Modification History
HLT07 Version 4 |
HLT07 Version 5 |
Comments |
HLTAMBCR401B Deliver basic clinical care |
HLTAMBCR401C - Deliver basic clinical care |
Unit updated in V5. ISC upgrade changes to remove references to old OHS legislation and replace with references to new WHS legislation. No change to competency outcome. |
Unit Descriptor
Descriptor |
This unit describes the knowledge and skills required to deliver 'basic' client care in the out-of-hospital (or equivalent) environment by planning and administering procedures and monitoring the state of the client based on assessment of client needs |
Application of the Unit
Application |
Workers involved directly in providing out-of-hospital care in the ambulance environment typically require the knowledge and skills specified in this unit These workers must be able to apply a broad knowledge of anatomy, physiology, pathophysiology and pharmacology to delivery of client care Successful assessment of essential knowledge described in this competency unit (and its co-requisite) is required before undertaking independent application of skills described by this competency unit Application of skills and knowledge described by this competency standard is to be undertaken within relevant State/Territory clinical practice guidelines/protocols |
Licensing/Regulatory Information
Not Applicable
Pre-Requisites
Pre-requisite unit |
This unit must be assessed after successful achievement of the following competency unit, which includes specification of underpinning knowledge required for delivery of client care services at this level:
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Employability Skills Information
Employability Skills |
This unit contains Employability Skills |
Elements and Performance Criteria Pre-Content
Elements define the essential outcomes of a unit of competency. |
The Performance Criteria specify the level of performance required to demonstrate achievement of the Element. Terms in italics are elaborated in the Range Statement. |
Elements and Performance Criteria
ELEMENT |
PERFORMANCE CRITERIA |
1. Make initial client assessment |
1.1 Conduct pre-planning before arrival at scene based on information communicated in request for service 1.2 Conduct scene survey according to local ambulance standard operation procedure 1.3 Conduct primary survey according to local ambulance standard operation procedure 1.4 Check and monitor vital signs in accordance with local ambulance standard operation procedure 1.5 Obtain history of the event 1.6 Conduct secondary survey, incorporating a systematic physical examination of the whole body 1.7 Identify chief complaints, including pattern and mechanism of illness or injury as a basis for prioritising treatment 1.8 Obtain client's medical history to ensure appropriate treatment is selected 1.9 Determine client's potential or actual time criticality versus transport criticality 1.10 Assess transport requirements and appropriate destination, considering client's condition and the type of resources needed to ensure that requirements of urgency and client care are met |
2. Plan basic out-of-hospital client care |
2.1 Establish priorities of care based on initial client assessment according to local ambulance standard operation procedure 2.2 Develop contingency plans based on mechanisms of injury and potential for client deterioration according to local ambulance standard operation procedure |
3. Implement basic client care procedures |
3.1 Commence all client care procedures and drug therapies within the individual's level of expertise and authority to practise and limits of the local ambulance clinical practice guidelines/protocols 3.2 Where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer, immediately recognise the need for assistance and seek help 3.3 Correctly operate ambulance equipment as required for client management according to manufacturer/supplier's instructions and local clinical guidelines/protocols 3.4 Implement client care techniques in accordance with infection control procedures and techniques 3.5 Use safe lifting and client handling techniques in accordance with WHS requirements and organisation policy and procedures |
4. Monitor basic client care and modify as required |
4.1 Re-assess client and presenting conditions at appropriate intervals and modify treatment as required according to local ambulance standard operation procedure 4.2 Modify drug therapy noting effectiveness of treatment regime and amend according to client's condition 4.3 Identify and initiate need for advanced levels of intervention and action |
5. Hand over client requiring basic care |
5.1 Document relevant client details according to local ambulance standard operation procedure 5.2 Maintain client confidentiality at all times 5.3 Ensure documentation for handover procedures conveys all necessary information 5.4 Convey information appropriately to those individuals involved in ongoing client care to facilitate understanding and optimise continuing care 5.5 Maintain client care until responsibility for client care is taken over by staff of the receiving agency |
Required Skills and Knowledge
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:
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Essential skills: It is critical that the candidate demonstrate the ability to:
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:
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Evidence Guide
EVIDENCE GUIDE |
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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. |
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Critical aspects for assessment and evidence required to demonstrate this competency unit: |
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Access and equity considerations: |
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Resource implications: |
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Method of assessment: |
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Range Statement
RANGE STATEMENT |
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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. |
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Pre-planning may include, but is not limited to: |
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Scene survey may include, but is not limited to: |
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Client assessment must include but is not limited to: |
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Primary survey must include, but is not limited to: |
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Vital signs may include, but are not limited to: |
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Secondary survey may include, but is not limited to: |
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History of event includes present history and may be elicited from: |
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Client history includes: |
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Chief complaints, including pattern and mechanism of illness or injury must include, but are not limited to: |
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Situation involves a client in need and may include, but is not limited to: |
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Mode of transport is selected for its availability and potential to provide the means of mobile care most suited to the needs of the client and may include, but is not limited to: |
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Client management will need to take into account: |
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Drug therapy used in the treatment of a client's condition may include, but is not limited to: |
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Interventions expected to be utilised where client's condition indicates they would be of some benefit include but are not limited to: |
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Non-verbal cues may include, but are not limited to: |
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Types of documentation may include, but are not limited to: |
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Persons authorised to receive confidential information may include, but are not limited to: |
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Reports may include, but are not limited to: |
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Acts and regulations are those specified in each State/Territory and include, but are not limited to: |
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Policy and procedures may include, but are not limited to: |
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Unit Sector(s)
Not Applicable