This unit applies to pre-hospital and out-of-hospital health care workers. The worker provides basic life support and prioritises clinical care of a patient in accordance with established clinical practice guidelines.
Elements and Performance Criteria for this Paramedical Unit:
Performance Evidence for HLTOUT004 – Assess and Deliver Basic Clinical Care:
Assessment Requirements for HLTOUT004 Assess and deliver basic 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 at least 80 hours work, under clinical supervision in the workplace
performed a clinical assessment and implemented basic care in a pre-hospital or out-of-hospital context on at least three different patient presentations for an illness or trauma impacting health status including:
planning and implementing basic clinical care based on assessment and time-criticality
safely delivering patient to a healthcare professional, facility or service
performed basic life support on an adult, child and infant simulation manikin according to established clinical guidelines and protocols.
Knowledge Evidence for HLTOUT004 – Assess and Deliver Basic Clinical Care:
Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:
Commonwealth and State or 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
clinical practice guidelines and protocols
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 including:
level of consciousness:
Glasgow Coma Score (GCS)
alert, voice, pain, unresponsive (AVPU)
blood volume and perfusion status:
components of and techniques used for primary survey and secondary survey
legal requirements and organisational policies and procedures for storage, handling, administration, disposal and documentation of drugs
basic life support techniques, including procedures and equipment used within established clinical guidelines and protocols
methods of documenting patient medical history including pre-existing conditions, allergies, social and emotional wellbeing, and current medication or treatment plans to provide to receiving health facility workers
receiving facility requirements or how to access these requirements
procedures to undertake when the required patient treatment is outside the scope or authority to practise of the attending worker.
Assessment Conditions for HLTOUT004 – Assess and Deliver Basic Clinical Care:
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 for performing clinical assessments and implementing basic clinical care for three patients must have been demonstrated using simulation before being demonstrated in the workplace and with members of the public.
Assessment must ensure access to suitable facilities, resources and equipment as per local governing body including:
simulation with adult, child and infant manikins
vital signs monitoring devices
organisational policies and procedures and established clinical guidelines on which the candidate bases the planning process