This unit applies to out-of-hospital health care workers. The worker assists in advanced life support, prioritises clinical care, implements time-critical health care procedures and therapies, and monitors patients based on patient needs and in accordance with established clinical practice guidelines and protocols.
Elements and Performance Criteria for this Paramedical Unit:
Performance Evidence for HLTOUT005 – Assess and Deliver Standard Clinical Care:
Assessment Requirements for HLTOUT005 – Assess and deliver standard clinical care
Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role.
There must be evidence that the candidate has:
performed the activities outlined in the performance criteria of this unit during a period of 160 hours work, under clinical supervision in the workplace
performed a clinical assessment and implemented standard care in an out-of-hospital context on at least five different patient presentations for an illness or trauma impacting health status including:
planning and implementing patient management based on assessment, time-criticality and available resources
transferring care using a systematic approach to handover
responded in different operational conditions or circumstances to implement the following standard clinical care interventions according to established clinical guidelines and protocols:
airway management for a patient
cardiac monitoring through limb leads only
cardiac rhythm evaluation as shockable or non-shockable
manual defibrillation on a simulation manikin according to established clinical guidelines and protocols
administering and responding to the effects of pharmacological therapy to treat and manage patient’s illness or condition
performed basic life support and be able to assist in advanced life support on an adult, child and infant simulation manikin according to established clinical guidelines and protocols.
Knowledge Evidence for HLTOUT005 – Assess and Deliver Standard Clinical Care:
Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:
Commonwealth and State/Territory legal considerations for emergency health care workers working in out-of-hospital care, and how these are applied in organisations including:
duty of care
health records and information privacy
drugs and poisons
work health and safety
organisational policies and procedures and established clinical guidelines and protocols for patient care and emergency equipment
ethical considerations for emergency health care workers working in out-of-hospital care, and how these are applied in organisations including:
scope of practice
practitioner and patient boundaries:
National Safety and Quality Health Service (NSQHS) Standards
techniques for assessing and interpreting vital signs
methods of obtaining and documenting patient medical history for provision to receiving health facility workers including:
social and emotional wellbeing
current medication or treatment plans
components of and techniques used for primary survey and secondary survey
variations from normal functioning of body systems
procedures and equipment to be used within established clinical guidelines and protocols for:
advanced life support assistance
advanced resuscitation assistance
critical thinking and diagnostic reasoning techniques and processes for:
diagnostic reasoning in the clinical setting
identification of key problems and issues
risks involved in responding to patient needs
pathophysiology of common presentations including:
respiratory disorders including:
common environmental emergencies:
toxic or industrial chemicals
exposure to cold
digestive and endocrine system including:
urinary and reproductive issues
stages of labour – pre and post-delivery emergencies
acute behavioural disturbance
poisoning, envenomation or overdose emergencies including:
neurotoxins, myotoxins, haemotoxins
pharmacology therapy and concepts underpinning pharmacology:
pharmacological agents for the management of common disorders
preparation, properties, uses and indications of pharmacology
safe storage, handling and disposal of pharmacological products in accordance with the Acts and regulations pertaining to these products.
Assessment Conditions for HLTOUT005 – Assess and Deliver Standard Clinical Care:
Skills must have been demonstrated in the workplace or in a simulated environment that reflects workplace conditions.
Where simulation is used, it must reflect real working conditions by modelling industry operating conditions and contingencies, as well as using suitable facilities, equipment and resources.
The performance evidence requirement to implement standard clinical care interventions must have been demonstrated using simulation before being demonstrated in the workplace and with members of the public.
Assessment must ensure access to:
use of facilities, resources and equipment as per local governing body including:
simulation with adult, child and infant manikins
vital signs monitoring devices
ECG recording device
placebo samples of pharmacological preparations for use in simulation scenarios.
forms and documents for recording of patient care.