Assessment Requirements for HLTANA009 Monitor patients during anaesthesia

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Assessment Requirements for HLTANA009 Monitor patients during anaesthesia

Modification History

Supersedes and is not equivalent to HLTANA002 Monitor clients during anaesthesia.

Performance Evidence

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

provide monitoring assistance to an anaesthetist during at least 10 procedures and follow established technical and infection control procedures to undertake each of the following clinical measurements and tests at least twice:

arterial blood gases

blood pressure

blood glucose level

circulation

electrocardiography (ECG)

haemoglobin

inspired and expired gases (Fraction of inspiratory oxygen (FiO2), Fraction of expiratory oxygen (FeO2), end-tidal carbon dioxide (ETCO2), tidal volume (TV), inspiratory pressure, minute volume (MV), respiratory rate (RR), minimal alveolar concentration (MAC)

level of consciousness

neuromuscular function

oxygenation or oximetry, FiO2, partial pressure oxygen (PaO2)

pulse

respiration

temperature

fluid balance

bispectral index

perform the activities outlined in the performance criteria of this unit during a period of at least 360 hours of work related to anaesthetic technology in a clinical workplace environment. These 360 hours may be applied collectively across all units of competency that include the requirement for workplace hours for the purposes of assessment.

Knowledge Evidence

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

national, state or territory legal and ethical considerations for patient monitoring, and how these are applied in organisations:

codes of practice

duty of care

infection prevention and control

informed consent

mandatory reporting

manufacturers’ guidelines

privacy, confidentiality and disclosure

records management

rights and responsibilities of workers, employers and patients

work role boundaries including responsibilities and limitations

work health and safety

clinical measurements undertaken by anaesthetic technicians:

purpose

how they are undertaken

normal results and variations from normal

implications of abnormal results for all of the following:

arterial blood gases

blood pressure

blood glucose level

peripheral perfusion or skin colour

haemodynamic including non-invasive blood pressure, invasive blood pressure, central venous pressure, pulmonary artery wedge pressure, pulse, heart rate, cardiac output

dermatomes

electrocardiography (ECG) including 3 electrodes and 5 electrodes

12 lead ECG

haemoglobin

blood tests samples for urea and electrolytes (U&E), coagulation profile (coags), full blood count (FBC), group and hold screen

inspired and expired gases (FiO2, FeO2, ETCO2, TV, inspiration pressure, MV, RR, MAC)

level of consciousness clinical observation

bispectral index monitoring

neuromuscular function

oxygenation (oximetry, FiO2, PaO2

pain assessment

temperature

acid base balance

heart and lung sounds

fluid balance monitoring requirements, including:

urine

gastrointestinal

blood

irrigation

intravenous

clinical documentation requirements

principles of electricity or similar for anaesthesia:

fibreoptics

hydrostatic, atmospheric and oncotic pressure

oscillometry

photometrics or photoelectrics

thermistor

transducers.

Assessment Conditions

Skills must be demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations have not been provided in the workplace.

Assessment must ensure access to:

use of suitable facilities, equipment and resources, including those required by tests specified in performance evidence

modelling of industry operating conditions, including presence of situations requiring problem solving in non-routine situations.

Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=ced1390f-48d9-4ab0-bd50-b015e5485705