Practise in a hyperbaric environment Evidence Guide

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Evidence Guide: HLTEN613B - Practise in a hyperbaric environment

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

HLTEN613B - Practise in a hyperbaric environment

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

Work in a hyperbaric environment

Work with an understanding of the roles and responsibilities of members of the hyperbaric unit health team
Identify potential causes of emergencies associated with a hyperbaric chamber and hyperbaric treatment and respond appropriately
Use appropriate methods to prevent emergencies in the chamber where applicable
Recognise and report contraindications to hyperbaric conditions for self where applicable
Apply procedures for infection control before, during and after treatments
Work with an understanding of the reason for pre-hyperbaric treatment safety checklists and participates in this process
Work with an awareness of rationale for staff undertaking annual hyperbaric medicals and participate in this process
Recognise the specific occupational health, safety and welfare conditions related to working in a hyperbaric environment
Recognise the potential impact of hyperbaric therapy on clients and their significant other/s

Work with an understanding of the roles and responsibilities of members of the hyperbaric unit health team

Completed
Date:

Teacher:

Evidence:

Identify potential causes of emergencies associated with a hyperbaric chamber and hyperbaric treatment and respond appropriately

Completed
Date:

Teacher:

Evidence:

Use appropriate methods to prevent emergencies in the chamber where applicable

Completed
Date:

Teacher:

Evidence:

Recognise and report contraindications to hyperbaric conditions for self where applicable

Completed
Date:

Teacher:

Evidence:

Apply procedures for infection control before, during and after treatments

Completed
Date:

Teacher:

Evidence:

Work with an understanding of the reason for pre-hyperbaric treatment safety checklists and participates in this process

Completed
Date:

Teacher:

Evidence:

Work with an awareness of rationale for staff undertaking annual hyperbaric medicals and participate in this process

Completed
Date:

Teacher:

Evidence:

Recognise the specific occupational health, safety and welfare conditions related to working in a hyperbaric environment

Completed
Date:

Teacher:

Evidence:

Recognise the potential impact of hyperbaric therapy on clients and their significant other/s

Completed
Date:

Teacher:

Evidence:

Contribute to holistic and specific assessment for hyperbaric treatment

Perform a holistic assessment of the client in conjunction with the multi-disciplinary health care team, utilising resources and tools specific to the hyperbaric unit/organisation
Identify possible psychological and physical complications of hyperbaric treatment and associated client education requirements
Discuss the physical, psychological and social impacts of hyperbaric treatment with the client and identified significant other/s (with client consent)
Recognise and report contraindications for hyperbaric conditions for clients

Perform a holistic assessment of the client in conjunction with the multi-disciplinary health care team, utilising resources and tools specific to the hyperbaric unit/organisation

Completed
Date:

Teacher:

Evidence:

Identify possible psychological and physical complications of hyperbaric treatment and associated client education requirements

Completed
Date:

Teacher:

Evidence:

Discuss the physical, psychological and social impacts of hyperbaric treatment with the client and identified significant other/s (with client consent)

Completed
Date:

Teacher:

Evidence:

Recognise and report contraindications for hyperbaric conditions for clients

Completed
Date:

Teacher:

Evidence:

Plan care for clients requiring hyperbaric treatment

Document an individual plan of care for the client in conjunction with the health care team
Incorporate health teaching and discharge planning into practice in consultation/collaboration with the health care team

Document an individual plan of care for the client in conjunction with the health care team

Completed
Date:

Teacher:

Evidence:

Incorporate health teaching and discharge planning into practice in consultation/collaboration with the health care team

Completed
Date:

Teacher:

Evidence:

Implement appropriate care for the client

Perform contemporary nursing interventions for the client undergoing hyperbaric therapy
Correctly use specific hyperbaric chamber equipment for treatments
Provide client informationand education regarding hyperbaric therapy
Demonstrate trouble shooting skills during hyperbaric treatments
Monitor condition of the client undergoing hyperbaric treatment and communicate throughout the treatment to the registered nurse, technician and medical officer as appropriate
Document outcomes of treatments according to hyperbaric procedures and organisation policy

Perform contemporary nursing interventions for the client undergoing hyperbaric therapy

Completed
Date:

Teacher:

Evidence:

Correctly use specific hyperbaric chamber equipment for treatments

Completed
Date:

Teacher:

Evidence:

Provide client informationand education regarding hyperbaric therapy

Completed
Date:

Teacher:

Evidence:

Demonstrate trouble shooting skills during hyperbaric treatments

Completed
Date:

Teacher:

Evidence:

Monitor condition of the client undergoing hyperbaric treatment and communicate throughout the treatment to the registered nurse, technician and medical officer as appropriate

Completed
Date:

Teacher:

Evidence:

Document outcomes of treatments according to hyperbaric procedures and organisation policy

Completed
Date:

Teacher:

Evidence:

Document and evaluate outcomes of nursing interventions

Monitor and evaluate client response to interventions and progress toward planned goals and document according to organisation policy
Report outcomes of nursing interventions to the appropriate member of the healthcare team
Change care plans and modify nursing interventions in conjunction with the registered nurse or other member of the hyperbaric team

Monitor and evaluate client response to interventions and progress toward planned goals and document according to organisation policy

Completed
Date:

Teacher:

Evidence:

Report outcomes of nursing interventions to the appropriate member of the healthcare team

Completed
Date:

Teacher:

Evidence:

Change care plans and modify nursing interventions in conjunction with the registered nurse or other member of the hyperbaric team

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 Observation of performance in a work context is essential for assessment of this unit Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment:	This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment	Observation in the work place Written assignments/projects Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Questioning - verbal or written Role play/simulation

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

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:

Awareness of the Australian Standard for Work in Compressed Air and Hyperbaric Oxygen Facilities

Basic structure and layout of a hyperbaric chamber

Common dive tables for hyperbaric treatment and their indications

Common treatment profiles for hyperbaric therapy and their indications

Conditions indicated for hyperbaric therapy treatment and the mechanisms of therapeutic benefit for each

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities

Educational resources and professional organisations associated with hyperbaric therapy

Legislative requirements for practice

Medical terminology

Organisation policy and procedure

Participating as a member of the health care team

Physiological effects of increased atmospheric pressure on the human body and of breathing 100% oxygen (hyper oxygenation), helium or mixed gases under hyperbaric conditions

Principles of health assessment

Rationale for staff undertaking annual hyperbaric medicals

Reflective practice

Specialised in-depth knowledge of anatomy, physiology and pathophysiology related to hyperbaric issues

Specialised knowledge and execution relating to emergency care

Specific considerations for paediatric clients

Workplace health and safety legislation

Essential skills:

It is critical that the candidate demonstrate the ability 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:

Apply relevant admission and discharge tools according to organisation policy

Apply relevant health unit assessment tools according to organisation policy

Apply cognitive processes to reflect problem solving and analysis in the planning implementation and evaluation of care to clients

Apply organisation policy and procedure relating to hyperbaric management

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

State/territory Nurse Regulatory Nurses Act

State/territory Nursing and Midwifery Regulatory Authority standards of practice

Scope of nursing practice decision making framework

Demonstrate accountability for personal outputs and broad client group outcomes

Use language, literacy and numeracy competence required to communicate effectively with client, group, colleagues and to record or report client outcomes

Use advanced communication skills

Use education and teaching strategies relating to health promotion and practical task applications for hyperbaric clients

Use information technology systems

Undertake nursing interventions which may include:

administration of nebulisers in the chamber

assessment, observation and documentation of clinical skills relating to the nursing management of hyperbaric interventions and emergencies

chest tube drainage in the chamber

client preparation for treatment

monitoring of intravenous infusions in the chamber

oral medication administration

pain management

setting up and management of breathing circuits (hood and BIBS / Scott mask )

setting up the chamber for treatments

suction in the chamber at depth and at surface

urinary drainage in the chamber

wound care and asepsis

wound management

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.

Clients may include:	Adults Child Adolescent

Members of the multi-disciplinary hyperbaric health care team include:	Hyperbaric nurses (inside and outside attendant) Hyperbaric technicians Medical staff Experts in fire safety, wound management and otolarynology Allied health staff

Theories of physics include:	Boyle's law Charle's law Henry's law Dalton's law

Emergencies associated with the hyperbaric chamber and treatment may include:	Fire inside the chamber Fire outside the chamber Emergency decompression Explosive decompression Uncontrolled compression Power failure Communication failure Chamber atmospheric contamination Isolation emergency eg: violence / potential violence Pneumathorax Cardiac arrest and airway management Hypoglycaemia Oxygen toxicity (CNS and pulmonary)

Complications of hyperbaric therapy may include:	Client medical emergency conditions as listed in emergencies above plus Claustrophobia Sinus / dental barotrauma Lung barotrauma

Indications for hyperbaric therapy may include:	Decompression sickness Carbon Monoxide poisoning Smoke inhalation Osteoradionecrosis Selected wound healing Mixed non aerobic and aerobic infections Air or gas embolism Osteomyelitis (refractory) Gas gangrene (Clostridial Myonecrosis) Soft tissue radionecrosis Crush injuries / compartment syndromes Compromised skin grafts / flaps Thermal burns Blood loss Some spider bites Exceptional blood loss

Specific assessment tools and resources for hyperbaric assessment may include:	Auroscope Blood glucose monitoring Oxygen perfusion Cardiac monitoring and ECG Pulmonary function tests Tissue perfusion tests

Relative contraindications for hyperbaric therapy include:	Pulmonary function tests Tissue perfusion tests Excessive alcohol intake Dehydration Asthma Anxiety states or claustrophobia Recent dental work in the previous 24 hours Strenuous exercise previous and after therapy Preparing to fly within 24 hours (staff and water divers only

Client education requirements must include:	The ability of the client to comprehend the education What is hyperbaric therapy The reason for hyperbaric therapy The chamber and sequence of events that occur during a treatment Demonstration and observation of air equalisation techniques Prohibited items in the chamber and appropriate clothing for treatments Complications of hyperbaric treatments

Nursing interventions include but are not limited to:	Setting up the chamber for treatments Setting up and management of breathing circuits (hood and BIBS / Scott mask ) Client preparation for treatment Wound management Pain management Oral medication administration Monitoring of intravenous infusions in the chamber Wound care and asepsis Suction in the chamber at depth and at surface Chest tube drainage in the chamber Urinary drainage in the chamber Administration of nebulisers in the chamber

Hyperbaric specific equipment may include but is not limited to:	Suction Scrubber Oxygen flow meters Marquette monitor Communication headphones Medical lock Manual overboard dump Monitor panel and ECGS Stretcher loading equipment for Drager chamber Hand ventilator Fire hose

NTISthis.com

Evidence Guide: HLTEN613B - Practise in a hyperbaric environment

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

HLTEN613B - Practise in a hyperbaric environment

Work in a hyperbaric environment

Contribute to holistic and specific assessment for hyperbaric treatment

Plan care for clients requiring hyperbaric treatment

Implement appropriate care for the client

Document and evaluate outcomes of nursing interventions

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

Instructions to Assessors

Teacher: ___________________________ Date: _