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Evidence Guide: HLTDEFHC410B - Record clinical information during casualty resuscitation

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

 

HLTDEFHC410B - Record clinical information during casualty resuscitation

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

Prepare to record resuscitation information

  1. Prepare resuscitation documentation prior to arrival of casualty in accordance with organisation policies and procedures
  2. Prepare resuscitation area to receive the casualty in accordance with manufacturers' guidelines and organisation policies and procedures
  3. Check resuscitation equipment and consumables for serviceability and arrange for use
  4. Use personal protective equipment in accordance with organisation policies and procedures
Prepare resuscitation documentation prior to arrival of casualty in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare resuscitation area to receive the casualty in accordance with manufacturers' guidelines and organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check resuscitation equipment and consumables for serviceability and arrange for use

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use personal protective equipment in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Participate in the resuscitation

  1. Follow personal hygiene and infection control procedures
  2. Obtain and record casualty details in order to accurately identify the casualty and raise documentation
  3. Accurately record treatment information and casualty's response to treatment in accordance with organisation policies and procedures
  4. Provide treatment information to other team members on request to aid in the continuity of care of the casualty
  5. Assist the resuscitation team to aid with the provision of treatment
Follow personal hygiene and infection control procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain and record casualty details in order to accurately identify the casualty and raise documentation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately record treatment information and casualty's response to treatment in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide treatment information to other team members on request to aid in the continuity of care of the casualty

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the resuscitation team to aid with the provision of treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conclude the resuscitation

  1. Complete all relevant documentation in accordance with organisation policies and procedures
  2. Provide documentation to team leader for authorisation
  3. Refurbish resuscitation area in order to prepare it for the next resuscitation
Complete all relevant documentation in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide documentation to team leader for authorisation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refurbish resuscitation area in order to prepare it for the next resuscitation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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 equipment and stores

resuscitation area

resuscitation team

relevant clinical guidelines, organisation policies and procedures

Consistency in performance:

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

Context of assessment:

Competency should be assessed in a simulated workplace that reflects the environment and intensity of a medical emergency

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

Required Skills and Knowledge

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:

Administrative processes to receive equipment from another person and provide a receipt

Documentation processes relevant to receiving and resuscitating a casualty

Human anatomy and physiology

Infection control policy and procedures

Organisation policies and procedures pertinent to resuscitation

Role of other health care providers and support services

Set up and operation of equipment contained within a resuscitation bay

Storage and security requirement for weapons, explosives and pyrotechnics

Essential skills:

It is critical that the candidate demonstrate the ability to:

Operate as a member of a small team

Record clinical information in a legible and clear manner

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:

Complete basic arithmetic calculations and record numbers

Prioritise workload

Solve problems

Use available resources

Work with others and display empathy with casualties and significant others

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.

Guidelines and organisation policies and procedures may include:

ADF nursing policy and procedure manuals

Clinical standards (state and national)

Codes of ethics

Codes of practice

Organisation health policy directives

Industry professional bodies' standards

Industry standards (state and national)

Relevant Australian standards

Relevant Commonwealth Acts

Resuscitation bay procedures

Standard for casualty care

Treatment protocols

Resuscitation documentation may include:

Clinical investigation request forms

Resuscitation recording flow chart

Resuscitation register

Resuscitation area equipment and consumables may include:

Heart monitor and defibrillator

Oxygen delivery equipment

Casualty litters and litter supports

Procedure trays

Resuscitation and ventilation equipment

Splints and immobilising devices

Vital signs monitoring equipment

Artificial airways

Bandages and dressings

IV lines and fluid

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

Treatment information may include:

Treatment interventions

Clinical investigations ordered

Findings of primary survey

Findings of secondary survey

Medications administered

Referrals made

Providing assistance to the resuscitation team may include:

Assisting with casualty treatment

Obtaining supplies to aid treatment

Liaising with other agencies

Passing information

Refurbish the resuscitation area may include:

Cleaning resuscitation area and equipment

Disposing of bio-hazardous material

Switching equipment off

Recharging/resetting equipment as necessary

Restocking resuscitation area supplies