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Evidence Guide: HLTAUD006 - Remove cerumen

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

 

HLTAUD006 - Remove cerumen

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare for cerumen removal

  1. Determine client needs through review of client case history and case management plan
  2. Clearly explain cerumen removal procedure and provide opportunity for client to ask questions
  3. Gain client consent for extraction procedure
  4. Set up equipment following standard protocols and infection control guidelines
Determine client needs through review of client case history and case management plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clearly explain cerumen removal procedure and provide opportunity for client to ask questions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gain client consent for extraction procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Set up equipment following standard protocols and infection control guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct otoscopy

  1. Follow personal hygiene and infection control procedures
  2. Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures
  3. Identify and respond to any abnormalities of the ear canal
  4. Identify contra-indications to cerumen removal
  5. Identify most appropriate method for cerumen removal taking into account results of findings
  6. Follow cerumen softening procedures to dissolve cerumen if impaction present
  7. Make referralto appropriate agency for further assessment and treatment
Follow personal hygiene and infection control procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to any abnormalities of the ear canal

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify contra-indications to cerumen removal

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify most appropriate method for cerumen removal taking into account results of findings

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow cerumen softening procedures to dissolve cerumen if impaction present

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make referralto appropriate agency for further assessment and treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Remove cerumen

  1. Select appropriately sized speculum as required
  2. Extract cerumen using a sterilised wax ring and appropriate head light
Select appropriately sized speculum as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Extract cerumen using a sterilised wax ring and appropriate head light

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow post-cerumen removal procedures

  1. Complete post-cerumen removal otoscopic inspection to review status of ear canal
  2. Address any post removal requirements using established methods
  3. Complete accurate treatment documentation following organisational procedures
  4. Identify the need for referral and refer client to health profession as required
Complete post-cerumen removal otoscopic inspection to review status of ear canal

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Address any post removal requirements using established methods

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete accurate treatment documentation following organisational procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the need for referral and refer client to health profession as required

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. Prepare for cerumen removal

1.1 Determine client needs through review of client case history and case management plan

1.2 Clearly explain cerumen removal procedure and provide opportunity for client to ask questions

1.3 Gain client consent for extraction procedure

1.4 Set up equipment following standard protocols and infection control guidelines

2. Conduct otoscopy

2.1 Follow personal hygiene and infection control procedures

2.2 Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures

2.3 Identify and respond to any abnormalities of the ear canal

2.4 Identify contra-indications to cerumen removal

2.5 Identify most appropriate method for cerumen removal taking into account results of findings

2.6 Follow cerumen softening procedures to dissolve cerumen if impaction present

2.7 Make referralto appropriate agency for further assessment and treatment

3. Remove cerumen

3.1 Select appropriately sized speculum as required

3.2 Extract cerumen using a sterilised wax ring and appropriate head light

4. Follow post-cerumen removal procedures

4.1 Complete post-cerumen removal otoscopic inspection to review status of ear canal

4.2 Address any post removal requirements using established methods

4.3 Complete accurate treatment documentation following organisational procedures

4.4 Identify the need for referral and refer client to health profession as required

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. Prepare for cerumen removal

1.1 Determine client needs through review of client case history and case management plan

1.2 Clearly explain cerumen removal procedure and provide opportunity for client to ask questions

1.3 Gain client consent for extraction procedure

1.4 Set up equipment following standard protocols and infection control guidelines

2. Conduct otoscopy

2.1 Follow personal hygiene and infection control procedures

2.2 Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures

2.3 Identify and respond to any abnormalities of the ear canal

2.4 Identify contra-indications to cerumen removal

2.5 Identify most appropriate method for cerumen removal taking into account results of findings

2.6 Follow cerumen softening procedures to dissolve cerumen if impaction present

2.7 Make referralto appropriate agency for further assessment and treatment

3. Remove cerumen

3.1 Select appropriately sized speculum as required

3.2 Extract cerumen using a sterilised wax ring and appropriate head light

4. Follow post-cerumen removal procedures

4.1 Complete post-cerumen removal otoscopic inspection to review status of ear canal

4.2 Address any post removal requirements using established methods

4.3 Complete accurate treatment documentation following organisational procedures

4.4 Identify the need for referral and refer client to health profession as required

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:

followed established procedures and protocols to independently remove cerumen for at least 30 clients:

used cerumenolytic agents to soften cerumen, taking into account any client allergies

extracted cerumen by curette

stem any bloodflow

removed residual blood or debris post-cerumen extraction

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 cerumen removal:

duty of care

informed consent

privacy, confidentiality and disclosure

records management

work role boundaries, responsibilities and limitations, indicators for referral

anatomy, physiology and pathophysiology of the outer and middle ear:

medical or post-surgical conditions of the outer and middle ear that alter the appearance and/or function of the external ear canal or tympanic membrane

client positioning for safe and optimal cerumen removal

how to adjust headlamp for optimal view

correct and safe curetting technique