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Evidence Guide: HLTPAT409D - Perform intravenous cannulation for sample collection

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

 

HLTPAT409D - Perform intravenous cannulation for sample collection

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

Prepare for intravenous cannulation

  1. Correctly identify pathology request and client
  2. Identify precise nature and requirements of the cannulation and test request
  3. Explain procedure client and obtain in accordance with legal requirements and organisation policy and procedure
  4. Obtain relevant clinical information and record in accordance with organisation policies and procedures
  5. Seek assistance clients if required
  6. Ensure client is correctly and comfortably positioned and prepared for the cannulation and blood collection procedure
  7. Ensure pre-collection criteria relevant to the procedure and specific test are met before proceeding
  8. Refer cannulation and pathology request to manager or appropriate health professional if required
  9. Coordinate cannulation and sample collection with activities of other health professionals
  10. Assemble and prepare intravenous cannulation equipment and disposables
  11. Maintain standard and additional precautions
  12. Use personal protective equipment correctly
  13. Chose insertion site and prepare in accordance with organisation policy and procedures
  14. Apply local anaesthetic cream and dressing to selected insertion site in accordance with organisation policy and procedures
Correctly identify pathology request and client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify precise nature and requirements of the cannulation and test request

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Explain procedure client and obtain in accordance with legal requirements and organisation policy and procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain relevant clinical information and record in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance clients if required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure client is correctly and comfortably positioned and prepared for the cannulation and blood collection procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure pre-collection criteria relevant to the procedure and specific test are met before proceeding

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer cannulation and pathology request to manager or appropriate health professional if required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Coordinate cannulation and sample collection with activities of other health professionals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assemble and prepare intravenous cannulation equipment and disposables

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain standard and additional precautions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use personal protective equipment correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Chose insertion site and prepare in accordance with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply local anaesthetic cream and dressing to selected insertion site in accordance with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform intravenous cannulation

  1. Seek assistance from an appropriate health professional if required
  2. Remove local anaesthetic cream and dressing if used, and perform cannula insertion as soon as possible
  3. Insert cannula following organisation policy and procedures
  4. Follow infection control procedures throughout the procedure
  5. Flush IV cannula in accordance with organisation policy and procedures
  6. Label sample in accordance with organisation policies and procedures
  7. Respond to complications in accordance with organisation policy and procedures
Seek assistance from an appropriate health professional if required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Remove local anaesthetic cream and dressing if used, and perform cannula insertion as soon as possible

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Insert cannula following organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow infection control procedures throughout the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Flush IV cannula in accordance with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Label sample in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respond to complications in accordance with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform post cannulation procedure

  1. Remove and dispose IV cannulae in accordance with organisation policy and procedure
  2. Check cannulation insertion site to ensure bleeding has stopped
  3. Cover cannulation insertion site according to organisation policy and procedure
  4. Provide relevant information and instructions client
  5. Ensure client is left comfortable, and appropriate health professionals are notified so that the client's condition can be monitored
  6. Dispose of waste in accordance with organisation policies and procedures and taking into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues
  7. Complete documentation
Remove and dispose IV cannulae in accordance with organisation policy and procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check cannulation insertion site to ensure bleeding has stopped

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Cover cannulation insertion site according to organisation policy and procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide relevant information and instructions client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure client is left comfortable, and appropriate health professionals are notified so that the client's condition can be monitored

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dispose of waste in accordance with organisation policies and procedures and taking into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete documentation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Label and store specimens for transportation

  1. Label specimens in accordance with International Standards Organisation 9000 or National Association Testing Authorities standards
  2. Process and store correctly
  3. Ensure specimens are appropriately contained for transport
  4. Transport blood sample to laboratory in accordance with organisation policies and procedures
Label specimens in accordance with International Standards Organisation 9000 or National Association Testing Authorities standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Process and store correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure specimens are appropriately contained for transport

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Transport blood sample to laboratory in accordance with organisation policies and procedures

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 workplace performance is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible

Context of and specific resources for assessment:

Access to appropriate workplace where assessment can take place

Simulation of realistic workplace setting may be used for initial training and assessment

Artificial arm for initial training and initial assessment

Phlebotomy and intravenous cannulation equipment required for blood collection

Relevant personal protective equipment

Relevant waste disposal equipment

Relevant organisation policy, guidelines, procedures and protocols

Method of assessment may include:

Observation in the work place (if possible)

Written assignments/projects or questioning should be used to assess knowledge

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision

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 should be assessed in conjunction with the following related unit:

HLTPAT411D Perform blood collection for specialised testing

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:

Basic anatomy and physiology of the circulatory system and skin relevant to intravenous cannulation for blood collection

Basic first aid relevant to intravenous cannulation for blood collection

Basic medical terminology used in a pathology laboratory

Clinical and general waste disposal procedures

Relevant infection control policy and procedures

Relevant organisation policies and procedures

Specimen transport requirements

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 knowledge of clinical risks and complications of intravenous cannulation for blood collection

Ask questions to obtain specific client and clinical information

Communicate effectively with clients and with a range of healthcare professionals

Comply with organisation policies and procedures including WHS and infection control

Demonstrate application of correct pre-collection testing

Demonstrate correct and safe techniques for intravenous cannulation for blood collection

Demonstrate knowledge of boundaries of responsibilities and ability to refer problems to Supervisor, Pathologist, Scientist or other appropriate health professional

Demonstrate knowledge of use and characteristics of various types of cannulation devices

Follow documentation procedures

Follow emergency response procedures for client adverse reactions

Follow procedures to maintain sample integrity

Follow safe working practices

Follow workplace instructions

Handle, label and transport sample correctly

Provide clear explanation of intended procedure and obtain consent

Select and use appropriate collection equipment

Use numeracy skills ranging from the ability to complete basic arithmetic calculations, weighing and measuring requirements, and recording data.

Use oral communication skills and language competence required to fulfil job role in a safe manner and as specified by the organisation, including skills in:

asking questions

providing clear information

listening to and understanding workplace instructions

clarifying workplace instructions when necessary

Use problem solving skills required including ability to use available resources and apply solutions to a wide range of non-routine and complex problems

Use reading and writing skills required to fulfil job roles in a safe manner and as specified by the organisation at a level of skill that includes reading and interpreting requests for pathology specimens, completing appropriate clinical and other documentation, and comprehension of complex and relevant policies and procedures

Use time management strategies to set priorities

Work with others and display empathy with client and relatives

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.

Pathology requests may:

Be in writing

Be made by a medical or authorised nurse practitioner

And must be in accordance with relevant legislation

Organisation policy and procedures may relate to:

Collection and documentation of client clinical information

Confidentiality of client information

Consent

Preparation for intravenous cannulation procedures

Performance of intravenous cannulation collection procedures

Care and maintenance of IV cannulae in situ

Administration of basic first aid and protocols for seeking assistance

Infection control

Work health and safety (WHS)

Blood sample preparation, labelling, storage and transport

Maintenance of sample integrity

Documentation and recording keeping

Handling of waste

Pre-collection criteria may relate to:

Fasting

Other dietary restrictions

Resting

Drug administration

Absence of contraindications, e.g. peripheral perfusion

Health status of client

Referral of client issues to an appropriate health professional

Intravenous cannulation equipment and disposables may include:

Tourniquet

Chlorhexidine and alcohol swabs

Chlorhexidine and alcohol wipes

Cannulae

Bung

Dressings

Local anaesthetic cream

Three-way tap device

Flushing equipment

Extension set

Intravenous cannulation insertion sites may include:

Sites determined by organisation policy and procedure

Personal protective equipment may include:

Gloves

Gowns

Aprons

Masks

Protective eye wear

Appropriate health professionals may include:

Pathologist

Medical practitioner

Registered nurse

Infection control procedures may include:

Standard and additional precautions

Collection site preparation

Waste handling and disposal

Complications may include

Occlusion

Infection

Phlebitis

Rupture

Migration

Extravasation

Unsuccessful cannulation attempt

Client discomfort or distress