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Evidence Guide: PUAEME004A - Provide emergency care for suspected spinal injury

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

 

PUAEME004A - Provide emergency care for suspected spinal injury

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

Identify suspected spinal injury

  1. Signs and symptoms from a conscious casualty that may suggest a spinal injury are identified.
  2. Signs of life in an unconscious casualty are confirmed.
  3. Basic life support protocols are followed with care for casualty's spine where casualty exhibits no signs of life.
  4. Likely causes of unconsciousness that may suggest a spinal injury are identified.
  5. Emergency medical aid is requested.
Signs and symptoms from a conscious casualty that may suggest a spinal injury are identified.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Signs of life in an unconscious casualty are confirmed.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Basic life support protocols are followed with care for casualty's spine where casualty exhibits no signs of life.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Likely causes of unconsciousness that may suggest a spinal injury are identified.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Emergency medical aid is requested.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Immobilise cervical spine

  1. Casualty is communicated with to provide reassurance and to explain the need to minimise movement of their spine.
  2. Casualty is measured and appropriately sized cervical collar is selected.
  3. Cervical collar is applied ensuring correct location and tension is applied.
  4. Conscious standing casualty is assisted to supine position in accordance with organisational procedures and availability of personnel.
Casualty is communicated with to provide reassurance and to explain the need to minimise movement of their spine.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Casualty is measured and appropriately sized cervical collar is selected.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Cervical collar is applied ensuring correct location and tension is applied.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Conscious standing casualty is assisted to supine position in accordance with organisational procedures and availability of personnel.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Evaluate need to move casualty

  1. Potential hazards to first aider and to casualty are identified.
  2. Risk of not moving the casualty while waiting for medical aid to arrive is evaluated.
  3. Plan to move casualty is developed.
Potential hazards to first aider and to casualty are identified.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Risk of not moving the casualty while waiting for medical aid to arrive is evaluated.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Plan to move casualty is developed.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare casualty for transport

  1. Casualty is communicated with to provide reassurance and the need to immobilise the casualty for transport is explained.
  2. Equipment to immobilise the casualty's spine is selected.
  3. Immobilisation equipment is applied in accordance with manufacturer's instructions and organisational procedures.
Casualty is communicated with to provide reassurance and the need to immobilise the casualty for transport is explained.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Equipment to immobilise the casualty's spine is selected.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Immobilisation equipment is applied in accordance with manufacturer's instructions and organisational procedures.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Transport and monitor casualty

  1. Casualty is transported away from hazards ensuring smooth movements are used by team.
  2. Team is directed in coordinated lifting movement and lowering of casualty.
  3. Casualty is monitored during transport.
Casualty is transported away from hazards ensuring smooth movements are used by team.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Team is directed in coordinated lifting movement and lowering of casualty.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Casualty is monitored during transport.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Perform casualty handover

  1. Details of incident are communicated to medical personnel.
  2. Assistance is given to medical personnel as requested.
  3. Debriefing with supervisor or other operational staff is undertaken.
  4. Relevant log books are completed according to organisational requirements.
Details of incident are communicated to medical personnel.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assistance is given to medical personnel as requested.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Debriefing with supervisor or other operational staff is undertaken.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Relevant log books are completed according to organisational requirements.

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 competency in this unit

Assessment must confirm the ability to:

identify casualty with a suspected spinal injury

evaluate the need to move casualty with a suspected spinal injury

immobilise casualty prior to moving

Consistency in performance

Competency should be demonstrated in a range of first aid incidents or scenarios requiring management of suspected spinal injuries.

Context of and specific resources for assessment

Context of assessment

Competency should be assessed by managing suspected spinal injuries during first aid scenarios.

Specific resources for assessment

Access is required to:

equipment used in managing suspected spinal injuries

Method of assessment

In a public safety environment assessment is usually conducted via direct observation in a training environment or in the workplace via subject matter supervision and/or mentoring, which is typically recorded in a competency workbook.

Assessment is completed using appropriately qualified assessors who select the most appropriate method of assessment.

Assessment may occur in an operational environment or in an industry-approved simulated work environment. Forms of assessment that are typically used include:

direct observation

interviewing the candidate

journals and workplace documentation

third party reports from supervisors

written or oral questions

Required Skills and Knowledge

This describes the essential skills and knowledge and their level, required for this unit.

Required Skills

assess casualty

communicate effectively with casualty to provide reassurance

use safe manual handling skills

Required Knowledge

common causes of spinal injuries relevant to the work environment

risks associated with moving a casualty with a suspected spinal injury

safe manual handling techniques

signs and symptoms of suspected spinal injury

techniques for manual stabilisation

types of spinal immobilisation equipment available

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. Bold italicised wording in the Performance Criteria is detailed below.

Signs and symptoms of a suspected spinal injury may include:

back or neck pain

dilated pupils

head injuries

headache or dizziness

increased muscle tone

loss of bladder/bowel control

loss of function in hands or feet

prioprism

tingling or lack of feeling in upper or lower limbs

Signs of life may include:

breathing

consciousness

movement

Basic life support protocols include:

Australian resuscitation council guidelines

Likely causes of unconsciousness that may suggest a spinal injury may include:

diving accident

fall from a height

industrial accident

motor vehicle accident

severe penetrating wounds (impaled, gunshot)

significant blow to the head

sporting accident

Hazards may include:

fire

traffic

water

Transport may include:

carrying casualty

using a vehicle

Equipment may include:

cervical collars

scoop stretchers

spine boards and strapping

stokes baskets

Monitoring casualty may include:

Assessing vital signs such as:

level of consciousness

breathing rate

pulse rate

skin colour and temperature

Remaining with casualty

Details may include:

casualty injuries

treatment provided

Assistance may include:

carrying casualty

performing cardiopulmonary resuscitation (CPR)