ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Assess need for specialised intervention

1.1 Assess patient on the basis of a high level of clinical knowledge and a high level of contemporary clinical evidence based practice

1.2 Confirm that assessment of the need for specialised intervention is based on a demonstrable and clearly thought out series of problem-solving steps or linkages

1.3 Analyse and explain the patient assessment process when subject to clinical audit

2. Analyse information from clinical assessment to make a judgement about specialised pre-hospital/out-of-hospital patient care

2.1 Use systematic evaluation of patient assessment to interpret and make judgements regarding specialised patient care requirements

2.2 Confirm judgement is in line with high level contemporary evidence based practice and organisation clinical practice guidelines/protocols

2.3 Justify that the judgement, which forms the basis on which specialised treatment is planned, is reasonable in terms of the information available at the time

3. Plan specialised pre-hospital/out-of-hospital patient care

3.1 Establish priorities of care, based on assessment of the total scene and drawing on specialised knowledge and experience

3.2 Recognise and interpret mechanisms of injury and potential for patient deterioration in conjunction with factors inherent in patient’s condition, environment and potential impact of procedures or movement

3.3 Develop contingency plans, based on mechanisms of injury and potential for patient deterioration

3.4 Establish patient management plan, based on analysis of the scene and the patient and drawing on high level clinical knowledge

3.5 Determine patient’s potential or actual time criticality versus transport criticality

4. Implement procedures for specialised pre-hospital/out-of-hospital patient care

4.1 Commence all patient care procedures and pharmacological therapies as patient’s presenting condition determines, with reference to local clinical and legislative guidelines and pharmacological requirements

4.2 Confirm all actions are in accordance with established clinical guidelines and protocols.

4.3 Consult and collaborate with designated medical authorities as required

5. Monitor specialised pre-hospital/out-of-hospital patient care and modify as required

5.1 Monitor all aspects of patient’s condition including vital signs at appropriate intervals to establish trends in terms of specialised procedures, interventions or knowledge

5.2 Assess potential effects of procedures implemented on patient’s condition

5.3 Monitor pharmacological therapy noting effectiveness of treatment regime, and amend according to patient’s condition

5.4 Recognise changes in patient’s condition and adapt management according to the scope or authority to practice of the attending officer

5.5 Recognise the need for assistance and seek help immediately where the situation or patient’s condition requires treatment outside the scope or authority to practice of the attending officer

5.6 Maintain and/or modify treatment, according to patient need as determined by the re-assessment process

6. Hand over patient requiring specialised care

6.1 Document relevant patient details according to organisation clinical practice guidelines/protocols

6.2 Maintain patient confidentiality at all times

6.3 Ensure documentation for handover procedures conveys all necessary information

6.4 Convey information appropriately to those individuals involved in ongoing patient care to facilitate understanding and optimise continuing patient care

6.5 Maintain patient care until responsibility for patient care is taken over by staff of the receiving agency