Modification History
Not Applicable
Unit Descriptor
Descriptor |
This unit describes the skills and knowledge required to deliver pre-hospital client care at a specialised level, by assessing specialised needs of a client, planning and administering procedures, and monitoring the state of the client |
Application of the Unit
Application |
The knowledge and skills specified in this unit are typically required by a person involved directly in the provision of advanced clinical care at the level of an intensive care paramedic in a state or territory ambulance service The unit involves application of specialised knowledge of pathophysiology and pharmacology for advanced clinical care The application of knowledge and skills described in this competency unit relate to functioning independently to plan and practise advanced client care within relevant state/territory clinical practice and application of skills guidelines Successful assessment of the essential knowledge described in this competency unit (and its co-requisite) is required before undertaking independent client assessment and delivery of care at the level of skill described |
Licensing/Regulatory Information
Not Applicable
Pre-Requisites
Pre-requisite units : |
This unit must be assessed after successful achievement of pre-requisites:
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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. Assess need for specialised intervention |
1.1 Assess client on the basis of a high level of clinical knowledge and a high level of contemporary clinical evidence based practice 1.2 Ensure 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 Ensure that client assessment process can be analysed and explained when subject to clinical audit |
2. Analyse information from clinical assessment to make a judgement about specialised pre- hospital client care |
2.1 Use systematic evaluation of client assessment to interpret and make judgements regarding specialised client care requirements 2.2 Ensure judgement is in line with high level contemporary evidence based practice and organisation clinical practice guidelines/protocols 2.3 Ensure the judgment, which forms the basis on which specialised treatment is planned, can be reasonably justified in terms of the information available at the time |
3. Plan specialised pre-hospital client 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 client deterioration in conjunction with a broad range of factors inherent in client's condition, environment and potential impact of procedures or movement 3.3 Develop contingency plans, based on mechanisms of injury and potential for client deterioration 3.4 Establish client management plan, based on analysis of the scene and the client and drawing on high level clinical knowledge 3.5 Determine client's potential or actual time criticality versus transport criticality |
4. Implement procedures for specialised pre- hospital client care |
4.1 Commence all client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical and legislative guidelines and pharmacological requirements 4.2 Ensure all actions are in accordance with organisation standard operating procedure and clinical practice guidelines/protocols 4.3 Consult and collaborate with designated medical authorities as required |
5. Monitor specialised pre-hospital client care and modify as required |
5.1 Monitor all aspects of client'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 client's condition 5.3 Monitor drug therapy noting effectiveness of treatment regime and amend according to client's condition 5.4 Recognise changes in client's condition and adapt management according to the scope or authority to practise of the attending officer 5.5 Recognise the need for assistance and seek help immediately where the situation or client's condition requires treatment outside the scope or authority to practise of the attending officer 5.6 Maintain and/or modify treatment, according to client need as determined by the re-assessment process |
6. Hand over client requiring specialised care |
6.1 Document relevant client details according to organisation clinical practice guidelines/protocols 6.2 Maintain client 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 client care to facilitate understanding and optimise continuing client care 6.5 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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Related units : |
This unit should be assessed in conjunction with the following competency unit:
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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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Specialised intervention may include , but is 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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Mechanism of injury is obtained from a detailed description of what specifically happened physically to the client during an incident , such as : |
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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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Techniques which client's condition indicates would be of some benefit , may include , but are not limited to : |
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Reports may be verbal (oral or written ) or non -verbal (with gestures ), and 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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Other acts and regulations are those specified in each state /territory that relate to : |
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Policy and procedures are organisation policies and procedures that relate to : |
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Unit Sector(s)
Not Applicable