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Evidence Guide: HLTPAT420C - Perform specialist and technically difficult collections

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

 

HLTPAT420C - Perform specialist and technically difficult collections

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

Prepare for blood collection

  1. Correctly identify pathology request and client
  2. Identify the precise nature and requirement of the test request
  3. Explain test procedure, including mode of administration to client and obtain consent in accordance with organisation policies and procedure
  4. Answer client queries with clarity and using appropriate language
  5. Identify any condition or issue which may make the collection difficult and ways which may assist to alleviate these
  6. Take into account client conditions that may make collection difficult
  7. Ensure client is correctly and comfortably positioned and prepared for the collection procedure
  8. Ensure compliance with pre-test criteria
  9. Select and prepare equipment and disposables and collection containers for the collection
  10. Maintain standard and additional precautions
  11. Use personal protective equipment correctly
Correctly identify pathology request and client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the precise nature and requirement of the test request

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Explain test procedure, including mode of administration to client and obtain consent in accordance with organisation policies and procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Answer client queries with clarity and using appropriate language

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify any condition or issue which may make the collection difficult and ways which may assist to alleviate these

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Take into account client conditions that may make collection difficult

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure compliance with pre-test criteria

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select and prepare equipment and disposables and collection containers for the collection

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain standard and additional precautions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use personal protective equipment correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform collection

  1. Identify appropriate method of collection and follow organisation policies and procedures
  2. Place correct equipment and blood collection tubes appropriate for the test in order of draw to ensure the blood collection accords with test requested
  3. Select and prepare collection site according to organisation policies and procedures
  4. Collect sample following correct procedures and using correct equipment
  5. Transfer correct volume of blood to the selected collection tubes in the set order of draw
  6. Invert collection tubes within timeframe required and according to organisation policies and procedures
  7. Follow correct procedure for collection of sample
  8. Apply pressure to collection site for the required time following withdrawal of needle
  9. Observe and dress blood collection site, and monitor client for adverse effects
  10. Follow infection control procedures throughout collection procedure
  11. Follow organisation policy and procedures for safe handling of pathology specimens
Identify appropriate method of collection and follow organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Place correct equipment and blood collection tubes appropriate for the test in order of draw to ensure the blood collection accords with test requested

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select and prepare collection site according to organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Collect sample following correct procedures and using correct equipment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Transfer correct volume of blood to the selected collection tubes in the set order of draw

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Invert collection tubes within timeframe required and according to organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow correct procedure for collection of sample

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply pressure to collection site for the required time following withdrawal of needle

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe and dress blood collection site, and monitor client for adverse effects

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow infection control procedures throughout collection procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow organisation policy and procedures for safe handling of pathology specimens

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respond to adverse client reactions

  1. Ascertain possible contra-indications to procedure, possible complicating factors and modify procedure in accordance with organisation policies and procedures
  2. Observe client during procedure, recognise reactions and respond promptly if necessary
  3. Seek assistance of Pathologist or Medical Scientist if required according to organisation policy and procedure
Ascertain possible contra-indications to procedure, possible complicating factors and modify procedure in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe client during procedure, recognise reactions and respond promptly if necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance of Pathologist or Medical Scientist if required according to organisation policy and procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform post-blood collection procedures

  1. 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
  2. Complete documentation
  3. Label blood collection tubes with time and date of collection, client details and other required information
  4. Check collection site
  5. Monitor client for possible adverse reactions
  6. Provide relevant information and instructions client
  7. Notify appropriate staff so that the client's condition can be monitored
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 blood collection tubes with time and date of collection, client details and other required information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check collection site

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor client for possible adverse reactions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide relevant information and instructions client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Notify appropriate staff so that the client's condition can be monitored

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Label and store specimens for transportation

  1. Label specimens in accordance with International Standards Organisation 9000 or National Association of Testing Authorities standards
  2. Process and store specimens correctly
  3. Contain specimens appropriately for transport
Label specimens in accordance with International Standards Organisation 9000 or National Association of Testing Authorities standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Process and store specimens correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contain specimens appropriately for transport

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:

A simulated workplace environment to mimic the relations and communications between client reception, blood collection, specimen reception and the laboratory may be appropriate for initial training and initial assessment

A real workplace is recommended for subsequent training and assessment

All necessary blood collection equipment and tubes

Current relevant organisation policy and procedure manuals

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 competency unit may be assessed independently, but holistic assessment practice with other pathology collection units of competency 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:

Boundaries of responsibilities in relation to neonates in accordance with organisation policy

Conditions, diseases and client issues which may impact upon the ability to undertake blood tests and ways which may assist to alleviate these

Demonstrated knowledge of pre-test criteria

Factor which may affect the analysis of specialised blood tests (e.g. temperature, handling, correct tube use)

Human anatomy and physiology in relation to the vascular, arterial, nervous and endocrine systems relevant to blood collections from premature neonates and for other blood collections for specialised testing

Medical terminology relevant to blood collection for specialised testing

Minimum collection volumes for premature neonates

Possible adverse reactions and contra-indications and appropriate ways to respond

Specimen handling procedures for specialised tests

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 first aid management and/or response procedures relevant to risks associated with blood collection for specialised testing

Comply with organisation policies and procedures including WHS and infection control

Demonstrate procedures to be implemented to resolve complications resulting from blood collections for specialised testing

Demonstrate relevant WHS procedures

Demonstrate the correct selection and use of equipment and disposables for blood collection for specialised testing

Exhibit an appropriate level of care reflecting courtesy, responsiveness and helpfulness

Identify clinical risks and response procedures in relation to the relevant range of blood collection procedures

Operate applicable information system

Provide clear explanation of intended procedure and obtain consent

continued ...

Essential skills:

Recognise boundaries of responsibilities and refer problems to supervisor, pathologist, scientist or other appropriate health professional

Recognise reactions and respond promptly if necessary

Recognise reactions and respond promptly if necessary

Select appropriate transit procedure and documentation, or selection of appropriate storage

Undertake correct techniques for blood collection through venipuncture or skin puncture

Use assessment skills for determination of correct blood collection site and procedure in relation to premature neonates and for other specialised testing

Use correct technique to avoid cross-contamination of samples

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 without supervision within defined boundaries

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.

Blood collection undertaken solely by the pathology collector may include:

Blood collections from premature neonates

Blood collections involving:

Special pre-test conditions (e.g. Dexamethasone, clients receiving chemotherapy)

Special tubes and equipment (e.g. Pyruvate, PKU, PTHrP tubes)

Special specimen handling procedures (e.g. Cryoglobulins, cold agglutinins)

Dynamic endocrine tests

Synacthen Stimulation tests

Other blood collections for specialised testing as specified by organisation policy

Pathology request may:

Be in writing

Be made by a medical or authorized nurse practitioner

And must be in accordance with relevant legislation

Clients may include:

Adults

Adolescents

Paediatrics

Neonates

Premature neonates, subject to organisation policy and procedures

Organisation policy and procedures may include:

Scope of the Pathology Collector's role and practice

Entry to Critical Care areas, Neonatal ICU, Burns Unit or Spinal Unit

Access to humidicribs

Collections from clients in rotating beds

Pre-test criteria

Consent

Blood collection protocols

Work health and safety (WHS)

Collection of clinical information from clients

Correct use of personal protective equipment

Disposal of contaminated and cytotoxic wastes

Infection control

Maintenance of specimen integrity

Specimen transport requirements

Emergency response procedures

Condition or issue which may make the collection difficult may include

Presence of an underlying disease or medical condition which may affect the collection of blood, for example

leukaemia

dementia

Client fear

Age

Pre-test criteria may include:

Client identification

Relevant client details

Collection of clinical information relevant to specialised test

Fasting

Other dietary restrictions

Drug therapy

Rest

Contraindications

Health status of the client

Respiratory status

Referral of issues to an appropriate health professional

Equipment and disposables include:

Tourniquets

Collection tubes

Temperature-controlled containers

Range of syringes and needles

Multi-sample needle and holder

Winged infusion set ("butterfly")

Evacuated blood collection equipment

Lancets

Sharps containers

Alcohol wipes

Dressings

Local anaesthetic skin cream

Personal protective equipment includes:

Gloves

Gowns

Aprons

Masks

Protective eye wear

Blood collection procedures may include:

Skin puncture

Venipuncture

Infection control procedures may include:

Standard and Additional precautions

Collection site preparation

Waste handling and disposal

Waste may include:

Clinical waste

Sharps

Cytotoxic waste

General waste

Personal and confidential waste

Documentation may include:

Record of test procedures

Complete and sign request form

Medical Record notation

Labelling

Data entry

Appropriate staff may include:

Registered Nurse

Nursing Unit Manager

Collection Centre staff

Correct storage requirements of specimens may include:

Use of ice or dry ice

Maintenance of warm temperature

Timely transfer to storage

Protection from light

Venues for collection may include:

Centres/clinics

Home visits - invalid, elderly or disabled clients

Hospitals

Other facilities including aged care and mental health facilities