Provide intra-operative equipment and technical support Evidence Guide

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Evidence Guide: HLTTH406C - Provide intra-operative equipment and technical support

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

HLTTH406C - Provide intra-operative equipment and technical support

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

Monitor the performance of equipment used

Observe equipment to ensure correct operation
Switch on warning devices and ensure that it is registering that the equipment is safe
Ensure gas, electrical, vacuum supplies are adequate for procedure at hand and/or back-up supply is available
Observe equipment whilst in use and, if a fault develops, take immediate action to avoid danger to clients, staff and equipment
Follow established procedures to rectify faulty equipment

Observe equipment to ensure correct operation

Completed
Date:

Teacher:

Evidence:

Switch on warning devices and ensure that it is registering that the equipment is safe

Completed
Date:

Teacher:

Evidence:

Ensure gas, electrical, vacuum supplies are adequate for procedure at hand and/or back-up supply is available

Completed
Date:

Teacher:

Evidence:

Observe equipment whilst in use and, if a fault develops, take immediate action to avoid danger to clients, staff and equipment

Completed
Date:

Teacher:

Evidence:

Follow established procedures to rectify faulty equipment

Completed
Date:

Teacher:

Evidence:

Attach and detach client attachments as required

Use personal protective equipment
Select appropriate client attachments and ensure equipment is attached safely and securely to appropriate sites
Re-position client attachments during theatre procedures as required
Safely detach client attachments when no longer required with minimum risk of damage to client, staff or equipment
Provide counter-traction during orthopaedic and plastic procedures and manipulations as directed

Use personal protective equipment

Completed
Date:

Teacher:

Evidence:

Select appropriate client attachments and ensure equipment is attached safely and securely to appropriate sites

Completed
Date:

Teacher:

Evidence:

Re-position client attachments during theatre procedures as required

Completed
Date:

Teacher:

Evidence:

Safely detach client attachments when no longer required with minimum risk of damage to client, staff or equipment

Completed
Date:

Teacher:

Evidence:

Provide counter-traction during orthopaedic and plastic procedures and manipulations as directed

Completed
Date:

Teacher:

Evidence:

Connect irrigation as directed

Select correct irrigation for operative procedure under the guidance of the surgical medical staff in correct sequence as required
Check irrigation type, sterile integrity and expiry date
Connect irrigation to sterile giving set using correct aseptic techniques
Change irrigation using aseptic techniques
Communicate the volume, type and number of irrigation bags to scout nurse
Dispose of used irrigation bags/giving sets according to organisational policy and procedures

Select correct irrigation for operative procedure under the guidance of the surgical medical staff in correct sequence as required

Completed
Date:

Teacher:

Evidence:

Check irrigation type, sterile integrity and expiry date

Completed
Date:

Teacher:

Evidence:

Connect irrigation to sterile giving set using correct aseptic techniques

Completed
Date:

Teacher:

Evidence:

Change irrigation using aseptic techniques

Completed
Date:

Teacher:

Evidence:

Communicate the volume, type and number of irrigation bags to scout nurse

Completed
Date:

Teacher:

Evidence:

Dispose of used irrigation bags/giving sets according to organisational policy and procedures

Completed
Date:

Teacher:

Evidence:

Adjust surgical equipment

Turn on/off surgical equipment under the guidance of medical staff and within manufacturers guidelines
Connect surgical equipment to electrical, vacuum, gas supply as required, and in accordance with standard operating procedures
Adjust surgical equipment settings to suit the surgical medical staff and in consultation with anaesthetic medical staff as required and within manufacturers guidelines
Communicate readings to surgical/anaesthetic medical staff as required
Communicate alarms/warnings, abnormal readings and equipment usage times to medical staff as required
Use aseptic techniques to pass sterile equipment/lines from the surgical team and connect to surgical equipment
Disconnect /reconnect surgical equipment, move and adjust during medical emergencies, repositioning of client and/or change of surgical procedure under the guidance of medical and nursing staff.

Turn on/off surgical equipment under the guidance of medical staff and within manufacturers guidelines

Completed
Date:

Teacher:

Evidence:

Connect surgical equipment to electrical, vacuum, gas supply as required, and in accordance with standard operating procedures

Completed
Date:

Teacher:

Evidence:

Adjust surgical equipment settings to suit the surgical medical staff and in consultation with anaesthetic medical staff as required and within manufacturers guidelines

Completed
Date:

Teacher:

Evidence:

Communicate readings to surgical/anaesthetic medical staff as required

Completed
Date:

Teacher:

Evidence:

Communicate alarms/warnings, abnormal readings and equipment usage times to medical staff as required

Completed
Date:

Teacher:

Evidence:

Use aseptic techniques to pass sterile equipment/lines from the surgical team and connect to surgical equipment

Completed
Date:

Teacher:

Evidence:

Disconnect /reconnect surgical equipment, move and adjust during medical emergencies, repositioning of client and/or change of surgical procedure under the guidance of medical and nursing staff.

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 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 for assessment Relevant organisational policy, guidelines, procedures and protocols

Method of assessment	Observation of work activities when providing intra-operative equipment and technical support Observation of simulation and/or role play when providing intra-operative equipment and technical support 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 Written assignments/projects or questioning should be used to assess knowledge Authenticated reports of experience when providing intra-operative equipment and technical support (Documentation associated with performance reviews, supervisor/coordinator evaluations of work performance) Training records associated occupational health and safety 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:	Workers should have an understanding of Aboriginal and/or Torres Strait Islander culture and history and an ability to work with Aboriginal and/or Torres Strait Islander clients and communities Assessors and trainers must have a knowledge of and take into account the influence of cultural and historic factors relating to health for those working with 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 to safe use of surgical equipment

Basis principles of electricity

Client positioning aides and attachments

Functions of relevant equipment

Hazards and precautions of surgical equipment

Hazards and precautions of various client positions

Hazards associated with irrigation administration

Infection control procedures

Intra-operative client and staff safety concerning the settings of surgical equipment

Manufacturer's instructions of surgical equipment

Medical terms used in the operating room relevant to the technician's role

Medico-legal requirements relevant to role and scope of work practice

Occupational health and safety procedures

Overview of operating room air-conditioning and ventilation systems and their impact on the technician's role and work practices

Properties of matter relevant to the technician's role and work practice

Range of positions required for operative procedures

Essential skills:

It is critical that the candidate demonstrate the ability to:

Apply knowledge of sterilisation methods

Apply manual handling procedures

Follow procedures for timely set-up, trouble-shooting, and shut-down of equipment

Identify basic and routine faults and problems with surgical equipment

Identify the range and purpose of a range of operating theatre equipment

Maintain client confidentiality

Perform minor maintenance procedures

Recognise boundary of role in relation to maintenance of operating theatre equipment

Recognise hazards related to the use of each item of a range of operating theatre equipment

Use correct procedures for:

adjustment of surgical equipment

attachment and detachment of relevant equipment from clients in the operating room

maintenance of sterility

turning on/ shutting down surgical equipment

Use correct sequencing for the movement and connection of surgical equipment in relation to sterile equipment placement, anaesthetic and surgical team requirements

Work as part of a team and follow directions from operating room health professionals

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 health professionals

Complete basic arithmetic calculations

Deal with difficult co-workers and conflict

Demonstrate aseptic technique

Demonstrate manual dexterity during medical emergencies

Maintain the dignity and privacy of clients

Solve problems including the ability to use available resources and prioritise workload

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

Use oral communication skills as 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

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

continued ...

Essential skills:

Use reading and writing skills as required to fulfil job roles in a safe manner and as specified by organisation at a level of skill that may range from the ability to understand symbols used in OHS signs to reading and interpreting manufacturers' instructions for equipment, workplace safety pamphlets or procedure manuals to reading labels and handling chemicals such as cleaning fluids

Work cooperatively in a team environment

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.

Equipment may include:	Endoscopic equipment Diathermy Arthroscopic equipment Lasers Monitors and camera tower Printers videos Lithoplast Lithoclast/lithotripter Saws/drills Orthopaedic surgical equipment Microscopes Gas cylinders Warming equipment Tourniquet Insufflator/laparoflater/hystroflator Electrical and air-powered equipment Calf compressors/stimulators Cavitron ultrasonic surgical aspirator Cryogen Headlights Light sources Smoke evacuators Suction equipment Stealth/medrex Operating table and attachments Exsanguinators Electro-surgical unit Anti-embolus equipment Suction Light Sources Lithoclast/lithotripter Operating lights Air/electric power sources for drills/saws Phacoemulsification machine continued ...

Equipment may include: (contd)	Resuscitation cot/porta cot Smoke evacuators Fire extinguisher Single lens reflect/digital cameras Gel pads Ultracision Fluid management systems Optical tracking devices Cell saver Warming equipment Drains Catheters Intravenous lines Intravenous pressure bags

Client attachments may include:	Anti-embolism equipment Diathermy earth-plate and lead Traction devices Zimmer knee splints Charnley pillow Ted stockings Tourniquets

Personal protective equipment may include:	Gown Gloves Mask Protective eyewear Apron Lead Gown

Sterile equipment/lines may include:	Irrigation lines Drill/saw/reamer electrical cords/hoses Insufflator/hystroflator/laporaflator gas tubing Suction tubing Mono-polar/bi-polar diathermy/phaco leads Book-walter retractor Camera lead Light source fibre-optic cord Endoscopic shaver cord Traction devices Smoke evacuators Cranial arc leads Probe leads

Surgical team may include:	Registered nurses Enrolled nurses Surgeon Anaesthetist Other medical practitioner Perfusionist Other operating theatre staff

Surgical equipment may include	Phacoemulsification machine Endoscopic equipment Diathermy Arthroscopic equipment Operating chairs Operating tables and accessories Positioning aids and equipment Lasers Monitors and camera tower Theatre lights Printers videos Lithoclast/lithotriptor/lithoplast Saws/drills Orthopaedic surgical equipment Orthopaedic frames Microscopes Warming equipment Tourniquet Insufflator/laparoflator/hystroflator Electrical and air-powered equipment Calf compressors/stimulators CUSA Cell saver Cryogen Headlights Light sources Smoke evacuators Suction equipment Stealth/medrex

Operative procedure may include:	General, regional and local anaesthetic Interventional radiology General surgery Gastro-intestinal Ear, nose and throat Gynaecology Obstetrics Orthopaedics Vascular Urology Oral, dental and maxillofacial Cardiothoracic Neurosurgery Plastics and reconstructive Trauma/emergency surgery Ophthalmic surgery

NTISthis.com

Evidence Guide: HLTTH406C - Provide intra-operative equipment and technical support

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

HLTTH406C - Provide intra-operative equipment and technical support

Monitor the performance of equipment used

Attach and detach client attachments as required

Connect irrigation as directed

Adjust surgical equipment

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

Instructions to Assessors

Teacher: ___________________________ Date: _