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Evidence Guide: HLTSL506C - Perform specialised procedures

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

 

HLTSL506C - Perform specialised procedures

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

Prepare client and environment for procedure

  1. Verify request for procedure
  2. Review client's medical records for polysomnographic (PSG) results
  3. Review and action client's pathology results as required
  4. Provide correct environment for procedure
  5. Ensure equipment and materials selected are clean and in working order
  6. Reassure and explain procedure to client and obtain client consent/agreement as required
  7. Provide opportunities for client to ask questions and discuss areas of concern
  8. Instruct client to complete pre-procedure questionnaire
Verify request for procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review client's medical records for polysomnographic (PSG) results

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review and action client's pathology results as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide correct environment for procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure equipment and materials selected are clean and in working order

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Reassure and explain procedure to client and obtain client consent/agreement as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide opportunities for client to ask questions and discuss areas of concern

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Instruct client to complete pre-procedure questionnaire

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Attach monitoring equipment

  1. Utilise personal protective equipment in accordance with standard and additional precautions
  2. Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures
  3. Prepare client's skin for the application of electrodes in accordance with infection control guidelines and client needs
  4. Position and apply correctly electrodes according to current standards and organisation policies and procedures
  5. Attach electrodes to headbox
Utilise personal protective equipment in accordance with standard and additional precautions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client's skin for the application of electrodes in accordance with infection control guidelines and client needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position and apply correctly electrodes according to current standards and organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Attach electrodes to headbox

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform procedure

  1. Instruct client to begin
  2. Perform required polygraph and client calibrations
  3. Complete document at commencement of procedure in accordance with organisation policies and procedures
  4. Recognise and note sleep stages according to criteria
  5. Monitor and document client's behaviour throughout procedure
  6. Determine contraindicated behaviour and provide intervention, as required
  7. Identify and respond to clinical emergencies in accordance with organisation emergency procedures
Instruct client to begin

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform required polygraph and client calibrations

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete document at commencement of procedure in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise and note sleep stages according to criteria

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and document client's behaviour throughout procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine contraindicated behaviour and provide intervention, as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to clinical emergencies in accordance with organisation emergency procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

End procedure

  1. End procedure according to recommended guidelines
  2. Remove leads and electrodes from client and wash off paste/gel
  3. Provide client with assistance as required, on completion of the procedure
  4. Instruct client to complete post-procedure questionnaire
  5. Confirm timely follow up with referring doctor for results
  6. Clean and store electrodes in accordance with manufacturer's guidelines
  7. Dispose of disposable electrodes and other materials in accordance with waste management procedures
  8. Re stock equipment and materials
  9. Clean and restore environment
  10. Complete, print and present report to specialist for review
End procedure according to recommended guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Remove leads and electrodes from client and wash off paste/gel

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide client with assistance as required, on completion of the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Instruct client to complete post-procedure questionnaire

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm timely follow up with referring doctor for results

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean and store electrodes in accordance with manufacturer's guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dispose of disposable electrodes and other materials in accordance with waste management procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Re stock equipment and materials

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean and restore environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete, print and present report to specialist for review

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

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

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

Context of and specific resources for assessment:

Relevant organisation policy, guidelines, procedures and protocols

Method of assessment:

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

Observation of work activities when performing specialised procedures

Observation of simulation and/or role play when performing specialised procedures

Discussion of physical and/or behavioural contingency scenarios involving duty of care

Authenticated transcripts of relevant education/training courses

Recognition of relevant life/work experience

Questioning, written assessments/projects, e-learning can be used to assess knowledge

Authenticated reports of experience in performing specialised procedures (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)

Training records associated with First Aid, OHS training, orientation/induction training, safe manual handing, universal infection control procedures

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

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 can be assessed independently, however holistic assessment practice with other health services 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:

Anatomy and physiology relevant for specialised sleep studies

Basic electrical knowledge and electrical safety requirements

Causes of the common trace interference and the appropriate remedies

Confidentiality requirements of client information

Emergency procedures in the event of a clinical emergency relevant in the performance of a diagnostic sleep study

General knowledge of infection control principles and their application

Identify artefacts and their source

Recognise normal waveforms relating to sleep onset and sleep stages

Routine maintenance policy and procedures for equipment

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply knowledge of boundaries of responsibilities and refer problems to supervisor or other appropriate health professional

Communicate effectively with clients/carers in relation to the procedure and manage clients' anxiety level

Comply with policies and procedures including those of OHS and infection control

Demonstrate all steps that must be taken to ensure equipment is safe and functioning correctly

Identify and manage all forms of interference with trace

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:

Communicate with people from diverse cultural and linguistic backgrounds

Correctly anchor electrodes, sensors and leads

Correctly connect electrodes to headbox

Correctly operate computer hardware and associated monitoring equipment

Correctly prepare skin

Deal with conflict

continued ...

Essential skills (contd):

Demonstrate basic cardiopulmonary resuscitation

Identify a sleep study trace that is unsatisfactory for diagnostic purposes

Manage the known common interferences in the production of a sleep study trace

Place and attach electrodes to achieve an EEG recording of diagnostic quality

Produce a sleep study trace satisfactory for diagnostic purposes

Solve problems including an ability to use available resources

Take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

Use numeracy skills may range from the ability to complete basic arithmetic calculations, recording stock levels and statistical information

Use oral communication skills required to fulfil job roles 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

effective verbal and non verbal communication with a range of internal and external persons

literacy in English or a community language, depending on client group and organisation requirements

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 involves reading and documenting clinical information and understanding complex policy and procedure manuals

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.

Clients may include:

Infants

Children

Adolescents

Adults

Elderly

Action in response to client's pathology results may include:

Blood test and urine analysis for drug screening as requested by physician

Correct environment may include:

Quiet

Dark

Temperature controlled

Equipment and materials may include:

Sleep recording system

EEG electrodes

Conductive paste

Gauze

Tape

Personal protective equipment may include:

Gloves

Mask

Goggles

Gown

Sleep stages must include:

Wakefulness

Sleep onset

REM onset

Contraindicated behaviour may include:

Use of stimulating or other drugs eg caffeine, alcohol

Use of tobacco

Exercise

Non-compliance with procedure

Clinical emergencies may include:

Severe respiratory distress

Cardio-respiratory arrest

Post-procedure questionnaire may include:

Length of sleep

Amount of sleep

Amount of dreaming

Abnormal sensations eg feeling paralysed

Report must include:

Number and time of naps

Various latencies ie latency to sleep and to REM

Number of sleep onset REM episodes

Client's perception of nap

Total sleep time of previous night's PSG

Comparison of previous night's PSG sleep time with normal sleep time

Overall mean sleep latency

Total sleep in each nap

Number of REM naps