HLTOUT005 – Assess and Deliver Standard Clinical Care
HLTOUT005 – Assess and Deliver Standard Clinical Care
Outcomes of studying the HLTOUT005 – Assess and Deliver Standard Clinical Care:
Perform out-of-hospital patient assessment
Plan out-of-hospital patient care
Implement out-of-hospital patient care procedures
Monitor and evaluate out-of-hospital patient care
Handover Patient
The unit HLTOUT005 – Assess and Deliver Standard Clinical Care describes the skills and knowledge required to conduct clinical assessments and deliver standard patient care in the pre-hospital and out-of-hospital environment.
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:
ELEMENTS
PERFORMANCECRITERIA
Elements describe the essential outcomes
Performance criteria describe the performance needed to demonstrate achievement of the element.
Perform out-of-hospital patient assessment
Conduct pre-planning of assessment before arrival at scene based on information communicated in the request for service.
Conduct scene survey according to established clinical guidelines and protocols.
Perform systematic patient assessment to collect and analyse information.
Use clinical knowledge to assess the mechanism and patterns for injury or illness to make an informed decision about the patient’s condition.
Use principles of anatomy and physiology to identify variations from normal homeostasis
Differentiate between patients who require rapid stabilisation and transport because of trauma or illness, and those who require further on-the-scene assessment and management.
Use equipment correctly to support patient care being implemented.
Plan out-of-hospital patient care
Determine time-critical issues given resource considerations.
Assess transport requirements and appropriate destination, versus transport criticality, to ensure requirements of urgency and patient care are met.
Assess the effects and any associated risks of proposed patient’s condition.
Develop a patient management plan based on patients’ needs and assessment of scene.
Use available information to justify patient management plan.
Implement out-of-hospital patient care procedures
Implement all care and treatment procedures within established scope of practice defined by organisational guidelines and protocols.
Commence pharmacological therapies as determined by patient’s presenting condition, within established scope of practice defined by organisational guidelines and protocols.
Identify need for assistance where the situation or patient’s condition requires treatment that is outside the scope of practice and seek clinical support immediately.
Monitor and evaluate out-of-hospital patient care
Evaluate patient care interventions and pharmacological therapy, noting effectiveness of treatment regime and amend according to patient’s condition in accordance with established clinical guidelines and protocols.
Use equipment to monitor all aspects of patient’s condition at appropriate intervals.
Record data regarding patient’s condition, noting any trends and their impacts on patient condition.
Identify signs of deterioration in patient’s condition.
Modify management of patient’s condition and evaluate regularly as treatment occurs
Handover Patient
Document patient details, assessment findings and patient management using a systematic approach.
Convey information using a systematic handover approach.
Maintain patient care until the transfer is complete.
Performance Evidence for HLTOUT005 – Assess and Deliver Standard Clinical Care:
TITLE
Assessment Requirements for HLTOUT005 – Assess and deliver standard clinical care
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.
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:
primary survey
secondary survey
planning and implementing patient management based on assessment, time-criticality and available resources
monitoring patient
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:
KNOWLEDGE EVIDENCE
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:
discrimination
duty of care
mandatory reporting
health records and information privacy
drugs and poisons
informed consent
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:
responsibilities
limitations
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:
pre-existing conditions
allergies
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:
burns
trauma
cardiovascular emergencies
respiratory disorders including:
asthma
common environmental emergencies:
toxic or industrial chemicals
heat stress
exposure to cold
neurovascular
digestive and endocrine system including:
diabetes
urinary and reproductive issues
abdominal pain
stages of labour – pre and post-delivery emergencies
musculo-skeletal injury
mental illness:
definition
stigma
causes
classifications
acute behavioural disturbance
poisoning, envenomation or overdose emergencies including:
neurotoxins, myotoxins, haemotoxins
illicit drugs
pharmacology therapy and concepts underpinning pharmacology:
pharmacological agents for the management of common disorders
pharmacokinetics
preparation, properties, uses and indications of pharmacology
pharmacology terminology
pharmacodynamics-pharmacological interactions
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:
ASSESSMENT CONDITIONS
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.
To discover how you can become a fully qualified Ambulance Paramedic or Basic/Advanced Life Support Medic, complete a personalised paramedical career development plan.
ELEMENTS
PERFORMANCE CRITERIA
Elements describe the essential outcomes
Performance criteria describe the performance needed to demonstrate achievement of the element.
Perform out-of-hospital patient assessment
Plan out-of-hospital patient care
Implement out-of-hospital patient care procedures
Monitor and evaluate out-of-hospital patient care
Handover Patient