies
Integrate comprehensive knowledge of pathophysiological concepts with assessment data and principles of management for specific conditions, disorders and injuries

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate the need for advanced assessment techniques and potential impact on patient’s health status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Analyse assessment data and establish the need for and potential impact of pharmacological and/or fluid therapies on patient’s health status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Employ a process of critical analysis and diagnostic reasoning to make links between patients illness and/or injury and information found at the scene to facilitate treatment strategies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply pathophysiological concepts to assess patient’s body system function

  1. Apply specialised knowledge of fluid and electrolyte imbalance to determine the patient’s health status
  2. Demonstrate a specialised knowledge of acid base imbalance impacting the patient’s health status
Apply specialised knowledge of fluid and electrolyte imbalance to determine the patient’s health status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Demonstrate a specialised knowledge of acid base imbalance impacting the patient’s health status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify any variations from homeostasis when assessing a patient’s physical health status

  1. Use specialised knowledge of homeostasis imbalance to recognise signs and symptoms indicating abnormal functioning of body systems
  2. Update specialised knowledge of variations to cellular metabolism and apply when assessing patient for poor states of perfusion
Use specialised knowledge of homeostasis imbalance to recognise signs and symptoms indicating abnormal functioning of body systems

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Update specialised knowledge of variations to cellular metabolism and apply when assessing patient for poor states of perfusion

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

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

1. Apply pathophysiological concepts to assess patient’s body system function

1.1 Apply specialised knowledge of fluid and electrolyte imbalance to determine the patient’s health status

1.2 Demonstrate a specialised knowledge of acid base imbalance impacting the patient’s health status

2. Identify any variations from homeostasis when assessing a patient’s physical health status

2.1 Use specialised knowledge of homeostasis imbalance to recognise signs and symptoms indicating abnormal functioning of body systems

2.2 Update specialised knowledge of variations to cellular metabolism and apply when assessing patient for poor states of perfusion

3. Conduct assessment of patients with specific conditions, disorders and injuries using advanced techniques

3.1 Integrate comprehensive knowledge of pathophysiological concepts with assessment data and principles of management for specific conditions, disorders and injuries

3.2 Evaluate the need for advanced assessment techniques and potential impact on patient’s health status

3.3 Analyse assessment data and establish the need for and potential impact of pharmacological and/or fluid therapies on patient’s health status

3.4 Employ a process of critical analysis and diagnostic reasoning to make links between patients illness and/or injury and information found at the scene to facilitate treatment strategies

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

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

1. Apply pathophysiological concepts to assess patient’s body system function

1.1 Apply specialised knowledge of fluid and electrolyte imbalance to determine the patient’s health status

1.2 Demonstrate a specialised knowledge of acid base imbalance impacting the patient’s health status

2. Identify any variations from homeostasis when assessing a patient’s physical health status

2.1 Use specialised knowledge of homeostasis imbalance to recognise signs and symptoms indicating abnormal functioning of body systems

2.2 Update specialised knowledge of variations to cellular metabolism and apply when assessing patient for poor states of perfusion

3. Conduct assessment of patients with specific conditions, disorders and injuries using advanced techniques

3.1 Integrate comprehensive knowledge of pathophysiological concepts with assessment data and principles of management for specific conditions, disorders and injuries

3.2 Evaluate the need for advanced assessment techniques and potential impact on patient’s health status

3.3 Analyse assessment data and establish the need for and potential impact of pharmacological and/or fluid therapies on patient’s health status

3.4 Employ a process of critical analysis and diagnostic reasoning to make links between patients illness and/or injury and information found at the scene to facilitate treatment strategies

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:

• performed the activities outlined in the performance criteria of this unit during 80 hours under clinical supervision in the workplace

• conducted 5 comprehensive advanced clinical assessments and applied skills necessary to stabilise healthy functioning body systems for each of the following incidents and situations across the lifespan of the incident and situation (must include at least 1 adult, 1 paediatric patient and 1 older person):

- emergency

- non-emergency

- medical

- surgical

- trauma

• used appropriate medical terminology in 1 consultation with medical and/or multidisciplinary teams about variations from normal healthy functioning body systems and advanced assessment procedures performed on patient.

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:

• advanced concepts underpinning pharmacology and pharmacokinetics including:

- therapeutic effects, indications and contraindications

- physiological and psychological effects associated with pain and pain management

• specialised knowledge of anatomy and physiology, and variations from normal functioning of body systems, in relation to potential impact on advanced patient assessment procedures practised including:

- internal and external thoracic structures and respiratory conditions including:

o pneumothorax and haemothorax

o mechanics of ventilation, inspiration and expiration, respiratory control and impact of gas laws

- abdominal conditions including:

o visceral wounds

o internal bleeding

- specialised knowledge of cardiovascular structures, heart conditions, cardiac conduction, electrocardiograph (ECG) rhythm variations and analysis

- urogenital and reproductive and pelvic structures and conditions

- obstetrics and gynaecology including:

o pregnancy

o foetal development

o normal and abnormal presentations

o labour and post-partum haemorrhage

o assessment of the newborn

- fluid and electrolyte balance and imbalance including:

o mechanisms of fluid movement through the body

o states of fluid and acid imbalance

- cellular injury and immune responses

- assessment of blunt versus penetrating trauma

- environmental factors related to the cause of a patient’s illness, injury or trauma.