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Unit of competency details

HLTDEFHC410B - Record clinical information during casualty resuscitation (Release 1)

Summary

Usage recommendation:
Superseded
Mapping:
MappingNotesDate
Is superseded by HLTDEF003 - Perform the duties of a scribe during casualty resuscitationThis version was released in HLT Health Training Package release 2.0 and meets the requirements of the 2012 Standards for Training Packages. Significant changes to the elements and performance criteria. New evidence requirements for assessment, including volume and frequency requirements. Significant change to knowledge evidence. 05/Aug/2015

Releases:
ReleaseRelease date
1 1 (this release) 25/Mar/2011

Classifications

SchemeCodeClassification value
ASCED Module/Unit of Competency Field of Education Identifier 069907 First Aid  

Classification history

SchemeCodeClassification valueStart dateEnd date
ASCED Module/Unit of Competency Field of Education Identifier 069907 First Aid  04/Nov/2011 
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Modification History

Not Applicable

Unit Descriptor

Descriptor 

This unit covers the competency required to provide assistance to the resuscitation team, and accurately record resuscitation events as they occur

Application of the Unit

Application 

This unit of competency is applicable to Australian Defence Force (ADF) personnel in an operational environment

These duties are performed under supervision and are limited to the performance of tasks in accordance with guidelines and organisation policy and procedures

Licensing/Regulatory Information

Not Applicable

Pre-Requisites

Not Applicable

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. Prepare to record resuscitation information

1.1 Prepare resuscitation documentation prior to arrival of casualty in accordance with organisation policies and procedures

1.2 Prepare resuscitation area to receive the casualty in accordance with manufacturers' guidelines and organisation policies and procedures 

1.3 Check resuscitation equipment and consumables for serviceability and arrange for use

1.4 Use personal protective equipment in accordance with organisation policies and procedures

2. Participate in the resuscitation

2.1 Follow personal hygiene and infection control procedures 

2.2 Obtain and record casualty details in order to accurately identify the casualty and raise documentation

2.3 Accurately record treatment information  and casualty's response to treatment in accordance with organisation policies and procedures

2.4 Provide treatment information  to other team members on request to aid in the continuity of care of the casualty

2.5 Assist the resuscitation team to aid with the provision of treatment

3. Conclude the resuscitation

3.1 Complete all relevant documentation in accordance with organisation policies and procedures

3.2 Provide documentation to team leader for authorisation

3.3 Refurbish resuscitation area  in order to prepare it for the next resuscitation

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:

  • Administrative processes to receive equipment from another person and provide a receipt
  • Documentation processes relevant to receiving and resuscitating a casualty
  • Human anatomy and physiology
  • Infection control policy and procedures
  • Organisation policies and procedures pertinent to resuscitation
  • Role of other health care providers and support services
  • Set up and operation of equipment contained within a resuscitation bay
  • Storage and security requirement for weapons, explosives and pyrotechnics

Essential skills :

It is critical that the candidate demonstrate the ability to:

  • Operate as a member of a small team
  • Record clinical information in a legible and clear manner

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:

  • Complete basic arithmetic calculations and record numbers
  • Prioritise workload
  • Solve problems
  • Use available resources
  • Work with others and display empathy with casualties and significant others

Evidence Guide

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 work
  • Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the work context, the assessment environment should represent work conditions as closely as possible

Resource implications :

Assessment requires access to:

  • appropriate equipment and stores
  • resuscitation area
  • resuscitation team
  • relevant clinical guidelines, organisation policies and procedures

Consistency in performance :

Competency should be demonstrated over time with a range of resuscitation situations that could be expected in the workplace

Context of assessment :

Competency should be assessed in a simulated workplace that reflects the environment and intensity of a medical emergency

Access and equity considerations :

  • All workers in the health industry should be aware of access and equity issues in relation to their own area of work
  • All workers should develop their ability to work in a culturally diverse environment
  • In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
  • Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Related units :

  • This unit may be assessed independently, but holistic assessment with other clinical units is encouraged

Range Statement

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.

Guidelines and organisation policies and procedures may include :

  • ADF nursing policy and procedure manuals
  • Clinical standards (state and national)
  • Codes of ethics
  • Codes of practice
  • Organisation health policy directives
  • Industry professional bodies' standards
  • Industry standards (state and national)
  • Relevant Australian standards
  • Relevant Commonwealth Acts
  • Resuscitation bay procedures
  • Standard for casualty care
  • Treatment protocols

Resuscitation documentation may include :

  • Clinical investigation request forms
  • Resuscitation recording flow chart
  • Resuscitation register

Resuscitation area equipment and consumables may include :

  • Heart monitor and defibrillator
  • Oxygen delivery equipment
  • Casualty litters and litter supports
  • Procedure trays
  • Resuscitation and ventilation equipment
  • Splints and immobilising devices
  • Vital signs monitoring equipment
  • Artificial airways
  • Bandages and dressings
  • IV lines and fluid

Personal hygiene and infection control procedures may include :

  • Australian and state standards and legislation
  • Industry standards
  • Organisation procedures
  • Standard precautions such as hand washing procedures
  • Direct instructions from supervisor

Treatment information may include :

  • Treatment interventions
  • Clinical investigations ordered
  • Findings of primary survey
  • Findings of secondary survey
  • Medications administered
  • Referrals made

Providing assistance to the resuscitation team may include :

  • Assisting with casualty treatment
  • Obtaining supplies to aid treatment
  • Liaising with other agencies
  • Passing information

Refurbish the resuscitation area may include :

  • Cleaning resuscitation area and equipment
  • Disposing of bio-hazardous material
  • Switching equipment off
  • Recharging/resetting equipment as necessary
  • Restocking resuscitation area supplies

Unit Sector(s)

Not Applicable